In this Aug 13, 2012 photo, a sick man is taken by ambulance to the public hospital Calixto Garcia in Havana, Cuba.(AP Photo/Franklin Reyes)

HAVANA (AP) — Cuba’s system of free medical care, long considered a birthright by its citizens and trumpeted as one of the communist government’s great successes, is not immune to cutbacks under Raul Castro’s drive for efficiency.

The health sector has already endured millions of dollars in budget cuts and tens of thousands of layoffs, and it became clear this month that Castro is looking for more ways to save when the newspaper voice of the Communist Party, Granma, published daily details for two weeks on how much the government spends on everything from anesthetics and acupuncture to orthodontics and organ transplants.

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