Last week, a dozen community projects across Havana- health clinics, elder care centers, community kitchens, and educational organizations that have served their neighborhoods for decades- received humanitarian aid from Global Exchange, delivered amid the collective punishment of the U.S. blockade and escalating sanctions. And in partnership with the Hatuey Project, we also supported the delivery of urgently needed cancer medicine to hospitals across Cuba.

Everywhere we went, we saw the same story. Extraordinary people doing everything they can to care for their communities while struggling under a blockade designed to make daily life increasingly unlivable.

At La Castellana Center, staff provides daily care for people with severe mental disabilities despite chronic shortages of basic supplies. At Quisicuaba, a community kitchen now prepares nearly 12,000 meals every day while its free clinic struggles to obtain medicines that should be routine. At CENESEX, Cuba’s National Center for Sex Education, access to reproductive health and hygiene supplies has become another casualty of U.S. policy. We also delivered aid to a neighborhood polyclinic and a Casa de Abuelos (Grandparents House), where staff continues to care for older members of the community despite increasingly difficult conditions.

If you brought donations to our office, they made it. The supplies you collected were delivered directly to the community organizations and health centers we visited. The cancer medicine you helped fund has already been received and is now reaching hospitals across Cuba, with additional shipments planned for August and September.

This is not the story of a country that cannot care for its people. It is the story of a country whose ability to do so has been systematically targeted for decades by a blockade designed to create scarcity, to create hardship, to create suffering. What we witnessed was the resilience of people refusing to surrender to it.

We were last in Cuba in May. Two months later, the crisis has deepened with startling speed.

With virtually no fuel reaching the island, transportation has ground to a halt, and blackouts have intensified. Roads that once teemed with cars now sit silent. Hotels that once filled with visitors stand empty. Long lines snake outside banks, spilling into the streets as recurring blackouts disrupt banking services. Market shelves grow barer by the week. These are the visible signs of an economy under relentless siege.

As we write this, Cuba has once again been plunged into a nationwide blackout, the third in just six months. For millions of Cubans, that means hospitals without reliable electricity, families without running water, food spoiling, medicines at risk, and entire communities brought to a standstill.

The need continues, but so does the resistance. Hospitals need medicine and supplies. Communities need solar panels, power stations, and equipment to keep lights, fans, and refrigerators running through blackouts. And the blockade needs to be met with pressure here at home, in calls to our elected officials, in the streets, in every conversation that pushes this crisis into public view. Standing with Cuba means meeting that need again and again, for as long as the blockade demands it.

Join our next delegation.

Global Exchange returns to Cuba August 8-15 with more cancer medicine and humanitarian aid. And then again in September. Email drea@globalexchange.org to learn more.

Help deliver the next shipment.

Help us continue delivering cancer medicine to Cuba. Please donate today.

Take action from home.

We are partnering with Cuban Americans for Cuba and the Latin America Working Group to host an Advocacy 101 webinar. Whether you’re a seasoned advocate or new to the movement, we invite you to join the conversation and learn how to talk to your representatives about the U.S. blockade on Cuba and demand an end to the policies that continue to inflict profound hardship on Cuba’s 11 million people. Register here: https://actionnetwork.org/events/congressional-advocacy-101-webinar

The blockade is a choice. It is made and remade in Washington. And it can be unmade.

We will not stop until the blockade ends.

Thank you for standing with the Cuban people.

We return angrier every single time. Angrier at the deliberateness of it. Angrier at the cruelty of policies that target our island neighbors with the cold precision of a siege.

And we are going back.

For the next 8 days, Global Exchange returns to Havana. This trip, we are bringing cancer medicine to Cuban hospitals in partnership with the Hatuey Project. When we traveled in May, doctors told us that every shipment from our previous visit had already been used. They had received no new supplies since we’d last been there.

The numbers tell you what kind of war this is:

This is deliberate. This is collective punishment. This is what a siege looks like when it is designed to be invisible.

The United States administration has now sanctioned the Cuban Institute of Friendship with the Peoples (ICAP) and AMISTUR, our longtime friends and the Cuban institutions that have facilitated people-to-people engagements between Cuba and international solidarity for many decades. This is a clear effort to silence the international movement of solidarity and bring maximum economic harm to the Cuban people. 

By targeting the very institutions that keep Cubans and Americans in relationship with one another, this administration is trying to destroy the avenues through which global citizens connect and through which the truth gets out, through which solidarity is made real. Isolate Cuba

Strategy: Criminalize anyone willing to stand with the Cuban people. 

We refuse to be silent. We refuse to be criminalized out of our conscience.

During our days in Havana, we will sit with the people living inside this war. We will meet with doctors delivering care through blackouts and medicine shortages, with elders bearing the sharpest edge of this manufactured crisis. We will hear from CENESEX on LGBTQ+ rights and how sanctions undermine the expanded Family Code, from the community of the Literacy Museum and Centro Martin Luther King and the organic urban gardens,  people who are building life under siege. We will meet with Belly of the Beast, the independent journalists breaking through the blockade of information. 

Cuba has not been broken. Not by sixty-seven years of blockade, not by engineered blackouts, not by medicine shortages, not by being strangled from every direction by the most powerful empire in modern history.

We are going because the Cuban people, under blackouts, under shortages, under a siege designed to grind them into submission, continue to build and to resist. Their decades-long battle for self-determination demands our urgent solidarity.

We are going back to say: not in our name. Not then. Not now. Not ever.
The Cuban people will not surrender. Neither will we.

Please join Global Exchange and our partners in this battle of resistance, human rights, and survival. Contribute what you can in material and financial support. You will hear from us again as we, along with others, plan medical and support delegations as often as possible. 

Adelante, and thank you.  

Fox News recently published a list of 145 organizations it believes should be investigated for their work related to Cuba. Global Exchange is on that list.

The Justice Department and Treasury Department have reportedly announced investigations into whether solidarity organizations coordinated activities with Cuban government officials without registering as foreign agents. Organizations have begun receiving extensive requests for records, travel documentation, receipts, donor information, and communications.

The purpose is not difficult to understand. Investigations, subpoenas, and information requests consume time, resources, and attention. They are designed to make solidarity expensive, humanitarian work exhausting, and ultimately to convince people that helping is no longer worth the risk.

We’ve seen this before.

In March, Global Exchange delivered cancer medicine to hospitals in Havana. When we returned in May, doctors told us that every shipment had already been used. They had received no new supplies since our previous visit. More than 100,000 people in Cuba are currently waiting for surgeries they cannot access. More than 12,000 of them are children.

The real scandal is that sixty years of a cruel blockade are now being escalated by the Trump Administration into a genuine humanitarian disaster — deliberate, unnecessary, and entirely preventable. And it is being done in your name.

On May 1, President Trump signed a new executive order further tightening sanctions on Cuba, deepening the island’s energy crisis and worsening daily blackouts, food shortages, water shortages, and mounting medical emergencies. That was just one month ago. Yesterday, the U.S. government imposed another round, this time targeting Cuban President Miguel Díaz-Canel, members of his family, the Cuban Institute of Friendship with the Peoples (ICAP), an important bridge between Cuba and international solidarity movements, and Amistur, our longtime partner in organizing legal travel to the island, along with other Cuban institutions.

This is not policy. This is punishment — designed to tighten the economic strangulation of the island, collectively punish 11 million Cuban people, and intimidate those around the world who choose solidarity over silence. By targeting the very institutions that facilitate international engagement and people-to-people exchange, the message is clear: isolate Cuba, deepen the suffering, and criminalize anyone willing to stand with the Cuban people against these policies

Marco Rubio and Donald Trump are discussing military intervention. After decades of economic warfare, the answer cannot be more escalation. The answer cannot be more suffering for a population already struggling to obtain food, medicine, electricity, and fuel.

