Showing posts with label Cuba. Show all posts
Showing posts with label Cuba. Show all posts

Saturday, January 5, 2013

‘Our Common Destiny’ – Afro-Cuban Filmmaker Explores Caribbean History, Culture

The following are two different versions of the same article I wrote for the South Florida Times at the beginning of 2013.  The article, it can be said, was over a dozen years in the making.  Ever since I saw my first films by Cuban filmmaker Gloria Rolando, I have wanted to interview her and write about her work.  The first article posted appears here as it did in published form on the front page of the South Florida Times. The second version of the article that follows is one of the longer original drafts of the piece submitted to the South Florida Times who, for space constraints, were not able to publish it as you will see below. Needless to say, it is wonderful to not only have this work published but an honor to have it appear on the front page.  I am also grateful to the editors and publisher of that weekly paper for the support, interest, and encouragement so generously given to me in the course of the work for this article.  Additionally, the warm response from the readers has also been gratifying.  Also, I want and need to acknowledge the invaluable help from afrocubaweb.com, a phenomenal online resource that I have turned to and relied up for many years preceding the work (which is only just beginning) on this article. Last but not least, I am grateful to Gloria Rolando herself for her patience and generosity in meeting with me while she was merely stopping over in Miami en route back to Havana as well as the other important people whose help was invaluable and whose privacy I will respect.  Thank you, noble and welcome reader, for your interest.   Abrazos, José Pérez

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Written by José Pérez
South Florida Times 
Saturday, 5 January 2013
@IWN_Inc





MIAMI — Cuban filmmaker Gloria Rolando was on a mission when she visited Miami recently: to generate awareness of the  massacre of thousands of black Cubans in their own country  a century ago and to promote her three-part documentary on the tragedy, 1912: Breaking the Silence.

Not many people inside and outside of Cuba seem to know about the incident that is sometimes referred to as “El Doce” or “The 12.”
Helen Gutierrez, a Cuban-born social worker in Miami, had not.  “I’ve asked other Cuban friends and they’d never heard of it either,” said Gutierrez, who is of African and Chinese descent.  

Rolando herself learned of the massacre when she was doing research for a movie, Roots of My Heart, about a young woman uncovering a tragic chapter in her family’s history. That film is fiction that touches on the massacre from the point of view of the heroine.
Among the people Rolando interviewed was historian Aline Helg, who wrote the groundbreaking book Our Rightful Share: The Afro-Cuban Struggle for Equality, 1886-1912.  

Rolando intended Breaking the Silence as a documentary follow-up to Roots of My Heart and she started work on it in 2003. It extended into a trilogy which also tells the story of the formation of the Independent Party of Color (PIC) in Cuba in 1908, the first black political party in the Americas. Its formation led to violent repression that culminated in the massacre.

According to several sources, including Aline Helg and her book Our Rightful Share, Tomas Robaina’s El Negro en Cuba (The Black Man in Cuba) and information on afrocubaweb.com, shortly after the departure of Spanish colonial authority from Cuba, black Cubans realized that whites planned to take over the country and shut them out despite their key role in the War of Independence.

Many Afro-Cubans were veterans of the independence struggle but their desire for power sharing was frustrated by Jim Crow policies advocated and encouraged by the United States during American’s occupation of the island, by bigoted and corrupt white Cubans in power at virtually every level of government and business and by Spanish and other European immigrants who were encouraged to settle in Cuba in an attempt to “bleach” the population. 


The right of black Cuban men to vote was not a problem in Cuba then as it was in the United States. But getting decent jobs and membership in organized labor was. Quintín Banderas, one of the most famous black generals in the independence struggle, could not get a job as a janitor after the war. 

The immediate reaction of whites to the PIC was to denounce the party as racist, even though it was born not out of Afro-Cuban racism but as a direct result of white Cubans ignoring the ideals of racial harmony stressed most famously by the national hero José Martí.

The PIC was formed during U.S. occupation of Cuba, when the American provisional governor was then secretary of war and future president William Taft. 

The following year, Martin Morúa Delgado, a conservative black Cuban, was elected speaker of Cuba’s Senate. A year later, Morúa introduced legislation, known as the Morúa Amendment, which banned the PIC because it was based on race and, according to supporters of the legislation, racism did not exist in Cuba anymore. 

  

Evaristo Estenoz, Gregorio Surín, Eugenio Lacoste and Pedro Ivonnet were among PIC leaders who were imprisoned just before the vote was taken and kept in jail until it passed. 

