The United States government has implemented a comprehensive strategy of economic and diplomatic pressure to destabilize the Cuban administration and dismantle its international medical services program.

美國政府實施了一套全面的經濟與外交施壓策略，旨在動搖古巴政府並瓦解其國際醫療服務計畫。

The current socio-economic landscape in Cuba is characterized by acute shortages of fuel and electricity, which observers suggest is partially attributable to an oil blockade instituted by the Trump administration. While the availability of consumer goods in urban centers like Havana has increased via private importation, the populace faces systemic instability marked by hyperinflation and a degradation of public security. There is evidence of a significant erosion of domestic confidence in the state; citizens increasingly perceive a divergence between the austerity experienced by the general population and the perceived luxury of the ruling elite, who are allegedly insulated by the revenues of the military-controlled conglomerate GAESA.

古巴目前的社會經濟狀況以燃料與電力嚴重短缺為特徵，觀察人士認為這部分歸因於川普政府實施的石油封鎖。雖然在哈瓦那等城市中心，透過私人進口增加了消費品的供應，但民眾面臨著由惡性通貨膨脹和公共安全惡化所導致的系統性不穩定。有證據顯示，國內對政府的信心顯著削弱；民眾日益感受到一般大眾所經歷的艱苦生活與統治精英所享有的奢侈生活之間的脫節，而後者據稱由軍方控制的集團 GAESA 的收益所保障。

Parallel to internal economic pressures, the U.S. State Department has targeted Cuba's medical missions, which serve as a critical source of hard currency, generating approximately $5.3 billion in 2024. Secretary of State Marco Rubio has characterized these missions as state-sponsored human trafficking and forced labor. This diplomatic offensive has yielded results in the Caribbean and Central America, where nations such as Jamaica, Guatemala, and Honduras have terminated or restructured their agreements. Conversely, some jurisdictions, including Mexico and Italy's Calabria region, have maintained these partnerships, citing the indispensability of Cuban personnel in addressing critical healthcare deficits. In Calabria, the regional government has attempted to mitigate U.S. concerns by contracting doctors individually, although personnel report continuing voluntary financial contributions to the Cuban state.

與內部經濟壓力平行，美國國務院將目標對準古巴的醫療代表團，該計畫是關鍵的外匯來源，在 2024 年產生了約 53 億美元。國務卿馬可·魯比奧將這些代表團定性為國家資助的人口販運與強迫勞動。這場外交攻勢在加勒比海與中美洲取得了成效，例如牙買加、瓜地馬拉與洪都拉斯已終止或重組了相關協議。相反地，包括墨西哥與義大利卡拉布里亞大區在內的一些管轄區則維持了這些合作關係，理由是古巴人員在解決關鍵醫療缺口方面不可或缺。在卡拉布里亞，地方政府嘗試透過與醫生個別簽約來緩解美國的顧慮，儘管相關人員報告稱仍持續自願向古巴政府提供資金捐助。

Cuba remains in a state of severe economic volatility, with its primary revenue streams under systemic pressure from U.S. diplomatic and financial sanctions.

古巴仍處於嚴重的經濟波動狀態，其主要收入來源正承受美國外交與金融制裁的系統性壓力。