Analysis: A Syrian-Libyan Trade-off at The Russian-Turkish Table

Turkish soldiers walk together during a joint U.S.-Turkey patrol, near Tel Abyad, Syria September 8, 2019. REUTERS/Rodi Said
Turkish soldiers walk together during a joint U.S.-Turkey patrol, near Tel Abyad, Syria September 8, 2019. REUTERS/Rodi Said
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Analysis: A Syrian-Libyan Trade-off at The Russian-Turkish Table

Turkish soldiers walk together during a joint U.S.-Turkey patrol, near Tel Abyad, Syria September 8, 2019. REUTERS/Rodi Said
Turkish soldiers walk together during a joint U.S.-Turkey patrol, near Tel Abyad, Syria September 8, 2019. REUTERS/Rodi Said

It is no coincidence that Turkey announced the imminent conclusion of an agreement with Russia on a ceasefire in Libya after the two parties revealed a sudden crisis between them in northwestern Syria. It is not the first time that the two issues are intertwined.

Moscow supports President Bashar al-Assad in Syria and the commander of the National Army, Khalifa Haftar, in eastern Libya, and brings them together. Ankara, for its part, backs opposition factions in northern Syria and the Government of National Accord forces in western Libya, and connects their elements together.

Talks between Russian President Vladimir Putin and Turkish President Recep Tayyip Erdogan often revolve around these two issues. Each of them reinforces his allies or proxies with arms, ammunition and political support, and then talks about a ceasefire. The Turkish side benefited from the quiet “understandings” in the Syrian north to transfer mercenaries to the Libyan north. The Russian side recruited its mercenaries from southern and eastern Syria to fight in eastern Libya. Since the spring of this year, a thread has become obvious between the battles of Tripoli and Idlib, and later between the Idlib “truce” and the “buffer zone” in Sirte.

Thanks to the Putin-Erdogan agreement at the beginning of March, Idlib witnessed a truce for more than six months, for the first time since 2011. It was believed that Moscow did not respond to Damascus’ demands over Idlib and restore areas in its south in compliance with agreements with Ankara. Rather, Russian Foreign Minister Sergey Lavrov has “praised”, during a press conference with Syrian Foreign Minister Walid al-Muallem in Damascus, the Russian-Turkish understandings because they “expanded” areas of control of the Syrian government forces. The Turkish and Russian armies also began joint maneuvers after their joint patrols in Idlib, to confirm the depth of their understandings.

The US side was convinced that the situation in Idlib had entered a “lengthy stalemate” and that there were no upcoming military developments. Its only concern was to “hunt for the extremists” with "drones" and “ninja swords”.

The people of Idlib were similarly convinced that the situation had stabilized in this way, so they began to prepare for coexistence with the Turkish military, civil and economic infrastructure there.

Two days ago, an unexpected development happened. Military and political talks took place in Ankara between the delegations of the two countries. The Turkish side was surprised by new Russian demands to shrink its presence: Dismantling of observation points located in government-held areas between Hama, Aleppo and Idlib, and withdrawing heavy weapons from points in the south of the Aleppo-Latakia road. In the field, Russian planes stepped up bombing areas in Idlib, while the Russian army halted the patrols with the Turkish side. Russian media also began to warn of “chemical provocative attacks by terrorists in Idlib.”

Russia explained that its demands stemmed from the necessity of adhering to the terms of the Moscow agreement concluded last March, and that the goal was to protect the Hmeimim base and reopen economic channels by operating trade routes.

The Turkish response was no less tenacious: The Ankara delegation reminded its guests of the need to implement an oral agreement between the two parties, which included the “handover” of Manbij and Tal Rifaat in northern Aleppo, meaning that the Russian army expels the Kurdish People’s Protection Units to the east of the Euphrates.

Ankara did not forget to point to the Turkish military deployment on the ground. There are more than 12,000 soldiers in Idlib and its countryside, in addition to thousands of Turkish vehicles and around 60 observation posts, some of which are more like military bases. There are also thousands of Syrian fighters who are undergoing training under the supervision of the Turkish army. And on the border, there are about 50,000 Turkish soldiers, ready to move in if fighting breaks out. There are hundreds of “drones” in the skies over the north.

Ankara wanted to say that there were two options: The first is that a trade-off could take place between the south of the Aleppo-Latakia road with Tal Rifaat and Manbij, as happened in previous bargains, when Syrian government forces with Russian support, restored east of Aleppo and other areas in exchange for the entry of pro-Turkish factions into the areas of the Euphrates Shield areas and the “Olive Branch”, thus allowing Ankara to achieve a “strategic objective ” to dismantle any possible Kurdish-Syrian entity.

The second is a direct military confrontation between the two sides that threatens bilateral relations, military cooperation, and the relationship with NATO, in addition to Libya and other issues.

Suddenly, a third option emerged from the Libyan door. The cease-fire in Idlib is under threat, so is the tripartite Syrian political process of the guarantors of the Astana process.

In Libya, the ceasefire and the activation of the political process are imminent. The statements of Turkish Foreign Minister Mevlut Cavusoglu have indisputably expressed the extent of the interconnection between the two issues.

He said that the military and political meetings with the Russian side were “not very fruitful” with regards to Syria, which threatens the continuity of the ceasefire and calm in Idlib.

“If the ceasefire continues to be violated, the political process will be over,” he emphasized. But on the other hand, he revealed an understanding over Libya.

“We can say that we have come close to an agreement on the criteria for a ceasefire in Libya.”



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.