We have traveled to Cuba for decades — and we intend to keep doing so.

We are tired, in the way people become tired after watching the same cruelty administered in new forms for decades. But we are not done. And we will not be silenced.

Medicine is still needed. Doctors are waiting. Patients are waiting. Thousands of children are waiting. No investigation, executive order, or political attack changes that reality.

That is why we are moving forward with the next shipment of cancer medicine to Cuba, and why we are asking for your support today. Join us in this crucial battle to save lives and end policies that continue to inflict hardship on Cuban families. Whatever lists are published, whatever threats are made, and whatever obstacles are placed in the way, our responsibility remains the same: to stand with the Cuban people, ensure that lifesaving medicine reaches those who need it, and continue the fight for peace, sovereignty, and an end to policies that cause needless suffering.

Author: Karen Dayana Mosquera Palacios
This is an English translation of the article originally published in Spanish by La Ceiba. Read the original version at laceiba.lat.
On May 31, the third most populous country in Latin America will decide far more than its next government.

Colombia as Hinge: The Right Turn in Latin America and What This Election Can Break or Confirm

Latin America is living through one of the most intense electoral cycles of the past decade in 2026. Peru, Colombia, and Brazil will elect presidents throughout the year in a regional landscape where the second Trump administration has ceased to be a distant actor and has become a direct variable in the internal politics of several countries. U.S. foreign policy is openly transactional and interventionist: ranging from the military operation in Venezuela at the start of the year and the tightening of the blockade against Cuba, to threats to take control of the Panama Canal, diplomatic and tariff coercion against Mexico, and pressure on Brazilian justice following the conviction of former President Jair Bolsonaro for his coup attempt.

Recent cases are notable. In Honduras, Trump posted on his X account, just hours before polls opened, that he would pardon former President Juan Orlando Hernández — convicted of drug trafficking in the United States — if Nasry Asfura, a candidate from the same party, won. After a disputed counting process that dragged on for months, Asfura was declared the winner and Juan Orlando regained his freedom. In Argentina, Trump openly conditioned U.S. financial support on a victory by Javier Milei’s party in the October 26, 2025 legislative elections. Two countries, two elections, the same hand. The pattern is not new, but it has never been so explicit.

The Latin American political map clearly shows that the three major progressive left governments still standing in the region are Mexico, Brazil, and Colombia. Mexico maintains a degree of stability under Claudia Sheinbaum. Brazil, however, votes in October, and Luiz Inácio Lula da Silva will seek a fourth term. Colombia votes now. If this government falls, the bloc fractures.

The effect is not automatic. Brazil has a different scale, a different capacity for resistance, and its own internal and regional dynamics. But symbolism matters in politics, and a defeat in Colombia three months before the Brazilian elections would be, at best, a rhetorical gift for those seeking to prove that the Latin American progressive cycle has failed and is reaching its end. At worst, it would represent a blow to the close and deeply integrated relations built under the Petro and Lula governments, and would put at risk the possible consolidation of a bloc of resistance to Trumpian hegemony in the hemisphere. What Colombia decides on May 31 does not belong to, nor does it only affect, Colombia. 

The Electoral Map: Three Candidates, Two Poles, and a Weakened Center

Colombia is living through a historic moment in its democratic life: it is the first time the left is not only defending the power it won four years ago, but also seeking to preserve it and consolidate it as a long-term national project.

The March 8, 2026 legislative elections marked a milestone. The progressive forces represented in the Pacto Histórico — the ruling party — achieved their best-ever result in Congress and won more votes than any other party in the country, securing 25 seats. That is not a majority; Congress remains dominated by the right, but it is a sign that there is an electorate that did not vote for Petro and his party as a protest vote, but is actually identifying with a project. 

That changes the nature of the dispute. It is no longer about whether the left can reach power. It is about a political force that has been consolidating itself and now contests whether it can stay there. That shift is what makes these elections different from all previous ones and complicates the analysis of Colombia from both within and outside.

A few days before the first round, the electoral landscape is defined by a polarization that leaves no room for the center. Fourteen candidates registered with the National Registry, but voting intention has concentrated around three figures. Iván Cepeda Castro, senator for the Pacto Histórico, leads all polls with between 38% and 40% of voting intention. He is followed by Abelardo de la Espriella of the Defensores de la Patria (Defenders of the Homeland) movement, at around 24%, and Senator Paloma Valencia of the Centro Democrático (Democratic Centre), with approximately 19%.

Centrist figures such as Sergio Fajardo and Claudia López fail to gain traction in the polls. Their candidacies illustrate something deeper: Colombian society is divided into two blocs and there is no oxygen for intermediate positions.

The fragmentation of the right-wing vote and the nonexistent center is, paradoxically, the factor that could most benefit Cepeda. His campaign hopes that the contest between De la Espriella and Valencia for the conservative electorate will allow him to win in the first round — unprecedented in Colombian history for a left-wing candidate.

Cepeda represents continuity with Petro’s political project and promises to deepen policies and reforms that Petro was unable to consolidate. De la Espriella and Valencia, though rivals, agree on the fundamentals: dismantling current government policies, a hard line against criminal structures, and the return of Colombia to the role of Washington’s main ally in the region. These are two distinct national visions, and the consequences of each extend well beyond Bogotá.

The Pressure No One Names, but Everyone Feels

To say there is major external interest in the results of Colombia’s presidential elections is not speculation — it is a reality. And since January 2026 it has an official name: the “Donroe Doctrine.” The concept — fusing Donald Trump’s name with the 19th-century Monroe Doctrine, and asserting in essence that “America is for the Americans” — was adopted by the U.S. president himself following the military operation in Venezuela.  What was conceived in the 19th century as a warning to European powers not to intervene in the Western Hemisphere is today the ideological justification for Washington to openly intervene in the political affairs of its southern neighbors, under the argument that the Western Hemisphere is its natural and inviolable sphere of influence.

Colombia is not a peripheral case within that doctrine. It is a central one. The country shares more than 2,200 kilometers of border with Venezuela and hosts approximately three million Venezuelan migrants, meaning that any instability in the neighboring country immediately becomes a matter of Colombian domestic policy. For Washington — which has explicitly raised the possibility of incorporating Venezuela as the 51st U.S. state — it is strategically important that the next government in Bogotá align itself with its regional policy and support its position toward Caracas. 

A government that continues the Petro line, which maintained diplomatic relations with Maduro and openly criticized U.S. pressure on Venezuela, represents a genuine hemispheric inconvenience for the White House.

The case of Ecuador illustrates how that pressure can also operate through closest neighbors. President Daniel Noboa, invoking a lack of control and cooperation by the Colombian government on border security and the greater fiscal and military burden Ecuador has had to assume to contain criminal structures operating in that zone, decided as a retaliatory measure to impose 30% tariffs on Colombian imports in February, raised them to 50% in March, and announced they would reach 100% as of May 1.

Two readings can be made of this unilateral decision. The first: the Ecuadorian president, despite acting against Ecuador’s international obligations, wants to pressure Colombia into adopting a stance more aligned with his country’s position on cross-border security. 

The second, a political reading: to tip the electoral balance toward candidates closer to his positions. Just days ago, Centro Democrático candidate Paloma Valencia announced a call she held with Noboa, in which the Ecuadorian president offered to reduce tariffs to 75%. The maneuver exposed what was already evident: the Colombia-Ecuador border is also a political front where the Colombian election is being fought with tariffs and diplomatic pressure.

