SANTA CLARA, CUBA—Every morning, on the edge of town, you can witness a spectacular migration. Hundreds of students in white lab coats pour from a squat university building on to the street, around the line of horse-drawn wagons, and into nearby hospitals. They are international students at the world’s largest medical school, the Escuela Latinoamericana de Medicina — ELAM. To put the school’s size in perspective: the University of Toronto has 850 medical students and Harvard University has 735. ELAM has twelve times more students than those two schools combined: 19,550. And, despite being a poor country, every single one of those students is on full scholarship. The school quickly expanded to include students from more than 110 countries, from Mozambique and Yemen to Cambodia and East Timor.
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