Financial crisis, virus hit Lebanon’s hospitals

People leave the Family Medical Center, one of the private hospitals facing a financial crisis, in Majdalaiya village, north Lebanon. (AP)
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Updated 23 July 2020
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Financial crisis, virus hit Lebanon’s hospitals

  • Across the country, hospitals and doctors are reporting shortages in vital medical supplies such as anesthesia drugs and sutures

BEIRUT: Lebanon’s hospitals, long considered among the best in the Middle East, are cracking under the country’s financial crisis, struggling to pay staff, keep equipment running or even stay open amid a surge in coronavirus cases.

Private hospitals, the engine of the health system, warn they may have to shut down. Chronically underfunded public hospitals, which have led the fight against the virus, fear they will be overrun.

Across the country, hospitals and doctors are reporting shortages in vital medical supplies such as anesthesia drugs and sutures. With power cuts that run through most of the day, they pour money into fuel for generators, and many are turning away noncritical cases to conserve resources.

“The situation is really catastrophic, and we expect a total collapse if the government doesn’t come up with a rescue plan,” said Selim Abi Saleh, the head of the Physicians Union in northern Lebanon, one of the country’s poorest and most populated regions.

One of the country’s oldest and most prestigious university hospitals, the American University Medical Center, laid off hundreds of its staff last week citing the “disastrous” state of the economy and causing uproar and concern.

Medical facilities have let go of nurses and reduced salaries, their finances running dry in part because they can’t collect millions owed to them by the state. Nearly a third of Lebanon’s 15,000 physicians aim to migrate or already have, a doctors’ union official said, based on the number who have sought union documents they can use abroad to prove their credentials.

So far Lebanon has kept a handle on its pandemic outbreak, through strong lockdowns, aggressive testing and a quick response, largely by public hospitals. The country has reported fewer than 3,000 infections and 41 deaths.

But with cases rising, many in the field fear the health sector can’t hold up under a surge and a financial crisis worsening every day.

Lebanon’s liquidity crunch has crippled the government’s ability to provide fuel, electricity and basic services. The shortage of dollars is gutting imports, including medical supplies and drugs.

Prices have spiraled, unemployment is above 30 percent and nearly half the population of 5 million now live in poverty.

Private hospitals, which make up around 85 percent of the country’s facilities, emerged dominant after the country’s brutal 15-year civil war to become the pride of Lebanon’s system, drawing patients from around the region with specialized services and advanced surgeries.

But the entire health sector, like much of the country, has also run on political jockeying and patronage in Lebanon’s sectarian system. Medical practitioners say political considerations determine the size of state funds and financial caps to private hospitals, while public facilities suffer from understaffing and neglect.

The insurance system, with multiple health funds, is chaotic, making collection difficult and coverage patchy. For years, state insurance funds failed to reimburse hospitals. Private hospitals say they are owed $1.3 billion, some of it dating back to 2011.

“We can’t fight COVID and at the same time keep looking behind our backs to see whether I have enough financial and material resources,” said Firas Abiad, director general of Rafik Hariri University Hospital, the public hospital leading the coronavirus fight.

Abiad, who has won praise for his transparency in handling the pandemic, is getting by with stop-gap measures. When he raised alarm this month that the hospital was running out of fuel, a rush of private donations flowed in. The government pledged to provide fuel for public facilities.

“I doubt anybody has any long-term strategy,” Abiad said. “We are doing it one fight at a time, and we are surviving one day at a time.”

Financing must be priority, he said. “Generators can’t run on empty, without fuel. Hospitals can’t run without financing.”

Minister of Health Hamad Hassan told The Associated Press Monday he was counting on government support to keep hospitals as a “red line.” But he urged hospitals to do their part to push through the crisis.

“Hospitals have invested in this sector for 40 years. Whoever has invested that long should have the courage to invest for six months or a year to help his people and not give up on them,” he said.

Private hospitals’ struggles are compounded by a banking sector crisis that has locked down foreign currency accounts and complicated imports and the issuing of letters of credit.

In the northern village of Majdalaiya, the state-of-the art, 100-bed Family Medical Center hospital stood nearly empty last week. Its owner, oncologist Kayssar Mawad, said he had to shut down one of the five floors to save costs.

Mawad has had to refuse patients with state insurance. The government already owes him millions of dollars, he said.

“It has to be a life or death situation,” Mawad said. “This is not sustainable.”

He said in recent weeks, he admitted 20 patients at most, while treating others as outpatients to save costs. His facility is prepared to deal with COVID-19 patients but he said it won’t because it is too expensive.

“We don’t want to get to a Venezuela-scenario where we diagnose the patient but ask them to bring their own medicine, food, and sheets,” he said. “I hope we don’t get there.”

There was only one baby in the hospital’s 13-bed neonatal unit. On the adults’ floor, there were three patients.

One of them, an 83-year-old man recovering from arterial surgery, had to pay out of pocket because his private insurance won’t cover the room or the stent. If a brother hadn’t come from Germany to cover the costs, “he would have died,” said his daughter, Mayada Qaddour.