Estimates vary but the consensus seems to be that between 6,000 and 9,000 black Cubans were killed mostly by white militiamen, soldiers and vigilantes. 
  

“A lot of Cubans were not aware of the sequence of events that led up to 1912,” Rolando said. Rolando was born in the early 1950s to “a very humble family” in Havana’s Chinatown. When education was made free for all Cubans after Fidel Castro’s Marxist revolution in 1959 and “doors opened for a new generation,” her family encouraged her to take advantage of the opportunities.   
She was eventually selected to attend the Cuban Institute of Cinematic Arts & Industry, where, she recalls, the tradition at the time was to work and learn filmmaking at the same time, as a sort of apprenticeship.

RELATIONS WITH HAITI

Some of her films since then have focused on Cuba and its relations with Haiti and the English-speaking Caribbean.

Rolando worked with director Santiago Villafuerte in 1977 on a documentary, La Tumba Francesa, which examined the impact of the Haitian Revolution on Cuba. She immersed herself in interviews with elders and members of folkloric dance groups. 


La Tumba Francesa was a homage to that time, those people. It fascinated me. I began to discover my country,” Rolando said.  “I saw the possibilities. I was aware that this was important to the history of Cuba. When I studied art, I never learned about this other aspect, the Caribbean aspect, of which Cuba is a part.”


Ronaldo’s first film, Oggun: An Eternal Presence, was made after her apprenticeship ended. It was produced by Video America, S.A., a Cuban video production company.  Soon afterwards, she formed an independent company, Imagenes del Caribe (Caribbean Images). Its first production, My Footsteps in Baragua, was a heartfelt exposé on immigrants to Cuba from the English-speaking Caribbean islands. 



It was during her early research for that film that Roberto Claxton, a black Cuban now living in Fort Lauderdale, first met Rolando. He was then living in Cuba and was head of Guantanamo’s British West Indian Welfare Center. He remains an admirer of her work.  “I think that Gloria is a very important person because of her role in the defense and promotion of African heritage in Cuba,” Claxton said.

Her interest in the lives of other Caribbean migrants in Cuba led Rolando to make Haiti in My Memory, which marked a return to collaboration with Villafuerte. This film focused on “the dreams and aspirations of those (Haitian) immigrants,” Rolando said.  

It featured a touching theme song performed by the late Martha Jean-Claude, a Haitian singer who lived most of her life in Cuba, urging the listener to “take care of my goat… I’ll come back… I’ll come back with riches.”  This was a reference to the migrant leaving his house and his animals and asking his friend back in Haiti to care for them.

REVISITING

But Haiti in My Memory, which was filled with interviews with Haitian immigrants to Cuba during the 1920s and 1930s, has been lost. Rolando plans to revisit the theme in her next film .

“I want to take up again the issue of Haitian immigrant because those Haitians that reached Cuba in the early 20th century — 1911, ’20s and ’30s — came and went, being brought to Cuba or sent back to Haiti as economic and financial forces dictated,” Rolando said. “Currently, I am trying to obtain resources to rent the necessary equipment to film.  I am working long hours to find people more representative of this theme.”

In another Rolando film, Eyes of the Rainbow, it is said that “separation is a real part of being African in the Americas.” For her, building bridges to span that separation has become her life’s mission. “The story of the Caribbean people is one of bridges,” she says. “Where are those bridges?”  “Cuba has lived the separation and the bridge,” she says. “Migration is our common destiny.”

Copies of 1912: Breaking the Silence may be obtained by visiting afrocubaweb.com/gloriarolando/gloriarolando-ordering.htm



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‘The Magic of It All’ – Exclusive Interview with Director Gloria Rolando
by José Pérez

In celebrated Cuban director Gloria Rolando’s film Eyes of the Rainbow, it is said that “separation is a real part of being African in the Americas.” For Rolando, who just finished her most recent film tour of the United States promoting the latest installment of her documentary trilogy about a genocidal massacre in Cuba one hundred years ago, building bridges to span that separation has been a life’s mission.   

“The story of the Caribbean people is one of bridges,” says the soft-spoken native of Havana’s Chinatown.  “Where are those bridges,” asks Rolando, that connect people across the sea, across the ocean, across language, across ideology, across skin color, across gender, across religion, across history, across bloodshed and violence? 

Rolando has sought to try to answer that question via films such as Eyes of the Rainbow, and Roots of my Heart which is about a young woman uncovering a tragic page in her family’s history.  Rolando has also directed films that look at carnival crews representing different neighborhoods in Havana and their rich traditions (El Alacrán or The Scorpion; and Los Marqueses de Atarés), the lasting impact of the big band era of jazz music in Cuba (Jazz in Us), and the strong ties that bind the Cayman Islands and Cuba’s Isle of Youth  (Images of the Caribbean).


