To really understand the Cuba dilemna, and why I think it's an ethical dilemna, I think you need to contrast it with the Nicaraguan revolution, which initially had a somewhat similar philosphy.
In Cuba, Communism was adopted as a matter of state policy. Somewhat tangentially, I think that as US pressure against the Communist revolution intensified, the leadership of the party used Castro's charisma as a tool to push back against continuing overt and covert attacks by the US. After decades of this, hardly anyone in Cuba can imagine anyone but Castro running Cuba. If they could, someone else would have run and gotten elected, even if they were still all Communists. One might say that Castro made the opposite decision that George Washington did, who could have probably gotten 'reelected' by the electoral college almost indefinitely had he not stepped down to 'avoid creating a new monarchy'. Especially if Britain had continued to harass and threaten to invade the US as we have done to Cuba.
In Nicaragua, Daniel Ortega eventually held elections, and lost to a US-sponsored party. The Sandanista's won their revolution, and handed the country back over to the democratic process, which proceeded to elect a proxy for the very power they had just defeated (in proxy).
On the other hand, and this is where the ethical dilemna comes in, by any statistical measure, people in Cuba are better off (as in healthier) then people in Nicaragua. Infant mortality is far, far lower, literacy and education is higher, percentage of underweight children is much lower, and per capita income is quite a bit higher. I'm basing this on UNICEF statistics.
http://www.unicef.org/infobycountry/cuba.htmlhttp://www.unicef.org/infobycountry/nicaragua.htmlIn fact, by the statistics measured by UNICEF (which are all at least 80% of the planet really cares about, ie., "will my kids live?") Cuba puts the USA to shame in most categories:
http://www.unicef.org/infobycountry/usa.htmlSo, did the Sandinista's make the right choice? Or did the Cuban Revolution? Depends on what you think is important. Freedom of Choice and 'Democracy' or General Health and Welfare of the Population. In some ways, it's like comparing 'potential' versus 'actual'.
Which population is 'happier'? How do you measure that? :shrug: That's what makes it such as an interesting ethical question to me. Like many (probably most), I think the answer comes from somewhere in between enforcing the public health and welfare and the right to vote against our best interests for a chance at the brass ring.
All that being said, I'm glad that Cuban scientists can contribute their work to all the international journals. They have a top-notch bio-medical industry -- in fact, it seems to be one of Cuba's most valuable exports.