The policies of dictator Fidel Castro have improved some aspects of life in Cuba, yet imposed such hardship some Cubans are willing to risk death to leave. While Castro's regime has improved literacy, health care, and athletic achievement, daily deprivation and loss of personal freedom has driven many individuals, particularly artists and intellectuals, from their native land. This paper traces Cuba's political history and examines in particular influences of Castro's policies in the areas of health, sports, and the arts. 13 pgs. 12 f/c. 10b.