The Wrongologist

Geopolitics, Power and Political Economy

Politics Is Usually Not The Answer

For the first time in his six SOTU speeches, the president’s economic message on Tuesday was not: “yes, the economy’s weak, but it’s getting stronger” or “we’re on the right path, but we’re not out of the woods.” Instead, he called 2014:

A breakthrough year for America, [as] our economy is growing and creating jobs at the fastest pace since 1999. Our unemployment rate is now lower than it was before the financial crisis. More of our kids are graduating than ever before; more of our people are insured than ever before; we are as free from the grip of foreign oil as we’ve been in almost 30 years.

He added: “this is good news, people!” What President Obama meant was, now that we’ve have sustained economic growth in place, we need to start talking about the policy agenda that will give all of us a chance to benefit from that growth.

But the spin afterwards spoke about things like “leadership”, “redistribution” and “class warfare” that the many, many GOP presidential candidates and their surrogates will parse incessantly, without offering any solutions for our economic future, or those domestic problems that continue to dog America.

Speaking of politics that have not led to solutions, Mr. Obama spoke of his opening with Cuba. Here is what he said:

In Cuba, we are ending a policy that was long past its expiration date. When what you’re doing doesn’t work for 50 years, it’s time to try something new. And our shift in Cuba policy has the potential to end a legacy of mistrust in our hemisphere. It removes a phony excuse for restrictions in Cuba. It stands up for democratic values, and extends the hand of friendship to the Cuban people. And this year, Congress should begin the work of ending the embargo.

But anti-Castro politics, mostly fostered by Republicans, have embargoed some things that have potentially really cost American citizens. No, it’s not Cuban Rum. The Cubans have developed a drug called Heberprot-P, that appears to be very effective in curing advanced foot ulcers in people with diabetes. It could have been licensed for US clinical trials since 2007. It is patented in over 30 nations, including here in the US, and in the European Union.

Most of us have never heard of Heberprot-P. The drug uses a form of epidermal growth factor (EGF) to help regrow cells lost to diabetic foot ulcers (DFU). According to the American Diabetes Association, DFU causes about 73,000 non-traumatic lower-limb amputations in US adults aged 20 years or older who were diagnosed with diabetes.

The idea behind Heberprot was developed in St. Louis years before the embargo by biochemist Stanley Cohen and neurophysiologist Rita Levi-Montalcini. They received the 1986 Nobel Prize in Medicine for their discoveries of epidermal and nerve growth factors. They discovered that protein recumbent epidermal growth factor stimulates cell growth. The Cubans applied that idea to foot ulcers.

Because of the embargo, we haven’t brought the drug to the US for clinical trials. But, Mr. Obama could immediately license the import of Heberprot-P without waiting for Congress to debate the end of the embargo.

In fact, US scientists heard first hand from Cuban scientists about the Heberprot-P at two forums held here in 2014. One of them was a meeting of the Conference on the Management of Diabetic Foot Ulcers (DFCON, 2014), the largest meeting of US professionals treating patients with this ailment.

So, despite the politics and the hurdles presented by Cuban-American politicians, the President could license the importation of the drug for study and use in clinical trials, followed by an application for approval of Heberprot-P by the Food and Drug Administration. It could then be researched further by American scientists that wish to test different cell growth rates using incubation equipment and see if this treatment could in fact be applied to helping the regrowth of lost cells in humans due to DFU.

In fact, there is a precedent. In July, 2004, the federal government permitted a California biotechnology company to license three experimental cancer drugs from Cuba. That required permission from the Treasury Department’s Office of Foreign Assets Control.

At the time, a State Department spokesperson said that an exception had been made because of the life-saving potential of the experimental Cuban drugs. A government condition of permitting the license required that payments to Cuba during the developmental phase were to be in goods like food or medical supplies, which are permitted under the embargo, while there are rules against providing the Cuban government with foreign currency. In 2004, the ruling was that after drugs reach the market, payments could be half in cash.

Many Americans are mutilated or die every year because of diabetic foot ulcers. First the toes go, then the feet, and later the legs. Death often follows.

And this drug could have been available for trials since 2007 and wasn’t, because of politics?

We should ask Republican politicians why. Maybe the Republican agenda has been helped by calling the Castro brothers sponsors of state terrorism, but it hasn’t done anything to help people with diabetes in the US keep their toes and feet.



