Tldr: "Authorized" sales don& #39;t equal actual amount; general difficulty of banking transactions due to embargo overall disuades some U.S. companies from trying; US officials including DONATED goods in their claims for medical "exports" is particularly misleading.
Plus, third-country effects are sizable, especially if foreign pharma and medical device companies are bought out by U.S. corporations/investors.
I would add: It is pernicious/cumbersome/dissuasive enough that all medical sales from U.S. to Cuba aren& #39;t authorized by general license. Instead, they require specific authorization as well as end-use verification.
Q I have about article above is to what degree notable decline in actual (not "licensed") medical exports from peak of $6 million in 2016 to $1 million in 2019 is due to declining climate of US-Cuban relations under Trump administration or Cuba& #39;s diminished ability to pay.
Likely both, and they& #39;re likely related, in so far as other Trump sanctions have hurt Cuba& #39;s bottom line and foreign currency earnings it uses for imports.
Note that this imbroglio involved a US govt official criticizing "unsourced" allegations w/o providing/linking to any sources himself. https://twitter.com/WHAAsstSecty/status/1247225201336758273?s=20">https://twitter.com/WHAAsstSe...
I& #39;ll help. See this comprehensive 2017 report from US Intl Trade Commission on embargo& #39;s overall effects.

https://www.usitc.gov/publications/332/pub4597.pdf">https://www.usitc.gov/publicati...
It describes history of regs. and how sales of medical supplies did grow as a portion of total U.S. exports to Cuba under Obama admin...

(Partly thanks, I& #39;m guessing, to greater willingness of banks to facilitate them under climate of normalization).
...but it is also clear that U.S. regulations/licensing requirements still constrain those sales—even as it also notes constrained Cuban purchasing power to ramp up imports exponentially if it wanted to.

(Again, for more up-to-date numbers, see Cubatrade post above.)
But still, it is real, and effects are unconscionable.

Even if this company *could* in theory request license to sell ventilators to Cuba, fact that it doesn& #39;t is again evidence of embargo& #39;s long, direct, and indirect reach, including outside of the United States.
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