When one observes the patterns shared between these Ecuadorian presidential decisions and those of President Trump, it is impossible not to ask what role Washington plays in the decisions being made from Quito. Is it mere ideological influence? Is Noboa signaling to Trump to consolidate himself as his best ally in the region? Or is he acting on concrete directives from Washington? What is clear is that these policies — which are openly contrary to international law — have been directed exclusively at governments that Washington has declared opposed to its interests.

It should be recalled that, before his dispute with Colombia, Noboa imposed a 27% tariff on Mexican imports in 2025, shortly after the United States imposed tariffs on Mexico. That decision came amid diplomatic tensions following the 2024 rupture in relations, when Ecuadorian police violently broke into the Mexican embassy in Quito to arrest former Vice President Jorge Glas, violating the 1961 Vienna Convention on Diplomatic Relations. 

Colombia and Mexico have something in common: they are governments Washington has repeatedly identified as contrary to its interests. That Noboa has exerted economic and diplomatic pressure on both, with a synchronization that is hard to ignore, is an open question that no one has formally answered, but that many in the region are asking.

Adding to this chain of external pressures on the Colombian elections is the Honduras Gate scandal, which serves as an illustration of an intervention model that does not arrive as a declaration of war, but as coordination between local and international actors and carefully orchestrated media positioning. 

In the leaked audio recordings, a voice identified as that of former Honduran President Juan Orlando Hernández claims the Israeli government played a decisive role in his pardon and release in the United States, speaks of creating an information cell to launch operations against left-wing governments in the region, and explicitly mentions that “some dossiers against Mexico and Colombia are coming,” all with the backing of actors in Honduras, the United States, Israel, Argentina, and other conservative sectors of the region. 

Regardless of the arguments used to dismiss these revelations, what is certain is that this story gave names, figures, and conversations to a network that many in the region suspected existed. With that precedent on the table, asking whether Colombia will be the target of interventions to influence the presidential result is not a rhetorical question. It is a genuine one. 

Who Does Washington Back?

Explicit support from the Trump administration for a specific Colombian candidate has been, until now, less visible than in other recent electoral processes in the region. That is probably no coincidence. Open endorsement before the first round can produce the opposite effect in a Colombian electorate deeply divided over U.S. interference in internal affairs. The strategy Washington appears to be adopting is to reserve that support for the second round, where all conservative sectors will seek to unite to defeat Iván Cepeda. 

The absence of a declaration does not mean the absence of a position. The tension Petro maintained with the White House throughout his government — criticizing U.S. foreign policy on migration, peace, and security, from the war in Gaza to military operations against vessels in the Caribbean and Pacific as a prelude to the military incursion into Venezuela — left a mark that does not disappear with a visit. 

Washington has sent clear signals: the decertification of Colombia as a reliable partner in the fight against drug trafficking, combined with the State Department’s designation of Colombian armed groups as terrorist organizations, directly aligns U.S. security policy with the agenda of right-wing candidates and constitutes an explicit criticism of the negotiated peace policy that the Petro government called “Total Peace.” 

Added to this is a detail that should not be read as a neutral gesture: the United States will be an international observer at the May 31 elections. The National Electoral Council confirmed it accredited 86 members of the U.S. embassy to monitor the vote in various cities across the country. The official statement framed it as a cooperation strategy to strengthen the transparency of the process. But this action comes after the U.S. government publicly expressed concern about threats against right-wing candidates such as Paloma Valencia and Abelardo de la Espriella — which raises an uncomfortable question: what does Washington mean by transparency, and exactly who is it watching?

Despite the fact that open hostility between Trump and Petro eased following the Colombian president’s visit to the White House in February, relations between Bogotá and Washington remain the most strained of the recent democratic period.

If there is a second round — to be held June 21 — that implicit support will likely become explicit. And when it does, the Colombian election will formally become yet another episode in the long history of U.S. intervention in Latin American electoral processes, and a possible win for the regional reconfiguration Washington has been executing under the “Donroe” doctrine.

Violence and Fraud: The Scenarios Nobody Wants in Colombia

While international attention focuses on the name of Colombia’s next president, Colombians are living through this process under pressure and division without parallel in their recent democratic history. 

Polarization is so deep that Colombia will go to the polls on May 31 without the three leading candidates having shared a single presidential debate — each deflecting with the excuse of not wanting to participate in polarized settings. It is difficult to speak of democracy and reconciliation in a country so marked by violence when those aspiring to the Casa de Nariño (Colombia’s presidential palace, equivalent to the White House) cannot even agree to attend a public debate.

The absence of debate does not occur in a vacuum. The tone was set by the assassination of presidential pre-candidate Miguel Uribe Turbay in 2025 — the first signal that this campaign would not be an ordinary process. To that targeted political violence is added the violence experienced by local leaders in regions where the state barely reaches, and the violence unleashed directly on the civilian population. 

In a single week, between April 24 and 30, dozens of violent and terrorist actions were recorded: drone attacks on military installations, cylinder bombs on roads, and an explosive charge detonated as vehicles passed that killed 22 people and wounded 37. Several attacks failed to hit their targets but added to a sustained campaign of terror, as reported by INDEPAZ. The National Registrar, Hernán Penagos, also requested special reinforcement from security forces for several areas of the country where illegal armed groups directly threaten the conduct of the electoral day. In those regions, voting is not a civic routine. It is an act of courage. 

Questions about the transparency of the electoral process complete the complex picture. Before the March legislative elections, President Petro denounced the possibility of electoral fraud based on the alleged manipulation of the software used by the National Registry for vote counting, sparking a national debate about the reliability of the system. 

Oversight bodies have defended its soundness and highlighted that the software has undergone technical audits, including international reviews. That this debate exists just days before a presidential election in such a polarized country — with external actors who have declared interests in the outcome — is not a minor detail. 

What Colombia Is Telling the World

Colombia votes on May 31 under the conditions this article has described: with high levels of violence, without debates, and with doubts about the transparency of its electoral system — while the hemisphere’s leading power has already militarily threatened the country, cut its diplomatic aid, calls its outgoing president a criminal, and operates militarily in its waters under the “Donroe” Doctrine, the ideological justification with which Washington has declared this hemisphere its operational backyard. 

This is not a fictional scenario. It is the real one.

In that context, what Colombians decide on May 31 is a political act of a magnitude that goes far beyond choosing a government. It is an imperfect response, taken under pressure, to the most urgent question Latin America faces today: Can a Latin American democracy decide for itself under the “Donroe” Doctrine?

Brazil will hear the answer in October. Mexico will read it immediately. Washington already knows what it wants. The only real unknown is what Colombians will decide.

Iraq. Libya. Venezuela. Now Cuba.

We are writing at a moment of grave urgency. Washington is not pursuing accountability. It is laying the groundwork for regime change and war.

The reported indictment of the 94-year-old former Cuban president Raúl Castro is timed to coincide with a Justice Department ceremony at Miami’s Freedom Tower on Cuban Independence Day, staged for the exile lobby that has spent decades waging an ideological and commercial war against the Cuban Revolution. The political motivation is plain. “This was a long thought-out thing that I wanted to do,” Rep. Mario Díaz-Balart (R-FL) told USA Today. “And I thought this is the president that would do it.”

This is not the first time Washington has fabricated a legal pretext to justify a war it has already decided to wage. Iraq. Libya. Venezuela. The sequence is familiar. Iran has lived under this architecture for forty-five years, sanctions, indictments, designations, assassinations, a slow siege that has now broken into open military confrontation. Cuba is next in line. Even within the administration, there is no serious claim that Cuba threatens American interests, yet in the same breath, officials are circulating claims about Cuban drone acquisitions with the urgency of a justification for military action. The CIA director visited Havana this week. New sanctions were imposed. Every element of this escalation points in the same direction.

