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Monday, June 29, 2026

‘Republicans Created This Crisis on Purpose’: Federal Data Shows ACA Enrollment Plunging

“This coverage collapse was a choice that Congress made. As a result, millions more will end up uninsured, living sicker, dying younger, and being one emergency away from financial ruin.”


House Speaker Mike Johnson (R-La.) speaks during a news conference in the US Capitol on March 17, 2026.
(Photo by Bill Clark/CQ-Roll Call, Inc via Getty Images)


Jake Johnson
Jun 29, 2026
COMMON DREAMS

The Trump administration quietly released data last week showing a sharp decline in the number of Americans enrolled in health insurance on the Affordable Care Act exchanges, a widely predicted outcome caused by congressional Republicans’ refusal to extend subsidies that helped people buy coverage.

The new data, published Friday on the Department of Health and Human Services’ website, shows that 19.2 million people were enrolled in ACA marketplace plans as of February—a decline of more than 5 million since the start of President Donald Trump’s second term.

Last year, Republicans repeatedly blocked Democratic efforts to enact a temporary extension of the enhanced ACA tax credits, whose expiration at the start of 2026 led insurers to jack up premiums, pricing many out of coverage entirely. In focus groups, some Americans facing premium spikes said they would be forced to cut back on groceries or ration their medications to afford coverage.

“This dramatic decrease of millions of Americans losing health insurance is the result of deliberate decisions by the president and congressional leaders—it is what we feared but expected, given the end of the enhanced tax credit and other policies that make it harder to get on and stay on coverage,” said Anthony Wright, executive director of the advocacy group Families USA. “As a result, millions more will end up uninsured, living sicker, dying younger, and being one emergency away from financial ruin.”

Wright dismissed the Trump administration’s attempt to explain away the coverage losses by claiming the numbers show a decline in “phantom” enrollment and fraud, calling that narrative “an insult to every person who became uninsured or underinsured.”

“These results are real for the millions who faced premiums doubling, paying hundreds of thousands of dollars for coverage. The resulting price spikes and coverage losses are real for all who buy coverage as individuals, including gig workers, small business owners, young adults, seniors not quite of Medicare age, and many others,” said Wright. “The consequences are now undeniable: millions dropped from the rolls, and yet another year of double-digit premium increases.”

The lapse of enhanced ACA subsidies—which were established in 2021 during the Biden administration—alongside the roughly $900 billion in Medicaid cuts included in the Republican budget package that Trump signed into law last summer amounts to what analysts, advocates, and Democratic lawmakers say is the largest assault on federal healthcare programs in US history.

“We weren’t being hysterical. We knew this would happen,” said Rep. Sara Jacobs (D-Calif.) in response to the new enrollment figures. “When Republicans passed the Big Ugly Bill and cut funding for healthcare, they literally signed away millions of Americans’ ability to afford health insurance. And now it’s happening.”

According to the Congressional Budget Office, around 16 million people across the US could lose health coverage by 2034 due to the Trump-GOP law, and millions of children have lost coverage since last year.

“Trump and Republicans are engineering the most devastating assault on healthcare in history, and today’s numbers prove it,” Leslie Dach, chair of the advocacy group Protect Our Care, said on Friday. “They ripped away the tax credits that helped millions afford coverage, gutted funding to help people enroll, and sabotaged the ACA at every turn. They knew exactly what would happen, they chose to do it anyway, and it’s going to get worse.”

“Among the three million who have lost coverage are parents skipping cancer screenings, patients rationing insulin, and families who are now one medical emergency away from financial ruin,” said Dach. “Republicans created this crisis on purpose, and while Americans pay for it with their health and their lives, billionaires are cashing their tax cut checks.”
Britons back Andy Burnham’s plan to devolve more powers to regional mayors, poll finds

Britons support Andy Burnham’s plans to devolve more powers to regional mayors, believing such a move would make the running […]
LEFT FOOT FORWARD
JUNE 29, 2026




Britons support Andy Burnham’s plans to devolve more powers to regional mayors, believing such a move would make the running of those areas better, a new poll has found.

The poll, carried out by YouGov, asked voters whether they thought devolving more powers from Westminster to regional mayors would generally make those areas better or worse run, or if it would make no difference.

Around 35% of those asked said they thought devolving more powers from Westminster to regional mayors would make the areas better run, compared to just 13% who said it would make them worse.

24% thought that greater devolution of powers would make no difference.

It comes ahead of a major policy speech due to be delivered by Andy Burnham later today, where he is expected to set out a devolution plan as part of a major shakeup of Whitehall.

As part of his first speech, Burnham will set out a commitment for a “10-year mission” to raise living standards, as well as proposals on youth employment, in order to “lift Britain back up to where it should be”. Burnham’s vision would involve mayors being given greater control over social housing, welfare and education.

 5 key takeways from Andy Burnham’s first big leadership speech


Burnham confirmed that he will create a 'No 10' in Manchester and give regions powers to reform utilities, transport and housing
LEFT FOOT FORWARD
JUNE 29, 2026





Andy Burnham has set out some of what he plans to achieve as prime minister in his first major speech in his bid to become the next prime minister of the UK. Burnham, who was elected as the MP for Makerfield on 18 June, is the only declared candidate to take over from Keir Starmer, and could be crowned as prime minister within a few weeks.

Here is a recap of the key announcements he made in his speech at the People’s History Museum in Manchester today

1. Changing the culture in Whitehall

Burnham started by talking about how he was “worried” by what he found in Parliament when he returned last week. Burnham said it’s a “more fragmented and disjointed place than the one I left” and that it is also “frankly unhappier”. He said he will work hard to change that culture and bring a greater sense of unity in Parliament.

