I was using the term elite in a very broad sense. Thank you for clarifying the idea better than I did. Also, I was unaware of the payment scheme about Cuban doctors. Thank you very much for that information, I intend to look into it.
As for one-party rule. We are completely in agreement about that. Venezuela is no longer democratic, socialist or any other form of government than a dictatorship. Virtually all democratic institutions have been dissolved. You are completely correct.
Thanks for reading. And I am always looking for more sources if information and avenues to explore. So thank you again for providing a few.