A fatal shooting in Pittsylvania County went undiscovered for several days after 36-year-old Andrew Dickinson was allegedly shot on May 1, according to court records.
Authorities were not called until May 4. Joshua Kiser is charged with murder, burglary, and firearm offenses.
Francis Whitley of Martinsville and Keri Kiser face accessory charges after investigators said they helped clean the scene.
Sheriff Mike Taylor said investigators believe Dickinson knew the suspects and are still determining a motive.
ORIGINAL STORY:
Two people have been arrested in connection with a homicide in Pittsylvania County, including a Martinsville woman.
Deputies responding Monday to a home on Iris Lane found 36-year-old Andrew Malachi Dickinson dead from a gunshot wound.
Joshua Kiser, 22, was charged with murder and related firearm and burglary offenses. Francis Whitley, 38, of Martinsville, was charged as an accessory after the fact.
U.S. President Donald Trump talks with U.S. Secretary of State Marco Rubio as he departs the White House on March 20, 2026 in Washington, DC. (Chip Somodevilla/Getty Images)
(NEW YORK) — For more than 60 years, hundreds of thousands of Cuban health care workers have been deployed across the globe.
Under the government’s medical missions program, doctors, nurses, technicians and other staff are sent to countries around the world to provide care to underserved communities, in many cases for a fee.
The Cuban government has said the missions, or “medical brigades,” have entered countries at war, hit by natural disasters and ravaged by outbreaks of disease, saving thousands of lives.
Critics, including the Trump administration, have held a different view, claiming that the health professionals are coerced into volunteering, partly as a way to bring in much-needed currency, and that their movements are restricted. The U.S. State Department has referred to the missions as “forced labor” and has pressured countries to stop accepting Cuban medical workers.
“The Trump administration, Biden administration and U.N. have all understood that these medical mission programs are a forced labor scheme that exploit Cuban workers,” White House principal deputy press secretary Anna Kelly said in a statement to ABC News. “These labor export programs abuse the participants, enrich the corrupt Cuban regime and deprive everyday Cubans of essential medical care that they desperately need in their homeland.
Kelly noted President Donald Trump believes “Cuba is a disaster that’s in its last moments of life, and these programs are one of many ways that they repress their own people.”
Cuba’s Ministry of Foreign Affairs did not return multiple requests for comment from ABC News.
A White House official told ABC News there is vast opposition to the Cuban medical missions program across political parties, in both chambers of Congress and from international organizations.
The humans rights organization Prisoners Defenders said in 2020 that it submitted a report to the United Nations and the International Criminal Court claiming it has evidence of “a pattern of slavery” on the medical missions.
Countries including the Bahamas, Guatemala, Guyana, Honduras, St. Vincent and the Grenadines and Paraguay have begun phasing out the missions, reviewing medical cooperation agreements or canceling contracts with the Cuban government.
Some international relations experts told ABC News that there is some truth to the allegations that Cuban medical workers are often closely monitored by Cuba’s government, but that the medics are also providing care to communities that would otherwise not receive it.
History of the program
After the Cuban Revolution began in 1959, many doctors left Cuba for the U.S. Newly installed leader Fidel Castro saw an opportunity to set up programs to train doctors not just for Cuba but to be sent overseas as a type of medical diplomacy, according to John Kirk, a professor emeritus of Latin American Studies at Dalhousie University In Halifax, Nova Scotia, who has written several books on Cuba.
The first medical mission was a small team of doctors sent to Chile, which experienced the strongest earthquake ever recorded in 1960. The first medical brigade was sent to Algeria in May 1963. In the 1970s, medical missions expanded greatly to Latin America and Africa.
Some countries, like Gambia or Haiti — which are poorer — pay Cuba nothing for medical care, according to Kirk. However, richer countries such as Qatar pay the Cuban government a monthly fee, about 25% of which is given to the Cuban medical workers themselves, he noted. Qatar pays Cuba about $9,000 to $10,000 a month for these services, Kirk said.
Cuba’s Ministry of Foreign Affairs did not immediately reply to ABC News’ request for comment on how much countries pay Cuba for the service of medical workers.
Between 1960 and 2023, 600,000 doctors, nurses and technicians participated in this program in 165 different countries, according to the Cuban government.
As of 2024, Cuba had 54 brigades with more than 22,600 medical workers, according to Granma, the official newspaper of Cuba’s communist party.
Philip Brenner, a professor emeritus in the School of International Service at American University, with expertise in U.S.-Cuba relations, said one example of Cuba’s program was Operación Milagro in Venezuela, launched in 2004, to provide ophthalmology services.
“More than 1 million people regained eyesight, and it wasn’t a major operation,” Brenner told ABC News. “These were like cataracts that people had, but they had no access to medical care until the Cuban doctors came in. They served an enormous number of people around the world.”
