In Times of Crises, Lebanon's Old Must Fend for Themselves

Marie Orfali, 76, left, and her husband Raymond, pose for a photograph in their apartment in Beirut, Lebanon, Tuesday, June 15, 2021. (AP Photo/Hassan Ammar)
Marie Orfali, 76, left, and her husband Raymond, pose for a photograph in their apartment in Beirut, Lebanon, Tuesday, June 15, 2021. (AP Photo/Hassan Ammar)
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In Times of Crises, Lebanon's Old Must Fend for Themselves

Marie Orfali, 76, left, and her husband Raymond, pose for a photograph in their apartment in Beirut, Lebanon, Tuesday, June 15, 2021. (AP Photo/Hassan Ammar)
Marie Orfali, 76, left, and her husband Raymond, pose for a photograph in their apartment in Beirut, Lebanon, Tuesday, June 15, 2021. (AP Photo/Hassan Ammar)

Tiny and bowed by age, Marie Orfali makes the trip five times a week from her Beirut apartment to the local church, a charity and a nearby soup kitchen to fetch a cooked meal for her and her 84-year-old husband, Raymond.

Their only support — Raymond’s $15,000 one-time end-of-service payment from when he retired more than 20 years ago — long ago ran dry.

They have since depended on charity to cover almost everything: rent, cleaning supplies, pain killers and food for their white dog Snoopy. But charity covers less and less as Lebanon’s currency collapses. The cash they get from a benefactor and the church every month, once amounting to $400, is now barely worth $40.

The 76-year-old Marie broke down in tears when asked how she’s doing. “I've become scared, I've become jittery," she said. “I sit and cry and think, I want money. I want to get stuff for the house.”

With virtually no national welfare system, Lebanon’s elderly are left to fend for themselves amid their country’s economic turmoil. In their prime years, they survived 15 years of civil war that started in 1975 and bouts of instability. Now, in their old age, many have been thrown into poverty by one of the world’s worst financial crises in the past 150 years.

Lebanon has the greatest number of elderly in the Middle East — 10% of the population of 6 million is over 65. Around 80% of the population above the age of 65 have no retirement benefits or health care coverage, according to the UN’s International Labor Organization.

Family members and charities, traditionally the prime source of support, are struggling with increasing needs as unemployment rises.

Any dollar savings the elderly had from a lifetime of work are locked up in banks, inaccessible in the banking crisis. The savings lost nearly 90% of their value as the local currency collapsed against the dollar. Imported medicine and basic goods are in jeopardy, and a once reliable health care system is crumbling.

“I don’t have money to buy clothes or shoes,” Marie told The Associated Press, whispering. She didn’t want Raymond to hear her complain. He recently went through a COVID-19 infection and brain surgery and gets agitated, and it’s only worsened by lockdowns and the financial crisis.

Raymond worked for 26 years as an orderly at one of Beirut’s hospitals, and Marie as a custodian at a university.

Over the past two years, more elderly have taken to the streets, searching through trash or begging, said Joe Taoutel, who runs Rafiq el-Darb, or Friends until the End, the charity where Marie gets some of the meals each week.

Taoutel delivers home meals to more than 60 elderly families, up from five before the crisis.

Lebanon is one of only 16 countries in the world with no pension scheme for private sector workers in case of old age, disability and death, according to the ILO. The national social security program covers only 30% of the labor force, mainly giving one-time payments at retirement, and is dangerously underfunded.

As the economy falters, more young Lebanese are migrating, leaving behind aging parents.

The UN estimates that by 2030, those above 65 may make up more than 15% of Lebanon’s population, a trend that could be accelerated with the brain drain and a deteriorating health care system.

“The elderly and those with disabilities are remaining. If society is not aware of this problem, I think we're heading toward more crises,” said Mustafa Helweh, head of Social Services Medical Association, a rehabilitation hospital and nursing home in Tripoli, northern Lebanon.

Thousands of foreign domestic workers — the backbone of the elderly care system — left as dollars became scarce. The overwhelmed health care system is no longer considered reliable.

Back in the Orfalis apartment, Raymond said he can’t afford to hire help. He can barely afford his pain killers.

His equally aging wife is his only caregiver. She changes his diapers and responds to his bell rings in the middle of the night from the room next door.

“She is suffering with me. I don’t want her to suffer,” he said, weeping. “I have nothing. Just God. May He take me back and relieve me."



What to Know about the Tensions between Iran and the US before Their Third Round of Talks

The flags of US and Iran are displayed in Muscat, Oman, 25 April 2025. Iran and US will hold third round of nuclear talks on 26 April 2025, in Muscat. (EPA)
The flags of US and Iran are displayed in Muscat, Oman, 25 April 2025. Iran and US will hold third round of nuclear talks on 26 April 2025, in Muscat. (EPA)
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What to Know about the Tensions between Iran and the US before Their Third Round of Talks

The flags of US and Iran are displayed in Muscat, Oman, 25 April 2025. Iran and US will hold third round of nuclear talks on 26 April 2025, in Muscat. (EPA)
The flags of US and Iran are displayed in Muscat, Oman, 25 April 2025. Iran and US will hold third round of nuclear talks on 26 April 2025, in Muscat. (EPA)

Iran and the United States will hold talks Saturday in Oman, their third round of negotiations over Tehran’s rapidly advancing nuclear program.