Roots of my Heart is significant because, unlike the rest of her films, it was not a documentary and, perhaps more importantly, it is what first connected Rolando to the story of “El Doce” – the massacre that killed thousands of Black Cubans in the spring of 1912.  

For Rolando, “the trauma and silence” surrounding the event hid the story away for decades from most Cubans.  The topic was so taboo, in fact, that she had to organize a seminar for her film crew just to bring greater awareness about what happened before they could begin production.  Though the film was completed in 2001, “there are still repercussions” that linger in the Cuban psyche.

Eventually, Rolando received a telephone call from Cuban state television saying that they wanted to air the film nationally.    That, along with film festivals in the Caribbean, Europe, Canada and the United States helped bring about greater awareness about what happened in 1912.


 A continuation of Roots in My Heart in documentary form, 1912: Breaking the Silence tells the story of the Independent Party of Color (PIC), formed in Cuba in 1908 as the first Black political party in the Americas.   Rolando has been working on Breaking the Silence since 2003 when she conducted an extensive interview with historian Aline Helg who wrote the groundbreaking  book Our Rightful Share: The Afro-Cuban Struggle for Equality, 1886-1912.  Since then, Rolando has interviewed the descendants of the survivors of the massacre and decided after compiling all of the film and archival material to divide the film into three “chapters.”  

For instance, first installment, “Chapter 1” is, according to Rolando, “more academic.”

“A lot of Cubans were not aware of the sequence of events that led up to 1912,” says Rolando.  Thus, in the first chapter, she takes time to chronicle how newly-liberated Black families in the United States named their sons after the indomitable Cuban General Antonio Maceo, the legendary “Bronze Titan,” how the deaths of Maceo and José Martí altered the course of the Cuban Revolution away from inclusion and towards elitism, the social impact of Black-American troops (the famed Buffalo Soldiers)  fighting in Cuba during the Spanish-American War in 1898, and the consolidation of Jim Crow institutions and practices by U.S. occupying forces thereafter all created the conditions that led to the massacre of 1912.

The second installment of Breaking the Silence looks at the genesis of the PIC, the subsequent persecution of its leaders and members as well as the events leading to its eventual destruction by racists at the highest levels of the Cuban government at that time. 

Rolando says that the film is important not just because it teaches people about what happened a century ago but also because it carries lessons for today, too.   “The PIC still has something to say to Cubans today.”  Rolando points out, for example, that not all of its members were Black and its platform called for benefits for all Cubans, such as an 8 hour work day, free education, protections for war veterans, land reform, and so on.

Her first film was Oggun:An Eternal Presence and it profiled the late Lazaro Ros, an acclaimed interpreter of the Yoruba religious songs and rituals still widely practiced in Cuba.   The special part of this story for Rolando was answering the question, “How could all of [these long-repressed practices and beliefs] have been transmitted to still be alive?”

With Oggun came the beginning of artistic partnerships and professional relationships both inside and outside of Cuba.  People like cinematographer Gilberto Martinez Gomez who has worked with Rolando on many of her films and acclaimed artist Ben Jones of Jersey City State College and places like the Auburn Avenue Research Library in Atlanta, the Indiana University  Center for Latin American and Caribbean Studies,  the Sonya Haynes Stone Center at the University of North Carolina-Chapel Hill, the University of Missouri, the Alice Arts Center Theatre in Oakland, the Museum of Fine Arts and Texas Southern University in Houston, the Resource Center of the Americas in Minneapolis and others have hosted viewings and discussions of her films often to packed houses.

Her first films as a director were being produced at about the same time as the “Special Period” in Cuba when that country’s long-time source of foreign aid, the Soviet Union, collapsed and with it, in many respects, so did the Cuban economy.    “There were almost no resources left,” recalled Rolando, “but advances in video technology were reaching Cuba.”  

“This opened doors to a host of other options,” says Rolando.   As a result, all of Rolando’s films have been shot and produced in video, not celluloid.

It was shortly after completing Oggun that the idea to create an independent film company surfaced.  The entity is Imagenes del Caribe (Caribbean Images) and its first production was My Footsteps in Baragua, a heartfelt exposé on immigrants in Cuba from the English-speaking islands of the Caribbean such as Jamaica and Barbados and their descendants.   It was during the filming of My Footsteps in Barragua that Rolando learned even more about the challenges of producing a film, having to pay for the project as they went along on the thinnest of budgets.

