The process of updating the economic model in Cuba has been in force since 2011. However, despite having implemented an important group of measures, the economy is significantly lagging: It has a lower growth rate than expected. The exports of goods fail to expand all that is required. Service exports have contracted primarily due to adverse conditions in the international arena. Tourism decreased in 2019 by nine percent (from 4.7 to 4.3 million), partly due to the intensification of the U.S. blockade that has imposed new restrictive measures such as the prohibition of cruise trips to Cuba, but also due to the drop in the arrival of visitors from several countries in Europe (Germany, United Kingdom, Spain, Italy and France). Professional services fell due to the emergence of right-wing governments in Latin America that have affected Cuban medical services. The main example is the return to Cuba of around 8,000 Cuban doctors from the More Doctors Mission in Brazil with the new government of Jair Bolsonaro. To this is added the difficult political situation faced by Venezuela, which is the first destination of Cuban medical exports. In the search for multiple solutions that will finally boost the Cuban economy and,...