{"id":139,"date":"2026-01-23T15:47:08","date_gmt":"2026-01-23T20:47:08","guid":{"rendered":"https:\/\/blogs.uml.edu\/cuba-winter-2026\/?p=139"},"modified":"2026-01-23T15:47:17","modified_gmt":"2026-01-23T20:47:17","slug":"people-over-paperwork-healthcare-system-in-cuba","status":"publish","type":"post","link":"https:\/\/blogs.uml.edu\/cuba-winter-2026\/2026\/01\/23\/people-over-paperwork-healthcare-system-in-cuba\/","title":{"rendered":"People Over Paperwork: Healthcare System in Cuba"},"content":{"rendered":"\n<p>When I was walking into a Cuban polyclinic on Thursday, I didn\u2019t think I was about to have a perspective changing nursing moment.&nbsp; I thought I was just going to tour a healthcare facility, take some notes, take a few pictures, and move on.&nbsp; Instead, I walked out quietly rethinking what healthcare looks like, what nursing really means, and how different it feels when care is centered on people instead of paperwork.<\/p>\n\n\n\n<p>As a sophomore nursing student in the U.S., I\u2019m used to learning healthcare through textbooks, PowerPoints, and simulation labs where the mannequin never complains.&nbsp; Being inside a functioning polyclinic felt different immediately.&nbsp; This wasn\u2019t a huge hospital or a shiny medical center either.&nbsp; It blended right into the neighborhood looking just like another colorful building.&nbsp; The building\u2019s parts were reused from old homes, which made it feel less intimidating and more personal.&nbsp; Healthcare here didn\u2019t feel distant.&nbsp; It felt accessible in the middle of each neighborhood.<\/p>\n\n\n\n<p>One of the first things that stood out to me was the role of nurses.&nbsp; In the Cuban polyclinic healthcare system, each family doctor works directly with a family nurse, and together they care for a specific group of people in the community.&nbsp; Everyone is known.&nbsp; Everyone is followed.&nbsp; From a nursing student perspective, that continuity honestly felt powerful.<\/p>\n\n\n\n<p>In the U.S., nurses do a little bit of everything.&nbsp; Somehow they still don\u2019t get enough credit.&nbsp; Hearing about nurses in Cuba being so deeply involved in long-term patient relationships reminded me why I chose this profession in the first place.&nbsp; Nursing here wasn\u2019t just task-based.&nbsp; It was connection and relationship based.&nbsp; Nurses weren\u2019t rushing room to room.&nbsp; They were focused on being educators and consistent faces in their patients\u2019 daily lives.&nbsp; That\u2019s the kind of nurse I want to be.<\/p>\n\n\n\n<p>Another huge difference was how prevention is prioritized.&nbsp; Patients are grouped based on their health status, ranging from focusing on healthy individuals to those with chronic illness or disabilities.&nbsp; This system allows healthcare providers to care for whatever occurs early instead of going into the hospital when symptoms are visible and get worse.&nbsp; As someone who has spent countless hours memorizing disease processes, this approach felt refreshing.&nbsp; Instead of asking, \u201cWhat do we do when someone is sick?\u201d the Cuban healthcare system asks, \u201cHow do we keep them healthy?\u201d.&nbsp; That mindset shift stuck with me.<\/p>\n\n\n\n<p>One of the most impactful things I learned about was home visits.&nbsp; Nurses regularly visit patients in their homes, especially elderly individuals or those with chronic conditions.&nbsp; In the U.S., we talk a lot about social determinants of health, but knowing providers enter patients\u2019 living environments makes those concepts impossible to ignore.&nbsp; You can\u2019t get a look into someone\u2019s housing, family support, or daily challenges when you\u2019re sitting on someone\u2019s couch.&nbsp; It made holistic care feel real.&nbsp; It didn\u2019t feel like just something we write about in care plans.<\/p>\n\n\n\n<p>The polyclinic also functions as a teaching site for healthcare students.&nbsp; Nursing and medical students begin hands-on learning early, observing real patient care and even emergency situations.&nbsp; As a nursing student who loves to learn in labs and hands-on experiences, this honestly made me a little jealous.&nbsp; It reinforced that confidence in healthcare doesn\u2019t automatically appear after graduation. It\u2019s built over time, through experience, mentorship, and actually being present with patients.