CSMC (Comercializadora de Servicios Médicos Cubanos)

CSMC (Comercializadora de Servicios Médicos Cubanos) is the Cuban state entity that runs Cuba's overseas medical-mission programme, sending doctors and other health workers abroad in exchange for hard currency and diplomatic goodwill. CSMC became the target on 10 July 2026 of a joint letter from four members of Congress, Representatives María Elvira Salazar, Mario Díaz-Balart, Carlos Giménez and Chris Smith, who asked Secretary of State Rubio and Treasury Secretary Bessent to impose sanctions on it, framing the programme explicitly as a forced-labour and human-trafficking apparatus; Salazar called it 'one of the world's largest state-sponsored forced labor schemes'.

The letter follows a broader, ongoing Inter-American Commission on Human Rights finding that characterises conditions across Cuba's overseas medical missions generally, including salary retention, passport confiscation and threats of prison terms for abandoning a posting, as compatible with forced labour and modern slavery; CSMC itself was not named in that IACHR material.

When State's ten-entity sanctions wave landed on 13 July, CSMC's name was absent from it, though the tourism ministry and several GAESA-linked trade and finance firms were listed; the sanctions request made on CSMC's behalf remained unactioned as of 17 July 2026.