Wait, I thought Cuba was the bestest place in the world, with the bestest Healthcare evah!
What happened?

I'm guessing reality.
As I've said before - primitives who think that there is a thriving economy in Cuba that the United States denies in the name of capitalism can take a quick look at Cuba via Google Maps.
1 ) Look at satellite photos of your neighborhood.
2 ) Scroll down to Cuba and look at satellite photos of any neighborhood.
3 ) Compare and contrast.