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What Role is the US Playing to Prevent Conflict in Lebanon from Escalating?

US Special Envoy Amos Hochstein meets with Lebanon's caretaker Prime Minister Najib Mikati [not pictured] in Beirut, Lebanon November 7, 2023. REUTERS/MOHAMED AZAKIR)
US Special Envoy Amos Hochstein meets with Lebanon's caretaker Prime Minister Najib Mikati [not pictured] in Beirut, Lebanon November 7, 2023. REUTERS/MOHAMED AZAKIR)
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What Role is the US Playing to Prevent Conflict in Lebanon from Escalating?

US Special Envoy Amos Hochstein meets with Lebanon's caretaker Prime Minister Najib Mikati [not pictured] in Beirut, Lebanon November 7, 2023. REUTERS/MOHAMED AZAKIR)
US Special Envoy Amos Hochstein meets with Lebanon's caretaker Prime Minister Najib Mikati [not pictured] in Beirut, Lebanon November 7, 2023. REUTERS/MOHAMED AZAKIR)

The United States is working hard to prevent the conflict in Lebanon from escalating. To achieve this, the Biden administration has sent special envoy Amos Hochstein to the region. His goal is to ease tensions and return to previous engagement rules.

Concerns have grown that Israeli Prime Minister Benjamin Netanyahu may follow through on threats of a full-scale war against Lebanon, especially with the military operation in Rafah nearing its end.

Hochstein is experienced with the Lebanese situation, having successfully brokered a historic maritime border agreement between Lebanon and Israel in October 2022.

He now aims to negotiate a similar agreement for the land borders to secure long-term stability between Hezbollah and Israel.

Hochstein has built a strong relationship with Lebanese Parliament Speaker Nabih Berri, who negotiates with the Americans on behalf of Hezbollah.

The US envoy hopes to replicate his 2022 success, although the ongoing Gaza conflict complicates efforts, as Hezbollah ties the fates of Gaza and Lebanon together.

Former Lebanese Ambassador to Washington, Dr. Riad Tabbara, says Washington’s current aim is to maintain regional stability and avoid a wide-scale war between Israel and its enemies.

Such a conflict could force US military involvement, an undesirable scenario in an election year with public and congressional opposition to war.

“The main American concern is ensuring any solutions protect Israel, which is struggling politically and militarily,” Tabbara told Asharq Al-Awsat.

“A key part of the US stance is to prevent the war from spreading in southern Lebanon,” he added, noting that “this is why the US continues to send envoys like Hochstein to the region.”

Additionally, the US engages in indirect communications with Hezbollah, despite its public policy of not dealing with the group.

According to Dr. Sami Nader, Director of the Levant Institute for Strategic Affairs, the US holds significant influence in Lebanon but isn't the sole player since World War II, with other actors entering the scene.

Nader highlighted US efforts to prevent Lebanon from being engulfed in war, citing reluctance for a third conflict amid ongoing crises in Ukraine and trade tensions with China.

He emphasized that the timing of any conflict is problematic for the Biden administration, facing a contentious election where mistakes could be exploited by opponents.

Despite American aversion to foreign wars and spending abroad, Nader noted Washington’s commitment to supporting regional allies, particularly Israel.

Dr. Hilal Khashan from the American University of Beirut explained that US mediation between Israel and Lebanon is influenced by concerns about how war would impact US President Joe Biden’s reelection prospects, potentially forcing US support for Israel in conflict scenarios.

Khashan pointed out that while France plays a minimal role in the region, the US remains pivotal in shaping Lebanese political outcomes.

The US collaborates with France, Saudi Arabia, Qatar, and Egypt in a committee seeking to resolve Lebanon’s presidential vacuum, yet ongoing differences among political parties hampers progress towards a consensus candidate.

Moreover, Washington continues to prioritize assistance to the Lebanese army, aiming to counter Hezbollah’s influence, with substantial aid contributions since 2006, including recent support to improve salaries.