He said he will let MPs be ‘authentic representatives’, and “not use the whipping system to create fear or close down debate”

2. No 10 in the North

Perhaps one of the most significant ideas Burnham confirmed today was his plan to carry out some of the government’s operations in the North of England. He said that No 10 North will be a “nerve centre of a rewired Britain” and its job will be to make power flow (via devolution) to different regions across the UK.

He said that the operation’s mission will be to strive for equivalent living conditions in all parts of Britain.
 
3. Reform of utilities, reindustrialisation and regeneration

He said No 10 North will be tasked with supporting regions with these three key tasks. Burnham said No 10 North will enable regions to take greater public control of water, housing, energy and transport, based on the model the former Manchester mayor used to bring buses in Manchester into public ownership.

On reindustrialisation, he said his government will consolidate public and private investment at a place-based level, and help all areas establish “good growth funds”, pots of funding for housing and infrastructure projects.

4. Reducing the welfare bill

Burnham then moved on to speaking about how he would cut the welfare bill in a way that is “fair and lasting”.

As part of this, he spoke about the life chances of young people and the need for a rethink in education. “The days of a school system configured entirely around the university route will be brought to an end,” he said.

He asked “when will we focus on life chances” of kids who “want something different”.

Burnham says they will be “giving every young person a clear path into a reindustrialised Britain”.

He also said he would devolve employment support services.

5. Fixing the housing crisis

Burnham pointed out that one and a half million council homes have been sold off via ‘right to buy’ since the 1980s, and that a similar number of people are on social housing waiting lists.

He said that Britain’s housing crisis and the temporary accommodation bill are having a “ruinous” impact on the UK’s public finances.

Burnham said No 10 North will work with local areas to oversee the biggest council housebuilding programme since the post-war period.

Olivia Barber is a reporter at Left Foot Forward














Burnham sets out vision for Britain with new ‘Number 10 North’


Photo: @andyburnham

Andy Burnham has set out his comprehensive vision for the future of the country, ranging from greater public control over utilities to the biggest council house building programme since the war.

In a speech in Manchester, Burnham set out plans to roll out greater devolution across the nation and pledged to deliver “good growth in every postcode and hope in every heart”.

Here are the five main takeaways from his first major speech since returning to Parliament, as he stands on the brink of entering 10 Downing Street.

Number 10 North

Andy Burnham confirmed that he will set up a Number 10 operation in Manchester, with the aim of creating “a more streamlined state with a clearer purpose to power up all parts of the country”.

With a “laser-like focus” on growth and regeneration, ‘Number 10 North’ would work to make power flow into communities across the country, with Burnham name-checking the Midlands, South West England, the East of England and London.

Number 10 North would act as the “nerve centre of a rewired Britain”, Burnham explained.

“It will be the conduit through which we redistribute power and resources across the UK. It will co-ordinate all parts of government at national and local level to agree a long-term economic strategy and help all places set new growth ambitions.”

He also said that he wants to see the opportunity offered by devolution rolled out in Scotland, Wales and Northern Ireland.

Greater public control of utilities and prioritising British industry

Burnham outlined plans for Number 10 North to help regions across the UK with reform of utilities, reindustrialisation and regeneration of communities.

As part of a ten-year plan, Burnham said he would ensure all regions are able to take greater public control of essential services, including water, housing, energy and transport – following a similar model to that used to bring Manchester’s bus services into public control.

He said: “Learning from the model that has transformed our bus networks here in Greater Manchester, we will set out ten-year plans to bring down the cost of these essentials to individuals, families and businesses.”

Burnham also outlined his intention to ensure British businesses are favoured in procurement processes, particularly in defence – with all eligible public contracts subject to “social value weighting”.

“We will support every region to set clear and credible industrial ambitions and provide the support to achieve them, encouraging more across UK partnership between places with complementary industrial clusters.”

Ending the ‘housing trap’

Burnham said that Britain was stuck in a “housing trap”, which was having an impact on the country’s public finances.

He said: “When we were growing up here, amongst the friends we had at school, there were two things that were the foundations of working class aspiration: a council home, a secure home that was the foundation for everything, and then good technical education.

“Those things have been taken away in the decade since. So no wonder so many young people struggle to make it work and then don’t make it work.

“That’s what this new era is going to be all about – a sense of hope, of possibility that things are achievable that you might not have thought before.”

To address this, he vowed to launch the “biggest council house building programme in the post-war period”, with a plan to use vacant public land to reduce costs.

A new approach in use of whipping system

Burnham said that politics in Westminster had become a “more fragmented, disjointed place” since he left almost ten years ago and pledged to change the culture in SW1.

He vowed to stop using the party whip system “to create fear or close down debate” and allow Labour’s MPs to be “authentic representatives” of their constituents.

Burnham also said: “While the political direction I set is not up for negotiation, I will build an inclusive team at the very highest level so that all parts of the party and the country can see themselves reflected and represented in it.”

No announcement about Burnham’s top team… yet

Burnham was tight-lipped about which Labour figures will feature in his Cabinet – and said he would not announce those decisions “until the end of this process”.

Addressing the activists, politicians and journalists in the conference hall, he said: “Until then, feel free to discount the wild speculation in circulation”.

It comes amid rumours that Burnham is considering appointing Energy Secretary Ed Miliband as his Chancellor and claims that he may make David Miliband a Labour peer in order to serve as Foreign Secretary.