The CIA Needs an Intervention

This Part III of an unintentional three-part series on how the National Security State (NSS) has hurt our standing around the world. You can read parts I and II here and here. There is not a single aspect of American geopolitics that has not been infected by the NSS. In recent years, various foreign governments have occasionally expelled US agencies from their countries. We have assumed that this was a paranoid reaction by their undemocratic leaders to American goodwill.

Now, we can’t be so sure. It is increasingly obvious that the USAID is operating as a CIA front organization.

The AP reported last week that USAID funded a program in Cuba designed to spur anti-government activism among Cubans. It brought people from Costa Rica, Venezuela, and Peru to Cuba posing as tourists or health workers who were to lead HIV prevention workshops, but with the real goal of grooming opposition activists.

It’s not the first claim this year of political meddling in Cuba for USAID. In April, the AP uncovered a “Cuba Twitter” program also designed to undermine the Cuban government. It was a Twitter-like social media platform promoted by USAID that had about 40,000 Cuban users. And there’s more. In 2009, a USAID contractor was jailed in Cuba for alleged spying.

And we shouldn’t forget Pakistan, where the CIA used a hepatitis vaccination campaign as a cover to spy on Osama bin-Laden’s compound. One outcome from that effort was that our Seal team got Osama bin-Laden. But there were two bad outcomes: First, our agent, Dr. Shakeel Afridi went to jail, convicted as a spy for a foreign government. Second, Muslims all over the Middle East now reject the efforts at polio immunization as a Western ploy. Foreign Policy reports that the Centers for Disease Control says there were 416 reported cases of polio in the world last year and 99 of them were in Pakistan, a 60% increase from the prior year despite the availability of polio vaccine there since 1962. The problem is that the Taliban is shooting those administering the vaccine, and it has banned the vaccine outright. More than 60 polio vaccination health workers have been killed since the Pakistan ban was initiated in 2012.

Subsequently, the word has spread throughout the Middle East that those giving injections are CIA agents, and should be shot on sight.

Now we can add two cases this year where USAID has used subversion to try to overthrow the Cuban government. Cuba would open up far more quickly if the US ended its embargoes on Cuba, especially its ban on visits by Americans to Cuba. See the Wrongologist’s report on his trip to Cuba and our future relationship here.

USAID admitted the HIV workshop’s primary purpose was not HIV education: (brackets by the Wrongologist)

[It]…enabled support for Cuban civil society while providing a secondary benefit of addressing the desire Cubans expressed for information and training about HIV prevention.

Do any of you find it hypocritical that America is currently sanctioning Russia for its interference in the internal affairs of Ukraine while our government engages in similar practices in Cuba?

The fact that USAID is used by the CIA is a tragedy for all concerned, since it taints any good work that they perform. The AP quoted Charles Kenny, a senior fellow at the Center for Global Development, who said that suspicions over US programs would deepen in countries already wary of the United States: (brackets by the Wrongologist)

The problem is that, especially [when] it comes to public health, even with countries we don’t particularly like, we probably want to be able to cooperate…Take the Ebola outbreak. It crosses borders very rapidly. Even if the places where it happens aren’t places we want to touch, in public health emergencies, we want to help stop [outbreaks] from becoming bigger.

And like clockwork, on Tuesday USAID and CDC announced Ebola assistance for West Africa. We shall see how our USAID people are treated when they get there.

So, is this Obama’s Bay of Piglets? Our CIA is more interested in stoking a silly, and dangerous Cold War militarist world view wherever it can. The actions of our CIA and the resultant poor image of America is one reason China is more competitive than the US in Latin America and Africa. They don’t meddle politically, they just want a fertile business environment.

When a family member can’t stop doing something that is bad for him/her, the rest of the family gets together with the bad actor and have an intervention: they work together to try to get the person to change their ways.

John Brennan and the CIA need that intervention right now.


Postcard from Cuba, Part III

Cuba’s Future and its Relationship with the United States

The Wrongologist did not become an expert by spending 7 days in Cuba. Just like all countries, Cuba is a complex set of equations. A few truths did emerge though:

Ideology and Intellectual History:

Cuba is organized around the intellectual legacy of Jose Marti. Statues of Marti and quotes from his writings are everywhere in Cuba, including in many homes and public buildings. He was 42 when he died in battle against Spanish troops at the Battle of Dos Ríos, in May, 1895. After his death, one of his poems from the book, “Versos Sencillos” (Simple Verses) was adapted to the song “Guantanamera“, which has become the definitive patriotic song of Cuba.

