Life in East Germany was not awful, but a wall such as Trump could only dream of had to be built to stop them escaping, and many were killed trying.

Access to good free health care is about the most important freedom there is.

I value it above most things my country has to offer, but few countries provide it.

It was not enough to stop large numbers of Cubans seeking to escape.

US did not trade with Cuba, but neither did it blockade it.
It had another super power supporting it and free trade with most of the world.
But still they sought to escape.