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GEORGETOWN, Guyana (AP) 鈥� Caribbean leaders are pushing back against a new U.S. policy that aims to crack down on Cuban medical missions, saying that the work of hundreds of Cuban medical staff across the region is essential.

Hugh Todd, Guyana鈥檚 foreign minister, told The Associated Press on Tuesday that foreign ministers from a 15-member Caribbean trade bloc known as Caricom recently met with U.S. Special Envoy for Latin America Mauricio Claver-Carone in Washington, D.C. after the U.S. threatened to restrict the visas of those involved with Cuban missions, which U.S. Secretary of State Marco Rubio has called 鈥渇orced labor.鈥�

鈥淭he U.S. is a strategic partner to Caricom, but this very important issue has to be dealt with at the level of heads of government,鈥� Todd said.

Overall, Cuba has some 24,180 doctors working in 56 nations, with the missions boosting health care across the Caribbean, especially in impoverished nations with limited medical services.

鈥淭heir presence here is of importance to our health care system,鈥� Kamina Johnson Smith, Jamaica鈥檚 foreign minister, said at a press briefing last week, noting the island has more than 400 Cuban doctors, nurses, biomedical engineers and technicians.

At least two influential Caribbean leaders, the prime ministers of Trinidad and Tobago and of St. Vincent and the Grenadines, have publicly rallied against the new policy and said they would gladly forgo their U.S. visas.

鈥淚 will prefer to lose my visa than to have 60 poor and working people die,鈥� said St. Vincent Prime Minister Ralph Gonsalves.

He said Cuban doctors are providing critical care to patients including 60 who receive dialysis treatment.

鈥淚 will not be able to offer that service,鈥� he told reporters during a recent official trip to Jamaica.

Meanwhile, Trinidad Prime Minister Keith Rowley told reporters Monday that he wouldn鈥檛 mind losing his U.S. visa either.

鈥淚 just came back from California, and if I never go back there again in my life, I will ensure that the sovereignty of Trinidad and Tobago is known to its people and respected by all,鈥� he said at a recent public event where the crowd clapped, according to the Daily Express, a local newspaper. 鈥淲e rely heavily on health care specialists whom we have obtained from India, the Philippines, and mainly from Cuba over the decades.鈥�

Rowley said those medical professionals are paid the same as local ones, 鈥渂ut we鈥檙e now being accused of taking part in the program where people are being exploited. That is someone鈥檚 interpretation.鈥�

Last month, Bruno Rodr铆guez, Cuba鈥檚 foreign minister, accused Rubio of putting his 鈥減ersonal agenda鈥� ahead of U.S. interests and called the move an 鈥渦njustified aggressive measure.鈥�

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Follow AP鈥檚 coverage of Latin America and the Caribbean at https://apnews.com/hub/latin-america