The talks follow a first round held in Muscat, Oman, where the two sides spoke face to face. They then met again in Rome last weekend before this scheduled meeting again in Muscat.

Trump has imposed new sanctions on Iran as part of his “maximum pressure” campaign targeting the country. He has repeatedly suggested military action against Iran remained a possibility, while emphasizing he still believed a new deal could be reached by writing a letter to Iran’s 85-year-old Supreme Leader Ali Khamenei to jumpstart these talks.

Khamenei has warned Iran would respond to any attack with an attack of its own.

Here’s what to know about the letter, Iran’s nuclear program and the tensions that have stalked relations between Tehran and Washington since the 1979 revolution.

Why did Trump write the letter? Trump dispatched the letter to Khamenei on March 5, then gave a television interview the next day in which he acknowledged sending it. He said: “I’ve written them a letter saying, ‘I hope you’re going to negotiate because if we have to go in militarily, it’s going to be a terrible thing.’”

Since returning to the White House, the president has been pushing for talks while ratcheting up sanctions and suggesting a military strike by Israel or the US could target Iranian nuclear sites.

A previous letter from Trump during his first term drew an angry retort from the supreme leader.

But Trump’s letters to North Korean leader Kim Jong Un in his first term led to face-to-face meetings, though no deals to limit Pyongyang’s atomic bombs and a missile program capable of reaching the continental US.

How did the first round go? Oman, a sultanate on the eastern edge of the Arabian Peninsula, hosted the first round of talks between Iranian Foreign Minister Abbas Araghchi and US Middle East envoy Steve Witkoff. The two men met face to face after indirect talks and immediately agreed to this second round in Rome.

Witkoff later made a television appearance in which he suggested 3.67% enrichment for Iran could be something the countries could agree on. But that’s exactly the terms set by the 2015 nuclear deal struck under US President Barack Obama, from which Trump unilaterally withdrew America.

Witkoff hours later issued a statement underlining something: “A deal with Iran will only be completed if it is a Trump deal.” Araghchi and Iranian officials have latched onto Witkoff’s comments in recent days as a sign that America was sending it mixed signals about the negotiations.

Yet the Rome talks ended up with the two sides agreeing to starting expert-level talks this Saturday. Analysts described that as a positive sign, though much likely remains to be agreed before reaching a tentative deal.

Why does Iran’s nuclear program worry the West? Iran has insisted for decades that its nuclear program is peaceful. However, its officials increasingly threaten to pursue a nuclear weapon. Iran now enriches uranium to near weapons-grade levels of 60%, the only country in the world without a nuclear weapons program to do so.

Under the original 2015 nuclear deal, Iran was allowed to enrich uranium up to 3.67% purity and to maintain a uranium stockpile of 300 kilograms (661 pounds). The last report by the International Atomic Energy Agency on Iran’s program put its stockpile at 8,294.4 kilograms (18,286 pounds) as it enriches a fraction of it to 60% purity.

US intelligence agencies assess that Iran has yet to begin a weapons program, but has “undertaken activities that better position it to produce a nuclear device, if it chooses to do so.”

Ali Larijani, an adviser to Iran’s supreme leader, has warned in a televised interview that his country has the capability to build nuclear weapons, but it is not pursuing it and has no problem with the International Atomic Energy Agency’s inspections. However, he said if the US or Israel were to attack Iran over the issue, the country would have no choice but to move toward nuclear weapon development.

“If you make a mistake regarding Iran’s nuclear issue, you will force Iran to take that path, because it must defend itself,” he said.

Why are relations so bad between Iran and the US? Iran was once one of the US’s top allies in the Middle East under Shah Mohammad Reza Pahlavi, who purchased American military weapons and allowed CIA technicians to run secret listening posts monitoring the neighboring Soviet Union. The CIA had fomented a 1953 coup that cemented the shah’s rule.

But in January 1979, the shah, fatally ill with cancer, fled Iran as mass demonstrations swelled against his rule. The revolution followed, led by Khomeini, and created Iran’s theocratic government.

Later that year, university students overran the US Embassy in Tehran, seeking the shah’s extradition and sparking the 444-day hostage crisis that saw diplomatic relations between Iran and the US severed. The Iran-Iraq war of the 1980s saw the US back Saddam Hussein. The “Tanker War” during that conflict saw the US launch a one-day assault that crippled Iran at sea, while the US later shot down an Iranian commercial airliner that the American military said it mistook for a warplane.

Iran and the US have see-sawed between enmity and grudging diplomacy in the years since, with relations peaking when Tehran made the 2015 nuclear deal with world powers. But Trump unilaterally withdrew America from the accord in 2018, sparking tensions in the Middle East that persist today.