‘Burnham sets out antidote to populist pessimism’

Editor of LabourList Emma Burnell said: “Today Andy Burnham has set out a vision that is comprehensive, coherent, confident and creative.

“While the setting and inspiration clearly came from Manchester he made a pitch to the whole country. Offering “good growth in every postcode; hope in every heart” he has set out the perfect antidote to the populist pessimism of Reform.

“The question now is how to do it all. When you make an offer this big and filling hearts with hopes – you cannot dash them. So there will need to be concrete plans in place as soon as possible to make the kick off of this radical new direction big, bold and visible to all.”

Labour's priority is rebuilding Britain’s productive base: Manchesterism is not enough

JUNE 29, 2026

The current economic model is exhausted – it’s time to focus on production, skilled work and industrial investment, argues Costas Lapavitsas.

Andy Burnham’s expected ascent to the Labour leadership marks the definitive end of the Starmer-Reeves economic model. The argument that Britain’s problems are primarily issues of distribution—requiring better regulation, fairer taxes, and more competent management of the existing settlement—is exhausted.

The emerging “Manchesterism” agenda, which rightly seeks to bring foundational utilities and transport back under public control, is a necessary and welcome advance. But we must be honest about where it stops. Its central claim is that cheaper energy, transport and housing will unlock productive dynamism. It assumes that a functioning productive economy exists in the British economy’s middle and upper tiers, waiting to be unlocked by cheaper, de-commodified public provision.

That assumption does not hold. Our crisis of provision is fundamentally a crisis of production.

The reality of British capitalism is not simply that it does not distribute wealth fairly but that it has actively shifted its model of accumulation away from manufacturing and other material production toward services, especially finance. The City of London became one of the principal beneficiaries of the emergence of a financialised economy.

De-commodifying utilities is not enough to reverse this. Britain cannot create prosperity, reduce inequality, or regain genuine economic sovereignty without a deliberate, state-led strategy of reindustrialisation.

This has nothing to do with nostalgia for some mythical past. Modern manufacturing is built on advanced engineering, automation, digital technology and clean energy. It remains the sector where productivity rises most consistently, innovation spreads across the economy and skilled employment creates prosperity far beyond the factory gate. Despite what financial circles habitually claim, there is no evidence that an advanced country can achieve sustained prosperity without a strong manufacturing base. Britain will not be the first.

A radical Labour government must therefore pursue an industrial strategy built on three institutional pillars.

First, Britain needs a wave of public investment, backed by a properly capitalised National Investment Bank, that can direct long-term capital into energy, transport, and industrial supply chains. This requires a break from the neoliberal language of the state absorbing the risks so that private capital can extract the yields. A dynamic programme of public investment must be tied to public equity stakes, ensuring the steady rebuilding of public wealth.

Furthermore, public investment must be shielded by an active trade policy. We must use the regulatory space we now have outside the EU single market to deploy domestic content requirements in public procurement, carbon border taxes, and anti-dumping measures. We must also protect emerging British supply chains from subsidised overseas competition. There is no point renationalising our railways if the rolling stock is still built in Spain or Japan.

Second, Britain faces acute shortages of engineers, technicians and skilled manufacturing workers across sectors ranging from defence to renewable energy. Skilled workers are created through apprenticeships, technical education, stable employment and collective bargaining. Without rebuilding the foundational skills of the British working class—welders, precision engineers, technicians—industrial policy will remain a Whitehall fantasy.

Trade unions can play a crucial role in rebuilding our skilled labour force. Unions are not simply a political constituency to be managed or a passive beneficiary of better public services. Organised labour is a mechanism for economic reconstruction and ought to be granted institutional power. This means legally mandated sectoral collective bargaining to coordinate wages across expanding industries, ensuring that productivity gains are broadly shared rather than captured by a tiny elite. It also means statutory union representation on the boards of all new public corporations and the National Investment Bank.

Third, rebuilding the productive base will inevitably bring the government into direct conflict with mobile financial capital. We cannot politely ask the financial system to pivot toward manufacturing. The Bank of England must be fundamentally repurposed and oriented to serve a national industrial strategy. Crucially, Labour must also overcome its fear of the bond markets. The City of London will inevitably retaliate against a genuine industrial strategy by generating pressure on gilt yields and sterling. Surviving this political intervention will require the readiness to use targeted capital controls to prevent speculative capital flight. A leadership that cannot articulate a credible strategy to defend its economic programme from the City has not yet come to terms with the realities of power in Britain.

The strategy of simply seeking better management of our current economic model has come to an end. Labour can now offer something fundamentally different by rebuilding Britain’s productive economy. If the party puts production, skilled work and industrial investment at the heart of its programme, it will create the conditions for stronger public services, rising living standards and a more equal society. This is what the country is calling for. Without sustained rebuilding of wealth creation, every promise of renewal will rest on fragile foundations.

Costas Lapavitsas is a Professor of Economics at the School of Oriental and African Studies, University of London. He was elected as a member of the Greek Parliament for Syriza in January 2015, subsequently joining Popular Unity later that year. The above arguments are developed in greater detail in Reindustrialise Britain: A Strategy for Wealth Creation, co-authored with Larry Elliott and Doug Nicholls (Polity, September 2026).

Image: https://commons.wikimedia.org/wiki/File:Andy_Burnham_on_13_August_2024_%28cropped_2%29.jpg Source: https://www.flickr.com/photos/26320652@N02/53921141434/ Author: Scottish Government, licensed under the Creative Commons Attribution 2.0 Generic license.