The indictment has no legal foundation. It rests on the false premise that Cuba had no right to defend its own airspace. Between 1994 and 1996, Cuba issued more than 25 formal warnings to the US government regarding Brothers to the Rescue aircraft repeatedly violating Cuban airspace, notifying the State Department, the FAA, and international aviation authorities, all of whom had both the power and the legal obligation to halt the flights. They refused. US officials knew exactly what was coming. A January 1996 FAA email warned that Cuba might shoot down one of the planes. The night before the incident, a White House adviser requested the flights be grounded. The FAA refused again. Under Article 51 of the UN Charter, every sovereign nation possesses the inherent right to defend its territory after exhausting diplomatic means. Cuba had done exactly that. The United States bears responsibility for what followed. And while it pursues a 94-year-old for an act of territorial defense, the men responsible for actual terrorism against Cuba died free.

Take the case of Luis Posada Carriles, a Cuban exile and CIA operative responsible for the bombing of Cubana Flight 455 in 1976, which killed all seventy-three passengers on board including the entire Cuban national fencing team. Rather than face justice, Posada Carriles lived freely in Miami until his death, protected from extradition by the same government now invoking accountability. This has been the pattern of US policy toward Cuba and the Cuban exile community for decades, key figures in the United States supporting every effort to undermine the Cuban Revolution and the model it represents for countries around the world.

This is not justice. It is the deliberate construction of a pretext for the next phase of Washington’s siege on Cuba.

Eleven million Cubans are living through nearly twenty-four-hour blackouts, severe shortages of food and medicine, and an oil blockade designed to break the back of a nation, all in outlandish violation of international law and existing international conventions on human rights. This reign of terror has sought to intimidate every country in the region and beyond into bowing to US domination. Cuba is not a threat and has never been a threat. For 33 consecutive years, the overwhelming majority of the world has voted at the United Nations to condemn the US embargo. The United States is on the wrong side of history.

Global Exchange stands with citizens throughout the world in unwavering solidarity with the people of Cuba. The global support for Cuba is a sign that people everywhere will not be silent while the US attempts to force Cuba back to the Batista era, an era of drugs, mafia, and submission to US imperial policy. We will not be silent as this administration builds the case for war.

We call on movements, communities, and people of conscience to refuse this narrative and resist this escalation. Cuba’s right to sovereignty is not negotiable. Neither is our solidarity.

Cuba is not alone in this moment of global war. Take action. Make your voice heard from your community to Congress and beyond.

Make a donation to provide life-saving cancer drugs for children, essential medicines for women, and to stand with Cuba’s sovereignty.

If you’re in the Bay Area, drop off humanitarian aid.

Travel in solidarity.

Cuba is not alone. And we will not be silent.

Washington besieges Cuba. Rome refuses to look away. How sixty years of Church history stopped an American Secretary of State in his tracks.

A Global Exchange Communiqué | May 8, 2026
By Ted Lewis.

When Marco Rubio walked into the Apostolic Palace on Thursday morning to meet Pope Leo XIV, he carried with him the full weight of an administration that has made the deliberate suffering of the Cuban people a cornerstone of its foreign policy. What he encountered, by all accounts, was a pope who was not interested in providing cover for it.

The contrast could not be more stark, or more historically instructive. On one side of that meeting room sat the Secretary of State of a superpower that has spent sixty-five years trying to break Cuba through isolation, embargo, and now an oil blockade so severe it has plunged the island into darkness for up to 24 hours a day. On the other sat the first American pope in history, the inheritor of an institution that chose a radically different path and, by any honest measure, achieved far more.

A Road Trip, a Mother and a Daughter, and What Actually Works

In 1999, a year after Pope John Paul II made his historic visit to Havana, I drove across Cuba — one of several trips I have made to an island I have come to love. I have talked with Cubans in every corner of that country: farmers, musicians, doctors, teachers, party officials, dissidents, believers, atheists, and people who held all of those identities simultaneously and without apology. I have come away every time with the same conviction: the Cuban people are among the most dignified, resilient, and historically clear-eyed people on earth, and they deserve infinitely better than what American policy has delivered to them.

On that 1999 road trip I made my way to Santiago de Cuba, the island’s second city, in its magnificent and revolutionary southeast, the place where Fidel Castro declared victory in January 1959. I stayed with a mother and daughter I had been connected to through friends in Havana. The mother was a nurse. The daughter was a physician. They were, without contradiction or apparent discomfort, both lifelong committed members of the Communist Party and devout Catholic believers. For most of their adult lives those two identities had to be held separately, the faith concealed, the practice private, the cross kept out of sight. To display religious belief openly was to invite suspicion, career consequences, the quiet withdrawal of the state’s approval.

But something had shifted. John Paul II had come to Cuba the year before, and his visit had done something that decades of American embargo had utterly failed to do: it had opened a space. Not regime change. Not geopolitical realignment. Something quieter and more durable than either, the simple dignity of being able to be fully oneself. The mother and daughter I sat with in Santiago spoke about this with a kind of cautious, still tender relief. They could be who they were. The faith that had lived entirely in private could begin, carefully, to breathe in public.

That is what engagement produces. That is what presence, patient, consistent, deeply human presence, actually achieves. Remember it the next time an American politician tells you that maximum pressure is the path to freedom for the Cuban people.

Sixty Years of the Church Getting It Right

The history here is not complicated, though Washington has preferred to ignore it.

When Castro came to power in 1959, the Catholic Church in Cuba was associated with the old colonial elite. By 1961, the revolution had expelled hundreds of priests, nationalized Catholic schools, and declared Cuba an atheist state. The hostility was genuine and severe. The Church could have walked away, could have joined the chorus of condemnation and isolation that the United States was already organizing. It did not.

For three decades the Church stayed. It kept its buildings, its sacraments, its quiet presence. It was marginalized, restricted, watched, and it stayed. When Cuba’s constitution was revised in 1992 to remove the atheist state designation, the Church was there. When John Paul II arrived in Havana in January 1998, drawing crowds that stunned the world and delivering a homily that called simultaneously on Cuba to open to the world and on the world to open to Cuba, the Church had earned that moment through forty years of not leaving.

Pope Benedict XVI came in 2012, met with both Fidel and Raúl Castro, and pressed quietly for the release of political prisoners and for greater religious freedom. Pope Francis took the Church’s sixty-year investment and turned it into the most consequential act of Cuba diplomacy in the modern era: the secret negotiations he hosted inside the Vatican that produced, on December 17, 2014, the Obama-Castro normalization agreement. Francis wrote personal letters to both heads of state. He provided the moral framework that made the deal possible. He did what sixty-five years of American embargo had failed to do, moving the needle measurably in the direction of the Cuban people’s dignity and welfare.

The lesson is plain. Engagement works. Presence works. Treating people as human beings rather than as leverage works. The Church knew this and practiced it. Washington, with the notable and too brief exception of the Obama opening, refused to learn it.

The Global Exchange Moment: May 8, 2014

Twelve years ago tonight, May 8, 2014, Global Exchange held its 12th Annual Human Rights Awards at the Palace of Fine Arts in San Francisco. The People’s Choice Award went to the Cuban Five: Gerardo Hernández, Ramón Labañino, Antonio Guerrero, René González, and Fernando González, Cuban intelligence agents who had been arrested in the United States in 1998, convicted in a Miami court in a climate of prejudice and hysteria, and imprisoned for years while the United States simultaneously harbored Luis Posada Carriles, a man credibly accused of bombing a Cuban civilian aircraft and killing seventy-three people.