 Thin budgets were nothing new to Rolando who was born in the early 1950’s to “a very humble family.”  She described her neighborhood growing up as being “very diverse, with Spaniards, Blacks, Jews, and Chinese all living and working with us.”  Her father was a shoemaker and her mother worked as both seamstress and maid.   “Family always trying to improve the lives of their children,” says Rolando and, after 1959 when education was made free for all Cubans and “doors opened for a new generation,” her family supported and encouraged her to walk through that door.   During her adolescent years, she studied music, playing the piano.  “I graduated in 1976 from the University of Havana with a degree in arts and letters,” remembers Rolando.  

It was at that time that she found herself with a lot of luck, she says, as she was selected to begin work at the Cuban Institute of Cinematic Arts & Industry (ICAIC).    “The tradition at ICAIC at that time,” recalls Rolando, “was to work and learn filmmaking at the same time” as a sort of apprenticeship.

“It was scary and exciting at the same time,” confesses Rolando who adds that “the filmmaking bug bit me late “

“We learned a lot from watching films from around the world,” says Rolando.  “Many had a high aesthetic quality but I still did not know what I was going to do back then.”  It was around that time that she worked with Santiago Villafuerte on a documentary film called La Tumba Francesa in 1977.  This short film looked at the initial impact that Haitian Revolution had on Cuba and the impact on the young Rolando was unmistakable.   “Haiti was taboo,” states Rolando about the barriers broken by La Tumba Francesa.   Rolando immersed herself in interviews with elders, working with members of folkloric dance groups such as Santa Catalina de Ricci in Guantanamo and Caridad del Oriente in Santiago which are still active today.    In her duties as the director’s assistant, she also devoted time to research and learning the art of film editing which she is “where the magic of filmmaking is really made.”   All of this taught her “how to translate a story into cinematic language.”


While filming, she found herself at  a spot high in the mountains that rise above the clouds from where, on a clear day, Haiti is visible to the naked eye.  The former music student from Havana was hooked.

La Tumba Francesa was a homage to that time, those people – it fascinated me.  I began to discover my country,” says Rolando.  “I saw the possibilities.   I was aware that this was important to the history of Cuba.”

That film and another short film entitled Haiti in my Memory included the work of many Cubans including many without any apparent connection to Haiti.

Rolando was also influenced by the landmark Carifesta in Havana in 1979 where she met and interacted with “a great number of artists and writers from the entire Caribbean.”

“When I studied art, I never learned about this other aspect, the Caribbean aspect of which Cuba is a part,” says Rolando.

Soon thereafter, she studied at la Casa de las Americas (House of the Americas) a focal point for exchange and study of cultural and artistic expression for people from throughout the Western Hemisphere.  The dominant theme of migration found in her films had roots here.   Learning more about people like the Haitian literary giant Jacques Roumain (author of Masters of the Dew) and others stoked in her a desire to make a film about Haitian migration to Cuba especially during the 20th century. 

From this came her work with Haiti in My Memory, a return collaboration with Villafuerte.  This later film focused on “the dreams and aspirations of those [Haitian] immigrants,” recalls Rolando.  The film featured a touching theme song sung by the late Martha Jean-Claude, a Haitian singer of extraordinary talent who spent most of her life living and recording in Cuba, urging the listener, first in Kreyol and then in Spanish, to “take care of my goat…I’ll come back…I’ll come back with riches.”   

Filled with first-hand interviews from Haitian immigrants to Cuba during the 1920’s and 1930’s and their descendants, Haiti in My Memory has been lost and no copies have been found.    Rolando responded to that monumental loss of irreplaceable testimony with resolve:   “I want to revisit the project,” she declared.   Rolando wants, for the revisitation of the subject of Haitians in Cuba, to “include the economic and social factors that caused this avalanche, exploitation, deportation of Haitians during that time.”  This next project, which she hopes to begin in earnest as soon as she wraps up the Breaking the Silence series, will approach the topic from what she calls “two levels of testimony – one academic and the other anecdotal.”  

Rolando wants to find out what were the forces that compelled or motivated the move from Haiti to Cuba?  What were they expecting in Cuba?  What was life like for them once they had arrived in Cuba?  What exactly was this movement of people from different parts of the West Indies?

Each of these questions continue Rolando’s exploration of “the memories, the migratory process explained through someone who lived it.”

Gloria Rolando is a very focused woman and the over-arching focus of her films is “that human bridge that is bigger than politics.” That, she says, “is the interest of Imagenes del Caribe.”

