Countries that engage with the Cuban medical system, including Trinidad and Tobago governmental officials, were threatened by the US government with the option to either forfeit their Cuban medical professionals or their US visas. A recent statement by US Secretary of State, Marco Rubio, sparked concerns about the abrupt cancellation of visas, including the Prime Minister’s, who is now in the US with his wife, Sharon Rowley, after Dr. Rowley disclosed that he had been to California for prostate treatment.