<\/p>\n\n\n\n<p>One story shared during our visit really stuck with me.&nbsp; A physician described experiencing sudden chest pain and how quickly the emergency system responded.&nbsp; Care was immediate.&nbsp; The healthcare team provided help with no hesitation, no insurance questions, and no fear of cost.&nbsp; As someone studying healthcare in the U.S., this hit hard.&nbsp; So many people delay care here because they\u2019re scared of the bill more than the symptoms.&nbsp; In Cuba, the focus was simply on treating the patient.&nbsp; That contrast made me reflect on how deeply financial stress is woven into American healthcare and how much that affects outcomes.<\/p>\n\n\n\n<p>The polyclinic isn\u2019t perfect though.&nbsp; There are shortages of medications and advanced technology, and providers are very aware of those limitations.&nbsp; But instead of stopping care, they adapt and learn new effective methods.&nbsp; Prevention, rehabilitation, research, and even traditional medicine play major roles.&nbsp; This changed my assumption that quality healthcare always requires high-tech equipment.&nbsp; Instead I saw that organization, consistency, and commitment can go a long way.&nbsp; Even with fewer resources the patients can be cared for as long as there\u2019s passion.<\/p>\n\n\n\n<p>Leaving the polyclinic, I felt changed in a quiet but meaningful way.&nbsp; This experience didn\u2019t make me think one healthcare system is perfect and another is failing.&nbsp; What it did was give me a different perspective.&nbsp; It reminded me that nursing is more than skills, checklists, and charting (even though those things consume nursing student\u2019s lives).&nbsp; Nursing is about relationships.&nbsp; It\u2019s about showing up.&nbsp; It\u2019s about caring for people within the context of their lives. That\u2019s exactly what Cuba showed.<\/p>\n\n\n\n<p>This visit reminded me of why I chose nursing.&nbsp; Not because it\u2019s easy or glamorous, but because nursing has the power to connect healthcare to the community.&nbsp; The Cuban polyclinic showed me that meaningful care doesn\u2019t always begin in a hospital.&nbsp; Sometimes, it begins by knowing your patients, understanding their lives, and choosing compassion every single day.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" width=\"640\" height=\"480\" src=\"https:\/\/blogs.uml.edu\/cuba-winter-2026\/wp-content\/uploads\/sites\/229\/2026\/01\/IMG_6785.jpeg\" alt=\"\" class=\"wp-image-140\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" width=\"387\" height=\"640\" src=\"https:\/\/blogs.uml.edu\/cuba-winter-2026\/wp-content\/uploads\/sites\/229\/2026\/01\/IMG_6825.jpg\" alt=\"\" class=\"wp-image-141\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>When I was walking into a Cuban polyclinic on Thursday, I didn\u2019t think I was about to have a perspective changing nursing moment.&nbsp; I thought I was just going to tour a healthcare facility, take some notes, take a few &hellip; <a href=\"https:\/\/blogs.uml.edu\/cuba-winter-2026\/2026\/01\/23\/people-over-paperwork-healthcare-system-in-cuba\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1653,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/blogs.uml.edu\/cuba-winter-2026\/wp-json\/wp\/v2\/posts\/139"}],"collection":[{"href":"https:\/\/blogs.uml.edu\/cuba-winter-2026\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.uml.edu\/cuba-winter-2026\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.uml.edu\/cuba-winter-2026\/wp-json\/wp\/v2\/users\/1653"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.uml.edu\/cuba-winter-2026\/wp-json\/wp\/v2\/comments?post=139"}],"version-history":[{"count":1,"href":"https:\/\/blogs.uml.edu\/cuba-winter-2026\/wp-json\/wp\/v2\/posts\/139\/revisions"}],"predecessor-version":[{"id":142,"href":"https:\/\/blogs.uml.edu\/cuba-winter-2026\/wp-json\/wp\/v2\/posts\/139\/revisions\/142"}],"wp:attachment":[{"href":"https:\/\/blogs.uml.edu\/cuba-winter-2026\/wp-json\/wp\/v2\/media?parent=139"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.uml.edu\/cuba-winter-2026\/wp-json\/wp\/v2\/categories?post=139"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.uml.edu\/cuba-winter-2026\/wp-json\/wp\/v2\/tags?post=139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}