Is anyone surprised that the programme that trains South Africans as doctors in Cuba has been a catastrophic failure? Health Minister Aaron Motsoaledi was quoted in Business Day as saying: "The Cuban government is not … coping with these numbers, the provinces in their budgeting systems did not factor it very well, and it is too much for the South African universities to absorb." (Big headache: Cuba-SA doctor training programme put on hold, April 23). For many years we have suggested that to tackle the chronic shortage of skilled doctors, rather than sending students off to a far-flung, despotic nation that has a completely different disease profile, the government should allow more skilled healthcare professionals from abroad to practise medicine in SA, increase the number of positions available at the government-run medical schools, and allow the private sector to train doctors. Everyone is well aware of our growing population, let alone the dramatically increased burden of diseas...

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