George Keays is not a rogue kind of a man. A Colorado real estate agent and grandfather of three, the 65-year-old practices yoga and meditates regularly. But the U.S. government, he says, has left him no choice but to break the law. If, that is, he intends to stay alive.

Keays has stage 4 lung cancer. As his treatment options appeared to be dwindling this fall, he went to Cuba for a vaccine treatment despite a federal law that prohibits Americans from going there for health care. Now, with President Trump’s recent tightening of the regulations governing travel to Cuba, it has become much harder to travel there. But Keays needs more of the vaccine. This spring, he’s going back.

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