Fixed Borders Separate Syrian 'Mini-States' Pending US-Russian Deal

A Syrian man gets his beard trimmed in preparation for the upcoming Eid al-Fitr holiday which marks the end of the Muslim holy month of Ramadan, at a camp for the internally displaced in Maaret Misrin city in Syria's northwestern Idlib province on May 8, 2021. (Photo by OMAR HAJ KADOUR / AFP)
A Syrian man gets his beard trimmed in preparation for the upcoming Eid al-Fitr holiday which marks the end of the Muslim holy month of Ramadan, at a camp for the internally displaced in Maaret Misrin city in Syria's northwestern Idlib province on May 8, 2021. (Photo by OMAR HAJ KADOUR / AFP)
TT

Fixed Borders Separate Syrian 'Mini-States' Pending US-Russian Deal

A Syrian man gets his beard trimmed in preparation for the upcoming Eid al-Fitr holiday which marks the end of the Muslim holy month of Ramadan, at a camp for the internally displaced in Maaret Misrin city in Syria's northwestern Idlib province on May 8, 2021. (Photo by OMAR HAJ KADOUR / AFP)
A Syrian man gets his beard trimmed in preparation for the upcoming Eid al-Fitr holiday which marks the end of the Muslim holy month of Ramadan, at a camp for the internally displaced in Maaret Misrin city in Syria's northwestern Idlib province on May 8, 2021. (Photo by OMAR HAJ KADOUR / AFP)

The “borders” between the three spheres of influence in Syria are fixed, pending a mutual understanding between the United States and Russia. The deal would open the door to a comprehensive solution, but remains insufficient to impose and maintain the expected settlement as the Syrian conflict enters its eleventh year.

Two years ago, Damascus, Moscow, and Tehran were betting on a military operation to restore Idlib- or understandings and incursions to regain influence over east of the Euphrates, in addition to Arab and European political breakthroughs to ease Western sanctions on Damascus- and break its isolation.

But these hopes did not materialize. In March 2020, Moscow was surprised by the Turkish military presence in northwestern Syria and then concluded a long truce with Ankara. Joe Biden entered the White House this year, and the US military presence in northeastern Syria became open, no longer subject to the tweets and understandings of former President Donald Trump with his Turkish counterpart Recep Tayyip Erdogan. Moscow and Washington agreed on a truce as well. In addition, the previous US administration implemented the Caesar Act and coordinated with the European Union and Britain to impose sanctions on Damascus. This has set a legal and political ceiling that restrained the aspirations of those seeking political normalization and economic cooperation with the country.

For around a year and a half, no practical steps were achieved towards a political solution nor a breakthrough in the work of the Constitutional Committee, which Moscow put as an alternative to all the provisions of Resolution 2254. The lines of contact between the three regions have not changed. Each “region” follows its agenda.

In Damascus, parliamentary elections took place, and two weeks after, presidential elections will be held in government-controlled areas, as well as in some diplomatic missions abroad and Lebanon. This is accompanied by war under Russian cover against “ISIS” in the Badia and some assassinations and expansion operations in the countryside of Daraa and Sweida. The official political discourse emphasizes restoring control and sovereignty over all parts of the “Syrian state”, while promises of reforms are repeated in the “national agenda” that will follow the presidential elections. Damascus is benefiting from the presence of Russian and Iranian bases and forces.

The east of the Euphrates is witnessing the empowerment of the Autonomous Administration and the implementation of intra-Kurdish political agreements between its institutions and Syrian opposition parties. This is accompanied by a campaign launched in coordination with the US-led international coalition to pursue ISIS cells and solve the problem of the “mini-state” in al-Hol, a city that comprises thousands of ISIS Arabs, foreigners, and displaced people. This is supported by efforts to grab political recognition of this administration and the Kurdish forces inside it. The “administration” enjoys the presence of the US-led coalition forces and bases.

Something similar is going on in the northwest of the country. Hay’at Tahrir al-Sham, the successor of Al-Nusra Front, is seeking to have political recognition, and its leader, Abu Muhammad al-Julani, changed his rhetoric in an attempt to receive the consent of America and the West. The movement also seeks to empower its “rescue” government and institutions, in competition with the “interim government” that extends its control with other factions over the north of the country. Moreover, the group has opened a department for compulsory recruitment and continues to chase ISIS militants and extremists. It also benefits from the presence of Turkish forces and military bases.

The foreign military presence is not the only common factor between the three regions, which are also facing a severe economic crisis and the spread of the coronavirus. Each region is looking for exits through agreements and bargains, by opening “crossings through the lines of contact” for the passage of goods and aid. The US promised to release frozen funds to support stability and to give humanitarian and structural exemptions from sanctions for the eastern Euphrates.

It also promised to extend the decision on “cross-border” humanitarian aid and increase the crossings to three to include Turkey - northern Syria and Iraq - eastern Syria.

As for Russia, in view of the “borders” set by the sanctions and Western isolation, it is betting on Arab breakthroughs and Damascus’ return to the “Arab fold”, in addition to providing some funds and humanitarian aid to the Syrian government under the slogan of fighting the coronavirus.

Since the arrival of Biden’s administration, Washington has not imposed sanctions under the Caesar Act. It is monitoring Arab steps towards Damascus. It also allowed medical, humanitarian, and nutritional exceptions. The US capital is in fact betting that its leniency will encourage the Russian side to extend the international resolution to provide aid “across borders.”

Despite the decline in US-Russian bilateral relations, the abovementioned steps are seen as a tentative preparation for an arrangement of mutual interests between Washington and Moscow in Syria.

“This is the only path for the start of a comprehensive settlement, not its conclusion,” said a western diplomat.



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)
TT

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.