A hundred Caribbean and Central American nations are closing or reducing their contracts with Havana as a result of "forced work" allegations and threats of immigration restrictions as a result of the United States ' offensive against Caribbean medical operations. The physician regiment program, according to Secretary of State Marco Rubio, is a "forced work plan" with "abusive and aggressive labor practices," and it has been revocation of visas for Caribbean and foreign officials hired by island-based healthcare personnel. These accusations are refuted by the Cuban government, who maintains that these are togetherness assistance initiatives.

A Risky Economic Pillar

Along with commerce and remittances, Cuba's main sources of foreign currency have long been a source of expert companies, primarily physician. These are also sectors that have experienced restrictions and restrictions from Washington.

Cuba exported professional services, making between$ 6 billion and$ 8 billion annually, according to the State Department's 2024 Trafficking in Persons Report. According to data from the National Office of Statistics and Information ( ONEI), these services accounted for more than 40 % of the island's total exports between 2018 and 2020.

According to official figures, Caribbean medical regiments have sent about 600,000 professionals to 165 nations since their establishment more than 60 years ago. These initiatives have made it possible for the underfunded healthcare systems to become more effective in receiver nations. They refer to pay in unusual money that are higher than what Cuban doctors on the island receive. However, Prisoners Soldiers and other companies claim that the Cuban government holds passports, seizes passports, and discourages those who leave operations early, and withholds up to 85 % of the payments made by network nations. The Caribbean under strain: The new US restrictions have piqued Atlantic problem. where Caribbean physicians were a key component of the government's health services.

Members of the Organization of Eastern Caribbean States ( OECS) have acknowledged that some islands have suspended the programs and that others have lodged grievances with Washington.

Cuban Uncertainty:

Venezuela, which has historically been a major hub for Caribbean medical brigades, is the most relevant case. In that nation, there were roughly 13, 000 Caribbean professionals in June 2025, generally doctors, according to official figures.

The change of clinical services for oil was stipulated in the cooperation agreement signed in 2000. The future of the deal is uncertain, but, following the capture of President Nicolas Maduro in the context of a military intervention supported by Washington. No one in the government has publicly announced its revocation.

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