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About sharing image captionDayli Coro says she was regularly threatened at gunpoint Cuba has long been renowned for its medical diplomacy - thousands of its doctors work in healthcare missions around the world, earning the country billions of dollars in cash. But according to a new report, some of the doctors themselves say conditions can be nightmarish - controlled by minders, subject to a curfew and posted to extremely dangerous places, James Badcock reports.

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About sharing image captionDayli Coro says she was regularly threatened at gunpoint Cuba has long been renowned for its medical diplomacy - thousands of its doctors work in healthcare missions around the world, earning the country billions of dollars in cash.

But according to a new report, some of the doctors themselves say conditions can be nightmarish - controlled by minders, subject to a curfew and posted to extremely dangerous places, James Badcock reports. For Dayli Coro, medicine was a calling.

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I used to sleep between three and four hours because I studied so hard. I worked hard in my first year of practice, I took on a lot of extra shifts. And now here I perssonals. I cannot be a doctor oersonals Cuba. It's very frustrating. She says that after graduating, she was told that if she went on a medical mission to Venezuela, she would gain experience in her chosen field and that it would count as her three years of obligatory social service, which all graduates have to complete in Cuba before gaining full-status posts.

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She agreed to what Havana calls its "internationalist missions", following a path trodden by hundreds of thousands of Cuban doctors. Sincetheir medical work overseas has been held up by the communist government as a symbol of its solidarity with people all over the world. Fidel Castro described the medics as Cuba's "army of white coats".

As well as a source of great pride and prestige, it is also an economic lifeline for the regime. The scheme earns Cuba much-needed foreign currency. Dayli cubaan she voluntarily ed a contract for a three-year stint, but she neither had time to read it, nor was she given a personal copy. In Octoberthe young doctor was posted to a clinic in the Venezuelan town of El Sombrero. Venezuela pays for this and other services by Cuban workers with oil.

Venezuela was at that time in the midst of a crime rate spiral that has led to a murder rate of 92 perinhabitants inaccording to the NGO Venezuelan Observatory of Violence. World Bank figures put the figure at 56 per , topped only by El Salvador and Honduras. These kids would bring pereonals a patient with 12 or 15 bullets in cubam body, point their guns at you and say you had to save him.

If he died, you would die. That kind of thing happened on a daily basis. It was routine. Some would be alive but you knew that if they were not operated on in 20 minutes, they would die, and we didn't have the necessary conditions. We didn't even have basic medicine to treat patients there.

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There were pwrsonals to be four intensive care doctors, and normally there was only one on shift. Sometimes the gang members would order Dayli to get in the ambulance with them, she says.

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I had a situation where a rival gang came in and shot the patient dead. But in a place where there is so much violence, you develop an incredible emotional coldness. In response, Cuban authorities strongly rejected the characterisation and said it was "not acceptable to question the dignity, professionalism and altruism" of its international medical staff. Doctor's orders? The BBC made repeated requests for a response cyban the Cuban government but received no reply.

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They are persojals about Cuba's solidarity and example. More than doctors, they are guardians of peesonals virtue," Cuba's leader tweeted. While Dayli at least managed to escape becoming a victim of violence in Venezuela, a compatriot and fellow woman medic was less fortunate. The year-old family doctor wishes to be identified by the pseudonym "Julia" to spare her family knowledge of her perrsonals. He had me sent away to a series of out-of-the-way locations in rural areas.

One day when they saw a door had been forced open, they called the co-ordinator - but Julia says he did nothing. Then, she says, "I woke up one night, with someone holding my mouth shut. The doctor in the other room was screaming. There were two men in balaclavas, armed with guns. The mission co-ordinator came to take the two women away from this location, but, Julia says, he suffered no apparent consequences or official reprimand for having exposed members of his team to such danger.

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pdrsonals The focus was basically 'Don't tell anyone this has happened. She was a year-old family doctor when she was deployed to Guatemala on her first international mission in During her journey into the state of Alta Verapaz, the mission co-ordinator began telling her about a rich man in the area, whom he referred to as an "engineer". Maria says: "He insinuated that he liked Cuban women. I went with the idea of helping poor people on a mission for my country.

It was so frustrating - I felt scared but could not run away. Some months later she heard that the "engineer" had been arrested in an army raid, accused of being a drug trafficker. Dayli says she and her team in Venezuela had to meet weekly targets set by the Cuban mission leaders related to the of lives saved, patients admitted pesronals treatments for certain conditions. She says she rejected what she considered unethical interference in honest medical care principles: "That is where my problems began because I wasn't going to lie.

If a patient is ready to go home and take medicine orally, I am not going to have them admitted for five days on a drip.

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I can't say how many heart attack patients I am going to have in a given week. By exaggerating the missions' efficacy, the Cuban authorities can, the report says, demand greater levels of payment from the host country, or justify the enlargement of the operation. But the twin pressures of working without sufficient medical equipment and orders to hit artificial or impossible targets personlas.

Once a woman arrived mid-labour, Dayli recalls, but the clinic did not have the right set of instruments for delivering a baby.

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Another time, she says she had to inset a tube into a patient by the light of her phone as there was no fuel cubn the generator. She alleges her request to transfer a man with lung cancer to Caracas was denied so he would count towards her clinic's statistics.

The year-old doctor ed one of the first missions in Venezuela in We would get our pay from soldiers, who were sometimes months late in coming, personsls would also take medicines from the cugan recalls Carlos. Carlos says he ed up for the medical mission to improve his financial situation. Dayli says that all fraternising with Venezuelans outside of work was prohibited. The Cuban doctors lived together and had to respect a 6pm curfew.

The mission co-ordinator was a Cuban security service official. We weren't allowed to have a drink with a Venezuelan, or go to their house because you saved their life and to see how they're doing. If you fraternised with a dissident, you could have your mission revoked. The former got better treatment, and any information we gathered on locals was passed on to the mission co-ordinator, a Cuban woman who controlled all of our personal relationships and who we were allowed to meet.

In response, the Cuban government denied the claims, saying that its "honourable" doctors had saved nearly 1. Carlos also made the move cugan a Brazilian mission to the US, where he is now rebuilding his life in Houston, working as a medical assistant.

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He is now unable to visit Cuba for fear of being imprisoned on the island for desertion. In he applied for a humanitarian visa to visit his mother who had cancer. It was denied, and he could not see her before she died. I soon realised our mission was more political than humanitarian. She returned to Cuba in where she was posted to a hospital without an intensive care unit - a clearshe says, that she was out of favour.

Later she was suspended from medical practice for alleged absences from work - an allegation she rejects. She says she began to be treated as a dissident, with a state security agent posted outside her house who followed her everywhere. Her family and friends were harassed.

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Eventually, she could take it no more and is currently visiting relatives in Spain, where she may decide to try and settle. I don't want to be a risk to my family. I spoke my mind and this is the consequence.

They want soldiers, not doctors. Cuba has faced more than 50 years of US sanctions. Now, for the first time, a unique drug developed on the communist island is being tested in New York state. But perspnals American cancer patients are already taking it - by defying the embargo and flying to Havana for treatment.