‘Doing things differently everywhere’


People's History Museum
©John B Hewitt / Shutterstock.com

Today, at the People’s History Museum in the heart of Greater Manchester, the country’s centre of gravity shifted northwards. As Andy Burnham stood to speak, he was surrounded by reminders that this city-region’s economy once powered the country, and that its people inspired social and economic revolutions. But Manchester is focused on the future, not stuck in the past. And that much is clear given its recent economic performance, and the inspiration it is currently providing to Westminster policy makers.

The main thrust of Burnham’s speech set out a step change in devolution of power across England. Tax revenue currently flows into Whitehall departments, where it trickles down slowly through convoluted channels, only to arrive in drops on the ground. Instead, if all goes to plan, the cash will be injected straight into the places where it is needed, so they can decide for themselves. All of this will be overseen by a new expanded Number 10 operation based in Manchester.

READ MORE: Burnham sets out vision for Britain with new ‘Number 10 North’

The fact that this feels like such a revolution, shows just how embedded centralisation is: this is simply common sense asserting itself.

As it was trailed over the weekend, some people raised concerns that it might hold back London or overlook the poverty that exists – not just in the capital, but in southern towns and especially in coastal communities.

That concern is understandable. But done well, devolution means better living standards in all regions, including in London and the south.

That’s because we have two regional problems

The first is low growth that spans the south west, Wales, the Midlands, the North, Scotland and Northern Ireland – and in many pockets in the south, especially on the coast. This has happened because places haven’t had the local power and resources to adapt to decades of industrial change. It means fewer job opportunities, with all the poverty, health and education consequences that you’d expect. 

But it also means a weaker, more fragile national economy. London’s productivity is high, but it has flatlined since the global financial crisis almost 20 years ago and held back national growth. Our economy needs all its engines firing, both to reach its potential and to withstand all the shocks the global economy throws at it. Places need the power to seize opportunities, but also to pick themselves back up.

Become a friend of LabourList and join our community. Our friends support our vital non-factional work and get access to exclusive content and events. 

The second problem is so obvious to many it often is regarded as a national, not a regional problem. And Burnham was also clear about this today – the extortionate cost of housing in London, due to an overheating economy where housebuilding has failed to keep up and policy has failed to manage. 

These are two sides of the same coin and devolution is the way to solve both problems. The UK’s local economic investment rate is half that of France, Germany and the OECD average. They can’t spend that money because they don’t have control over it – in the UK the Treasury hoards 95 per cent of our taxes and then fails to invest in the infrastructure people need. Other countries don’t have such extreme divides because they are far more decentralised.

Transport, planning and housing are at the heart of this vision. Learning from Greater Manchester, places need both the power and resources to roll out bus franchising, take control of suburban rail routes and build new light rail systems that our major cities conspicuously lack. But it also means backing leaders in London with the powers to finance its own infrastructure, accelerate housebuilding and regulate private rents. We set out our proposals here.

Today, Andy Burnham set out an ambition and a plan. But that plan now needs to become a reality. He must hit the ground running and break the inertia of Whitehall to see this plan realised. 

Manchester is rightly proud of its adopted slogan ‘we do things differently here’. If all goes to plan, then other places will start to do things differently too.


Cuba’s postponed transition

First published in Spanish at Temas. Translation by LINKS International Journal of Socialist Renewal.

Any Cuban who has been paying attention since 1993-94 knows that Cuban socialism has not been the same since then.

After socialism’s collapse in Eastern Europe and the Soviet Union’s dismantlement, things in Cuba changed dramatically. The market and private sector were introduced, the US dollar was legalised, most state-owned land was redistributed and Cuba opened up to foreign investment. This not only created a new economy and new relationship with the world, but new perspectives on socialism as a system, including its reversibility.

These policies were initially justified as a response to the crisis known as the “Special Period in the Time of Peace”, or at least they were presented that way at the time. As the crisis eased — or so it seemed (for a time) — these changes slowed. Yet their ideological consequences (what sort of socialism are we building?), and especially their impact on social inequalities and poverty, continued to spread.

Policies that had levelled the playing field between different social classes and groups in Cuba, such as a very limited wage structure, a basic food basket subsidised through the ration card system (the “ration booklet”), price controls, free services and subsidies of all kinds, gradually faded away, formally or de facto. Wages and income diverged, access to foreign currency altered the established relationship between wages and training, and production levels failed to recover.

Despite the supposed temporary nature of the crisis, Cuba never returned to the level of well-being and the vision for the future that had existed, above all in the decade prior to the Special Period.

More than a decade after those measures — approved and implemented under Fidel Castro’s leadership — a document entitled “ Economic and Social Guidelines” was publicly discussed in a mass consultation and officially adopted at the Sixth Congress of the Communist Party of Cuba (PCC) in 2011. Five years later, barely 23% of agreed-upon policies had been implemented.

In 2018, a public consultation on very broad constitutional reforms yielded unexpected results. These included the fact that the most controversial parts of the new text were not the radical changes to diversify means of production ownership, market expansion, or allowing private capital access to sectors such as agriculture and services (including those nationalised in 1960).

These transformations did not provoke opposition, despite their fundamental scope. The new Constitution, approved by an overwhelming majority in 2019, prioritised equity — instead of equality — and addressed income inequality without outlawing it.

From the early 1990s to now, more and more experts, within and outside Cuba’s institutions, have proposed a reform program that goes beyond the scope of an anti-crisis package.

Although none have proposed policies like those that marked socialism’s dismantlement in Eastern Europe and the Soviet Union, quite a few were branded emissaries of capitalism.

