and the Caribbean region. A noticeable fact is that Rubio will specifically visit Suriname and Guyana to discuss several issues including the growing influence of China in the two oil-rich countries. Washington also wants to discuss the presence of Cuban doctors in Suriname. The U.S. Secretary of State will have separate meetings with Guyana’s president Irfaan Ali and Suriname's president Chan Santokhi. Both South American countries possess oil reserves which have transformed their economies these past couple of years. Washington is becoming increasingly concerned about the growing influence of China in Suriname and Guyana. Chinese firms have established strong positions in the oil sectors of both countries and this has not gone unnoticed in Washington. It is expected that Rubio will emphasize the strategic collaboration with the U.S. and possibilities aimed at limiting China’s influence. The recent oil finds in Guyana and Suriname have made it possible for them to change their economies and have also made them attractive partners for international investors. Washington wants to tighten the economic ties to strengthen its position as key partner.

Washington also disapproves of Cuba’s medical missions. The Trump administration previously expanded the visa restrictions for officials who are involved in these programs which Washington deems as a form of forced labor. But this policy faces resistance from several Caribbean leaders including Barbadian PM Mia Mottley and Ralph Gonsalves from Saint Vincent and the Grenadines who have made it clear that they would not hesitate to give up their US visa to defend Cuba’s medical assistance.

Cuban doctors are also deployed in Suriname to tackle the shortage of medical staff especially in remote areas. The issue remains a sensitive one on the regional diplomatic stage and will most likely also be mentioned by U.S. Secretary of State Rubio.