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Doctor at the Heart of Türkiye Newborn Baby Deaths Case Says He was a 'Trusted' Physician

A doctor takes the footprint of a newborn baby for his birth certificate at a private clinic in Ankara, October 16, 2011. The world's population will reach seven billion on October 31, according to projections by the United Nations. Picture taken October 16, 2011. REUTERS/Umit Bektas (Türkiye - Tags: SOCIETY HEALTH)
A doctor takes the footprint of a newborn baby for his birth certificate at a private clinic in Ankara, October 16, 2011. The world's population will reach seven billion on October 31, according to projections by the United Nations. Picture taken October 16, 2011. REUTERS/Umit Bektas (Türkiye - Tags: SOCIETY HEALTH)
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Doctor at the Heart of Türkiye Newborn Baby Deaths Case Says He was a 'Trusted' Physician

A doctor takes the footprint of a newborn baby for his birth certificate at a private clinic in Ankara, October 16, 2011. The world's population will reach seven billion on October 31, according to projections by the United Nations. Picture taken October 16, 2011. REUTERS/Umit Bektas (Türkiye - Tags: SOCIETY HEALTH)
A doctor takes the footprint of a newborn baby for his birth certificate at a private clinic in Ankara, October 16, 2011. The world's population will reach seven billion on October 31, according to projections by the United Nations. Picture taken October 16, 2011. REUTERS/Umit Bektas (Türkiye - Tags: SOCIETY HEALTH)

The Turkish doctor at the center of an alleged fraud scheme that led to the deaths of 10 babies told an Istanbul court Saturday that he was a “trusted” physician.

Dr. Firat Sari is one of 47 people on trial accused of transferring newborn babies to neonatal units of private hospitals, where they were allegedly kept for prolonged and sometimes unnecessary treatments in order to receive social security payments.

“Patients were referred to me because people trusted me. We did not accept patients by bribing anyone from 112,” Sari said, referring to Türkiye's emergency medical phone line.

Sari, said to be the plot’s ringleader, operated the neonatal intensive care units of several private hospitals in Istanbul. He is facing a sentence of up to 583 years in prison in a case where doctors, nurses, hospital managers and other health staff are accused of putting financial gain before newborns’ wellbeing, The AP reported.

The case, which emerged last month, has sparked public outrage and calls for greater oversight of the health care system. Authorities have since revoked the licenses and closed 10 of the 19 hospitals that were implicated in the scandal.

“I want to tell everything so that the events can be revealed,” Sari, the owner of Medisense Health Services, told the court. “I love my profession very much. I love being a doctor very much.”

Although the defendants are charged with the negligent homicide of 10 infants since January 2023, an investigative report cited by the state-run Anadolu news agency said they caused the deaths of “hundreds” of babies over a much longer time period.

Over 350 families have petitioned prosecutors or other state institutions seeking investigations into the deaths of their children, according to state media.

Prosecutors at the trial, which opened on Monday, say the defendants also falsified reports to make the babies’ condition appear more serious so as to obtain more money from the state as well as from families.

The main defendants have denied any wrongdoing, insisting they made the best possible decisions and are now facing punishment for unavoidable, unwanted outcomes.

Sari is charged with establishing an organization with the aim of committing a crime, defrauding public institutions, forgery of official documents and homicide by negligence.

During questioning by prosecutors before the trial, Sari denied accusations that the babies were not given the proper care, that the neonatal units were understaffed or that his employees were not appropriately qualified, according to a 1,400-page indictment.

“Everything is in accordance with procedures,” he told prosecutors in a statement.

The hearings at Bakirkoy courthouse, on Istanbul’s European side, have seen protests outside calling for private hospitals to be shut down and “baby killers” to be held accountable.

The case has also led to calls for the resignation of Health Minister Kemal Memisoglu, who was the Istanbul provincial health director at the time some of the deaths occurred. Ozgur Ozel, the main opposition party leader, has called for all hospitals involved to be nationalized.

In a Saturday interview with the A Haber TV channel, Memisoglu characterized the defendants as “bad apples” who had been “weeded out.”

“Our health system is one of the best health systems in the world,” he said. “This is a very exceptional, very organized criminal organization. It is a mistake to evaluate this in the health system as a whole.”

Memisoglu also denied the claim that he shut down an investigation into the claims in 2016, when he was Istanbul’s health director, calling it “a lie and slander.”

Turkish President Recep Tayyip Erdogan said this week that those responsible for the deaths would be severely punished but warned against placing all the blame on the country’s health care system.

“We will not allow our health care community to be battered because of a few rotten apples,” he said.