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Cuba has long been a social policy pioneer in Latin America. Since the 1959 revolution, its government has developed ambitious social policies to address health care, higher education, employment, the environment, and broad social inequalities, among other priorities. Cuban strategies emphasized universal rights and benefits, provided free of financial cost to users, and implemented under centralized and unitary policy design.

Following the Soviet Union's collapse in 1991, funds for these policies came under strain, although systematic efforts have been made to sustain them. Poverty...