President Biden called Cuba a “failed state” and said communism was a “universally failed system.” Biden offered to send vaccines to the island if they would be administered independently of the government. But Cuba’s handling of the pandemic has resulted in far fewer deaths and cases than the U.S., proportionate to its population. Cuba is also developing several domestic vaccines. Cuban President Miguel Díaz-Canel has blamed the recent unrest and economic crisis on the devastating U.S. blockade and sanctions.