Health and organic food in Cuba

There’s a lot of lessons we could learn from Cuba. That’s right, Cuba. Poor, communist nation, currently the subject of US embargoes. Admittedly, I don’t fully understand the political situation there, but here’s what I do understand: in 2003 Cuba is ranked even 7th (behind 30 other countries) in terms of Healthy Average Life Expectancy (HALE – figures taken from WHOSIS).

The HALE in Cuba is 68. Japan’s HALE is 75. Japan spent $2018 (average of spending from 1995-2006) to achieve this. The USA (the least effective spender on health) spent $4949 to achieve a HALE of just 69. On average, the 30 top ranked countries spend $2475 per capita. Cuba spent just $211. The nearest rival in terms of health spending effectiveness was Singapore (HALE 70, per capita spending $941) which spent $13 per year of healthy average life, versus $3 per year in Cuba. The top five performers are Cuba, Singapore, Malta, Spain and Japan.

There are of course lessons to be learnt from all of these countries. Here are a few that we can learn from Cuba: focus on prevention. Train doctors, and imbed them in communities, rather than hospitals alone. Fund research. Use vaccines and eliminate diseases. Measles was eliminated in Cuba in the early or mid 1990’s. Grow and eat healthy food.

Cuba has been assisted greatly by the US embargoes on this front – it had no choice, other than starving. Cuban’s grow food without petrochemicals such as fertilisers and pesticides. They don’t depend on oil to plow the earth or ship produce great distances. Instead, farms are interspersed within communities, including within cities. They use natural substances to deter pests, and use complementary crop techniques, instead of monocultures that require substantial chemical intervention. The result is cheap, healthy food – and it shows in healthy average life expectancy.