It was the first time the Cuban Five had been recognized on American soil. It was the first time a family member, María Eugenia Guerrero Rodríguez, sister of Antonio Guerrero, had spoken publicly in the United States on their behalf. The room understood the weight of the moment. I spoke that night about what I had seen in Cuba, about the people I had met across the country, about the chasm between the Cuba that American policy pretended existed and the Cuba that actually did: a country of enormous complexity, genuine suffering, considerable achievement, and a people who had earned the right to be seen as something more than an ideological battleground for the politics of Miami.

Within six months, Obama moved. The Vatican’s work in the back channel and the moral pressure sustained for years by organizations like Global Exchange converged into the December 2014 opening. These things are connected. Witness matters. Solidarity matters. Naming injustice in public, in a room full of people who will carry it forward, matters.

Betrayal, Siege, and Starvation

Then came Trump. And with Trump came Marco Rubio, a Cuban-American politician who built his entire political identity on the grievances of the exile community, and who views the island not as a place where people live but as an ideological debt to be collected.

The Obama normalization was dismantled. Not because it had failed, it had barely been given time to breathe. Not because there was evidence that maximum pressure was producing democratic reform, there was none. It was dismantled because Marco Rubio wanted Florida, and Trump wanted Marco Rubio. The Cuban people paid for that transaction with their electricity, their fuel, their food, their futures.

The oil embargo now in force has cut Cuba’s crude imports by somewhere between eighty and ninety percent. Power outages last up to 24 hours a day. The economy has contracted by more than seven percent. The United Nations Secretary-General has stated he is extremely concerned about the humanitarian situation in Cuba, warning it will worsen or even collapse. This is not a policy aimed at the Cuban government. The people in Santiago de Cuba, the nurses, the physicians, the mothers and daughters trying to live their lives with dignity, they are sitting in the dark.

And now there is something worse in the air. The Pentagon has been drawing up contingency plans for possible military action against Cuba. President Trump has mused publicly about stopping in Cuba once the United States finishes whatever it is doing in the Strait of Hormuz, where it is already mired, already draining its arsenal, already hollowing out whatever moral authority it once possessed.

This is also the president who, on the eve of his own Secretary of State’s visit to the Vatican, went on the radio and attacked the Pope again. For the second time in weeks he accused Leo XIV falsely of wanting Iran to have a nuclear weapon and declared that the first American pope in history was endangering a lot of Catholics and a lot of people. Vatican officials have described US-Vatican relations as being at an unprecedented low. Italy’s Foreign Minister, from Giorgia Meloni’s own government and one of Trump’s last remaining European allies, publicly broke with Washington to defend Leo, writing that his words are a testament to dialogue, the value of human life, and freedom.

The American people have noticed. A Washington Post-ABC News-Ipsos poll conducted in late April found that nearly six in ten Americans reacted negatively to Trump’s false claim about the pope and nuclear weapons, including majorities of his own voters. Trump’s approval rating among Catholics has dropped ten points since February 2025, to 38 percent. Two thirds of Americans reacted positively to Leo asking people to contact Congress to work for peace and reject war. The administration that flew to Rome on Thursday to seek the Church’s partnership on Cuba does not speak for American Catholics, for American Christians, or by any honest reading of these numbers, for the American people.

This is what Rubio brought to Rome. This is what he placed before a pope.

They Are Coming for the Aid Now

On May 1st, International Workers’ Day, as Cubans marched through the streets of Havana, Donald Trump signed a new executive order escalating his economic war against the island to a new and uglier level.

The order freezes American held assets of anyone deemed to be operating in Cuba’s key economic sectors, sanctions foreign banks that process transactions for designated Cuban entities, and extends those sanctions to the adult family members of anyone already targeted, a collective punishment mechanism that would be immediately recognizable to any student of authoritarian statecraft. Since January 2025, the administration has enacted over 240 sanctions against Cuba and intercepted at least seven oil tankers en route to the island.

But the provision that most directly concerns humanitarian organizations, and should concern anyone engaged in solidarity work, is this: the order criminalizes the making or receiving of any contribution of funds, goods, or services to sanctioned entities, and explicitly reserves the right to prohibit donations of food, clothing, and medicine if they are deemed to seriously impair United States policy objectives.

Read that carefully. Food. Clothing. Medicine. Potentially prohibited, if a presidential administration decides that an act of basic human decency interferes with its political objectives.

Before Rubio even arrived at the Apostolic Palace, he had already revealed his hand. At Tuesday’s White House press briefing, he announced that the United States had given $6 million in humanitarian aid to Cuba, distributed through the Catholic Church via Caritas Cuba and the parish network, and was willing to give more, provided the Cuban regime allowed it. It was a carefully constructed argument: we are the humanitarians here; it is the Cuban government that is blocking relief to its own people.

The argument deserves a direct response. The United States is simultaneously imposing an oil blockade that has cut Cuba’s energy imports by 80 to 90 percent, causing 24-hour blackouts, contracting the economy by more than seven percent, threatening military intervention, and signing an executive order that explicitly reserves the right to prohibit humanitarian donations on political grounds, while offering $6 million in Church-channeled aid as evidence of its benevolence. Six million dollars in aid does not cancel a siege. A trickle of medicine does not compensate for the deliberate destruction of an economy. And the use of the Church as a delivery mechanism for what is functionally a regime change strategy is precisely the kind of manipulation that Vatican analysts warned Leo XIV would be wary of.

The pope has visited Cuba twice. He does not need a briefing from Marco Rubio on the condition of the Cuban people.

This is not a targeted sanctions regime. It is a siege. And a siege, let us use the word that history demands, is an act of collective punishment against a civilian population. It is medieval in its conception and its execution: a 13th century tactic deployed with 21st century financial instruments against a small island nation of eleven million people whose great offense, in the eyes of this administration, is that they have refused to surrender their sovereignty on Donald Trump’s preferred timeline.

UN human rights experts have already condemned the blockade as a serious violation of international law and a grave threat to a democratic and equitable international order. The international community, Canada, Chile, the African Union, the United Nations, has responded with unusual clarity and unusual unanimity. We add our voice without reservation: this blockade is barbaric, and we condemn it.

The Capillaries of Solidarity: Open, and Legally Grounded

Global Exchange is not bearing witness from a distance. We are acting.

In March, we joined the Nuestra América Convoy as movements from across the hemisphere converged on Havana by air, land, and sea, delivering more than 20 tons of humanitarian aid. Our delegation carried over 1,700 pounds of supplies, medicines, medical equipment, and essentials that Cuban families can no longer obtain because of a tightening blockade designed in Washington and enforced on the high seas.

We have launched a Bay Area Humanitarian Aid Hub in San Francisco’s Mission District, collecting and shipping medical supplies, basic medicines, and hygiene products to communities facing acute shortages. We have already delivered more than $40,000 worth of specialized cancer medicines to hospitals in Cuba and transported over 2,000 pounds of humanitarian aid collected through local donations. As our Co-Executive Director Corina Nolet has said: what the Trump administration is inflicting on Cuban families is a brutal campaign of economic strangulation that is restricting fuel, food, and medicine.

Every shipment we send is both an act of solidarity and a statement: we refuse to accept policies that inflict suffering on innocent communities.

On the question of the May 1st order’s attempt to extend the blockade to humanitarian relief organizations, Global Exchange’s position rests on a layered foundation of international law that no executive order can simply wish away.