The 32 public hospitals won’t be able to fill the place of private hospitals threatened with closure, said Ahmad Moghrabi, chairman of Orange Nassau, Lebanon’s only government-run maternity hospital.

Moghrabi, now in his 70s, rebuilt the hospital in the northern city of Tripoli from scratch since he took it over in 2003, almost totally through foreign donations. Still, it relies on state funds and insurance payments — both minimal — so it has never been able to operate at full capacity of 5,000 births a year.

Now desperately short of funds and fuel, the hospital has to juggle priorities. It suspended its neonatal unit to keep life-saving dialysis running.

“In 2020, (a hospital) can’t do without a neonatal unit,” Moghrabi said. “With the current circumstances in Lebanon, we are going back to the 1960s, even further.”


Abbas to discuss weapons in Lebanon’s Palestinian camps during Beirut visit: delegation member

Updated 11 sec ago
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Abbas to discuss weapons in Lebanon’s Palestinian camps during Beirut visit: delegation member

  • Mahmoud Abbas will meet with the Lebanese president during his three-day visit to the country

RAMALLAH: A member of Mahmoud Abbas’ delegation to Beirut told AFP on Tuesday that the Palestinian president will discuss the issue of weapons in Lebanon’s Palestinian refugee camps during his three-day visit to the country.
“The issue of Palestinian weapons in the camps will be one of the topics on the agenda for discussion between President Abbas, the Lebanese President and the Lebanese government,” said Ahmad Majdalani, a member of the Palestine Liberation Organization’s executive committee who is accompanying Abbas on the visit.


UK halts trade talks with Israel, summons envoy over Gaza

Updated 12 min 11 sec ago
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UK halts trade talks with Israel, summons envoy over Gaza

  • Foreign Secretary David Lammy accused Israeli Prime Minister Benjamin Netanyahu’s government of 'egregious actions and rhetoric'
  • The moves are the UK's toughest stance yet against Israel’s conduct in the war in Gaza

LONDON: Britain suspended free-trade negotiations with Israel on Tuesday and summoned its ambassador to the foreign ministry in its toughest stance yet against Israel’s conduct in the war in Gaza.
Foreign Secretary David Lammy accused Israeli Prime Minister Benjamin Netanyahu’s government of “egregious actions and rhetoric” over its expansion of military operations in the Palestinian territory.
During an impassioned speech to Britain’s parliament, Lammy also said the UK government was imposing new sanctions on individuals and organizations involved in settlements in the West Bank.
“The world is judging, history will judge them. Blocking aid, expanding the war, dismissing the concerns of your friends and partners. This is indefensible and it must stop,” he said.
Lammy said Britain “cannot stand by in the face of this new deterioration” in Gaza and was pausing negotiations with Israel on a new free-trade agreement.
He said Britain would be “reviewing cooperation” with Israel under its so-called 2030 roadmap for UK-Israel relations.

The world is judging, history will judge them. Blocking aid, expanding the war, dismissing the concerns of your friends and partners. This is indefensible and it must stop

Foreign Secretary David Lammy

“Netanyahu government’s actions have made this necessary,” Lammy said.
Israel’s government responded by saying “external pressure will not divert Israel from its path in defending its existence and security against enemies who seek its destruction.”
“If, due to anti-Israel obsession and domestic political considerations, the British government is willing to harm the British economy — that is its own prerogative,” Israeli foreign ministry spokesman Oren Marmorstein said in a statement.
Lammy said the Israeli government’s plan to displace the Gaza population and its limiting of aid to civilians “facing starvation, homelessness and trauma” meant the conflict was “entering a dark new phase.”
Middle East Minister Hamish Falconer said Israeli Ambassador Tzipi Hotovely was being summoned to the Foreign and Commonwealth Development Office in protest against “the wholly disproportionate escalation of military activity in Gaza.”
He added that Israel’s weeks-long blockade on aid entering the strip, which was marginally lifted on Monday, had been “cruel and indefensible.”
The UK government announced financial restrictions and travel bans, targeting prominent settler leader Daniella Weiss and two other individuals, as well as two illegal outposts and two organizations accused of backing violence against Palestinian communities.
Lammy said Israel suffered a “heinous attack” at the hands of Palestinian Hamas militants on October 7, 2023 and the UK government had backed Israel’s right to defend itself.
He repeated calls that Hamas must release all remaining Israeli hostages seized that day “immediately and unconditionally.” He also reiterated that Hamas “cannot continue to run Gaza.”
Britain and Israel opened negotiations on a free-trade agreement in 2022.
According to the British government, Israel was the country’s 44th-largest trading partner last year, with the two countries exchanging 5.8 billion pounds ($7.8 billion) in goods and services.


Rubio says US has not discussed deportation of Palestinians from Gaza to Libya

Updated 22 min 2 sec ago
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Rubio says US has not discussed deportation of Palestinians from Gaza to Libya

  • Rubio said he was not aware of Libya being included
  • He also said the US was pleased to see the resumption of food shipments to Gaza

WASHINGTON: US Secretary of State Marco Rubio said on Tuesday that the United States has not discussed the deportation of Palestinians from Gaza to Libya, but he said that Washington had asked other countries in the region if they would be open to accepting Gazans who want to move voluntarily.

