HAVANA, Nov. 16 — A shiny new tour bus pulled up to the top eye hospital in Cuba on a sunny day this month and disgorged 47 working-class people from El Salvador, many of whom could barely see because they had thick cataracts in their eyes.
Among them were Francisca Antonia Guevara, 74, a homemaker from Ciudad Delgado whose world was a blur. She said she had visited an eye doctor in her home country but could not pay the $200 needed for artificial lens implants, much less pay for the surgery.
“As someone of few resources, I couldn’t afford it,” she said. “With the bad economic situation we have there, how are we going to afford this?”
Cuba’s economy is not exactly booming either, yet within two hours Ms. Guevara’s cataracts were excised and the lenses implanted, with the Cuban government paying for everything — including air transportation, housing, food and even the follow-up care.
The government has dubbed the program Operation Miracle, and for the hundreds of thousands of people from Venezuela, Central America and the Caribbean who have benefited from it since it was started in July 2004, it is aptly named.
Yet the program is no simple humanitarian effort, and it has not come without a cost.
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