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November 15, 2019

The Honorable Michael R. Pompeo

Department of State
2201 C Street, Northwest
Washington, D.C. 20520

Dear Mr. Secretary:

Thank you for your leadership in holding Cuba to account for the forced labor and exploitation of
its medical workers overseas. On July 26, 2019, you reoriented U.S. policy by further restricting U.S.
visas for Cubans who engage in “exploitative and coercive labor practices while it earns money on the
backs of its citizens through its overseas medical missions program.” We urge the Administration to
continue its effort to hold Cuban human traffickers to account.

The Cuban regime uses medical missions to gain economic and political benefits and, in the
process, to undermine U.S. interests throughout the region and beyond.1 In Venezuela, Cuba’s medical
“collaborators” have long been used as political weapons to export Cuban communism. Cuba’s medical
missions have been expelled from Brazil, El Salvador, and, most recently, Ecuador and Bolivia owing to
security and human rights issues.

Cuba’s medical “collaborators” have been implicated in violent unrest and destabilization efforts.
The Ecuadorian government is investigating the arrival of 250 individuals with official Cuban passports
used for medical personnel right before the violent protests in October. Bolivian authorities have arrested
four Cuban officials who were part of Cuba’s medical mission suspected of financing the violent protests
and have reported that as many as 100 intelligence agents were among the medical “collaborators.” There
are more examples of this trojan horse tactic.

We respectfully recommend the U.S. government expand its use of economic sanctions and deny
U.S. visas to foreign government officials or private sector stakeholders who are known to have been or
are implicated in, or responsible for, the exploitation of Cuban medical workers. Thank you for your
leadership on these issues.


Maria Werlau Jason Poblete Marion Smith

President President Executive Director
Cuba Archive Global Liberty Alliance Victims of Communism
Memorial Foundation

“Fact Sheet: Cuba’s export workers: a state-run labor trafficking business,” Cuba Archive, available at​.