Touching on what was said in Eyes of the Rainbow,  Rolando points out that “Cuba has lived the separation and the bridge.”  

“Migration is our common destiny,” declares Rolando.  “We have worked very hard to bring this theme to light.”

For many people for many years, says Rolando, “Cuba was the promised land to save their families.”  She cites as an additional example to those of the many Cubans of Jamaican, Haitian, and even Arab descent as well as that of her Chinese neighbors from her childhood, “the Chinese that became ‘Cuban’ and stayed.”

“In Cuba, no one remained ‘an immigrant’ – that is the magic of it all.”
  
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Monday, October 29, 2012

Huracán Sandy destruye gran parte del este de Cuba

Huracán Sandy destruye gran parte del este de Cuba
por José Pérez Carrillo
@jose_3_perez 

Santiago de Cuba ha sido durante los siglos una ciudad ruidosa y animada ubicada a los pies de las montañas que cumplan con el Mar Caribe. Lugar de nacimiento de las personas como Desi Arnaz, Rita Marley, y genio militar Antonio Maceo, Santiago y sus residentes siempre son vibrante. Es por esto que un paseo por la ciudad densamente poblada inmediatamente después del huracán Sandy indica que algo andaba muy mal. "Santiago está envuelto en un silencio ensordecedor de la desesperación", dijo el Dr. Alberto Jones de la Caribbean American Children Foundation, quien se crió en Guantánamo cercano y había estado en Cuba visitando a familia y amigos cuando llegó la tormenta asesina.

foto por Guardian, Inglaterra

Lo que el Dr. Jones fue testigo en Santiago no se limitó a la segunda ciudad de Cuba. Él describió lo que vio en lugares como Songo, La Maya, y Guantánamo como "horrible, devastador, e increíble." Gran parte del choque de Jones viene, su esposa Sylvia dijo, de un refuerzo inesperado repentino del huracán antes de tocar tierra en Cuba a partir de una Categoría 1 a 3. "Fue una sorpresa para todos nosotros", dijo Sra. Jones.

foto por Franklin Reyes, AP

Al describir el daño infligido a Oriente de Cuba como "masivo", dijo el Dr. Jones que "cientos de caminos están bloqueados y los ríos desbordados han arrasado las vías del ferrocarril y puentes" en la zona. "La falta de electricidad y servicios telefónicos y suficiente agua purificada para beber," dijo el Dr. Jones ", son algunas de las cuestiones más acuciantes en estos momentos."

foto por Dr. A. Jones

Ventura Figueras Lores, un reportero de Guantánamo, dijo que, a pesar de los obstáculos "cloro y otros productos desinfectantes para purificar el agua para el consumo humano" se están distribuyendo de forma gratuita a través de la red de farmacias del gobierno cubano. De hecho, el Dr. Jones y Figueras señaló que los esfuerzos de reconstrucción ya están en marcha. "Miles de hombres de las organizaciones locales y de la defensa civil las fuerzas febrilmente eliminado los árboles caídos, postes eléctricos y escombros obstruyendo las carreteras y autopistas", dijo el doctor Jones, "como otros construyeron rutas alternativas o reforzar las estructuras debilitadas." Incluso los ciudadanos de a pie, como los adultos mayores y los niños están involucrados en el proceso, dijo el Dr. Jones.

foto por Periodico Venceremos

La Sra. Jones dijo que este enfoque proactivo a los huracanes no es nada nuevo para los cubanos. "Cuba tiene el mejor récord en el Caribe en cuanto a muertes después de las tormentas se refiere," dijo ella señalando que seminarios como una serie patrocinada por el Centro de Cuba ProyectoInternational Policy por funcionarios estadounidenses de manejo de emergencias que estudian el modelo de defensa civil de Cuba y la preparación para casos de desastre son la prueba de los éxitos de Cuba en esta área. "Todo el mundo sabe a dónde ir, qué hacer," dijo la Sra. Jones, de la profundidad íntima de la preparación de huracanes basada en la comunidad. "Ellos no esperan a evacuar - vienen a recogerlo".

foto por Franklin Reyes, AP

En vista de ello, los Jones y muchos otros fueron devastados por la noticia de que 11 personas en Cuba solo murieron a causa de la tormenta y "las decenas de miles de casas sin techo o sin ventanas, escuelas, centros de salud, hogares de ancianos, guarderías, culturales centros que fueron parcial o totalmente destruidas," dijo el Dr. Jones son "simplemente desgarrador.”

