Why and how is Cuban Health Care system is effective?

Cuba has the most effective health care system in the world. Death-Born ratio of their babies and children are extremly low. They can obtain most of the drugs for ridiculously low prices. They can slow down spread of epidemic (closest example I remember is swine flu epidemic) Their Med-Schools are quite advaned. Perhaps they don't have the best equipmnets in the world but Cuban doctors usualy very talented. And they built this system with one of worst economy in South America. No mine, no heavy industry only agriculture and tourism. How they built it? and Why we can't built it a better or even a similar system despite the resources we have?

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