> It doesn't explain why Cuba needs to import 70-80% of their food despite being a fertile tropical paradise.
There have been famine and starvation before the communists took power. I don't think Cuba has ever been fully food self-sufficient. Not many countries are.
Not to mention agriculture needs access to fertilizers which the sanctions make harder to get.
The more important part from your source:
> The largest island in the Caribbean, Cuba is one of the most successful in achieving the Millennium Development Goals (MDGs). Food-based social safety nets include a monthly food basket for the entire population, school feeding programs, and mother-and-child health care programs.
This is a big achievement.
Also it doesn't make sense to compare Cuba with the richest Western Countries. Communist revolutions tend to happen in the poorest countries of the world. Saying they are poor because of communism is confusing cause and effect.
If we compare Cuba to her peers in Latin America, especially Haiti, then Cuba is doing vastly, vastly better. Cuba is doing really well on the human development index, providing free health care and decent education for all.