With major shortages of medicines, many doctors are joining the exodus of people trying to find a better life abroad
After six years of studying and working part-time jobs, Cristian Diaga, 24, will soon graduate from medical school in Caracas, Venezuela. But instead of continuing his training in a top hospital in the country, as he had hoped, he is taking a job in a fast-food restaurant in Argentina a situation he says is much more preferable.
I do feel bad leaving. I think everyone would like to give something back to their country, but right now it is my life and future and all my possibilities to help my family to get out of this madness, he says.
More than half of Venezuelans between 15 and 29 want to move abroad permanently, according to a poll carried out by the US firm Gallup and shared exclusively with the Guardian.
In Venezuela, it feels like we are all just dying slowly and theres no hope for a change. I dont care if Im gonna work as a doctor or not. I just want to have food, medicines, security, a house, a car, and be able to give a good life to my loved ones, he says.
But its not as though many of Diagas relatives still live in the country the majority have fled to Argentina by road through Brazil. And soon he will join them.
My younger brother had to leave because the urgent medicines [he needs] cant be found here and with my mums salary its impossible to buy them in another country.
If I go to Argentina, at least I will be with my family and together I think well be able to make progress, he says.
Shortages of medicines are well-documented in Venezuela, with patients often having to buy prescriptions and basic medical supplies using contacts abroad and risk having them sent over, or purchasing at highly-inflated prices on the black market. But many are going without.
Every day we see people dying for diseases that we know exactly how to cure but when you dont even have gloves, masks, gauzes, medicines or some big but necessary equipment, its too hard.
And at the same time its scary, because some families have ended up hitting us, frustrated and feeling that we dont want to do anything to save their loved ones and that we are guilty for this dramatic situation, he says.
Colombia, which officially took in more than half a million Venezuelans over the last six months of 2017, is continuing to to be a destination of choice among those looking for a better life. Elena Rincones, 25, a political scientist from Caracas, is relocating there this month to make sure she has access to the medicine she needs.
Id rather be working as a waitress and being able to ship my father his meds than watch him die slowly because we cant find them nor afford them if we do. Last month alone I spent 10 times the minimum wage most Venezuelans earn on my dads medicine for his diabetes.
And last time I got sick, I had to look in about six pharmacies to get the medication I needed. There are no medicines, people are even dying due to lack of antibiotics, she says.
Ysabel Limas, 65, a retired writer, says she does not want to leave her home in Venezuela, but cannot afford the medication her stepmother needs. She has little savings and no family outside the country to call on for help.
I cannot move, but Id love to move. My stepmum, who is 96, is living in a nursing home. Luckily I dont need to take a regular prescription. However, the pills for my stepmum, who suffers from dementia, are only available by a section or the whole the blister strip. Theres been no availability of these medicines at any pharmacy for a long time.
I found a person who can be contacted by email for medicine request. He finds your prescriptions, then you meet this guy or a person who you are supposed to pay in cash and you get the exact number of pills, she says.
As is often the case when official channels dry up, black market trade booms. Ordinary people left with no other choice are turning to unofficial channels, with many taking advantage of the demand for drugs to supplement their meagre wages.
Daniel Lopez, 35, an architect from Caracas who to Colombia last year, is trying to help from afar. He runs a non-profit medicine service which redistributes basic medical supplies from Colombia to Venezuela free of charge.
Families and friends of friends call me asking for the cost of a medicine that is urgent for someone they know or themselves. Most of the time they cant buy it because of the cost or the medicine is regulated. And they cant afford to travel to Colombia to buy it.
So what we do is collect some common and cheap medicine and wait for someone we trust who has planned a trip to Venezuela, to give them the medical supplies to deliver to our loved ones. We cant risk sending the medicine through the mail as its prohibited by law, he says.
And many others are doing the same. Fran Meja, 35, a music producer who now lives in Barcelona, Spain, sends medicine to his mother, who is a doctor in Caracas.
My mother is a GP who works in private practice in Caracas. Throughout my life, and thanks to having a doctor in the family, weve always had what weve needed in terms of medicine. Not any more. Nowadays my doctor mother is asking me to send medicines her way from Spain, he says.
Serina Moritz, 47, a senior doctor in a large public hospital in Caracas, says that in her 20 years working in the profession the system has never been under so much pressure.
Not only do we not have medicines, even basics, but there is no blood as we cannot run tests on it. For most of us we dont know what to do. I know colleagues who are leaving depressed, she says.
According to the Venezuelan Health Observatory, a research centre at the Central University of Venezuela in Caracas, estimates that less than 10% of operating theatres, emergency rooms and intensive care units are fully operational. It says 76% of hospitals suffer from scarcity of medicines, 81% lack surgical materials and 70% complain of intermittent water supply.
I will stay but it is impossible for us to survive under this system why would anyone want to?
