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In this Aug 13, 2012 photo, a sick man is taken by ambulance to the public hospital Calixto Garcia in Havana, Cuba.(AP Photo/Franklin Reyes)

HAVANA (AP) — 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.

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