Despite the differences in documents issued over the past 30 years regarding the nature of Cuban socialism, misgivings towards any proposed reform persists to this day.

Following the United States' intervention in Venezuela on January 3, I [Rafael Hernández] asked a group of economists and political analysts the question: what should our key strategic priorities be to overcome the crisis while addressing the complexity of the moment?

Some readers told me clearly that my respondents’ answers were “excessive” (ie: neoliberal).

Now, the National Assembly of Popular Power (ANPP) has approved a reform program that far exceeds, in its radicalism and scope, anything these experts ever proposed. Nevertheless, views that identify reforms with the virus of capitalism persist.

If one reads, for example, foreign media outlets that are supposedly well-informed about what is happening now, one sees them equating recent transformations with concessions to capitalism and socialism’s definitive collapse. They are just like the local fundamentalists. It is as if nothing has changed in Cuba since the fall of the Berlin Wall.

In an attempt to shed light on the complex questions arising from the 176 measures debated in the ANPP, I spoke to three pioneering economists who anticipated them in their writings and talks, and whose way of thinking, persistence and commitment I know well: Juan Triana Cordoví (JTC), Omar Everleny Pérez-Villanueva (OEP) and Julio Carranza (JCV).

I thank them for answering my multifaceted questions and for replying in record time.

According to some economists, the focus of the reforms is, or should be, expanding the private sector into all those activities where it could operate more efficiently than the state or public sector. Will this, or should this, be the focus of the proposed economic policy? Would this not imply, in the medium term, the private sector swallowing up the public sector?

JTC: There is not just one central focus in the reforms, but at least two or three. One is expanding the private sector and its role in the economy. Another is reforming state-owned enterprises, which has been postponed so many times.

I do not think the private sector can swallow up the public sector. The public sector is still very large and powerful; it would take a lot of work for the private sector to displace it, especially since it is still a nascent sector.

OEP: The private sector must play an essential role in the proposed economic policy. Not because it is private, but because Cuba’s problem is, more than financial, a problem of supply of goods and services. The state currently lacks the financial resources to produce what the private sector can.

I do not think it is going to swallow up the public sector. Everyone has their own space.

The first thing to define is the size of the public sector. Energy, steel, all those types of production requiring large amounts of capital, can only be guaranteed by the state.

But in retail, food, personal services, the private sector could fill a large hole.

In the past, the public sector has been inefficient for various reasons. The state has diverted resources generated by socialist state-owned enterprises. Those rules have to change.

JCV: A fundamental part of the current approach is granting businesses the recognition and powers they need to operate, whether state-owned, cooperative, private or mixed, whether national or foreign owned. They should all be integrated into state-regulated markets. State-owned enterprises should be subject to strategic and financial planning, not the still existing bureaucratic and administrative approach.

Prejudices against the private sector must be overcome. The sector must be given the role it deserves. The private and cooperative sectors have an important and essential role to play; their interests must be recognised and represented, but under no circumstances should these individual or business interests — however legitimate they are — be imposed above the general and overriding interests of the people and nation.

Of course, the fundamental, strategic means of production must remain under social ownership with legal protection. All efficient public enterprises must also be maintained and developed.

The state sector that emerges from this must be efficient and competitive. This does not preclude certain activities that, by definition, operate at a loss and, given their function, must be state subsidised. But these should be few and fully justified.

Key sectors such as education and health must also remain under state control and be allocated the needed resources, even if some specific activities within these sectors are transferred to the private sector. This is already happening with some pharmacies and optical and dental services, where ownership is mixed.

These measures will exacerbate social inequalities, but these must be regulated and accompanied by a progressive and rigorous tax policy. Income disparities must result from efficiency and hard work, not corruption and illicit activities. Social policies must be strengthened to support a weary and now impoverished population. The principle that no one should be left behind must be upheld.

We must prevent perverse privatisations carried out without a competitive tendering, which benefits special interest groups, many from the old bureaucracy. We saw what happened in Eastern Europe.

These dangers are present, and the means to anticipate and control them must be put in place. At the heart of this lies the participation and political power of the population, through the effective functioning of popular power institutions and the republic’s oversight bodies — its political and social institutions, first and foremost the PCC.

To adequately play this role, however, these institutions must be reformed, including the PCC. For the state, the Comptroller General's Office must play a crucial role, its function encompassing all sectors of the economy without unjustified exclusions.

The country's democratic institutions, first and foremost parliament, must have an active and diverse voice, reflecting Cuban society today and in the future.

An efficient public sector, with genuine autonomy to plan, decide on production, redistribute profits among its workers and involve them in decision-making, operate in the foreign exchange market, and establish agreements with other companies, whether public or private, national or foreign, seems like a very different beast from the current one. Is such a metamorphosis possible? What needs to happen to allow this transformation? And within what timeframe?

JTC: The transformation of state-owned enterprises must be deep and far-reaching. We can not expect it to happen quickly. But this metamorphosis, as you call it, can happen because, although this is sometimes overlooked, we have very capable entrepreneurs who have not been allowed to develop into true business leaders.

This transformation will not only take place through direct measures on state-owned enterprise management, but also through indirect actions. Some of the policies being discussed and approved today will compel this metamorphosis: participating in the foreign exchange market, establishing much more fluid relationships with foreign companies, and free exports and imports; all of this requires change in that sector.

What else should happen? Let entrepreneurs get their act together, or at the very least do not take away their initiative once they have started, which has happened.

