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.”


Qatari emir, Spanish king meet on sidelines of UN investment conference in Seville

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Qatari emir, Spanish king meet on sidelines of UN investment conference in Seville

  • King Felipe expressed his desire to strengthen relations and support joint investments with Qatar
  • He reiterated Spain’s solidarity with Qatar and condemned the Iranian attack on Al-Udeid Air Base last week

LONDON: Qatari emir, Sheikh Tamim bin Hamad Al-Thani, met King Felipe VI of Spain in Seville on the sidelines of a UN-organized international investment conference.

The 4th International Conference on Financing for Development began on Monday and will continue until July 3, bringing together global leaders to discuss urgent reforms necessary for financing sustainable development.

King Felipe expressed his desire to strengthen relations and support joint investments through small and medium-sized enterprises following the recent economic agreements between Qatar and Spain.

He also reiterated Spain’s solidarity with Qatar and condemned the Iranian attack on Al-Udeid Air Base last week, praising Doha’s role in facilitating a ceasefire agreement between Iran and Israel.

Sheikh Tamim emphasized Qatar’s commitment to enhancing cooperation with Spain across cultural, educational and security fields to serve the common interests of both countries, the Qatar News Agency reported.


Israeli settlers hold wedding ceremony inside Al-Aqsa Mosque under police protection

Updated 47 min 24 sec ago
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Israeli settlers hold wedding ceremony inside Al-Aqsa Mosque under police protection

  • The Jerusalem Governorate deemed the move ‘provocative and humiliating’

LONDON: Israeli authorities permitted a wedding engagement ceremony for Jewish settlers within the courtyards of Al-Aqsa Mosque in the occupied Old City of East Jerusalem on Monday.

The Palestinian Authority’s Jerusalem Governorate deemed the move “provocative and humiliating,” describing it as a transformation of the Al-Aqsa Mosque into what resembles a public hall for celebrations by extremist settlers.

“(This is) a flagrant violation of the sanctity of the mosque, a serious provocation of the feelings of Muslims, and a deliberate attempt to impose a new reality that erases the Islamic identity of the site and paves the way for its division temporally and spatially,” the Jerusalem Governorate said.

On Monday, settlers, accompanied by Israeli police, toured the Al-Aqsa compound. Police prevented Palestinians from approaching the settlers to disrupt the ceremony, according to the Wafa news agency.

The Jerusalem Governorate said that Israeli policies aim to impose sovereignty on Al-Aqsa Mosque, stressing that these repeated provocations contradict international law and the 2016 UNESCO resolution, which recognized Al-Aqsa Mosque as an Islamic heritage site and called for its preservation.

Since 1967, the Jerusalem Endowments Council, which operates under Jordan’s Ministry of Endowments and Islamic Affairs, has been the legal authority responsible for managing and regulating the affairs of Al-Aqsa.

However, this status quo has been challenged in recent years by extremist settlers who regularly tour the site under the protection of Israeli police and are often accompanied by government officials and far-right ministers and activists.


UK MPs demand Ukraine-style visa route for Gazans

Updated 30 June 2025
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UK MPs demand Ukraine-style visa route for Gazans

  • Letter to PM: ‘The same generosity should be extended to Palestinian families’
  • Death toll ‘likely to be exponentially higher’ than official figure due to collapse of local govt, health systems

LONDON: MPs in the UK are calling on the government to launch a visa system for Palestinians in Gaza with family already living in Britain.

Sixty-seven politicians have written to Prime Minister Keir Starmer and Home Secretary Yvette Cooper asking for a Gaza Family Scheme mirroring the Ukraine Family Scheme established in 2022 to help refugees escape the war with Russia. It allowed Ukrainians to live and work in the UK for up to three years.

“We believe that the same generosity should be extended to Palestinian families,” said the letter, seen by Sky News.

Signatories include 35 Labour MPs and members of the House of Lords, as well as several people currently suspended from the governing party, including its former leader Jeremy Corbyn and former Shadow Chancellor John McDonnell. 

All four sitting members of the Green Party have also signed, alongside former Liberal Democrat leader Tim Farron and the Bishop of Chelmsford Dr. Guli Francis-Dehquani.

The letter accuses Israel of “shattering the temporary ceasefire agreement” with Hamas in Gaza, and of conducting a “campaign of bombardment and military assaults, and targeting of people accessing humanitarian aid.”

MP Marsha de Cordova, who helped organize the letter alongside the Gaza Families Reunited campaign, told Sky News that the Ukraine visa scheme “was the right response to a brutal war,” and that establishing one for Gazans “would be an extension of those same principles, showing that this government is steadfast in its commitment to helping families experiencing the worst horrors of war.

“It is time for the government to act now to help British Palestinians get their loved ones to safety, enabling them to rebuild their lives.”

The letter said the proposed scheme would let Palestinians reunite with “people they may never see again unless urgent action is taken,” and many Gazans trying to reach the UK “struggled to navigate the immigration system.”

It added that efforts to secure visas have been made “impossible due to the destruction of the visa application centre in Gaza and blockade of the Rafah crossing.”

The letter said the death toll in Gaza, reported by Palestinian authorities as numbering at least 53,000 people, “is likely to be exponentially higher” due to the collapse of local government and health systems in the enclave.

Ghassan Ghaben, spokesperson for Gaza Families Reunited, told Sky News: “Family unity is an undeniable human right.”

He urged more MPs, including Conservatives, to add their names to efforts to help get Palestinians to the UK, saying: “We are still waiting for the new government to do the right thing. We, as Palestinians in the UK, simply want the opportunity to bring our loved ones from Gaza to safety, until it is safe to return.”