foto por Periodico Venceremos

"Aquí, a pesar de todas las adversidades", dijo Figueras, "es un huracán humano real." Explicó que este "huracán humano" es evidente "el pueblo junto con las autoridades en las zonas afectadas por tierra con la ayuda a pesar de la escasez de recursos."  De hecho, los voluntarios han estado viniendo a Oriente de todas partes de Cuba para ayudar con la recuperación desde entonces la señal de todo despejado publicación. Pero, aún así, se necesita más ayuda.

foto por Dr. A. Jones

"Estamos pidiendo a cada interesado y atento a que abran sus corazones", dijo el Dr. Jones que ha pasado más de 20 años dirigiendo los esfuerzos humanitarios en el este de Cuba desde su casa en el noreste de Florida. "Queremos correr la voz," dijo Sra. Jones sobre la necesidad de ayuda.

foto por AIN, Cuban News Agency

Hurricane Sandy Slams Eastern Cuba

Hurricane Sandy Slams Eastern Cuba
by José Pérez
@jose_3_perez 

Santiago de Cuba has – for centuries – been a loud and lively city nestled at the foot of mountains that meet the Caribbean Sea.  Birthplace of people like Desi Arnaz, Rita Marley, and Afro-Cuban military genius Antonio Maceo, Santiago and its residents are always vibrant.    It is because of this that a walk around the densely-populated city in the immediate aftermath of Hurricane Sandy indicated that something was very wrong.  “Santiago is wrapped in a deafening silence of despair,” said Dr. Alberto Jones of the Caribbean American Children’s Foundation, who grew up in nearby Guantanamo and had been in Cuba visiting family and friends when the killer storm hit.


What Dr. Jones witnessed in Santiago was not limited to Cuba’s second city.  He described what he saw in places like Songo, La Maya, and Guantanamo as “horrifying, devasting, and unbelievable.”  Much of Jones’ shock comes, his wife Sylvia said, from an unexpected sudden strengthening of the hurricane just before it made landfall in Cuba from a Catagory 1 to a 3. “It was a surprise to all of us,” said Ms. Jones.

Describing the damage inflicted on Eastern Cuba as “massive,” Dr. Jones said that “hundreds of roads are blocked and overflowing rivers have washed away railroad tracks and bridges” in the area.  “A lack of electricity & telephone services and insufficient purified drinking wáter,” said Dr. Jones, “are some of the most pressing issues right now.”



Ventura Figueras Lores, a reporter in Guantanamo, said that, despite obstacles, “chlorine and other disinfecting products to purify water for human consumption” are being distributed for free through the Cuban government’s pharmacy network.    In fact, Dr. Jones and Figueras pointed out that rebuilding efforts are already underway.  “Thousands of men from local organizations and  civil defense forces feverishly removed fallen trees, electric poles and rubble obstructing roads and highways,” said Dr. Jones, “as others built alternative routes or strengthened weakened structures.”  Even ordinary citizens like older adults and children are involved with the process said Dr. Jones.



Ms. Jones said that this proactive approach to hurricanes is nothing new for Cubans.  “Cuba has the best record in the Caribbean as far as casualties after storms are concerned,” she said pointing out that seminars such as a series sponsored by the Center for InternationalPolicy’s Cuba Project for U.S. emergency management officials that study the model of Cuba’s civil defense and disaster preparedness are proof of Cuba’s successes in this area.  “Everyone knows where to go, what to do,” said Ms. Jones of the intimate depth of community-based hurricane readiness.  “They don’t wait for you to evacuate – they come and pick you up.”

In light of that, the Jones and many others were devastated by the news that 11 people in Cuba alone were killed because of the storm and “the tens of thousands of roofless or windowless homes, schools, healthcare facilities, nursing homes, daycares, cultural centers that were partially or totally destroyed,” said Dr. Jones are “simply heartbreaking.”

“Here, despite all of the adversity,” said Figueras, “is a real human hurricane.”  He explained that this “human hurricane” is evident by “the people along with the authorities rushing into affected áreas with help despite the scarcity of resources.”  Indeed, volunteers have been coming into Eastern Cuba from every part of Cuba to aid with the recovery ever since the all-clear signal was posted.  But, still, more help is needed.

“We are asking every concerned and caring individual to open their hearts,” said Dr. Jones who has spent more than 20 years directing humanitarian efforts in Eastern Cuba from his home in Northeast Florida.  “We want to get the word out,” said Ms. Jones about the need for help.

