With Michael Moore’s new film, Sicko, coming to cinemas here soon, we are sure to get comparisons between the American and Irish health care systems – which are moving closer with the Government’s privatisation programme and for-profit chain-store GP practices. But we will also get comparisons with one of the most successful health models: Cuba. Even suffering under the US’s criminal economic blockade, the Cubans have managed, on little means to have created an enviable health care system. And it’s all based on very simple, self-evident principles. We could learn from the Cuban experience. Indeed, we started going down that road only a few years ago. But roadblocks were set up, traffic was diverted and all we get now is a desultory diet of recruitment freezes, ward shut-downs, service postponements and, of course, Professor Brendan Drumm’s bonus.