The foundation is Article 23 of the Fourth Geneva Convention of 1949, fully ratified by the United States and binding without qualification. It obliges parties to allow free passage of relief shipments specifically including medicines, medical supplies, and objects necessary for religious worship destined for civilian populations, including those of an adversary. It further requires free passage of foodstuffs, clothing, and essential supplies for children under fifteen, pregnant women, and nursing mothers. The May 1st order, which explicitly reserves the right to prohibit such donations on political grounds, is in direct conflict with a treaty obligation the United States signed and ratified over seventy years ago.

The 1977 Additional Protocols to the Geneva Conventions extend that legal architecture further. The United States signed but has not ratified Protocols I and II, a distinction the administration might invoke, but one that provides less shelter than it appears. The protections enshrined in those Protocols, including the explicit prohibition on using the starvation of civilians as a method of coercion and the denial of food sources and essential supplies necessary for survival, have achieved the status of customary international law, binding on all states regardless of ratification. Furthermore, 168 nations have ratified Protocol I, including every NATO ally of the United States except Turkey. In its failure to ratify, as in so much of its current conduct, this administration places the United States in a category of its own.

Beyond Geneva, Washington itself championed and co-authored UN Security Council Resolution 2664, becoming the first country in the world to implement it, a resolution that explicitly affirms that the provision of humanitarian aid is not a violation of sanctions regimes. The Trump administration is now using unilateral executive action to contradict commitments its own government negotiated, ratified, and was first to honor.

Global Exchange’s humanitarian work is consistent with international humanitarian law and with the United States’ own treaty commitments. We intend to continue.

The Pope as Mirror

Pope Leo XIV, Robert Francis Prevost, born in Chicago, missionary in Peru, the son of a man whose maternal roots trace back to 18th century Havana, inheritor of a Church that chose presence over punishment in Cuba for sixty years, was apparently not moved by what Rubio brought to Rome.

The State Department’s readout of Thursday’s meeting was three sentences long. Rubio and Leo discussed the situation in the Middle East and topics of mutual interest in the Western Hemisphere. The meeting, it said, underscored the strong relationship between the United States and the Holy See and their shared commitment to promoting peace and human dignity.

Cuba was not mentioned by name. No partnership on humanitarian aid was announced. No joint statement was issued. The Vatican released no readout of its own.

Rubio spent two and a half hours inside the Apostolic Palace. The pope arrived 40 minutes late to his next appointment. Whatever was said in that room, the administration that flew to Rome seeking moral cover for its Cuba policy left without it. The language of the communiqué, peace and human dignity, is Leo’s language, not Trump’s. The White House borrowed the pope’s vocabulary and brought home nothing else.

The studied neutrality of Thursday’s communiqué is, read against sixty years of the Church’s consistent position on Cuba, itself a refusal.

This should surprise no one who has listened carefully to what Leo has already said publicly: that the issue is not whether there is regime change or not, but how to promote the values we believe in without the death of so many innocent people.

That sentence contains the entire argument. It is what the Church practiced in Cuba from 1961 onward. It is what Global Exchange has practiced since its founding. It is what I witnessed in Santiago de Cuba in 1999, in a home where a mother and a daughter had finally been given permission, not by Washington, not by an embargo, not by a threat of military force, but by a pope who simply showed up, to be fully themselves.

Leo is the first American pope. He cannot pretend not to know what his country is doing ninety miles from its own shores to people who have done nothing to deserve it. He has visited Cuba three times. He knows the island not from exile politics or think tank briefings but from the inside, from the parishes and the people. The administration sent its Secretary of State to borrow his moral authority. He did not lend it.

What We Stand For

Global Exchange has always operated from a simple premise: that the American people, given the actual chance to meet Cubans, to travel to Cuba, to sit with a nurse and a doctor in Santiago and hear their stories, would not choose this. Would not choose the embargo. Would not choose the oil blockade. Would not choose the threat of military force against a small country whose great historical offense is having refused to be owned.

The Catholic Church took sixty years, held its ground through expulsion and atheist constitutions and cold war paranoia, and built a bridge patient enough to carry the weight of two governments finally talking to each other. That bridge was built not with sanctions but with presence. Not with threats but with witness.

The Trump administration, quagmired in the Gulf, morally overdrawn, spending what remains of American credibility on feuds and transactions that serve no one but its own political survival, is trying again to burn it.

We have been to Cuba. We have sat at Cuban tables and looked into Cuban faces and recognized there the full dignity of human beings who have endured more than most of us can imagine, and who are still there, still dignified, still refusing the role of victim that American policy has assigned them for sixty-five years.

They deserve better. They have always deserved better. And there are enough of us who know this to say so clearly, loudly, and without apology.

How to Help Right Now

Global Exchange’s Bay Area Humanitarian Aid Hub is actively collecting and shipping supplies to Cuba. Here is how to act today:

Donate supplies at our Mission District collection hub in San Francisco, medical supplies, basic medicines, hygiene products. Full donation list at globalexchange.org/humanitarianaidhub

Donate online to support ongoing humanitarian aid shipments. Every dollar goes directly toward medicines and essential goods reaching Cuban communities.

Join a solidarity delegation. People to people travel to Cuba remains one of the most powerful acts of resistance to a policy built on dehumanization. See current trip options at globalexchange.org

Share this piece. Make sure the people in your networks understand what is actually happening in Cuba, and what Global Exchange is doing about it.

For nearly 40 years, Global Exchange has worked in solidarity with the Cuban people, organizing educational delegations, people to people exchanges, and humanitarian efforts, while calling for an end to the United States blockade. To support that work, visit globalexchange.org.

— Ted Lewis, Global Exchange | San Francisco | May 8, 2026

Global Exchange is launching a Bay Area Humanitarian Aid Hub for Cuba in San Francisco’s Mission District to mobilize community solidarity and deliver urgently needed supplies to the island. Working directly with Cuban communities, we will collect and ship essential humanitarian goods, including medical supplies, basic medicines, hygiene products, and other critical materials to communities facing acute shortages.

Cuba is only 90 miles from U.S. shores, yet decades of U.S. policy have severely restricted the flow of essential goods. Today, Cuba is facing one of the most severe shortages of fuel, food, and medicine in decades, the result of more than 60 years of U.S. economic warfare that has imposed collective punishment on the Cuban people.

As the Trump administration ramps up its campaign to isolate the island, shortages are deepening and the human consequences are becoming more severe. The effects of this economic siege are felt most sharply by the most vulnerable—newborns and parents, the elderly, and those living with serious illnesses who struggle to access basic medicines and care.

For nearly 40 years, Global Exchange has worked in solidarity with the Cuban people, organizing educational delegations, people-to-people exchanges, and humanitarian efforts, while calling for an end to the inhumane U.S. blockade and for Cuba to be removed from the State Sponsors of Terrorism list.

How to Support the Humanitarian Aid Hub:

Donate supplies at our Mission District collection hub. View the donation list below.
Donate online to support humanitarian aid shipments. Donate here.

Thanks to community solidarity, we have already delivered more than $43,000 worth of specialized cancer medicines to hospitals in Cuba and transported over 2,000 pounds of humanitarian aid collected through local donations. We will continue sending urgently needed medicines and supplies with the support of online donations.

Every shipment we send is both an act of solidarity and a statement: we refuse to accept policies that inflict suffering on innocent communities. Humanitarian aid alone cannot end the blockade. But it can save lives, meet urgent needs, and sustain communities while we continue the fight to end these cruel and unjust policies.

📦 Donation Drop-Off Dates & Times

Please email us at cuba@globalexchange.org to organize a drop-off time. 

