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Let	
  Us	
  Talk	
  about	
  Education	
  and	
  Health	
  by	
  Karim	
  Noujaim	
  
	
  
	
  
	
  
“The	
  whole	
  purpose	
  of	
  education	
  is	
  to	
  turn	
  mirrors	
  into	
  windows.”	
  Sydney	
  J.Harris	
  
	
  
A	
  sound	
  mind	
  is	
  one	
  that	
  is	
  well	
  bred	
  and	
  well	
  educated.	
  But,	
  what	
  would	
  education	
  
serve	
  without	
  good	
  health?	
  If	
  education	
  doubles	
  your	
  chances	
  of	
  success	
  in	
  life,	
  good	
  
health	
  simply	
  allows	
  you	
  to	
  achieve	
  it.	
  Let’s	
  talk	
  about	
  something	
  that	
  is	
  a	
  priority	
  in	
  my	
  
view,	
  apart	
  from	
  culture,	
  economy	
  and	
  education	
  which	
  are	
  the	
  fruits	
  of	
  peace,	
  which	
  is	
  
the	
  health	
  of	
  the	
  Lebanese	
  people.	
  
Before	
  the	
  civil	
  war,	
  Lebanon	
  was	
  equipped	
  with	
  first-­‐class	
  hospital	
  infrastructure	
  with	
  
a	
  market	
  of	
  health	
  products	
  that	
  was	
  the	
  most	
  efficient	
  in	
  the	
  Near	
  and	
  Middle	
  East.	
  The	
  
administration	
  of	
   state	
   institutions	
   was	
   the	
   object	
   of	
   envy	
   of	
   the	
   leaders	
   of	
   all	
   the	
  
countries	
  in	
  the	
  region.	
  
	
  
Unfortunately,	
  the	
  war	
  has	
  largely	
  disorganized	
  the	
  health	
  sector	
  with	
  the	
  departure	
  of	
  
highly	
   qualified	
   medical	
   personnel	
   in	
   self-­‐exile.	
   The	
   war	
   also	
   caused	
   an	
   extreme	
  
disorganization	
  of	
  health	
  products	
  at	
  the	
  level	
  of	
  state	
  departments.	
  The	
  33-­‐day	
  war	
  has	
  
also	
  had	
  a	
  very	
  negative	
  impact.	
  
I	
  recall	
  a	
  book	
  written	
  by	
  doctor	
  and	
  surgeon	
  Jamil	
  Berry	
  “Le	
  Liban:	
  Pays	
  hors	
  Sujet?”	
  
(Albouraq	
  edition,	
  http://www.albouraq.com).	
  I	
  also	
  recall	
  his	
  final	
  lines,	
  which	
  express	
  
his	
  belief	
  that	
  the	
  real	
  concern	
  of	
  Lebanon	
  is	
  life,	
  and	
  I	
  cite	
  his	
  words:	
  
	
  
“Ne	
  sentez-­‐vous	
  pas	
  
N’imaginez-­‐vous	
  pas	
  
Ne	
  percevez-­‐vous	
  pas	
  
Ne	
  remarquez-­‐vous	
  pas	
  
Ne	
  devinez-­‐vous	
  pas	
  
Ne	
  voyez-­‐vous	
  pas	
  enfin	
  
que	
  le	
  véritable	
  enjeu	
  est	
  l’EXISTENCE	
  même	
  du	
  Liban.”	
  	
  
	
  
This	
  call	
  to	
  peace	
  and	
  unity	
  from	
  a	
  man	
  whose	
  life	
  is	
  concerned	
  with	
  saving	
  the	
  lives	
  of	
  
others,	
   expressed	
   in	
   such	
   a	
   simple	
   and	
   direct	
   style	
   that	
  compares	
   the	
   health	
   of	
   our	
  
country	
  with	
  that	
  of	
  a	
  human	
  body;	
  with	
  that	
  he	
  has	
  touched	
  me	
  tremendously.	
  
	
  
I	
   would	
   like	
   to	
  talk	
   about	
   the	
   health	
   sector	
   in	
   our	
   country	
   in	
   a	
   manner	
   that	
   is	
  
more	
  concrete	
  and	
  less	
  metaphorical.	
  Out	
  of	
  about	
  168	
  hospitals	
  that	
  exist	
  in	
  Lebanon,	
  
around	
  138	
  are	
  private	
  belonging	
  to	
  medical	
  doctors	
  or	
  to	
  various	
  religious	
  institutions	
  
and	
   communities.	
   The	
   30	
   which	
   remain	
   are	
   state	
   hospitals,	
   and	
   are	
   only	
   partially	
  
operational	
   due	
   to	
   lack	
   of	
   resources.	
   	
