The Growing Geopolitical Challenges and Healthcare Pressures Faced by the U.S.

Ben H.

Hatched by Ben H.

Oct 29, 2023

3 min read


The Growing Geopolitical Challenges and Healthcare Pressures Faced by the U.S.


In recent news, two significant developments have highlighted the challenges faced by the United States on both the geopolitical and healthcare fronts. The first revelation involves an undisclosed agreement between China and Cuba, which entails the establishment of a secret Chinese spy base on Cuban soil. This move poses a bold new challenge to the U.S. by Beijing, potentially compromising national security. Simultaneously, the federal government has ordered a majority of states to pause disenrollments of Medicaid beneficiaries for procedural reasons, shedding light on the ongoing pressures faced by the nation's healthcare system. These interconnected issues demand attention and proactive measures to safeguard American interests and ensure the well-being of its citizens.

China's Secret Spy Base in Cuba:

According to U.S. officials familiar with highly classified intelligence, China and Cuba have reached an agreement to construct an electronic eavesdropping facility in Cuba. This move signifies a daring geopolitical challenge by Beijing to the United States. In exchange for allowing the establishment of the spy base, China has agreed to provide several billion dollars to Cuba, which currently faces financial difficulties. The implications of this secret agreement are alarming, as it could potentially compromise U.S. national security. It is crucial for the U.S. to recognize and address these growing Chinese threats on its doorstep.

The Medicaid Unwinding and Healthcare Pressures:

In a separate development, the federal government has intervened in the Medicaid eligibility redeterminations process, ordering states to halt disenrollments of beneficiaries for procedural reasons. The ongoing process, which began in April, has already resulted in the removal of approximately 7.2 million individuals from Medicaid rolls, with the majority being removed due to procedural issues. These issues range from outdated contact information to deficiencies in state enrollment systems. To alleviate the impact of these shortcomings, the Health and Human Services Department has estimated that around 500,000 individuals will regain Medicaid or Children's Health Insurance Program coverage.

Connecting the Dots:

Although seemingly unrelated, the establishment of a Chinese spy base in Cuba and the healthcare pressures faced by the U.S. share common points. Both scenarios highlight the need for the U.S. government to prioritize and address potential threats to national security and the well-being of its citizens. The interconnectedness between geopolitical challenges and domestic issues is evident, emphasizing the need for comprehensive and proactive approaches to safeguard American interests.

Actionable Advice:

  • 1. Strengthen National Security: The U.S. government must enhance its intelligence capabilities to identify and counter potential threats from foreign powers. This involves investing in advanced surveillance technologies, bolstering cybersecurity measures, and collaborating with allies to share intelligence and resources.
  • 2. Improve Healthcare Systems: To mitigate the pressures on the healthcare system, states should prioritize the modernization of their enrollment systems and ensure accurate and up-to-date contact information for beneficiaries. Additionally, federal and state governments should work together to streamline the eligibility redeterminations process, reducing the number of procedural issues that lead to disenrollments.
  • 3. Foster Diplomatic Alliances: Given the increasing geopolitical challenges, the U.S. should strengthen diplomatic alliances with like-minded nations to collectively address shared concerns. Collaborative efforts can include intelligence sharing, joint military exercises, and economic partnerships to counter potential threats and promote stability in the region.


The revelation of China's secret spy base in Cuba and the ongoing healthcare pressures faced by the U.S. shed light on the complex challenges confronting the nation. It is crucial for the U.S. government to proactively address these issues by strengthening national security, improving healthcare systems, and fostering diplomatic alliances. By taking these actionable steps, the U.S. can ensure its safety, protect the well-being of its citizens, and effectively navigate the evolving geopolitical landscape.

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