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A Nation on the Brink: Unpacking the Roots of Cuba’s Enduring Crisis

Written and Researched By: Nandana Jeevan

Published By: Meredith Yuen

Published: 20th April 2026

Behind the vibrant facades of Havana lies a nation pushed to the brink by historical reliance and modern geopolitical shifts. As vital supply lines wither and sanctions tighten, the struggle for survival deepens alongside the search for a more resilient future.

Cuba is currently facing one of the most severe humanitarian crises that the country has witnessed in decades. Tense political relations and economic hardships have driven the country into a worsening food and medical shortage. The reasons behind these shortages stem from an unstable economy that is highly dependent on foreign nations for fuel and funding. To fully understand the extent of Cuba’s hardship, it is essential to understand the root cause of this dependency and how the loss of vital allies plunged the nation into a crisis. 

Screenshot 2026-04-20 at 11.13.09 PM.png

(Trump says he ‘could do anything’ with Cuba as it weathers energy crisis Economist Ricardo Torres tells ABC News he isn’t expecting military action in Cuba and that President Trump is pressuring the Cuban government to negotiate a deal that would be favorable to the U.S., abc News, Bill Hutchinson, March 2026)

Cuba’s Historically Unstable Economy

Since the Cold War era, Cuba has largely relied on international alliances with nations such as the Soviet Union for financial support and subsidized fuel. On February 11, 1966, Cuba signed a commercial treaty in Moscow, which included a $USD 91 million credit intended for agricultural modernization, irrigation, and drainage purposes in Cuban farmlands (Madden & Leboeuf, 2023). Several similar agreements like this were made, allowing Cuba to temporarily withstand U.S. and broader external economic pressure. (Yordanov, 2023)

 

When the Soviet Union eventually collapsed in 1991, Cuba faced a period of economic downturn, known as the Special Period in the Time of Peace. With the immediate loss of petroleum imports from the Soviet Union, several industries that were largely dependent on fossil fuels were left unable to operate. This loss in productivity led to widespread food shortages and frequent power outages across the nation. Cuba had even had to resort to extremes, such as importing millions of bicycles from China, for citizens to use as an alternative to petroleum-fueled cars (Voss, 2018). Furthermore, relentless trade restrictions with the US, accompanied by the loss of key trading partners, left Cuba in a perilous situation, with the state struggling to import the necessities to keep its citizens healthy (Wire & Filip, 2025).

 

However, the result of the Special Period was a system that has still fully never recovered. Cuba still largely relies on international partners to maintain stability in its economy. For over 25 years, Venezuela has remained the largest supplier of subsidized crude oil and fuel to Cuba under an agreement between the two nations based on the barter of products and services (Parraga & Lewis, 2026). Additionally, China is regarded as Cuba’s most important trading partner, with bilateral trade exceeding $USD 1.7 billion, and the installation of Chinese infrastructure (fiber-optic cables, wifi hotspots) made throughout the island (Why China's Interest in Cuba Is Waning, n.d.).

The Current Crisis

As of April 2026, Cuba is experiencing a worsening humanitarian crisis that is currently affecting an estimate of two million individuals across the nation. Energy shortages have disrupted healthcare services, creating a backlog of cases that the state cannot address (Pelaez & Hidalgo, 2026). The roots of this crisis can be traced back to Cuba’s fragile economy and dependency on external inputs, which leave Cuba’s operating systems vulnerable to several shocks. 

 

One of the key drivers behind Cuba’s problems is energy scarcity. Although the nation produces some crude oil, it lacks the refining capabilities to supply petroleum for the entire island. Instead, Cuba relies on imported fuel from international allies such as Venezuela. However, in January 2026, US president Donald Trump announced that Cuba’s reliance on Venezuelan oil and financing would be cut off, along with the executive order threatening tariffs against any country that supplies Cuba with oil (Melimopoulos, 2026). The result of this policy is visible, with the nation being unable to keep up with the national demand for fuel. The reason behind Trump’s sudden pressure on Cuba is closely linked with his broader 'maximum pressure’ strategy in Iran. By targeting a crucial resource that the nation largely depends on, the Trump administration aims to weaken the Cuban government’s ability to sustain itself. Furthermore, Cuba’s close ties with China and Russia provide the administration with an additional rationale, with the administration declaring that Cuba “constitutes an unusual and extraordinary threat” to U.S. national security. (Roy & Lindsay, 2026)

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(Sherritt oil pump near Varadero, Cuba. Photo courtesy of Sherritt International, Cuba Business Report, 2016)

Another crucial aspect contributing to the crisis is Cuba’s fragile financial state. The nation traditionally earns factor income from abroad by exporting labor, typically medical professionals who work abroad for foreign funding. Since early 2001, several Cuban medical professionals have served in Venezuela through the Misión Barrio Adentro program, which was an agreement signed between Venezuela and Cuba that aimed to improve access to medical care in the poorer regions of Venezuela (Villanueva & Carrillo de Albornoz, 2008). This program has been a cornerstone of the relationship between the two nations, with several citizens earning income abroad and helping strengthen the Cuban economy. For Cuba, the primary benefit of this scheme was remittances, which involves money being sent back by citizens working overseas that helps to sustain household consumption. However, US Secretary of State Marco Rubio's recent announcements of a further hardening of US sanctions threaten this income stream by expanding visa restrictions relating to Cuban medical professionals working abroad in Venezuela (Granados Ceja, 2025). The impact of these sanctions is the loss in factor income for Cuba, with less foreign currency entering into the nation and worsening balance of payments strain.

