The United States government has started a wide-ranging strategy of economic and diplomatic pressure. The goal is to weaken the Cuban administration and stop its international medical services program.

美國政府已開始實施一項廣泛的經濟與外交壓力策略，目標是削弱古巴政府並停止其國際醫療服務計畫。

Cuba is currently facing a difficult economic situation with serious shortages of fuel and electricity. Experts suggest that these problems were partly caused by an oil blockade created by the Trump administration. Although more consumer goods are available in cities like Havana through private imports, the general population still struggles with high inflation and a decline in public safety. Furthermore, many citizens have lost confidence in the state because they believe there is a huge gap between the poverty of the public and the luxury of the ruling elite, who are allegedly supported by the military company GAESA.

古巴目前面臨困難的經濟形勢，燃料與電力嚴重短缺。專家指出，這些問題部分是由川普政府發起的石油封鎖所造成的。雖然在哈瓦那等城市透過私人進口能獲得更多消費品，但一般民眾仍深受高通貨膨脹與公共安全下降之苦。此外，許多公民對國家失去信心，因為他們認為平民的貧困與統治精英的奢華之間存在巨大鴻溝，而據稱後者是由軍方公司 GAESA 支持的。

At the same time, the U.S. State Department is targeting Cuba's medical missions, which are a vital source of income, earning about $5.3 billion in 2024. Secretary of State Marco Rubio has described these missions as forced labor and human trafficking. Consequently, several countries in the Caribbean and Central America, such as Jamaica, Guatemala, and Honduras, have ended or changed their agreements. However, other regions, including Mexico and parts of Italy, have kept these partnerships because they desperately need Cuban doctors to fix healthcare shortages. In Italy's Calabria region, the government tried to reduce U.S. concerns by hiring doctors individually, although the staff still reportedly send money back to the Cuban state.

與此同時，美國國務院正針對古巴的醫療派遣任務，這是至關重要的收入來源，2024 年獲利約 53 億美元。國務卿馬可·魯比奧將這些任務描述為強迫勞動與人口販運。因此，牙買加、瓜地馬拉與宏都拉斯等數個加勒比海及中美洲國家已終止或修改了協議。然而，包括墨西哥與義大利部分地區在內的其他地區則維持了這些合作關係，因為他們迫切需要古巴醫生來解決醫療短缺問題。在義大利的卡拉布里亞大區，政府嘗試透過個別聘僱醫生來緩解美國的擔憂，儘管據報導相關人員仍將資金匯回古巴政府。

Cuba continues to experience severe economic instability, as its main sources of income are under heavy pressure from U.S. sanctions and diplomatic efforts.

古巴繼續經歷嚴重的經濟不穩定，因其主要收入來源正承受美國制裁與外交手段的沉重壓力。