Monday, May 15, 2006

"Tough Healthcare Situation Grows for Latinos, Rest of Metro"



La Clinica on Lake to Close
Tough Healthcare Situation Grows for Latinos, Rest of Metro
by José Pérez , La Prensa de Minnesota (Minneapolis-St. Paul)

The North American continent is unique among similar land masses in the world for the distinction of having the smallest number of sovereign nations relative to Africa, Asia, Europe, et cetera. With all due respect to the proud nations of Central America and the West Indies, North America is essentially comprised of Canada, the United States, and Mexico. Because of the size of each of the three North American giants or perhaps in spite of their vast territories, Canada, the U.S., and Mexico are all quite different from one another in terms of social, political, economic, and cultural aspects.

Perhaps the biggest difference concerns access to healthcare. At polar opposite ends of this spectrum are Canada, with universal health care as guaranteed as hockey in winter, and the U.S., with private healthcare rivaling one of Jennifer Lopez' engagement rings in cost to workers in the land of the free and the home of the brave.

No where is this "so-near-and-yet-so-far" disparity in affordable and therefore accessible healthcare more evident than here in Minnesota where we are closer in distance to Canada than we are to Chicago.

With the number of uninsured and underinsured people in the United States rising constantly (approximately 50 million in the U.S. with no health insurance at all), access to medical care that will not turn a poor working stiff away because he or she does not have a valid insurance card and/or a credit card is rare and valuable – in more ways than one would think.

In the raging sea of rising healthcare costs where a serious illness can capsize even an affluent family into bankruptcy, places like Minneapolis' La Clinica on Lake Street are vital to community health. Because it refuses to turn away for financial reasons any patient in need of medical services, however, La Clinica on Lake will cease to exist at the end of this summer.

Mavis Brehm, executive director of West Side Community Health Services, parent organization of La Clinica, informed La Prensa de Minnesota that La Clinica's Board of Directors finally decided last week to euthanasize the popular and respected South Minneapolis provider "because of mounting financial pressure."

In 2005, La Clinica saw over five thousand patients (which is a significant figure for a facility that is only open from 8 a.m. to 5p.m. on weekdays) and approximately 80% of those patients had absolutely no form of insurance.

While not an emergency or urgent care clinic, La Clinica does a great deal more than putting a band-aid on a scraped knee or wrapping a twisted ankle. Among the services offered to its patients, La Clinica offers primary care and preventative services, women's healthcare including breast and cervical cancer screenings, teen pregnancy prevention, diabetes prevention and treatment, mental health services, lab services, and more. La Clinica, along with its partners at community organizations like C.L.U.E.S (Chicanos Latinos Unidos En Servicio, an adult outpatient program which also works with victims of sexual abuse), offers programs such as the Aquí Para Ti (Here for You)Youth Development Program which offers preventive services targeting various healthcare issues including but not limited to tobacco, alcohol, & drug use, immunizations, exercise and nutrition as well as free health fairs.

The total amount budgetary shortfall for last fiscal year totaled $900,000.

According to Brehm, the transition period of the next few months for La Clinica will focus on trying to get as many of the existing staff and services from Lake Street absorbed into WSCHS' flagship clinic in West Saint Paul. While acknowledging that there are still some important funding possibilities that could have kept La Clinica open beyond August 2006 (when its current lease expires), Brehm stated that "the long term solution" compelled the Board to consolidate WSCHS' services which were utilized by over 36,000 Minnesotans last year alone.

This latest unfortunate development is not the end of the story. It actually marks the continuation of an ongoing struggle. Closing La Clinica on Lake Street "doesn't take away the pressure in the future …the needs aren't going away," said Brehm of the reality of limited reimbursements and increasing demands on an already overwhelmed" safety net." In a stoic effort to maintain resolve, the soft-spoken head of WSCHS expressed a hope that the closing of La Clinica on Lake will raise "awareness of how vulnerable providers are."

In fact, according to Brehm, if the 80% ratio of uninsured patients transfers to the West Saint Paul site without appropriate and realistic adjustments, the future of WSCHS itself will become bleak. If the future of WSCHS itself is threatened, the entire Metro Area will feel and have to bear a heretofore unacknowledged burden of Katrinaesque proportions.

The cost to the Twin Cities if La Clinica shuts its doors will not be so easy to measure – largely because the figures will be much, much higher than what it would have cost to keep it open. This has a lot to do with the fact that La Clinica is not your average everyday clinic. In addition to demonstrating that adhering to the sacred tenets of the Hippocratic Oath is non-negotiable by not turning away poor patients, La Clinica, which opened its doors on September 10, 2001, is also the only place that Minnesotans of Latino descent can go for culturally competent medical care in Minneapolis. 