The Wrongologist was struck by a quote on the wall of the Hogar Materno he visited in Old Havana. Here is his translation:

When you struggle for your country and life, division and rivalry are crimes – Marti

Those are words to live by. For Cubans, the revolution was not an event; it is a national continuous improvement process that is still moving forward, 55 years after the overthrow of the dictator, Batista. Here is a billboard just outside of the Jose Marti International Arrivals building that makes the point:

Cubans have internalized the ideology of the Revolution. It comes through in their speaking in a matter-of-fact way,
similar to the way Evangelicals speak about being Christians. This is not an equivalency; while Cubans are somewhat religious, the Revolution is a part of Cuban life, both in practical and ideological ways.

Cubans are steeped not only in the ideology of the July 26th Revolution, but in the writings of Marti and Che Guevara. Che was an Argentine Marxist revolutionary and is a common symbol of rebellion and global insignia in popular Cuban culture.

Here is a
photo of a wall in Old Havana. Che played a central role in training
the militia forces that repelled the Bay of Pigs Invasion and in bringing the Soviet
missiles to Cuba, precipitating the 1962 Cuban Missile Crisis. He was executed by
Bolivian troops in 1967 after he joined their revolution.



Havana’s Revolution Square is the political and cultural center of the city; it is the site where Fidel Castro has addressed the Cuban people, occasionally with more than 1 million people participating.

The Square has a 55’ tall statue of Jose Marti at its center. The Square is surrounded by buildings housing the major ministries of the Cuban government, including the Communist Party, Armed Forces, Communications, and Economic and Planning, the National Theater and the Jose
Marti Library.

Here is a photo of the Informatics and Communications Ministry in Revolution Square:

The Cuban Revolution was a turning point in Cuban/American relations. In August 1960, the Eisenhower administration froze all Cuban assets on American soil, severed diplomatic
ties, and tightened its embargo of Cuba. The embargo, called “the blockade” by Cubans, is the longest-lasting single foreign policy in American history. It remains in force today, although there have been efforts, notably by the Obama administration, to loosen it in recent years.

What is the status of Cuba’s economy?

According to the Council on Foreign Relations, the economy is  divided into the following revenue streams:

  • Export of Healthcare Services – as described in the Wrongologist’s Postcards from Cuba -Part II, Cuba earns $9 billion/year in hard currency by exporting health care services.
  • Nickel − Cuba has the third-largest nickel reserves in the world. Nickel is the country’s biggest material export, bringing in roughly $2.7 billion in 2007
  • Tourism − Now the economy’s 2nd largest source of revenue, tourists–primarily from Canada and the European Union—brings more than $2.7 billion into the country.
  • Remittances − Academic sources estimate remittances total more than $1 billion a year, most coming from families in the US. If limits on remittances are lifted, this figure could increase substantially.
  • Sugar − Sugar was long the primary industry in Cuba, but production has plummeted due to outdated factory equipment.
  • Foreign investments − Cuba receives hundreds of millions of dollars in foreign investments from China,
    Venezuela, and Spain.

Food security is a major problem for Cuba. According to the Miami Herald:

Cuba saw a steep and unexplained drop in the harvest of vegetables and fruit in the first three months of the year [2013] despite government reforms to increase production in a country that spends more than $1.5 billion on food imports

Overall agricultural production, not counting sugarcane, dropped by 7.8% in the first quarter of 2013 compared
to the first three months of 2012. But some sectors saw far bigger plunges. Plantains dropped by 44.2%, potatoes by 36% and citrus by 33.9%. Part of the decline is attributed to Hurricane Sandy, which slammed into the eastern city of Santiago de Cuba on Oct. 25. Eastern Cuba is known for its fruit production.

This grim outcome is despite President Raúl Castro’s 2007 campaign to increase domestic food production by leasing fallow state lands to private farmers, hiking the prices
that the government pays for agricultural goods and easing state controls on the distribution networks. Food production on the island dropped in 2011 to pre-2007 levels and dropped again in 2012, when agricultural food prices were
reported to have spiked by about 20%.

Cuba now imports an estimated 80% percent of the food its people consume, at a cost of more than $1.5 billion per year. This
is hardly a sustainable scenario, and while there does not appear to be starvation in Cuba, food shortages remain a problem.

The Wrongologist visited a predominantly farming area in Pinar Del Rio and saw a farm that did not use agricultural chemicals, relying instead on organic fertilization and pest control.

One issue that leads to inefficiency is the reliance by small independent farmers on animals for plowing. Here is a tobacco farmer in Pinar Del Rio:

The lack of tractors is very obvious in this agricultural region that is less than 2 hours from Havana. Most tractors that we did see were Soviet-era imports.