Criticism of the program
The U.S. government has long been critical of the Cuban medical missions program, claiming health care professionals are forced into it and sending workers overseas deprives Cubans of the medical care they need at home.
In August, the State Department revoked visas and imposed visa restrictions on several Brazilian government officials, former Pan American Health Organization officials and their family members due to “complicity” with the Cuba’s “labor export scheme.”
“These officials were responsible for or involved in abetting the Cuban regime’s coercive labor export scheme, which exploits Cuban medical workers through forced labor,” Secretary of State Marco Rubio said in a statement.
Brazil’s government did not respond to the allegations but Brazilian President Luiz Inácio Lula da Silva revoked the visa of a U.S diplomat who sought to visit former President Jair Bolsonaro. Lula said the measure was reciprocal for the U.S. revoking visas in August, according to the Associated Press.
The Cuban government did not reply to ABC News’ requests for comment on these claims.
Kirk, the Dalhousie professor emeritus, said of the 270 Cuban medical professionals that he interviewed, most said they volunteered and were not forced to partake in these missions, but he acknowledged it doesn’t mean they weren’t forced.
Sebastián Arcos, interim director of the Cuban Research Institute at Florida International University, said no one is physically forced to participate in these missions, but the conditions in Cuba push many to work in the program to try and earn some money to support their families.
“The other [thing] is, once you participate, once you volunteer for one of these missions, you earn credits with the Cuban regime,” he told ABC News. “Any kind of acknowledgement or respect that you can get from the Cuban government will help your career.”
Arcos said he is familiar with the experiences of those on missions because his wife’s sister, Karem Montiel, was part of a Cuban medical brigade in Eritrea, Africa.
Montiel told ABC News she used to teach embryology at the University of Medical Sciences in Havana and was selected to join a medical brigade in 2010 to teach at Eritrea’s Orotta School of Medicine.
She said she had a good relationship with her students, but criticized the Cuban government’s involvment in the program .
“That is nothing else but slavery, 21st century slavery,” she said. “I was the one doing the work but [the Cuban government is] the one who gets the money. … They own all the Cuban doctors. They make the money, they get paid for those doctors being there, working, and they pay the doctors the bare minimum.”
Montiel said that working as a doctor in Cuba, she was paid the equivalent of $23 per month. She said she was paid more to go on a medical mission but the salary is deposited in a bank account in Cuba, which doctors cannot access until they return to the country.
According to Montiel, the chief of the medical brigade holds on to everybody’s passports. She added that the chief of her mission also accompanied all staff to any immigration appointments they had.
According to Montiel, there are two reasons doctors go on the medical missions: either to get more money and buy things they are unable to buy in Cuba — like computers or TVs — or to attempt to escape Cuba.
Montiel did the latter and left her medical mission early, defecting to the U.S. in December 2010.
“Nobody goes [on medical missions] for the humanitarian reasons to help out the people in need, or the poor people who do not have access to health care,” she said.
She now works as a nurse practitioner in Miami, and her husband and two children have since joined her.
Arcos is also skeptical that the Cuban government is performing the medical missions for purely humanitarian purposes.
“The Cuban government is not really trying to help other people who are less fortunate,” he said. “This is a business for them. They are making money. They are gathering intelligence. They are influencing other governments, and all of this is done on the backs of hardworking people.”
Why is the US ramping up pressure?
For the last several months, the Trump administration has been increasing pressure on governments that receive Cuban medical personnel.
The federal government warned that it could impose sanctions against governments that accept the health workers. The administration said that the program is “exploitative,” with workers forcibly separated from their families, subjected to surveillance, given little pay and under threat if they don’t return to Cuba.
Several countries have recently pulled out of agreements and some that haven’t said the U.S. is pushing them to do so.
During the Second World Congress on Racial and Ethnic Health Disparities in January, Prime Minister Philip Pierre of Saint Lucia said he’s faced pressure from the U.S. government over not having the Caribbean island’s medical students be trained in Cuba.
“We also have Cubans who come over to work. So, the American government has said we can’t even train them in Cuba. So, I have a major issue on my hand,” Pierre said, according to local reports.
In a statement on Facebook last month, the U.S. Embassy to Barbados, the Eastern Caribbean and the inter-governmental Organisation of Eastern Caribbean States denied speaking with Saint Lucia’s government about international education.
“The United States continues to call for an end to exploitation and forced labor in the illegitimate Cuban regime’s overseas medical missions program,” the embassy wrote.
Kirk and Brenner say the U.S. has signaled in the past that it is looking for a regime change in Cuba and placing a stranglehold on the economy may help achieve that objective.
Both said they believe that stranglehold can be maintained through the energy blockade, which has been in place since January, and by cutting a major source of income for Cuba: the medical missions program.
“Because Cuba does earn hard currency from some of the doctors being sent abroad, one of the ways in which the United States has tried to strangle the Cuban economy is by getting countries to end their medical programs with Cuba,” Brenner said. “Even though those medical programs have benefited the people in those countries, the goal has been very narrow: one of trying to hurt Cuba. And it’s been very effective; it’s one of the ways in which Cuba has lost hard currency.”
