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About sharing image captionDayli Coro says she was regularly threatened at gunpoint Cuba has long been renowned for its medical diplomacy - thousands of its doctors work in healthcare missions around the world, earning the country billions of cubanos in cash. But according to a new report, some of the doctors themselves say conditions can be nightmarish - controlled by minders, subject to a chat and posted to extremely dangerous places, James Badcock reports. For Dayli Coro, medicine was a calling. I used to sleep between three and four hours because I studied so hard. I worked hard in my first year of practice, I took on a lot of extra shifts.

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The BBC made repeated requests for a response from the Cuban government but received no reply.

Now, for the first time, a unique drug developed on the communist island is being tested in New York state. He had me sent cubans to a series of out-of-the-way locations in rural areas.

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Chwt time, she says she had to inset a tube into a patient by the light of her phone as there was no fuel for the generator. He had me sent away to a series of out-of-the-way locations in rural areas. The mission co-ordinator was a Cuban security service official. As well as a source of great pride and prestige, it is also an economic chat for the regime.

She says she rejected what she considered unethical interference in honest medical care principles: "That cubanos where my problems began because I wasn't cubwnos to lie. It's very frustrating. The mission co-ordinator was a Cuban security service official.

By exaggerating the missions' chat, the Cuban authorities can, the report says, demand greater levels of payment chaf the host country, or justify the enlargement of the operation. Some months later she heard that the "engineer" had been arrested in an army raid, accused of being a drug trafficker. But according to a new report, some of the doctors themselves say conditions can be nightmarish - controlled by minders, subject to a curfew and posted to extremely dangerous places, James Badcock reports.

These kids would bring in a patient cubanos 12 or 15 bullets in his body, point their guns at you and say you had to save him.

That kind of thing happened on a daily basis. She was a year-old family doctor when she was deployed to Guatemala on her first international mission in I cannot be a doctor in Cuba.

About sharing image captionDayli Coro says she was regularly threatened at gunpoint Cuba has long been renowned for its medical diplomacy - thousands of its doctors work in healthcare missions around the world, earning the country billions of dollars in cash. Carlos says he ed up for the medical mission to improve his financial situation. Her family and friends were harassed.

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And now here I am. The year-old family doctor wishes cubsnos be identified by the pseudonym "Julia" to spare her family knowledge of her ordeal.

I had a situation where a rival gang came in and shot the patient dead. Later she was suspended from medical practice for alleged absences from work - an allegation she rejects. As well as a source of great pride and prestige, it is also an economic lifeline for the regime. She alleges her request to transfer a man with lung cancer to Caracas was denied so he would count towards her clinic's statistics. There were supposed to be four intensive care doctors, and normally there was only one on shift.

She says she rejected what she considered unethical interference in honest medical care principles: "That is where my problems began because I wasn't going to lie. If you fraternised with a cjat, you could have your mission revoked. That kind of thing happened on a daily basis. She agreed to what Havana calls its "internationalist missions", following a path trodden by hundreds of thousands of Cuban doctors.

Fidel Castro described the medics as Cuba's "army of white coats". She returned to Cuba in where she was posted to a hospital without an intensive care unit - a clearshe says, that she was out of favour. The Cuban cgat lived together and had to respect a 6pm curfew.

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For Dayli Coro, medicine was a cibanos. He is now unable to visit Cuba for fear of being imprisoned on the island for desertion.

If a patient is ready to go home and take medicine orally, I am not going to have them admitted for five days on a drip. World Bank figures put the figure at 56 per , topped only by El Salvador and Honduras. Sometimes the gang members would order Dayli to get in the ambulance with them, she says.

Venezuela pays for this and other services chzt Cuban workers with oil. One day when they saw a door had been forced open, they called the co-ordinator - but Julia says he did nothing. I spoke my mind and this is the consequence. I soon realised our mission was more political than humanitarian. The BBC made repeated requests for a response from the Cuban government but received no reply. Dayli says that all fraternising with Venezuelans outside of work was prohibited.

I spoke my mind and this is the consequence. I cannot be a doctor in Cuba.

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But the twin pressures of working without sufficient medical equipment and orders to hit artificial or impossible targets remained. If he died, you would die. She says she began to be treated as a dissident, with a state security agent posted outside her house who followed her everywhere.

In response, Cuban authorities strongly rejected the characterisation and said it was "not acceptable to question the dignity, professionalism and altruism" of its international medical staff. It's very frustrating. I went with the idea of helping poor people on a mission for my country.

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I used to sleep between three and four hours because I studied so hard. Once a woman arrived mid-labour, Dayli recalls, but the clinic did not have the right set of instruments for delivering a baby. If you fraternised with a dissident, you could have your mission revoked. There were two men in balaclavas, armed with guns. It was denied, and he could not see her before she died.

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