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.



Middle East Aid Workers Say Rules of War Being Flouted

Members of the Lebanese Red Cross inspect damage after an Israeli bombardment -  AFP
Members of the Lebanese Red Cross inspect damage after an Israeli bombardment - AFP
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Middle East Aid Workers Say Rules of War Being Flouted

Members of the Lebanese Red Cross inspect damage after an Israeli bombardment -  AFP
Members of the Lebanese Red Cross inspect damage after an Israeli bombardment - AFP

Flagrant violations of the laws of war in the escalating conflict in the Middle East are setting a dangerous precedent, aid workers in the region warn.

"The rules of war are being broken in such a flagrant way... (it) is setting a precedent that we have not seen in any other conflict," Marwan Jilani, the vice president of the Palestine Red Crescent (PCRS), told AFP.

Speaking last week during a meeting in Geneva of the 191 national Red Cross and Red Crescent societies, he lamented a "total disregard for human life (and) for international humanitarian law".

Amid Israel's devastating retaliatory operation on October 7 in the Gaza Strip , local aid workers are striving to deliver assistance while facing the same risks as the rest of the population, he said.

The PCRS has more than 900 staff and several thousand volunteers inside Gaza, where more than 43,000 Palestinians have been killed, according to the territory's health ministry, and where the UN says virtually the entire population has been repeatedly displaced.

- 'Deliberate targeting' -

"They're part of the community," said Jilani. "I think every single member of our staff has lost family members."

He decried especially what he said was a "deliberate targeting of the health sector".

Israel rejects such accusations and maintains that it is carrying out its military operations in both Gaza and Lebanon in accordance with international law.

But Jilani said that "many of our staff, including doctors and nurses... were detained, were taken for weeks (and) were tortured".

Since the war began, 34 PRCS staff and volunteers have been killed in Gaza, and another two in the West Bank, "most of them while serving", he said.

Four other staff members are still being held, their whereabouts and condition unknown.

Jilani warned that the disregard for basic international law in the expanding conflict was eroding the belief that such laws even exist.

A "huge casualty of this war", he said, "is the belief within the Middle East that there is no international law".

- 'Unbelievable' -

Uri Shacham, chief of staff at the Israeli's emergency aid organization Magen David Adom (MDA), also decried the total disregard for laws requiring the protection of humanitarians.

- Gaza scenario looming -

The Red Cross in Lebanon, where for the past month Israel has been launching ground operations and dramatically escalating its airstrikes against Hezbollah, also condemned the slide.

Thirteen of its volunteers have been recently injured on ambulance missions.

One of its top officials, Samar Abou Jaoudeh, told AFP that they did not appear to have been targeted directly.

"But nevertheless, not being able to reach the injured people, and (missiles) hitting right in front of an ambulance is also not respecting IHL," she said, stressing the urgent need to ensure more respect for international law on the ground.

Abou Jaoudeh feared Lebanon, where at least 1,620 people have been killed since September 23, according to an AFP tally based on official figures, could suffer the same fate as Gaza.

"We hope that no country would face anything that Gaza is facing now, but unfortunately a bit of that scenario is beginning to be similar in Lebanon," she said.

The Lebanese Red Cross, she said, was preparing "for all scenarios... but we just hope that it wouldn't reach this point".