In this Aug 16, 2012 photo, a poster that reads in Spanish "Your service is free health... but it costs" hangs on a wall inside a government run neighborhood clinic in Havana, Cuba. Cuba's system of free medical care, long considered a birthright by its citizens and trumpeted as one of the communist government's great successes, is not immune to cutbacks under Raul Castro's drive for efficiency. The health sector has already endured millions of dollars in budget cuts and tens of thousands of layoffs, and Castro is looking for more ways to save. (AP Photo/Franklin Reyes)
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