Lebanon: Hospitals at Closure Risk Amid Financial Crisis

 A Lebanese Red Cross ambulance leaves the emergency building of the government-run Rafik Hariri University Hospital in Beirut, March 11. (AP)
A Lebanese Red Cross ambulance leaves the emergency building of the government-run Rafik Hariri University Hospital in Beirut, March 11. (AP)
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Lebanon: Hospitals at Closure Risk Amid Financial Crisis

 A Lebanese Red Cross ambulance leaves the emergency building of the government-run Rafik Hariri University Hospital in Beirut, March 11. (AP)
A Lebanese Red Cross ambulance leaves the emergency building of the government-run Rafik Hariri University Hospital in Beirut, March 11. (AP)

Amid the Corona pandemic and the severe economic situation, a new problem has emerged threatening Lebanon’s hospital sector.

Several private hospitals could face closure due to scarce funds and their failure to obtain their dues from the state, which are estimated at $1.3 billion.

“The week portends a catastrophe in the private hospital sector, as the state’s debt reached its peak, and the operation cost increased with the rise of the value of the dollar, threatening the closure of a number of hospitals in Keserwan, Metn and Beirut,” MP Ibrahim Kenaan, the head of the parliamentary finance and budget committee, said on Twitter.

On Monday, Health Minister Hamad Hassan touched on the issue, stressing that hospital contracts were ready to be settled. He noted that dues were paid until the month of June 2019, and that the remaining amounts would be disbursed soon.

Hamad added that hospitals facing financial difficulties could be given an advance for 2020.

In remarks to Asharq Al-Awsat, Sleiman Haroun, the head of the Syndicate of Private Hospitals, said that a proposal would be presented to the government, for the payment of outstanding dues in monthly installments, in order to enable the hospitals to pay the salaries of its employees and the dues owed to the importers at this stage, until a clear and integrated plan is found.

Haroun emphasized that the problem was not new.

“We have always warned about this problem and its repercussions, until the crisis began to worsen. In addition to the failure of the state to pay its dues, we are facing the increase of the dollar value against the local currency and lately the outbreak of Corona,” he told Asharq Al-Awsat.

“We buy all medical supplies from A to Z in US dollars, the exchange rate of which has doubled, but we provide invoices to the state at the official exchange rate set by the central bank,” he explained.

Haroun noted that with the spread of the corona virus, hospitals were forced to make a decision not to receive patients except in emergency cases, which led to a decrease in the occupancy rate to a quarter, while the expenses remained the same, leading to additional losses.

This situation threatens the closure of about 20 hospitals in the coming weeks, out of 126 private hospitals in Lebanon, he warned.



Netanyahu Dashes Hopes for Gaza Ceasefire Deal

Israeli PM Benjamin Netanyahu during a visit to the Air Force Command, accompanied by Defense Minister Israel Katz, earlier this month (dpa)
Israeli PM Benjamin Netanyahu during a visit to the Air Force Command, accompanied by Defense Minister Israel Katz, earlier this month (dpa)
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Netanyahu Dashes Hopes for Gaza Ceasefire Deal

Israeli PM Benjamin Netanyahu during a visit to the Air Force Command, accompanied by Defense Minister Israel Katz, earlier this month (dpa)
Israeli PM Benjamin Netanyahu during a visit to the Air Force Command, accompanied by Defense Minister Israel Katz, earlier this month (dpa)

Israeli Prime Minister Benjamin Netanyahu affirmed that fighting in Gaza would resume following any hostage deal with Hamas, according to a report on Monday on Channel 12 website.

His statement reinforced fears that the PM has no intention of ending the war and leaving the Strip anytime soon.

“If there is a deal—and I hope there will be—Israel will return to fighting afterward. There’s no reason to obscure or conceal this because resuming fighting is intended to complete the war’s objectives. This doesn’t obstruct a deal; it encourages one,” Channel 12 quoted the premier as saying.

The PM’s recent remarks came while negotiations for the release of hostages faced difficulties due to two issues: A request for Hamas to hand over a list of the names of detainees, whether alive or dead. Meanwhile, the movement insists that a proposed deal include the terms for an end to the war.

Channel 12 said the remarks sparked fresh concerns among members of the hostage negotiating team, who believe that such comments have made it more difficult to secure a deal.

They said Netanyahu’s statements reinforce Hamas' fears that the PM does not intend to reach the later stages of a ceasefire deal.

Mediators are actively seeking to reach an agreement before US President-elect Donald Trump takes office in about 20 days.

Channel 12 said Netanyahu's comments raised serious concerns that even in a partial agreement, the first stage of the envisioned three-phase deal, would not bear fruits.

Netanyahu has long insisted to resume fighting after any deal with Hamas in the Gaza Strip. The PM said neither Hamas nor the Ramallah-based Palestinian Authority should govern the territory, and that Israel will keep “full security control.”

Palestinians, Arabs and Americans fear that Israel intends to establish a military rule in the Gaza Strip. Israeli military and security service leaders oppose the idea and demand an immediate replacement for Hamas.

On Tuesday, the Yedioth Ahronoth quoted senior Israeli army officials as saying that failure to plan for Gaza's future governance could lead to a relapse of conditions that existed before the October 7 attack. “It’s that simple,” one official said.

Security officials emphasize that without decisive action on post-war governance, Hamas could rebuild its political power and regain control of Gaza.

“In the absence of an alternative, Hamas will inevitably return to power. Decisions must be made now, before any hostage deals or ceasefire agreements,” officials said.

This concern resonates within both the Israeli army and the Shin Bet. While Hamas’ military capabilities have been decimated, officials caution that the group’s political infrastructure remains intact.

A senior Israeli official said that according to Netanyahu, even if a deal is made, Israel would return to the fighting in Gaza until it achieves its declared goals, according to Yedioth Ahronoth.

“The prime minister is in the opinion that there can be no plan for the day after the war until all of Hamas's capabilities are destroyed,” the official said, adding that there have been discussions in the appropriate forums on the matter.

He said: “the policy of the prime minister in Gaza is that neither Hamas nor the Palestinian Authority (PA) would govern Gaza, including having responsibility over distribution of humanitarian aid.”

“The security agencies are considering alternatives and would continue to do so. Cutting Hamas off from aid distribution is meant to prevent the terror group from controlling the civilian population and to bring about the release of hostages,” the official said.

Amos Harel, a military analyst for the Haaretz newspaper, wrote that Netanyahu is unwilling to take the extra step to reach a deal, for a variety of political, personal and strategic reasons.

He said Netanyahu needs the war to continue to justify his moves up to now, and in order to prevent the establishment of a state commission of inquiry over the failures that enabled the October 7 attack, and in order to continue, under the fog of war, with his judicial coup legislation.