Location
2973 16th St., Suite 300
San Francisco, CA 94103

Priority Donation Items for Cuba

The following medicines and supplies are in high demand due to ongoing shortages of fuel, electricity, and medical resources. All items must be new, unopened, and within expiration dates. We are only accepting items from this list.

Medicine and Medical Supplies

  • Pain relievers — ibuprofen, acetaminophen (paracetamol), aspirin
  • Antifungal creams — clotrimazole, hydrocortisone
  • Antihistamines and anti-allergy medication
  • Antidiarrheal medicine —loperamide
  • Antacids and stomach relief medication
  • Lice and scabies treatments — shampoos, creams, sprays
  • Oral rehydration salts
    ORS packets
  • Cold and flu medication

Women’s & Baby Care

  • Feminine hygiene pads and tampons — all sizes
  • Menstrual cups — reusable, extremely high impact
  • Baby diapers — newborn through size 5
  • Adult diapers — for elderly and ill patients
  • Wet wipes and baby wipes
  • Diaper rash cream
  • Baby shampoo and body wash

Food

  • Powdered milk
  • Canned fish – tuna, sardines, salmon, mackerel
  • Canned meat – chicken
  • Dried beans
  • Pasta and noodles
  • Peanut butter and other nut butters -powdered if possible, no glass
  • Bouillon cubes and soup packets
  • Baby food pouches
  • Fortified cereals

Vitamins & Supplements

  • Multivitamins — adults and children separately
  • Vitamins A, B complex, C, D, and E
  • Iron supplements — especially for women and children
  • Calcium supplements — especially for the elderly
  • Prenatal vitamins

Medical Supplies & Equipment

  • Medical gloves — nitrile, all sizes
  • Surgical face masks and N95 respirators
  • Digital medical thermometers
  • Bandages, gauze pads, and rolls
  • Medical tape and adhesive bandages
    Band-Aids, all sizes
  • Alcohol wipes and swabs
  • Hydrogen peroxide and iodine solution
  • Syringes — unused and sealed only
  • Wound closure strips — steri-strips
  • Blood pressure monitors — battery-operated
  • Blood glucose test strips
  • Reading glasses for the elderly — various strengths

Mosquito & Vector Control

  • Mosquito repellent —spray or lotion
    DEET-based
  • Mosquito nets — for sleeping
  • Permethrin spray — for treating clothing and mosquito nets

Life and Death Under Trump’s Oil Blockade

By Corina Nolet
With appreciation to Elena Gutierrez and Marco Castillo for their partnership and shared experience during the delegation.
Written following participation in the Nuestra América Convoy to Cuba
March 26, 2026

Pharmacy shelves lie bare. Streets darken. Refrigerators sweating as the power fails once again. Doctors counting doses. Families counting meals. This is what the U.S. blockade looks like in Cuba. It is the daily struggle to keep life going.

We leave Cuba changed. Not because we did not expect hardship, but because of its scale, and because of the quiet endurance of a people, of a community, of a nation required to live within these conditions year after year.

What we witnessed cannot be captured in headlines or statistics.
It is etched into daily life across the island: into the long lines for transportation that never arrive, into homes that go dark without warning, into cancer patients waiting for treatment that has been delayed, and into the question many carry: Is this the worst, or is the worst yet to come?

U.S. President Donald Trump and Secretary of State Marco Rubio have made clear their intention to pursue regime change in Cuba. 

For over three months, no fuel has been allowed to reach the island.
Not a drop

The United States oil blockade is driving Cuba toward a humanitarian crisis. The most vulnerable — newborns, the elderly, and the sick — are at the greatest risk. What is debated in distant, cold political language is lived here as daily deprivation.

It is difficult to convey what that means unless you see it firsthand. The stillness of streets once filled with buses, the darkened neighborhoods when electricity falters, the palpable fatigue in the faces of people who have adapted again and again to scarcity that is neither natural nor inevitable.

And yet, even in the midst of profound exhaustion, life continues. Communities organize. Teachers return to their classrooms. Doctors keep working, caring for the sick. Neighbors share what little they have. The resilience of the Cuban people is steady, daily, and collective. Even in the face of the most egregious acts of violence, Cubans remain committed to life, dignity, and self-determination.

This visit to Cuba has made silence impossible. 

Global Exchange traveled to Cuba as part of the Nuestra América Convoy, a coordinated international effort that brought together hundreds of people from across the United States, Latin America, Europe, and beyond in a collective act of solidarity. Communities organized, gathered supplies, and joined hands to deliver urgently needed humanitarian aid during a period of severe shortages. As part of this effort, Global Exchange carried more than $23,000 worth of life-saving cancer medicines and approximately 1,700 pounds of humanitarian aid, contributing to the convoy’s delivery of more than 20 tons of supplies to communities across the island.

When Fuel Disappears, Everything Slows. Then Stops. 

At first glance, cutting off oil to Cuba may look like a pen pressed to paper in a quiet office, a decision made under bright lights, far from the darkened streets it will leave behind. On the ground, it reshapes daily life in the most fundamental ways.

Cuba stretches nearly 800 miles across the Caribbean, just 90 miles from the shores of the United States. The country can refine oil, but it does not have its own supply of crude. Like most nations, its basic infrastructure depends on fuel for transportation, electricity, water systems, agriculture, and healthcare.

Cuba’s last shipment of oil arrived on January 9. Since then, the country has been forced to operate with dwindling reserves.

When fuel disappears, 

Cars and trucks remain idle.
Ambulances remain parked because there is no fuel.
Food cannot be transported from farms to markets.
Electrical grids falter, and when electricity fails, so, too, do water systems.
Hospitals are canceling surgeries and sending patients home because doctors and nurses can’t commute to work.

The effects ripple outward through every layer of society. 

Daily life begins to falter. Slowly at first, then a rapid collapse.
This is the cruel intention of the United States’ fuel blockade.
Its impact is measured in human lives.
Its target is the Cuban people.

In recent weeks, the consequences have become horrific. Entire sections of Havana have gone permanently dark. On some nights, the power fails across the entire nation. We were there during one of the blackouts. On Saturday, Cuba’s power grid collapsed, leaving the country without electricity for the third time in March. The streets fell silent. Businesses closed their doors. Cell phones stopped working, and the internet disappeared. Entire neighborhoods went dark. At our casa, a table sat covered with flashlights that could not be used because there were no batteries. In refrigerators across the country, the little food families had managed to store began to spoil as the power failed. One friend told me she has been getting sick repeatedly, forced to rely on food that has gone bad after yet another outage.

Hospitals are designed to be the last institutions to lose power, but even they are vulnerable during nationwide blackouts. Healthcare workers we met described racing to the bedsides of infants and patients on ventilators, manually pumping life-support equipment while waiting for generators to engage. These are moments measured not in policy debates, but in seconds.  Seconds that determine whether a baby in the NICU survives.

This is inhumane. This is genocidal. 

A Health System Under Siege

Across hospitals and clinics, doctors are working with critically limited supplies of essential medicines, forced into decisions under inhumane conditions that no healthcare professional should ever face.

Doctors we met with spoke about the impossible choices they are forced to make when life-saving medicines are scarce. They must weigh whether to administer a scarce treatment that may extend one life briefly, or to reserve it for another patient with a greater chance of survival.

In the face of these shortages, healthcare workers improvise.

It is difficult to fully convey the severity of the U.S. blockade on Cuba, and the extraordinary measures it forces healthcare workers to take simply to provide basic care.
They adapt, repair, reuse, and invent.

In one hospital we visited, a child was using a makeshift device fashioned from a discarded plastic bottle to collect urine, an improvised solution created because proper medical supplies were unavailable.

