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Letters |1 November 1995

Epidemic Neuropathy in Cuba

Eliseo Perez-Stable, MD

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Author, Article, and Disclosure Information
  • University of Miami; Miami, FL 33125
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TO THE EDITOR:
Roman's article describing an epidemic of neurologic disease in Cuba is comprehensive and well documented [1]. I wholeheartedly agree that “physicians may need to use their influence to modify political decisions when these decisions result in adverse health consequences.” Nevertheless, I do not agree that the U.S. embargo and the breakdown of the Soviet Union are the principal causes of the problems affecting Cuba in the 1990s. Undoubtedly, the U.S. embargo and its tightening through the Cuban Democracy Act of 1992 are a heavy burden on the Cuban government, particularly given the collapse of the eastern Europe network of trade, credits, and aid. The current predicament, however, is largely due to irrational and inefficient social planning and to the policy choices made by the Cuban leaders.
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Perez-Stable E. Epidemic Neuropathy in Cuba. Ann Intern Med. ;123:734. doi: 10.7326/0003-4819-123-9-199511010-00026

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Published: Ann Intern Med. 1995;123(9):734.

DOI: 10.7326/0003-4819-123-9-199511010-00026

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