  Luckily,	
   some	
   universities	
   contain	
   a	
   university	
  
hospital	
  as	
  is	
  the	
  case	
  at	
  the	
  Hôtel-­‐Dieu	
  de	
  France	
  at	
  Saint-­‐Joseph	
  University	
  in	
  Beirut.	
  
	
  
Here	
  are	
  a	
  few	
  more	
  figures	
  to	
  consider.	
  If	
  you	
  only	
  have	
  to	
  pay	
  10%	
  of	
  charges	
  when	
  
you	
   are	
   ensured	
   with	
   a	
   private	
  institution,	
   then	
   you	
   are	
   in	
   a	
   position	
   to	
   benefit	
   from	
  
health	
  care.	
  But	
  remember	
  that	
  more	
  than	
  half	
  of	
  the	
  Lebanese	
  population	
  does	
  not	
  have	
  
social	
  insurance.	
  How	
  can	
  they	
  then	
  access	
  the	
  most	
  elementary	
  care?	
  Last	
  but	
  not	
  least,	
  
social	
  security	
   refunds	
   seem	
   regularly	
   dysfunctional	
   and	
   cause	
   difficulties	
   for	
   certain	
  
clinics	
  and	
  certain	
  hospitals.	
  And	
  here	
  again,	
  there’s	
  a	
  lot	
  to	
  do.	
  
As	
  a	
  reminder:	
  the	
  law	
  in	
  Lebanon	
  requires	
  the	
  Ministry	
  of	
  Health	
  to	
  offer	
  to	
  Lebanese	
  
citizens,	
   those	
   who	
   are	
   not	
  beneficiary	
   of	
   any	
   medical	
   or	
   health	
  insurance	
   or	
   who	
   do	
  
not	
  belong	
   to	
   any	
   other	
   social	
   security	
  institution,	
   all	
   the	
   necessary	
   medication	
   for	
  
the	
  treatment	
   of	
   cancer,	
   all	
  dialysis	
  surgeries	
   as	
   well	
   as	
   heart	
   valve	
   surgery.	
   The	
  
disorganization	
  and	
   carelessness	
   in	
   this	
   sector	
   have	
   resulted	
   in	
   mismanagement	
   and	
  
favoritism.	
  
	
  
These	
  very	
  hospital	
  institutions	
  only	
  provide	
  the	
  country	
  with	
  about	
  15	
  thousand	
  beds	
  
for	
   a	
   population	
   which	
   is	
   just	
   below	
   5	
   million	
   (not	
   counting	
   the	
   endless	
   number	
   of	
  
refugees),	
   and	
   which	
   spread	
   in	
   an	
   uneven	
   manner	
   with	
   more	
   than	
   half	
   the	
   beds	
  
concentrated	
   in	
   the	
   capital,	
   in	
   the	
   region	
   of	
   Mount	
   Lebanon.	
   I	
   dream	
   that	
   the	
   infant	
  
mortality	
  rate	
  –	
  which	
  is	
  at	
  the	
  moment	
  15	
  per	
  thousand	
  –	
  I	
  dream	
  that	
  this	
  would	
  be	
  
merely	
  a	
  bad	
  memory	
  of	
  the	
  past.	
  
	
  
And	
   when	
   our	
   children	
   are	
   able	
   to	
   live	
   and	
   grow	
   up,	
   they	
   should	
   have	
   access	
   to	
   a	
  
good	
  education.	
  We	
  should	
  aim	
  at	
  the	
  pride	
  of	
  having	
  at	
  least	
  89%	
  of	
  Lebanese	
  children	
  
enrolled	
  in	
  primary	
  school,	
  and	
  thus	
  be	
  proud	
  to	
  be	
  a	
  country	
  with	
  one	
  of	
  the	
  highest	
  
education	
  standards	
  in	
  the	
  Middle	
  East.	
  However,	
  to	
  this	
  very	
  day	
  many	
  of	
  our	
  villages	
  
still	
  do	
  not	
  have	
  State	
  schools.	
  