It is very difficult to set a timeframe. It involves a learning process, which requires shedding old habits, unlearning them, adopting new ones and learning all over again. I would not dare set a timeframe for that process, but it will not be short — it will not happen in six months. Some Cuban companies started working with foreign firms and transformed themselves quickly, but it is always a complicated process, as unlearning and relearning is relatively complex.

OEP: There will be different stages to the reform. One stage, in the first two years, will be what some economists identify as a stabilisation stage. Next will come a stage of structural changes, of between two and five years, which is where the deepest changes will occur.

In the first two years, we must focus on three vital issues: energy, food and infrastructure. Cuba’s population faces critical problems, such as water, solid waste collection and other public services that need restoring.

Then we have to determine which sectors and areas are going to be prioritised.

I still see tourism as important, and the possibility of private tour operators and tourism agents emerging offers some assurance that this sector can recover. For example, if a small hotel — say with 30 or 40 rooms — or hostels and motels can be managed by a private entity, why not do it, especially if foreigners already own them?

The government has a very concrete plan and has been very skillful, very pragmatic in recent days in raising proposals that it would not have thought of at another time.

We need to switch to private foreign exchange bureaus (CADECAs), because currency is being exchanged on the street anyway and that is money is not reaching the state. Why not establish CADECAs and charge a tax on transactions?

Another important step is eliminating the monopoly on foreign trade, so that all forms of ownership can import and export directly. If someone wants to do so through an experienced state-owned enterprise, they should be able to. But it should not be mandatory.

Likewise, we must eliminate the employment agencies, which have been an obstacle for foreign investors. And, above all, we must tackle the external debt. If the debt is not resolved, a lack of financing will continue.

An efficient public sector concentrates its resources in specific entities. For these to be efficient, they require a law governing businesses that places them all on an equal footing. This will allow the state sector to participate in the foreign exchange market and retain a portion of its profits to restore production and offset capital depletion.

With the rules applied to date, certain goods and services cannot be guaranteed. Of course not! If a state-owned company is profitable, but the state collects those profits for a “common good” — such as producing certain goods for the entire population — that may be justified. However, it undermines the company’s capacity.

In the medium term, they should be given the same opportunities that the most dynamic sector of the economy has enjoyed to date, which is currently Cuba’s largest food importer (the figures back this). The public or state sector does not have the ability to use remittances to decide where to buy and at what prices.

Autonomy has to be real. I believe the path ahead will include improved competitive conditions.

JCV: The current situation presents urgent needs that must be addressed as a priority. A comprehensive and deep transformation of the economic model is also needed. These are interdependent aspects, but should not be confused.

The immediate response to these urgent needs is determined by the fundamental problems affecting the population: energy, food, water, health, public hygiene, mobility, etc. This response requires access to more external resources. That is why the issue of debt and access to credit, investment, etc, is also a priority. The proposed measures include ways to address these urgent needs.

The other aspect is the comprehensive transformation of the economic model. This is necessarily a slower process, although it must be sped up as much as possible, and must begin with restoring macroeconomic equilibriums: fiscal deficits, inflation, external deficits, etc. This process takes longer because there is so much that needs to be transformed.

It is essential to define stages, spheres of action, general and specific objectives, indicators, and so on. Above all, to have a clear strategic vision and the political capacity to correct inevitable deviations. Otherwise, we could end up with a grim and undesirable outcome, from which there may be no coming back. I have written about at length and proposed all of this since my 1995 book, and in many subsequent texts with corresponding updates.

Today, politics is more important than ever, despite what some may think. Not to obstruct or halt the reform process, but to guide it along the needed path while always responding to the nation’s interests and not those of spurious sectors or groups, much less imperialist pressures. Therein lies a fundamental challenge. In a recent article, I said ideas, not uncontrolled events, should be the driving forces behind this process.

One feature of this new socialism, as set out in the new constitution, is decentralisation, particularly transferring powers to local levels. Seven years after that constitutional provision was adopted, we still do not have a law granting these powers. However, decentralisation and the strategic role of municipalities are now being emphasised. Are local governments prepared for this autonomy? Are they capable of administering their resources, handling domestic and foreign investment, designing fiscal and employment policies, overseeing basic services and adapting social policies to their needs? What needs to happen for local governments to fully assume this role? What are the risks involved in decentralisation?

JTC: I do not think local governments are prepared for the autonomy granted to them. That is the simple answer.

As for what needs to happen for them to be ready, one thing already happening is being granted areas of responsibilities, certain rights and obligations. The other thing that needs to happen is training suitable personnel for the task.

If you look at local governments today, they are not only “poor” because they are in poor areas, but because their staff are probably not the most suitable, although, mind you, they may well be the most dedicated.

Undoubtedly, there are many risks involved in decentralisation, ranging from misinterpretation of national policies to corruption. I do not dare list them all as new ones keep popping up.

Having the ability to interpret national policies, adapt them to local needs and generate one’s own policies involves risks and, undoubtedly, possible mistakes. I would rather take that risk than do nothing at all.

OEP: One shortcoming affecting both local and central levels is the lack of staff preparedness. Sometimes, someone appointed is unprepared or lacks expertise. Given the challenges ahead, local governments should be better prepared and granted the prerogatives they lack — powers that have been announced but, in practice, not granted. Local autonomy must be accompanied by training and incentives to enable leaders to effectively manage resources at that level.

If salaries are low and unmotivating, people will not be willing to take on municipal leadership roles. Before assuming positions, say in municipal education, people will be more interested in working in the private sector, where they can earn 10 times more. All these imbalances must be corrected. But I do believe in local government; we must work hard to prepare for what lies ahead.

