Cuba is a 3rd world $#@!hole. The only way they get by is by countries propping them up. The Soviets or Russians or whatever the $#@! gave up on them. Venezuela was aiding them for awhile but they have their own problems. They're trying to open up things now like the Chicoms.
The only reason they have a $#@!load of doctors is because they're trying to make a point about socialized medicine. They can't get equipment. What they do get is substandard.
People can go in and out of the country now but it's not like a lot of people can even afford to leave. It's that bad, the wages.
The mechanics sit around all day and work on a couple of cars to try to get them running. That's if they can get the parts. Which have to come from other pieces of $#@!. A train might be screwed up for a day or more. They have to get a mechanic to fix that.
On the plus side, the people are literate, but they can't do much with it. Lots of people are simple are they learn to get by. They're fatalistic that way. They will smile a lot and take things in stride. They smile even though their whole day was $#@!. Some are more family oriented, but urbanization has taken a lot of that way. A lot of the girls are cute and very sexy.