Trump's new sanctions on Cuba are bad news for ordinary Cubans, who face worsening fuel, food, and medical shortages as Washington pushes for regime change.

• The US hit Cuba's state oil company with new sanctions, calling them payback for energy assets nationalized after the 1959 revolution.
• The real goal is regime change — cut off fuel and supplies so Cubans rise up against their government.
• Since January, Trump has choked Cuba's fuel by cutting off Venezuelan oil and threatening tariffs on any country that ships to the island.
• The UN says the squeeze is killing people, with hospitals losing power and kids dying because doctors lack medicine.
• A US military buildup in the Caribbean — an aircraft carrier, visits to Guantanamo — signals possible aggressive action.

Outlook: Trump is likely to keep tightening the screws, since unlike the Iran conflict, hurting Cuba does not raise US gas prices before the midterms.