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Joined 5 months ago
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Cake day: November 22nd, 2025

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  • RTFA or live with your delusions, the choice is yours.

    https://hir.harvard.edu/medical-servitude-the-other-side-of-cuban-medical-diplomacy/

    "One driver for doctors participating in these overseas programs is fear. Employed publicly whether at home or abroad, many doctors fear reprisal for refusing to participate in these programs. Sometimes given bonuses, many feel the pay will benefit them and their families while overseas or upon their return, even if marginally. This is often weighed against the possibility of a loss of work and wages, or further reprisal, for refusing to participate.

    When overseas, the fear does not dissipate. Many face exile for speaking out about poor pay or conditions. This threat hung over many that participated in the Brazilian exchange, after doctors went to court to sue to be treated as contractors able to earn an entire paycheck and work independently, rather than as employees of the Cuban state. This put them at risk of temporary or permanent exile, with no viable alternative for citizenship or way to connect with their families. This also put any wages they had earned in jeopardy for them and their families. "


  • The point is you get to decide which of those to do or not to do. You can renounce your citizenship and apply for it in another country. You can move to a state that doesn’t have those tax requirements. And none of those add up to 90% of your wage.

    This is not a discussion about where it’s cheapest to work, from a tax perspective. It’s about the fact that the cubans don’t have a choice, while a citizen of the USA or Canada or the EU or UK do have choices. Nobody is holding our families hostage so we will behave.


  • I used 37% as the max for high earners. The reality could be anywhere from zero to more. Depending on how much you severe your ties and which of the 50 states you resided in, plus the country you work in has a say. Unlike Cuba a US citizen can choose what they want to do. Florida for instance has no state income tax. I thought these points were obvious, but evidently not. Bless your little heart.