What will happen to counties that pull out?
For countries that pulled out of Cuba’s program, the experts said they expect to see worsening health conditions.
“We’d have to expect to see more chronic disease and more people dying from disease that otherwise they wouldn’t die from because of the lack of help from Cuba,” Brenner, from American University’s School of International Service, said.
“The United States had previously provided some assistance to these countries through USAID but, under [the Department of Government Efficiency], USAID was essentially destroyed, and the medical programs that the United States had haven’t been resumed,” Brenner said.
Not all counties are pulling out of agreements, however. Mexican President Claudia Sheinbaum said on Wednesday that she will keep an agreement with Cuba’s government and continue to have Cuban doctors working in Mexico.
Kirk noted that Mexico currently has about 3,000 Cuban medics in the county. He added that if Mexico does pull out of its agreement with Cuba, it will be “a major blow, symbolically, politically and financially.”
Gavel on wooden desk with books as background (sean zheng lim/Getty)
(VIRGINIA) — A former assistant principal at a Virginia elementary school is standing trial on criminal charges more than three years after a then-6-year-old student shot his first grade teacher in their classroom.
Ebony Parker has been charged with eight counts of felony child abuse with disregard for life in connection with the January 2023 shooting at Richneck Elementary School in Newport News — one count for each bullet that was unspent in the gun, according to the Newport News Commonwealth’s Attorney’s Office. She has pleaded not guilty.
The criminal trial comes months after a separate jury in a civil trial found that Parker acted with gross negligence in the shooting and awarded the injured teacher, Abby Zwerner, $10 million in damages.
Prosecutors in the ongoing criminal trial allege that Parker failed to respond after several staffers raised concerns that the student, identified in the trial as JT, had a gun.
“For over an hour, multiple people went to Dr. Parker and told her there was an armed child at an elementary school,” Deputy Commonwealth Attorney Josh Jenkins said during opening statements on Tuesday. “Multiple warnings brought directly to her.”
Jenkins said the evidence will show that Parker did not say to search the child, did not call police and did not remove the child from the classroom.
“She didn’t even get up from her desk,” he said. “Warning after warning after warning — nothing.”
Jenkins said there were 19 children in the classroom at the time of the shooting who are the alleged victims in this case.
“A slight movement of the gun could have hit a child instead of Miss Zwerner,” he said. “All of them, you’ll learn, watched as their teacher clutched her chest and bled before these children, screaming in horror, ran across the hallway to another classroom.”
Jenkins claimed that Parker was the only person in the building at the time who had the authority and knowledge to respond to the crisis.
Defense attorney Curtis Rogers pushed back against that claim, arguing in his opening statement that other school staffers, including Zwerner, could have acted.
“The Commonwealth talks about, a lot, this ongoing crisis and that Dr. Parker was the only person that had knowledge of the crisis and the authority to act. I will submit that that’s not accurate. It’s not true,” Rogers said.
“Think about it — who was the one person that was there from the beginning to the end? And that was the teacher, Miss Zwerner,” he said.
Zwerner, the first witness in the trial, testified that she had told Parker prior to the shooting that JT “seemed to be off” that day and “in a violent mood.” She said another staffer, reading specialist Amy Kovac, alerted her that JT told other students he had brought a gun to school, and that Kovac reported that to the administration.
Zwerner said that in hindsight she could have separated JT from the other students and confirmed that she was responsible for the safety of her students. Though she said her understanding that a crisis or emergency needed to be brought to the attention of the administration, and that she trusted her colleagues.
Kovac testified that she told Parker that two students reported to her that JT had a gun in his bag, and that Parker nodded in acknowledgment when she said she would search the bag at recess. Kovac said she did not find a gun when she searched the bag and then told Parker that she believed the gun was in his jacket pocket.
Pressed by the defense on why she didn’t do more, such as by separating students from JT, Kovac said, “I did not know what his next actions would have been at that moment.”
“A weapon had been reported and no administrator did actions,” she said.
The criminal trial is scheduled to run through at least Thursday.
Zwerner also testified about the shooting during the civil trial, saying she “thought I had died.”
The bullet went through Zwerner’s left hand, which she had lifted, and then into her chest. She was initially hospitalized with life-threatening injuries, police said.
Parker did not testify during the civil trial.
Zwerner and Parker both resigned following the shooting.
The student brought the gun from home, police said. His mother, Deja Taylor, was sentenced to two years in state prison after pleading guilty to child neglect in connection with the shooting. She also pleaded guilty to using marijuana while in possession of a firearm and making a false statement about her drug use during the purchase of the firearm used in the shooting and was sentenced to 21 months in federal prison.
She was released from state custody on May 13 and transitioned to community supervision, according to online Virginia Department of Corrections records.
