It's happening everywhere, and it's completely intentional.
(it has something to do with profit)
https://en.wikipedia.org/wiki/Latin_American_School_of_Medic...
A recent form of profit seems to be offering cheap treatment/medical tourism
https://www.cubamundomedico.com/en/university-of-medical-sci...
Seems impractical for USians, though.
When you try to build a society around human needs instead of capital needs, you end up with different priorities. It's that simple.
If anyone thinks they're making the big bucks and accumulating "soft power" by training a bunch of doctors then selling treatments to Americans for cheap, I'm not sure they can be helped.
I wondered about why there were almost always cuban medics, doctors, nurses etc. in action, when there has been some larger catastropic event in the world, and you could see them in the media.
Why is that, I thought? That doesn't fit being sanctioned by the US(and vassals), being poor in general, and so on.
That's how I became aware of ELAM.
And made up my mind the way I described. Can't help it :-)
I think the word for that is capitalist realism. You cannot imagine a motive beyond calitalist logic, but that doesn't mean nobody else can.
I'd feel offended if the YOU in "You cannot imagine a motive beyond calitalist logic, but that doesn't mean nobody else can." was addressed to me, personally.
Or was it just meant as a general description of the concept?
It's easy to have really good health outcomes at really low cost if you just fabricate the data. It's easy to export lots of doctors if you force them to work abroad, force them to pay most of their salary to the government and hold their families hostage to ensure compliance.
https://academic.oup.com/heapol/article/33/6/755/5035051
https://www.hrw.org/news/2020/07/23/cuba-repressive-rules-do...
Much less so to the doctors themselves, which frequently have to work in what amounts to conditions of indentured servitude. And they have no other option, as working as a domestic doctor in Cuba typically pays less than being a taxi driver.
To be honest, I'm not convinced of your explanation.