	
  
I	
  know	
  that	
  I	
  was	
  fortunate	
  enough	
  to	
  have	
  been	
  able	
  to	
  go	
  to	
  Notre-­‐Dame	
  de	
  Jamhoûr	
  
and	
  to	
  St.	
  Joseph	
  University	
  and	
  I	
  always	
  feel	
  indebted	
  for	
  all	
  the	
  knowledge	
  that	
  I	
  have	
  
acquired.	
  What	
  I	
  have	
  kept	
  of	
  this	
  period	
  is	
  a	
  lot	
  of	
  admiration	
  for	
  the	
  large	
  university	
  
campuses	
  here	
  and	
  there,	
  which	
  have	
  produced	
  brilliant	
  minds	
  of	
  our	
  generation	
  who	
  
have	
  enabled	
  us	
  to	
  be	
  innovators	
  in	
  solving	
  the	
  problems	
  of	
  our	
  era.	
  If	
  the	
  excellency	
  
disciplines	
   contribute	
   to	
   producing	
   the	
   intellectual	
   and	
  political	
   elite	
   of	
   our	
   nation,	
   I	
  
think	
   it	
   is	
   urgent	
   to	
   provide	
   the	
   appropriate	
   finances	
   for	
   the	
   Lebanese	
   universities	
  
which	
  boast	
  a	
  high	
  quality	
  and	
  standard	
  of	
  teaching,	
  while	
  remaining	
  open	
  to	
  all	
  for	
  free.	
  
	
  
It	
  is	
  not	
  for	
  nothing	
  that	
  we	
  have	
  always	
  shone	
  over	
  the	
  Mediterranean	
  Sea	
  and	
  the	
  Arab	
  
World.	
  Our	
  people	
  have	
  had	
  a	
  special	
  taste	
  for	
  instruction	
  and	
  culture,	
  and	
  our	
  young	
  
graduates	
   are	
   sought	
   out	
   overseas.	
   Just	
   like	
   me,	
  sometimes	
   they	
   come	
   back	
   to	
   help	
  
their	
  country	
  which	
  needs	
  them.	
  And	
  to	
  these	
  new	
  graduates	
  I	
  say:	
  we	
  have	
  to	
  help	
  you	
  
because	
  you	
  are	
  the	
  future.	
  All	
  possible	
  future	
  prospects	
  are	
  allowed	
  thanks	
  to	
  you.	
  And	
  
all	
  my	
  thoughts	
  are	
  for	
  you	
  and	
  for	
  your	
  talents.	
  
	
  
	
  
	
  
Karim	
  Noujaim	
  
	
  

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Let Us Talk about Education and Health by Karim Noujaim

