There will be many lessons about healthcare from Cuba. Here is one I came across today as we were passing a home for women with high risk pregnancies. They stay there getting support until they are ready to deliver. Our guide, a very well informed young lady, said these homes are important because the birth rate is so low, 1.2/1000. She said that a couple of years ago the government stopped selling condoms, claiming they were in short supply. The real reason, she said, was to try to drive up the birth rate. The actual result was a sudden increase in abortions. Condoms went back on sale in a couple of months. Seems to be a pretty clear natural experiment.

The rapid aging of the population is clearly an emerging problem that I will address in another post.