What are the issues that prevent normalization of US-Cuba relations?

  • Human rights violations − In March 2003, the Cuban government arrested 75 dissidents and journalists, sentencing them to prison terms of up to 28 years
    on charges of conspiring with the United States to overthrow the state. There are reports that the government has in recent years used other tactics
    besides prison, including firings from state jobs and intimidation, to silence opposition figures. Despite a 2005 UN Human Rights Commission vote that condemned Cuba’s human rights record, Cuba was elected to the UN Human Rights Council in 2006.
  • Guantanamo Bay − Cuban officials have seized on the US prison camp as a “symbol of solidarity” with the rest of the world against the United States.
  • Cuban exile community − The Cuban-American community in southern Florida traditionally has heavily influenced US policy with Cuba. Both political parties fear alienating a strong voting bloc in an important swing state in presidential elections.

According to the BBC, Edward Alex Lee of the US State Department said: (brackets by the Wrongologist)

The United States is ‘very open’ to building a new relationship with Cuba but that any improvement should go hand-in-hand with more political freedom [in Cuba]

Lee went on to say that the two countries had held “very constructive” talks on migration and other issues last week, but he declined to give any details of what he called “substantial progress”. Lee added that the
two nations would seek to continue their negotiations:

Despite our historically difficult relationship…we have been able to speak to each other in a respectful and thoughtful manner…

So maybe there is hope that normalization of relations can take place. Most Cubans that the Wrongologist talked to about this feel it will happen in about 3 years. This may be unconsciously tied to their estimate of when Fidel Castro
will die. Perhaps they believe that the attitudes of Cuban-Americans who control much of America’s agenda regarding Cuba will soften when Fidel dies.

According to the Pew Research Center, there are about 1.9 million Cuban-Americans in the US. 70% of Cuban-Americans live in Florida, making them the most geographically concentrated of the 12 largest Hispanic origin groups.

We know that the younger generation of Cuban-Americans voting bloc took a major shift toward the left during the 2012 election. According to Dan Moffett, an immigration writer:

According to exit polls by Bendixen & Amandi International, President Obama got 48% of the exile community’s vote and Republican candidate Mitt Romney received 52%. Four years before, when Obama ran against John McCain, he got only 35% of the Cuban-American vote

Polling done by Bendixen & Amandi was trying to measure the generational shift within the Cuban community. The pollsters found that President Obama in 2012 won 60% of the votes of those Cuban-Americans who were born in the United States. Romney, meanwhile, won 55% of the vote among Cuban-Americans who were born in Cuba.

However, politicians remember that in 2004, John Kerry was able to get only 29% of the state’s Cuban-American vote in losing to George W. Bush. In 2000, Bush got about 75% of the bloc’s vote in defeating Al Gore. Cuban-Americans were
the difference in Bush winning Florida, and Florida was the difference in his winning the White House.


Thinking that Cuban-American relations could be normalized within three years or when Fidel Castro dies is overly optimistic. It’s really a bit silly that the US continues to hold a cold war grudge against Cuba. The US could most readily help the people of Cuba by opening up trade between the two countries. A communist government with horrible human rights record hasn’t stopped America from dealing with China, so why not trade with Cuba? (Not that the Wrongologist is a supporter of communist governments or states that lack commitment to human rights)

How can trade with Cuba be wrong because the country is communist, but trade with China and Vietnam is vital to economic progress and a spirit of international harmony?

The US is happily in bed with the “democracy” that is Saudi Arabia, but cannot abide the Cuban state? Our hard line position is more about those Cuban-Americans who feel that the embargo will eventually return the houses that they abandoned 55 years ago when they left Cuba for Miami.

That isn’t about ideology, or about the human rights of the Cuban people.

It’s time we change our strategy. Our policies haven’t broken the Cuban government in 55 years, so it may be time to give up the sanctions and help ourselves and the Cuban people.

The alternative is for the US to cede that relationship to China.

The US State Department is not afraid of a “special relationship” between Venezuela and Cuba, but a “special relationship” with China will remind our old guard political realists of the terribly flawed geopolitical position the US had when the Soviet Union made Cuba into an economic client.

Yet, Cubans should be careful what they wish for. Fast food restaurants, more high-rise hotels and golf courses may create tin shack shanty towns when American developers are allowed into Havana.

Good luck to the Cubans, lovely people, and a lovely country.

(This is the final installment of the 3-part series on the Wrongologist’s visit to Cuba.)