To show the world that his regime was utopia he forced the medical schools in Cuba to graduate minimally qualified people to the rank of Doctor. Russia did the same thing many years ago. The title Doctor is subject to the dictates of those in power.
Now I have met some of the Russian doctors that have entered the state run hospitals on granting programs.
They are the worst critics of the 'motherlands' medical programs.
Just wait, ..if Hillarrhea makes president, you'll see American versions of these "doctors"