La Clinica's entire staff is bilingual and bicultural offering a critical form of bedside manner to Latino residents of Hennepin, Ramsey, Dakota, Anoka, Scott, Carver and fifteen other counties in the area (when La Clinica first opened, no one expected patients to travel from as far as Maple Grove or Brooklyn Park but "if you build it ….").Of the over five thousand patients seen at La Clinica last year, over 90% were Spanish speakers and a significant number were recent immigrants.

Cultural compatibility is conducive and critical to clinical success.

The potential costs to local resources already under pressure from tightened budgetary strings at the local, state, and federal levels could very well be alarming. The likelihood that a Minnesotan in crisis will go a facility that is culturally intimidating is very slim. The social and financial ramifications here, such as the possible spread of untreated infectious diseases such as avian flu or the mumps or a traumatized teenager shut off from his therapist reacting inappropriately to a police officer, are hard to measure before they happen and impossible to prevent after they have happened.

Potential costs can also skyrocket from residents no longer having access to preventive wellness visits waiting until an otherwise preventable condition deteriorates into an emergency room visit at an always-overwhelmed Hennepin County Medical Center E.R.

Of course, the aforementioned represents what could be the tip of an immense iceberg. Indeed, for example, unreported critical health statistics also pose grave dangers to everyone.

Current funding for La Clinica comes from a variety of sources including the West Side Community Health Services of which La Clinica is just one location and several much-needed grants. Only a third of WSCHS's revenue comes from Medicaid, a fifth comes from federal grants, a small percentage from patients' private health care providers – revenue from cash payments from uninsured patients are actually higher than those of patients with insurance.

Grants such as those from Eliminating Health Disparities Initiative funds from the Minnesota Department of Health, Office of Minority and Multicultural Health and the Maternal & Child Health grant (which made it possible for La Clinica to serve almost four hundred pregnant women in that grant's first year) certainly help but they do not often cover medical expenses, drugs, operational expenses, labs, et cetera.

This is more than troubling for the staff at La Clinica; it is terrifying for its patients who receive treatment for rape, dehydration, stress, depression, post-traumatic stress disorder, anxiety, urinary tract infections and other serious conditions that cannot go untreated.

In rent alone, La Clinica pays $200,000 annually for the 9,000 square foot facility located at a mass transit crossroads where bus lines and the Hiawatha light rail line all converge.

Like many of its patients, it certainly appears that La Clinica is also underinsured and, unfortunately, altruism does not pay the bills in Minnesota.

When one looks at the potential catastrophic larger picture, finding a way to keep La Clinica open would have been much more cost effective than allowing it to close.

After all, that $900,000 shortfall last fiscal year works out to about$173 per patient seen.

Considering how much La Clinica is doing for the greater Minneapolis-Saint Paul Metro Area and beyond, that figure comes out to a bargain relative to some of the inevitable costs directly and indirectly associated with allowing it to close.

Or in simpler terms, it is cheaper to buy a new battery for your smoke detector than to pay the deductible for your fire insurance after your house burnt down.

This, of course, dovetails into the growing call for a more democratic healthcare system that guarantees that, as Brehm stated on a stormy afternoon last week, "all people have access to the most basic of services." While it a rather sad statement about a society that politicizes basic human welfare, it is an undeniable reality that healthcare is a hot button political issue during this mid-term election year. With recent news that employees of UnitedHealth Group(which is headquartered in Minnetonka) are disgusted with UnitedHealth's consumer-driven worker health plans among other harbingers of growing consumer frustration with the increasingly apparent ineffectiveness of the American healthcare status quo, more and more people in the U.S. are calling for a paradigm shift towards the Canadian and even the Cuban models.

While reactionary attempts to scare Americans away from even thinking about "socialized medicine" are intensifying, so are the realizations that universal public healthcare is no more ridiculous of a proposition than universal public education. The misguided rationale that says that Americans should have to pay for the basic human right to receive quality health care makes as much sense as reinstituting archaic and elitist poll taxes to make people pay for the right to vote.

If the right to an education and to vote do not require copayments and premiums, why should the right to feel better require them?

Before finishing her interview with La Prensa, Brehm stated that "we need a system that works differently." Thinking back to New Orleans and Hurricane Katrina and thus looking at how easily a disaster can reveal a Third World reality here in this G8 country, it would behoove Minnesota's leaders (elected and non-elected) to pay heed to Ms. Brehm's statement without delay.