The US government wants to change the Cuban government. They use money and politics to do this.

美國政府想要改變古巴政府，他們利用金錢與政治手段來達成此目的。

Cuba has many problems. There is not enough fuel or electricity. Prices for food and clothes are very high. Many people are unhappy because the leaders are rich but the people are poor.

古巴有許多問題。燃料或電力不足。食物與衣飾的價格非常高。許多人感到不滿，因為領導人很富裕，但人民卻很貧窮。

Cuba sends doctors to other countries to make money. The US says this is not fair. The US says Cuba forces these doctors to work.

古巴派遣醫生到其他國家賺錢。美國認為這樣是不公平的。美國稱古巴強迫這些醫生工作。

Some countries stopped using Cuban doctors because of the US. However, Mexico and Italy still use them. These countries need the doctors for their hospitals.

一些國家因為美國而停止使用古巴醫生。然而，墨西哥與義大利仍然在使用。這些國家的醫院需要這些醫生。

Cuba has a very bad economy. The US is making it hard for Cuba to get money.

古巴的經濟狀況非常糟糕。美國讓古巴難以獲取資金。

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。

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。