KINGSTON, Jamaica – The United States has expanded its visa restrictions targeting individuals connected to Cuba’s labor export program, raising concerns about potential implications for Jamaica, which has long benefited from Cuban medical personnel. However, it remains unclear whether the island falls among the “complicit” third countries that could face sanctions for employing Cuban healthcare workers.
On Tuesday, US Secretary of State Marco Rubio announced that the new restrictions would apply to individuals and immediate family members believed to be responsible for Cuba’s overseas medical missions, which he described as “forced labor.” He noted that sanctions had already been imposed on several people, including Venezuelans.
“Today, we announce the expansion of an existing Cuba-related visa restriction policy that targets forced labor linked to the Cuban labor export program,” Rubio said in a statement. “This expanded policy applies to current or former Cuban government officials and other individuals, including foreign government officials, who are believed to be responsible for, or involved in, the Cuban labor export program, particularly Cuba’s overseas medical missions.”
Jamaica has maintained a longstanding relationship with Cuba in the medical field, dating back to 1976 under the administration of then-Prime Minister Michael Manley. Over the years, Cuban medical professionals have played a critical role in Jamaica’s healthcare system, providing much-needed support amid chronic staff shortages.
In May 2023, it was estimated that over 300 Cuban medical personnel were working in Jamaica. In recent years, the country has continued to welcome Cuban doctors and nurses, including 250 in 2021, 140 in 2020, and 20 in 2016. The Jamaica-Cuba Eye Care Programme alone facilitated 3,476 sight-saving procedures between September 2023 and November 2024.
With the continued migration of Jamaican nurses to the US, Canada, and the UK, the loss of Cuban personnel could place even greater strain on the nation’s healthcare system.
Neither Minister of Health and Wellness Dr. Christopher Tufton nor Minister of Foreign Affairs Kamina Johnson Smith could be reached for comment on Thursday, despite multiple attempts by The Gleaner.
Following Rubio’s statement, Cuban Foreign Minister Bruno Rodríguez Parrilla condemned the move, accusing the US of prioritizing political interests over humanitarian cooperation.
“Once again, Marco Rubio puts his personal agenda before US interests,” Rodríguez Parrilla said. “The suspension of visas associated with Cuba’s international medical cooperation is the seventh unjustified aggressive measure against our population within a month.”
Cuba has provided medical assistance to numerous Caribbean nations, as well as countries in Africa, Latin America, the Pacific, and Europe, for over six decades. Until now, there has been no known US interference with these programs.
While Jamaica’s government has remained silent on the matter, St. Vincent and the Grenadines Prime Minister Dr. Ralph Gonsalves has pushed back against US claims that the Cuban labor export program amounts to human trafficking.
“Some persons in the US Congress have been saying, mainly Republicans, that the doctors and nurses who come down here are part of trafficking in people,” Gonsalves told The St Vincent Times. “I don’t know how it is trafficking in persons. If you call it trafficking in persons, then it loses all meaning because we are paying them, and it’s done very openly and very transparently.”
Rubio, however, insists that the program is exploitative, arguing that it benefits the Cuban government while depriving the Cuban people of much-needed healthcare services.
“Cuba’s labor export programs, which include the medical missions, enrich the Cuban regime and deprive ordinary Cubans of the medical care they desperately need in their home country,” he said. “The United States is committed to countering forced labor practices around the globe. To do so, we must promote accountability not just for Cuban officials responsible for these policies, but also those complicit in the exploitation and forced labor of Cuban workers.”
As concerns grow over whether Jamaica will face repercussions under the new policy, the government’s response—or lack thereof—will be closely watched. If the US deems Jamaica “complicit” in employing Cuban medical personnel, the country could face visa restrictions that impact officials and potentially disrupt the longstanding medical partnership with Cuba.
For now, with no official word from Jamaican authorities, the country remains in a state of uncertainty as it awaits clarity on its standing under the expanded US policy.