The nurse who showed us the device did not present it as an innovation or a success. She held it carefully in her hands and explained that this was what they had available. She spoke about the responsibility of caring for children when supplies run out, about the fear of making mistakes when equipment is scarce, and about the exhaustion of working every day under conditions that no healthcare system should be forced to endure.

That exhaustion does not end when her shift is over. She often returns home to a dark apartment, unable to cook because the electricity has failed again. Sometimes the power returns  in the middle of the night for a few hours before shutting off again before sunrise. When that happens, she gets up to cook whatever food she can, preparing meals for her children to take to school and something to carry with her to work, and then lies back down to rest before the next day begins.

At the oncology hospital we visited, it was a matter of life and death.

Today, 96,000 Cubans are waiting for surgery as shortages of fuel and electricity slow hospital operations across the country. About 11,000 of those patients are children. Doctors explained that an estimated 16,000 cancer patients in Cuba require radiotherapy and are experiencing disruptions in treatment — not because the country lacks trained doctors, hospitals, or medical expertise, but because the resources needed to sustain care are increasingly difficult to obtain.

Healthcare professionals remain ready to treat their patients. Facilities remain staffed. The will to provide care is intact. But when medicines, fuel, replacement parts, and medical equipment are restricted, even the most capable health system cannot do what it was built to do — save lives.

Communities Sustaining Life

We visited a school serving children with hearing impairments, part of Cuba’s universal education system, where students with disabilities learn alongside their peers and receive specialized support. Teachers spoke about their work with deep commitment and with growing concern about the difficulty of obtaining something as basic as batteries for hearing devices. Inside the classroom, students receive the support they need to learn and communicate. But outside the classroom, shortages create new barriers. When batteries are unavailable, families struggle to maintain the tools children depend on to connect with the world around them. A small detail with enormous consequences.

We visited organic farms and community gardens where farmers are working collectively to grow food under increasingly difficult conditions. These projects reflect a long tradition of resilient communities adapting, sharing knowledge, and sustaining local food systems when imports become unreliable. What we saw was not just agriculture, but cooperation: neighbors working side by side to ensure that families have something to eat, even when resources are scarce.

We met with members of the Henry Reeve Brigade, a contingent of Cuban doctors and nurses who have traveled the world responding to disasters, epidemics, and humanitarian crises. Since its creation in 2005, Cuban medical teams have deployed from Haiti to West Africa to communities across the Americas, providing care when it was needed most.

What we witnessed tells a very different story from the one often told about Cuba. This is a country that has sent doctors — not bombs — across borders for decades. Cuban medical teams have responded to disasters in Haiti, treated patients during the Ebola crisis in West Africa, supported overwhelmed hospitals during the COVID-19 pandemic, and worked alongside Indigenous communities across the Americas to expand access to healthcare. Their work reflects a model of international solidarity rooted in care, prevention, and service.

In recent months, several countries have been forced to scale back or end Cuban medical missions under pressure from the Trump administration. In Honduras, communities lost the Cuban healthcare workers who had been providing free medical care for nearly two years. Guatemala, Paraguay, the Bahamas, Guyana, and Jamaica have also terminated long-standing medical partnerships, including programs serving Indigenous and rural communities. These closures mean fewer doctors in clinics, longer travel distances for patients, and reduced access to basic healthcare for millions of people who depend on these services.

Silence Is Not an Option

The suffering caused by the U.S. blockade against Cuba is not hidden. It is visible to anyone willing to look closely, in hospital wards, in pharmacies with empty shelves, and in the daily calculations families make about survival.

As I told The Nation, the policies imposed on Cuba are not just economic measures; they are conditions that shape whether hospitals can function, whether patients receive treatment, and whether families can meet their most basic needs.

It is measurable in lives interrupted, treatments delayed, and systems stretched to their limits.

And it is why silence is not an option.

Until the Blockade Ends

In response to the requests of our Cuban partners and the communities we met, we are taking the following steps:

  • Organizing additional solidarity delegations to Cuba in April, June, and September, with more to follow. Each delegation carrying humanitarian aid.
    Again and again, Cubans told us the same thing: Come if you can. Come see for yourselves. Come stand with us. Return home with the truth to share.
  • Send monthly shipments of aid to Cuba.  These shipments will reach hospitals, community projects, and families facing ongoing shortages.
    • Building a local hub of solidarity in San Francisco.
      We are beginning the collection of donated items at our office, connecting neighbors here with families there.
    • Raising funds nationwide to purchase and deliver urgently needed supplies.
      For those who are not in the Bay Area, online contributions will help sustain this ongoing humanitarian effort. You can donate here. 
  • Bring our call directly to Washington, D.C. Congress must demand an end to the blockade. In the weeks ahead, we will share ways for supporters to stand with us in this effort.

And this work will continue.

End all the blockades.
Break the sieges that starve nations and fracture communities.
Feed the people.
From Cuba to Palestine to Haiti, we all deserve dignity, sovereignty, and the chance to live.

There is enough for everyone.

Nearly Four Decades of Solidarity and Action

Since 1990, Global Exchange has been at the forefront of efforts to challenge the U.S. embargo on Cuba and to build relationships between communities in our two countries. Our grassroots education programs, Reality Tours, publications, speaking tours, and campaigns have helped shape public understanding of U.S.-Cuba relations for decades.

Global Exchange has supported people-to-people exchange between the United States and Cuba by organizing hundreds of educational delegations and enabling thousands of U.S. citizens to travel legally to the island. We have also brought Cuban cultural leaders, artists, and community voices to the United States through speaking tours and public events. These exchanges have helped challenge the isolation that U.S. policy has tried to impose.

Our Cuba work began in the late 1980s, when the Cuban Institute for Friendship with the Peoples approached Global Exchange to help facilitate exchanges between U.S. visitors and Cuban communities. Over time, these programs grew into one of the longest-running people-to-people initiatives connecting communities in the United States and Cuba.

Throughout our history, Global Exchange has stepped forward in moments of crisis to stand in solidarity with the Cuban people.

In the early 1990s, during Cuba’s Special Period following the collapse of the Soviet Union, Global Exchange launched the Soy Cuba campaign, mobilizing people across the United States to stand with Cuban communities facing severe shortages of fuel, food, and medicine and to build understanding about the impact of U.S. policy on everyday life.

In the mid-1990s, Global Exchange directly challenged U.S. embargo restrictions through a campaign called It’s Time to Play Ball with Cuba. During that effort, the Treasury Department’s Office of Foreign Assets Control froze Global Exchange’s bank account because of our work to challenge travel and trade restrictions. Our leadership and board members traveled to Washington, D.C. to advocate for legal pathways for exchange. That period contributed to the expansion of people-to-people travel licenses, which allowed organizations like Global Exchange to legally organize educational delegations to Cuba.

Global Exchange Featured in The Nation on Humanitarian Aid Convoy to Cuba

Global Exchange participated in the Nuestra América Convoy, joining hundreds of delegates from around the world to deliver urgently needed humanitarian aid to communities across Cuba. Our delegation helped distribute medicine, food, and essential supplies while witnessing firsthand the impact of ongoing shortages on families and health care providers.

In this new article from The Nation, Global Exchange’s work and perspective are highlighted as part of the international solidarity effort.

“Trump is framing this as the efforts of a friendly takeover, but the reality for Cuban families is this — a brutal campaign of economic strangulation that’s restricting fuel, food, and medicine,” said Corina Nolet, Co-Executive Director of Global Exchange.

Read the full article →
https://www.thenation.com/article/world/cuba-convoy-humanitarian-aid-us-sanctions-blockade-crisis/