“What we have talked to some nations about is if someone voluntarily and willingly says I want to go somewhere else for some period of time because I’m sick, because my children need to go to school, or what have you, are there countries in the region willing to accept them for some period of time?,” Rubio said, adding that he was not aware of Libya being included in that.

Rubio also told the Senate Foreign Relations Committee that the United States was pleased to see the resumption of food shipments to Gaza, adding that the United States understands that another 100 trucks are behind the initial ones to cross in to Gaza and more might enter in the coming days.


Lebanon pushes for local elections despite Israeli attacks

Updated 26 min 12 sec ago
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Lebanon pushes for local elections despite Israeli attacks

  • Interior minister underlines commitment to ensure elections are conducted with integrity and safety
  • Elections in the South and Nabatieh governorates, scheduled for their fourth phase this coming Saturday, will be held during ongoing Israeli incursions south and north of the Litani River

BEIRUT: The Lebanese government still faces one final — and perhaps the most security sensitive — electoral challenge: the elections in the South and Nabatieh governorates.

These elections, scheduled for their fourth phase this coming Saturday, will be held during ongoing Israeli incursions south and north of the Litani River.

Interior Minister Ahmad Hajjar, in the southern city of Sidon on Tuesday, affirmed that “the government is mindful of the potential for Israeli violations and assaults during the municipal elections scheduled for Saturday. However, the decision remains clear and resolute regarding the continuation of the electoral process regardless of the circumstances.”

The minister emphasized to Mansour Daou, the governor of South Lebanon, and representatives of the security, military, and judicial agencies in the South, “the state’s commitment to ensuring that the elections are conducted with integrity and safety,” underscoring their significance as part of the reconstruction process for the people of the South.

In the lead-up to the elections, an Israeli military drone targeted a motorcycle on the road between Mansouri and Majdalzoun in the Tyre district, resulting in reports from the Ministry of Health indicating that “nine individuals were injured, including two children, with three of the injured in critical condition.”

Another Israeli drone launched a bomb at fishermen off the coast of Ras Al-Naqoura.

Attention in the south is focused on two issues: observing the extent to which people will participate in the elections, particularly those whose homes were destroyed and displaced to other villages; and monitoring Hezbollah’s ability to maintain its popularity in the south, where the devastation and rubble are still visible to the public. To date, no reconstruction has occurred in any facilities either north or south of the Litani River, because Israel has turned the border area into a devastated and desolate zone, maintaining its occupation of five strategic hills and daily thwarting any attempts to establish readymade rooms for logistical purposes to assist the affected population.

The latest data from the Lebanese Ministry of Health, as of May 12, indicates that since the ceasefire between Israel and Hezbollah took effect on Nov. 27, “Israel has killed 156 individuals and injured 376 others, with a total of 3,138 air and maritime violations recorded.”

According to the Israeli army, “by the end of April, around 140 Hezbollah members had been eliminated, with the vast majority of assassinations (more than 50 percent) taking place south of the Litani River. Assassinations north of the Litani River and in the Bekaa region accounted for 48 percent of the operations; 33.3 percent north of the Litani River and 14.7 percent in the Bekaa.”

The Israeli army claimed that “the majority of the assassinated members belonged to Hezbollah’s Aziz, Nasr and Badr units.” In a new study, the Israeli Alma Center stated: “Those individuals were involved in the rehabilitation of infrastructure on the ground.” 


Rubio says Syria could be weeks away from ‘full-scale civil war’

Updated 20 May 2025
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Rubio says Syria could be weeks away from ‘full-scale civil war’

  • US Secretary of State says Syria is weeks away from a potential collapse and splitting up

WASHINGTON: US Secretary of State Marco Rubio warned Tuesday that Syria could be weeks away from a fresh civil war of “epic proportions,” as he called for support to the transitional leadership.
“It is our assessment that, frankly, the transitional authority, given the challenges they’re facing, are maybe weeks — not many months — away from potential collapse and a full-scale civil war of epic proportions, basically the country splitting up,” Rubio told a US Senate hearing.
The top US diplomat spoke after a series of bloody attacks on the Alawite and Druze minorities in Syria, where Islamist-led fighters in December toppled Bashar Assad in a lightning offensive after a brutal civil war that began in 2011.
US President Donald Trump last week on a visit to Saudi Arabia announced a lifting of Assad-era sanctions and met with the guerrilla leader who is now Syria’s transitional president, Ahmed Al-Sharaa.
Sharaa, clad in a suit and complimented by Trump as a “young, attractive guy,” was until recently on a US wanted list over jihadist connections.
Rubio quipped: “The transitional authority figures, they didn’t pass their background check with the FBI.”
But he added: “If we engage them, it may work out, it may not work out. If we did not engage them, it was guaranteed to not work out.”
Rubio, who also met with Syria’s foreign minister in Turkiye on Thursday, blamed the renewed violence on the legacy of Assad, a largely secular leader who hailed from the Alawite sect.
“They are dealing with deep internal distrust in that country, because Assad deliberately pitted these groups against each other,” Rubio said.