There are indeed risks with decentralisation, but we must accept them. Previously, central government measures were implemented in a context where the state could manage resources. Today it does not have them, nor will it in the coming years, because today we are on our own. This means we will not have the access to the credit or allies we need, as we lost them due to mismanagement.

If a friend gives you, say, a fleet of buses for your public transport system, and you do not pay for them, they will not give you spare parts for those buses. That is how we have treated friends such as China, who help by selling to us on short payment periods but at very low interest rates. They allowed us to pay with products such as nickel, but we stopped sending nickel because we no longer produce it.

All that needs to be corrected. That is the only way forward; there is no other option. We have to overcome all adversities, but this comes at a cost. Not so much a greater social cost, because social reform has already been implemented — I will tell you more about that later.

JCV: Decentralising to the municipalities must be done with extreme care. It is positive and needed, and could make governance more democratic and efficient, but not if it is done in just any manner. Municipal decentralisation must not mean that the central government shirks its own, non-delegable, responsibilities.

A country is not simply the sum of its municipalities, not even in countries with strong federal structures. Municipalities are very different from each other, and their coordination and complementarity as parts of a whole is an inalienable responsibility of the central government.

Economic policy and implementing the national development strategy are central government responsibilities. Successful municipal decentralisation should not mean eliminating the central government’s essential role, because we are one nation.

Also, for decentralisation to function properly, municipalities must have the resources needed. First and foremost, they need capable staff and officials. Meritocracy (ability, training, ethics, integrity, empathy and commitment) should determine appointments and selections at this level, as it should at all levels.

In general, the calibre of municipal officials and civil servants is below what is required for this complex function. Of course, this work should pay what it deserves.

Against a backdrop of undercapitalisation, lack of financing, high external debt, deteriorating infrastructure, and energy and food crises, where can the investment needed to revive the economy and restructure the model come from? Do Cuban emigrants have the capital and will to become that main source? To what extent do the political circumstances within the Cuban diaspora facilitate or jeopardise this? Would it be possible without the US and Cuba returning to the path of normalisation?

JTC: The investment needed to revive the economy and restructure the model can come from different sources.

One is foreign investment, which may feel encouraged by decisions to facilitate and expand opportunities in the country.

Another source could be the opportunities offered by the BRICS. This requires a thorough understanding of how to negotiate and participate within that framework.

A third source could be domestic capital — not just private capital, but also capital from successful state-owned enterprises that want to invest to grow and diversify. They should be allowed to.

There are also loans that multinational organisations and individual countries can provide. They are much harder to access these days, but I would not dismiss them entirely.

Finally, there is capital from Cubans living abroad. To what extent do political circumstances in the Cuban diaspora facilitate or jeopardise this? So far, the history of this relationship has been very complex — you know this far better than me. It means that a segment of that diaspora is very wary of investing in Cuba.

On the other hand, Cuba’s legal framework is still not well understood. It needs significant refinement and improvement to provide to investors in general, and particularly Cuban investors who have lived in Cuba. This uncertainty must be eliminated by creating a set of very clear rules that incentivise and guarantee this participation.

Most of the Cuban diaspora lives under the constant risk and threat of the restrictions the US government imposes on Cuba. They must constantly monitor whether they are breaching any US laws that could make them subject to reprisals. This is undoubtedly a reality and could complicate large-scale investment by Cubans living abroad.

If the US and Cuba do not return to the path of normalisation, it will be difficult, but not impossible. I would have to elaborate at length to explain, but as things stand, there is already investment of capital by Cubans living abroad in the national economy. Taking these facts into account and as a measure of the truth, I would say that it is possible, even if there is no normalisation of relations between Cuba and the US.

OEP: We must recognise that Cuba’s natural economic environment is the US, given proximity and the fact that it has received most Cuban emigrants. But the US government has been very aggressive toward Cuba, and sanctions have been particularly severe in recent months.

However, Cuba needs to do what it can to promote normalisation. I have learned that Cuban emigrants have capital and could become an important source of funding. But for that to happen, legislative changes are needed. Negotiations must take place to analyse the issue of nationalisations and other pending matters, which must be resolved.

Where possible to exchange investment for assets, via a swap arrangement, this should be done. If we have a hotel with only 10% occupancy, an emigrant could manage the hotel and receive a portion of the profits. There are many options.

It will be very difficult for Cuba to access the needed capital if relations are not repaired and normalisation not achieved. Because capital today is transnational and although many companies would be willing to invest in Cuba, they won’t if they are going to be sanctioned by the US. That is what happens right now.

But we cannot give up; we must seek any positive alternative, without surrendering sovereignty but without being too rigid, because there is no other way to resolve the problems you have raised. External financing is a priority.

The state must undertake a two-year stabilisation process to resolve two key short-term problems: energy and food. It will no longer guarantee the ration card system as in the past; it simply does not have the means. This will help people understand that the socialist Cuba that existed prior to 2026 is no longer viable, and that to maintain it under new conditions requires restructuring the model.

We need to build a social market model. One mistake in recent years has been failing to implement the reforms that many suggested, especially Russia and China, where all forms of production — especially private ones — would have carried greater weight. Cuba was far too slow to implement them.

Today we are doing so when we have no other options. Negotiating under these circumstances is very difficult, because we have to accept many things that would not be accepted at another point in history, above all to save the country.

JCV: As mentioned before, resource allocation is a fundamental problem, a major bottleneck affecting the national economy; so accessing new resources is a matter of urgency. And resolving the debt issue is essential.

