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In this June. 8, 2017 photo, podiatrist Serafin Barca attends a patient in his clinic in Havana, Cuba. Barca is busy from morning 'til night treating patients frustrated with the inefficiency of the state system. "The service is of higher quality," Barca said. "If you get a patient and you don't treat them well ... you don't get them back." (AP Photo/Ramon Espinosa)

In this June. 8, 2017 photo, podiatrist Serafin Barca attends a patient in his clinic in Havana, Cuba. Barca is busy from morning 'til night treating patients frustrated with the inefficiency of the state system. "The service is of higher quality," Barca said. "If you get a patient and you don't treat them well ... you don't get them back." (AP Photo/Ramon Espinosa)

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