The hardship has intensified since the beginning of the year following an oil embargo imposed by U.S. President Donald Trump, worsening fuel shortages and compounding a prolonged economic downturn that has strained food supplies, transportation and public services across the communist-run island.

At the Church of the Holy Spirit in Old Havana, nearly 50 elderly residents gather three times a week for a free lunch of ground meat, rice, red beans, crackers and Cuban coffee — a modest meal that many describe as essential.“This is a lifeline for us retirees with small pensions,” said 84-year-old Carmen Casado, a retired chemical engineer whose monthly pension of 2,000 Cuban pesos is worth about $4 at the informal exchange rate widely used in daily transactions.Casado lives alone, has no children and receives no remittances from relatives abroad.

She said the food supplements the limited rations of bread, rice and beans available through Cuba’s state-run subsidized stores, known as bodegas.“What we get from the bodegas alone is not enough,” she said.Older Cubans, many of them former state employees including teachers, doctors, nurses and technicians, are among the groups hardest hit by the downturn.

Monthly pensions for many retirees remain below $10, while access to subsidized goods has narrowed and inflation has sharply reduced purchasing power.At the same time, the country’s aging population and the mass departure of younger Cubans have deepened social isolation for many elderly residents.

According to Cuba’s National Bureau of Statistics, nearly 26% of the population was aged 60 or older by the end of 2024, almost double the Latin American regional average of 14.2% reported by the U.N. Economic Commission for Latin America and the Caribbean (ECLAC).Over the past five years, Cuba’s population has declined by nearly 1.5 million people, largely due to migration, reducing the island’s resident population from 11.1 million to about 9.7 million.

The impact is visible across Havana, where elderly people often wait alone in long lines for rationed bread and rice or search through refuse for recyclable materials and food scraps.The severity of the problem has prompted the Cuban government to authorize private entrepreneurs to operate elder care services and residential facilities, a notable shift in a system historically dominated by state control.

Casado said she still considers herself fortunate. She remains physically independent, walks without assistance and manages her household alone in a deteriorating 19th-century building in the capital.Born in 1942, she lived through the Cuban Revolution, the 1962 missile crisis and the severe economic collapse that followed the fall of the Soviet Union in the 1990s.

Like many of her generation, she said she continues to support the government despite worsening living conditions and attributes much of the country’s hardship to U.S. policy.“We’re doing everything we can here to move the country forward,” she said. “But the thing is, we have a very powerful enemy, and he’s right there, right on our doorstep.