I proposed swapping debt for assets and investment; this is entirely possible and probably the most viable option. There are many resources and capabilities that are currently underused, and many are falling into disrepair.

Of course, this must always be done rigorously yet swiftly; we must ensure that the pressures of the moment do not lead to ill-advised decisions affecting the nation’s sovereignty and control over strategic resources.

The Cuban diaspora is part of the nation. Part of it possesses capital and entrepreneurial capacity, although this is not the majority, which consists of wage earners. Everyone, however, should be able to participate in some way; the former, through investments, technology, trade, markets, and so on.

This must be part of a shared commitment. All guarantees should be provided transparently and without hesitation, establishing laws and regulations on what can and cannot be done. In other words, broad and clearly defined scopes and safeguards, in line with a national project embraced by all, including, hopefully, those who have been hostile. This is a highly topical political issue.

The short answer is: yes, they should play an important role, without sacrificing their individual interests. There will always be risks, but we must face them with intelligence and resolve. The most important thing is people’s interests and wellbeing. Is it difficult to reconcile all this? Yes. Is it impossible? No. It is perhaps the most important political challenge today.

The most desirable scenario involves negotiations with the US, as it could significantly change the situation, help overcome the economic crisis, and so on. I believe the government has worked and continues working intensively on this, now with the benefit of years of experience, historical lessons, past mistakes, and so on. But the question must always be: what to negotiate, and to what end?

Here the answer must be crystal clear. We need a broad position that includes many sensitive decisions, but containing very clear points on what is non-negotiable under any circumstances. It has been said that sovereignty and internal order are non-negotiable; I agree. Cuba’s internal affairs are a matter for Cubans — for all Cubans — and them alone.

The US government must be aware and confident that Cuba is willing to progress and put a lot on the table, except what is non-negotiable. This could lead to a relationship based on respect and mutual benefit. However, will the US government — and this administration in particular — be willing to establish a suitable framework for negotiation?

Cuba must work toward this, but must prepare for the worst-case scenario, including unwanted military aggression. Sovereignty, properly understood, is non-negotiable; this requires no academic justification. It is the historic will of a people demonstrated for almost two centuries. Now is no different. Negotiation, yes — as much as possible, realistic, and comprehensive. But under no circumstances can we accept impositions and concessions on sovereignty.

Since 2011, successive reform programs have been adopted, agreements reached at PCC congresses, and a new constitution and new laws approved. However, the reform process has stalled and, to some extent, seems to have lost its way. What reasons are there to think things will be different going forward?

JTC: I would say there are many reasons and none at all.

The first reason for thinking differently is the international context Cuba finds itself in, which has changed dramatically and creates significant stress for the country. This situation could speed up the reform process and prevent repeating past mistakes.

Second, there is the constant threat from the US and its intentions to change the country, according to their own vision of what needs to change. Obviously, it is a driving force behind this reform process, and ensures we do not take a step backwards.

Third is the economic and social situation, the polycrisis we are immersed in and constantly suffering. Without reform, it will be very difficult to emerge from this polycrisis.

We must also understand that this government has been through a learning process. Today, it is in a situation with very few alternatives other than following a reform path that was already broadly mapped out but never followed; instead, it was halted and reversed. Now we must implement these reforms, and that is undoubtedly another reason. There is a learning process here, and that matters a great deal.

OEP: The model that is being proposed is different. While we have approved dozens of programs, reached thousands of agreements, and taken stock of PCC congresses, the constitution, the laws, etc, the country has still not made progress. Obstacles preventing progress include fear of the private sector, which is an ideological problem.

Today must be different because, I reiterate, Cuba is alone in the world. Never before have we faced such a moment of multiple crises. We have a financial crisis, a food crisis, prolonged blackouts, problems with medicine, and transportation problems, all at once.

A Cuban family today sleeps poorly, eats poorly, walks to work, has low wages, and faces high inflation. No other time in Cuba’s recent history — since the 1990s — has seen such a turbulent and complicated situation.

If we want to save not just the model, but the country, we have to do things differently. If we keep doing the same thing, we will continue redistributing misery. If new policies require constitutional changes, we must make them. If we have to remove the constitutional clause prohibiting the concentration of income and property, then so be it.

As long as the private sector is legitimate, as long as it is legal, and as long as it provides certain goods and services, why be afraid of it? The state’s strength lies in its ability to tax these activities and redistribute revenue throughout society.

For me, the only difference is that we must build a country with a market.

JCV: We have reached a make-or-break situation: external aggression on one side (which is not just the blockade) and internal shortcomings on the other, including the tremendous delay in implementing comprehensive and far-reaching economic reforms. That is one of the main errors; we have been arguing this for at least three decades, when it became evident that the bureaucratic planning economic model had run its course.

If one reads documents approved at party congresses since 2011, and the 2019 constitution, it becomes clear that this reality was understood from the outset, and that documents were approved that provided the needed political and legal scope for reform. However, inertia, misunderstandings, dogmatism and vested interests have been a constant obstacle.

What is new is that this has been acknowledged and there is the political will to move forward despite that resistance. It will be difficult, but the journey has already begun. We must be wary of that Cuban maxim since colonial times: “Acknowledged, but not obeyed.”

We must overcome entrenched obstacles, as strong as they are diffuse, making them so difficult to eliminate. They will always be present, but with consensus, essential popular participation, accountability and effective leadership, we can do it..

It is difficult to declare oneself a pessimist or optimist in the face of such a complex process. We must be realistic and, as Antonio Gramsci said, perhaps move forward with pessimism of the mind but always optimism of the heart.