How Relief is Managed

To manage this scarcity of resources, the Cuban government is forced to control the distribution of necessities through a rationing and allocation system. The goal of assuming control is to ensure an equitable distribution of resources and avoiding complete market collapse. Food rationing in Cuba dates back to 1962, with citizens given a state-issued booklet known locally as Libreta de Abastecimiento (rationing book), that allows them to purchase a limited quantity of basic necessities for a fraction of its cost (Brizuela, 2024). Transport is not exempt from rationing schemes either, with drivers now being limited to 20 litres of gasoline per vehicle. (Sherwood et al., 2026)

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(A customer displays his ration card as he waits to buy food at a government store in Havana in 2009. The Cuban government has slowly been chipping away at the rations system—and more changes appear to be coming, worrying many Cubans. Javier Galeano/AP)

Additionally, the Cuban government maintains public order and morale by framing many shortages as the result of U.S. sanctions. In a recent interview, Cuban President Miguel Díaz-Canel insisted that Cuba’s position is “entirely defensive and not aggressive,” and that he believes that the US government “should review how cruel and how mean they’ve been to Cuba and to the Cuban people" (Acevedo et al., 2026). This framing helps to maintain unity within the nation and explain hardship as a result of consistent external pressures.

 

While these efforts of managing relief may work temporarily, a long-term solution involves addressing the root cause: Cuba's lack of a resilient system that can absorb supply shocks. A long-term recovery plan will require a focus on making Cuba’s system stronger and more flexible, with a stable power source and safe financial flows, allowing the nation to be able to withstand the potential of future shortages.

Glossary/Notes

Commercial treaty: A formal agreement between countries that sets terms for trade and commercial cooperation

Credit: Money or goods provided now with payment deferred to a later date

Barter: Direct exchange of goods or services without using money.

Bilateral trade: The exchange of goods/services between two specific countries

Balance of Payments: A country’s record of all economic transactions with the rest of the world over a period of time


 

References

Acevedo, N., Sesin, C., & Matos, O. (2026, April 12). Cuba's president says 'we would die' to defend against U.S. invasion. NBC News. Retrieved April 12, 2026, from https://www.nbcnews.com/world/cuba/diaz-canel-invasion-trump-nbc-news-interview-rcna273638

 

Brizuela, L. (2024, 02 15). Food Distribution Worsens for Families in Cuba. Havana Times. https://havanatimes.org/cuba/food-distribution-worsens-for-families-in cuba/#:~:text=Since%20March%201962%2C%20Cuba%20has%20maintained%20a%20system%20of%20rationed,%25%2C%20according%20to%20official%20data.

 

Granados Ceja, J. L. (2025, 03 14). US Hardens Sanctions Targeting Medical Program in Cuba and Venezuela. Progressive International. https://progressive.international/wire/2025-03-14-us-hardens-sanctions-targeting-medical-program-in-cuba-and-venezuela/en/

 

Madden, P., & Leboeuf, D. (2023). Cuba Signs a Commercial Agreement with the Soviet Union | Law | Research Starters. EBSCO. Retrieved April 12, 2026, from https://www.ebsco.com/research-starters/law/cuba-signs-commercial-agreement-soviet-union

 

Melimopoulos, E. (2026, March 31). Cuba crisis explained: Who holds power, and could Diaz-Canel be replaced? Al Jazeera. Retrieved April 12, 2026, from https://www.aljazeera.com/news/2026/3/31/cuba-crisis-explained-who-holds-power-and-could-diaz-canel-be-replaced

 

Parraga, M., & Lewis, S. (2026, February 25). US to allow resale of Venezuelan oil to Cuba's private sector, Treasury says. Reuters. Retrieved April 12, 2026, from https://www.reuters.com/business/energy/us-allow-resale-venezuelan-oil-cuba-treasury-department-says-2026-02-25/

 

Pelaez, C., & Hidalgo, E. (2026, April 6). Cuba energy crisis: Humanitarian needs remain despite fuel supplies. UN News. Retrieved April 12, 2026, from https://news.un.org/en/story/2026/04/1167254

 

Roy, D., & Lindsay, J. M. (2026, March 31). Trump’s ‘Maximum Pressure’ Campaign on Cuba, Explained. Council on Foreign Relations. Retrieved April 12, 2026, from https://www.cfr.org/articles/trumps-maximum-pressure-campaign-on-cuba-explainedm 

Sherwood, D., Acosta, N., Paul, F., & Nickel, R. (2026, February 5). Cuba to roll out rationing plan as US moves to block fuel supply. Reuters. Retrieved April 12, 2026, from https://www.reuters.com/world/cuba-roll-out-rationing-plan-us-moves-block-fuel-supply-2026-02-05/

 

Villanueva, T., & Carrillo de Albornoz, S. (2008, March 15). Venezuelan doctors resent presence of thousands of Cuban doctors in their country. PMC. Retrieved April 12, 2026, from https://pmc.ncbi.nlm.nih.gov/articles/PMC2267969/

 

Voss, M. (2018, 04 17). Cuba past and future: The Special Period. CGTN. https://america.cgtn.com/2018/04/17/cuba-past-and-present-the-special-period/

 

Why China's interest in Cuba is waning. (n.d.). Why China's interest in Cuba is waning. https://www.dac27.ch/CubaHeuteEng/Why%20China's%20interest%20in%20Cuba%20is%20waning.pdf

 

Wire, M., & Filip, B. (2025, October 25). A Brief History of the Enduring American Embargo against Cuba. Mises Institute. Retrieved April 12, 2026, from https://mises.org/mises-wire/brief-history-enduring-american-embargo-against-cuba

 

Yordanov, R. (2023, 12 31). The Long Misunderstanding: Cuba's Economic Ties with the Soviet Blo. MIT Press Direct. https://direct.mit.edu/jcws/article/25/4/24/118959/The-Long-Misunderstanding-Cuba-s-Economic-Ties

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