>>>WE CONTINUE WITH OUR SERIES OF REPORTS ON HEALTH CARE SYSTEMS AROUND THE WORLD. TONIGHT, THE STATE-RUN HEALTH CARE SYSTEM OF COMMUNIST CUBA. CUBA PROVIDES MEDICAL CARE FOR EVERYONE THAT LIVES ON THE ISLAND NATION. LIFE EXPECTANCY THERE IS 78 YEARS. BUT THERE ARE SOME KEY REASONS, CUBA’S SYSTEM ISN’T A MODEL FOR HEALTH CARE IN THE UNITED STATES.>>Reporter: CUBA, AN IMIMPROVISHED NATION FADING PROBLEMS IN FOOD, DRUGS AND JOBS. STILL, IN THE THIRD-WORLD NATION, IT’S PRODUCING WORLD-CLASS RESULTS.>>CUBA HAS THE LONGEST LIFE EXPECTANCY OF ANY COUNTRY IN LATIN AMERICA.>>Reporter: AND CUBA’S LIFE EXPECTANCY EQUALS THAT OF THE UNITED STATES. CUBA’S HEALTH CARE SYSTEM IS SOCIALIZED. THE GOAL THAT EVERYONE GETS EQUAL AND FREE ACCESS TO TREATMENT. CUBA IS STRONGLY COMMITTED TO PRIMARY CARE WITH A DOCTOR IN WALK-IN CLINIC IN EVERY NEIGHBORHOOD. IN 1999, THE WORLD HEALTH ORGANIZATION REPORTED THERE WAS ONE DOCTOR TO 71 PEOPLE. BUT THAT WAS BEFORE THEY SENT DOCTORS TO VENEZUELA. ONE SIGN OF SUCCESS ACCORDING TO THE W.H.O., IN 2005 SHOWED CUBA HAD THE LOWEST HIV IN ALL OF THE AMERICAS.>>THEY WERE ABLE TO BUILD A RESPONSE ON A STRR STRONG PRIMARY HEALTH CARE NETWORK THAT ALREADY EXISTED.>>Reporter: PREVENTION IS KEY IN CUBA.>>THEY CONCENTRATE IN BRINGING SERVICES CLOSER TO PEOPLE’S HOMES SO THAT THE BIG-TICKET ITEMS DON’T REALLY TAKE UP, DON’T SPONGE UP ALL THAT SMALL BUDGET THEY HAD.>>Reporter: CUBA SPENDS 7% OF ITS GDP ON HEALTH CARE EVERY YEAR, AND $363 PER PERSON. WHILE THE UNITED STATES SPENDS 6% OF ITS GD AND 7. 1% OF PER CAPITA EVERY YEAR. DOCTORS ARE PAID AN AVERAGE OF $15 A MONTH. BUT THE BIGGEST CHALLENGE, THE U.S. TRADE EMBARGO WHICH MAKES IT DIFFICULT AND COSTLY TO BUY THE BEST MEDICINES ON THE MARKET.>>BUT THAT’S LESS THE HEALTH CARE SYSTEM. THAT’S MORE THE BROADER ECONOMY AND THEIR ABILITY TO BUY DRUGS AND MEDICAL DEVICES ON THE OPEN MARKET.>>THE DIFFICULTY IN GAINING ACCESS TO CERTAIN MEDICINES AND TREATMENTS IN CUBA HAS LED TO A GROWING BLACK MARKET ECONOMY, AND THERE ARE REPORTS OF DOCTORS CHARGING PATIENTS UNDER THE TABLE FOR BETTER, QUICKER CARE, LISA, IT’S INTERESTING LOOKING AT THESE DIFFERENT COUNTRIES. WE’RE TALKING RUSSIA TOMORROW. IT HAPPENS TODAY, GIVING DOCTORS VODKA AND CHOCOLATE.>>IT’S A CULTURAL THING AND PARTIALLY UNDER THE TABLE THING.>>IN CUBA, DON’T THEY HAVE FOREIGNERS GOING THERE FOR SERVICES? >>THEY DO. THERE’S A FAMOUS ARGENTINE FOOTBALL SOCCER PLAYER WHO WENT TO