A government spokesperson told Sky News: “The death and destruction in Gaza is intolerable. Since day one, we have been clear that we need to see an immediate ceasefire, the release of all hostages cruelly detained by Hamas, better protection of civilians, significantly more aid consistently entering Gaza, and a path to long-term peace and stability.

“There are a range of routes available for Palestinians who wish to join family members in the UK.”


Israel steps up Gaza bombardment ahead of White House talks on ceasefire

Updated 30 June 2025
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Israel steps up Gaza bombardment ahead of White House talks on ceasefire

  • Israel’s Dermer due in US for talks on Gaza, Iran, wider deals
  • Israeli tanks push into Gaza City suburb, residents say

CAIRO/JERUSALEM: Palestinians in northern Gaza reported one of the worst nights of Israeli bombardment in weeks after the military issued mass evacuation orders on Monday, while Israeli officials were due in Washington for a new ceasefire push by the Trump administration.
A day after US President Donald Trump urged an end to the 20-month-old war, a confidant of Prime Minister Benjamin Netanyahu was expected at the White House for talks on a Gaza ceasefire, Iran, and possible wider regional diplomatic deals.
But on the ground in the Palestinian enclave there was no sign of fighting letting up.
“Explosions never stopped; they bombed schools and homes. It felt like earthquakes,” said Salah, 60, a father of five children, from Gaza City. “In the news we hear a ceasefire is near, on the ground we see death and we hear explosions.”
Israeli tanks pushed into the eastern areas of Zeitoun suburb in Gaza City and shelled several areas in the north, while aircraft bombed at least four schools after ordering hundreds of families sheltering inside to leave, residents said.
At least 38 people were killed in Israeli strikes on Monday, health authorities said, including 10 people killed in Zeitoun and at least 13 killed southwest of Gaza City. Medics said most of the 13 were hit by gunfire, but residents also reported an airstrike.
The Israeli military said it struck militant targets in northern Gaza, including command and control centers, after taking steps to mitigate the risk of harming civilians.
There was no immediate word from Israel on the reported casualties southwest of Gaza City.
The heavy bombardment followed new evacuation orders to vast areas in the north, where Israeli forces had operated before and left behind wide-scale destruction. The military ordered people there to head south, saying that it planned to fight Hamas militants operating in northern Gaza, including in the heart of Gaza City.

NEXT STEPS
A day after Trump called to “Make the deal in Gaza, get the hostages back,” Israel’s strategic affairs minister Ron Dermer, a confidant of Netanyahu’s, was expected on Monday at the White House for talks on Iran and Gaza, an Israeli official said.
In Israel, Netanyahu’s security cabinet was expected to convene to discuss the next steps in Gaza.
On Friday, Israel’s military chief said the present ground operation was close to having achieved its goals, and on Sunday, Netanyahu said new opportunities had opened up for recovering the hostages, 20 of whom are believed to still be alive.
Palestinian and Egyptian sources with knowledge of the latest ceasefire efforts said that mediators Qatar and Egypt have stepped up their contacts with the two warring sides, but that no date has been set yet for a new round of truce talks.
A Hamas official said that progress depends on Israel changing its position and agreeing to end the war and withdraw from Gaza. Israel says it can end the war only when Hamas is disarmed and dismantled. Hamas refuses to lay down its arms.
Israeli Foreign Minister Gideon Saar said that Israel has agreed to a US-proposed 60-day ceasefire and hostage deal, and put the onus on Hamas.
“Israel is serious in its will to reach a hostage deal and ceasefire in Gaza,” Saar told reporters in Jerusalem.
Austrian Foreign Minister Beate Meinl-Reisinger, speaking in Jerusalem on Monday alongside her Israeli counterpart, told reporters that Vienna was very concerned about the humanitarian situation in Gaza, which she described as “unbearable.”
“Let me be frank, the suffering of civilians is increasingly burdening Israel’s relations with Europe. A ceasefire must be agreed upon,” she said, calling for the unconditional release of hostages by Hamas and for Israel to allow the uninterrupted flow of humanitarian aid into Gaza.
Israel says it continues to allow aid into Gaza and accuses Hamas of stealing it. The group denies that accusation and says Israel uses hunger as a weapon against the Gaza population.
The US has proposed a 60-day ceasefire and the release of half the hostages in exchange for Palestinian prisoners and the remains of other Palestinians. Hamas would release the remaining hostages as part of a deal that guarantees ending the war.
The war began when Hamas fighters stormed into Israel on October 7 2023, killed 1,200 people, most of them civilians, and took 251 hostages back to Gaza in a surprise attack that led to Israel’s single deadliest day.
Israel’s subsequent military assault has killed more than 56,000 Palestinians, most of them civilians, according to the Gaza health ministry, displaced almost the whole 2.3 million population and plunged the enclave into a humanitarian crisis.
More than 80 percent of the territory is now an Israeli-militarized zone or under displacement orders, according to the United Nations.


No injuries or pollution after explosion at oil tanker off Libya, says operator

Updated 30 June 2025
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No injuries or pollution after explosion at oil tanker off Libya, says operator

  • The Marshall Islands-flagged tanker Vilamoura had left Libya’s Zuetina port and was en route to Gibraltar

ATHENS: An oil tanker carrying about 1 million barrels of crude oil suffered an explosion off Libya on June 27 but no injuries or pollution were reported, a spokesperson for the operator TMS Tankers said on Monday.

The Marshall Islands-flagged tanker Vilamoura had left Libya’s Zuetina port and was en route to Gibraltar when there was an explosion in the engine room, the operator said.

The vessel is now being towed to Greece where it is expected to arrive by July 2, it added.