Has anyone been to Cuba?

I am a general pediatrician in the US. This therapy to prevent mother to child transmission in the US has been used for the last 20+ years. It is offered to all HIV infected mothers who seek prenatal care and to their babies. It is available to all mothers who are pregnant and all infants, no matter what. All woman and babies can get medical care and medical insurance in the US if they seek it, no matter what their financial status is. Medicaid (government insurance) is free and available if someone is pregnant and cannot afford insurance. 

In 2010, the last year I could find data, the US had 3,999,386 births in the US. That year, there were 162 children that were infected with HIV by their mothers at the time of birth. That is an infection rate of 0.00001%, if I did my math correctly. Almost zero. 

BUT IT IS EXACTLY 162 CASES TOO MANY!

In the cases I have taken care of, and the mother CHOSE NOT TO get parental care, all those babies STILL DID NOT get infected. The treatment regimen -- which is prenatal meds for the mom and after birth medications for the baby -- works well enough if only given to the baby after birth. 

It must be stressed that the mothers did not get prenatal care BY CHOICE. It is available. They can get it. But their priorities, sadly, lie elsewhere. 

I wonder if the date from WHO/Cuba include all the babies born out of hospitals and without any prenatal care there. 

The US is pretty damn good. Not perfect, but the US will never measure up when utopia, perfection and more importantly, a larger political agenda, is the real goal.

• BTW, I have not seen a newborn in hospital in the US in the last 20+ years whose mother did not have an HIV test done during pregnancy. The only newborns I see with out a maternal HIV test done is a mother who choses not to get prenatal care.
  
   This table is enlightening. You do not even see children on the table as they are statistically insignificant. But every case is a tragedy. EVERY CASE. And preventable. And the care is available, here in the US.
  https://www.cdc.gov/hiv/statistics/surveillance/incidence.html
  
  
  And here is the generic cost of the drug in the US. $60 per bottle. Not too expensive. And readily available.
  https://www.drugpriceinfo.com/Retrovir-prices
  
  The population of Cuba is only slightly larger than that of New York City. In the three decades of the global AIDS epidemic, 78,763 New Yorkers have died of AIDS. Only 2,364 Cubans have.