On December 17, 2014, U.S. President Barack Obama and Cuban President Raúl Castro announced the beginning of a process of normalizing relations between Cuba and the United States. Negotiated in secret in Canada and the Vatican City over preceding months, and with the assistance of Pope Francis, the agreement would see the lifting of some U.S. travel restrictions, fewer restrictions on remittances, and the establishment of a U.S. embassy in Havana. Of concerns to American physicians is the following: Cuba has the most genetically diverse HIV epidemic outside Africa. Almost all American cases are of one strain, subtype B. Cuba has 21 different strains. The genetic diversity is a legacy of its foreign aid. Since the 1960s, Cuba has sent abroad thousands of “internationalists” — soldiers, doctors, teachers and engineers who purposefully spread the propagandistic lie of Marxist benevolence. Stationed all over Africa, and, oftentimes, sexually abusing the local populace, they brought back to Cuba a wide array of strains. According to a study in 2002, 11 of Cuba’s 21 strains are unknown elsewhere, formed when two others mixed. Early on, in its effort to curb the spread of HIV, Cuba instituted mandatory testing and forced those infected into state-run sanitariums; these rather draconian measures have since been applauded by some in the US and Europe. Today, those newly infected with HIV are temporarily quarantined on a “case by case” basis.