  • 1. Let  Us  Talk  about  Education  and  Health  by  Karim  Noujaim         “The  whole  purpose  of  education  is  to  turn  mirrors  into  windows.”  Sydney  J.Harris     A  sound  mind  is  one  that  is  well  bred  and  well  educated.  But,  what  would  education   serve  without  good  health?  If  education  doubles  your  chances  of  success  in  life,  good   health  simply  allows  you  to  achieve  it.  Let’s  talk  about  something  that  is  a  priority  in  my   view,  apart  from  culture,  economy  and  education  which  are  the  fruits  of  peace,  which  is   the  health  of  the  Lebanese  people.   Before  the  civil  war,  Lebanon  was  equipped  with  first-­‐class  hospital  infrastructure  with   a  market  of  health  products  that  was  the  most  efficient  in  the  Near  and  Middle  East.  The   administration  of   state   institutions   was   the   object   of   envy   of   the   leaders   of   all   the   countries  in  the  region.     Unfortunately,  the  war  has  largely  disorganized  the  health  sector  with  the  departure  of   highly   qualified   medical   personnel   in   self-­‐exile.   The   war   also   caused   an   extreme   disorganization  of  health  products  at  the  level  of  state  departments.  The  33-­‐day  war  has   also  had  a  very  negative  impact.   I  recall  a  book  written  by  doctor  and  surgeon  Jamil  Berry  “Le  Liban:  Pays  hors  Sujet?”   (Albouraq  edition,  http://www.albouraq.com).  I  also  recall  his  final  lines,  which  express   his  belief  that  the  real  concern  of  Lebanon  is  life,  and  I  cite  his  words:     “Ne  sentez-­‐vous  pas   N’imaginez-­‐vous  pas   Ne  percevez-­‐vous  pas   Ne  remarquez-­‐vous  pas   Ne  devinez-­‐vous  pas   Ne  voyez-­‐vous  pas  enfin   que  le  véritable  enjeu  est  l’EXISTENCE  même  du  Liban.”       This  call  to  peace  and  unity  from  a  man  whose  life  is  concerned  with  saving  the  lives  of   others,   expressed   in   such   a   simple   and   direct   style   that  compares   the   health   of   our   country  with  that  of  a  human  body;  with  that  he  has  touched  me  tremendously.     I   would   like   to  talk   about   the   health   sector   in   our   country   in   a   manner   that   is   more  concrete  and  less  metaphorical.  Out  of  about  168  hospitals  that  exist  in  Lebanon,   around  138  are  private  belonging  to  medical  doctors  or  to  various  religious  institutions   and   communities.   The   30   which   remain   are   state   hospitals,   and   are   only   partially   operational   due   to   lack   of   resources.    Luckily,   some   universities   contain   a   university   hospital  as  is  the  case  at  the  Hôtel-­‐Dieu  de  France  at  Saint-­‐Joseph  University  in  Beirut.     Here  are  a  few  more  figures  to  consider.  If  you  only  have  to  pay  10%  of  charges  when   you   are   ensured   with   a   private  institution,   then   you   are   in   a   position   to   benefit   from   health  care.  But  remember  that  more  than  half  of  the  Lebanese  population  does  not  have   social  insurance.  How  can  they  then  access  the  most  elementary  care?  Last  but  not  least,   social  security   refunds   seem   regularly   dysfunctional   and   cause   difficulties   for   certain   clinics  and  certain  hospitals.  And  here  again,  there’s  a  lot  to  do.  
  • 2. As  a  reminder:  the  law  in  Lebanon  requires  the  Ministry  of  Health  to  offer  to  Lebanese   citizens,   those   who   are   not  beneficiary   of   any   medical   or   health  insurance   or   who   do   not  belong   to   any   other   social   security  institution,   all   the   necessary   medication   for   the  treatment   of   cancer,   all  dialysis  surgeries   as   well   as   heart   valve   surgery.   The   disorganization  and   carelessness   in   this   sector   have   resulted   in   mismanagement   and   favoritism.     These  very  hospital  institutions  only  provide  the  country  with  about  15  thousand  beds   for   a   population   which   is   just   below   5   million   (not   counting   the   endless   number   of   refugees),   and   which   spread   in   an   uneven   manner   with   more   than   half   the   beds   concentrated   in   the   capital,   in   the   region   of   Mount   Lebanon.   I   dream   that   the   infant   mortality  rate  –  which  is  at  the  moment  15  per  thousand  –  I  dream  that  this  would  be   merely  a  bad  memory  of  the  past.     And   when   our   children   are   able   to   live   and   grow   up,   they   should   have   access   to   a   good  education.  We  should  aim  at  the  pride  of  having  at  least  89%  of  Lebanese  children   enrolled  in  primary  school,  and  thus  be  proud  to  be  a  country  with  one  of  the  highest   education  standards  in  the  Middle  East.  However,  to  this  very  day  many  of  our  villages   still  do  not  have  State  schools.     I  know  that  I  was  fortunate  enough  to  have  been  able  to  go  to  Notre-­‐Dame  de  Jamhoûr   and  to  St.  Joseph  University  and  I  always  feel  indebted  for  all  the  knowledge  that  I  have   acquired.  What  I  have  kept  of  this  period  is  a  lot  of  admiration  for  the  large  university   campuses  here  and  there,  which  have  produced  brilliant  minds  of  our  generation  who   have  enabled  us  to  be  innovators  in  solving  the  problems  of  our  era.  If  the  excellency   disciplines   contribute   to   producing   the   intellectual   and  political   elite   of   our   nation,   I   think   it   is   urgent   to   provide   the   appropriate   finances   for   the   Lebanese   universities   which  boast  a  high  quality  and  standard  of  teaching,  while  remaining  open  to  all  for  free.     It  is  not  for  nothing  that  we  have  always  shone  over  the  Mediterranean  Sea  and  the  Arab   World.  Our  people  have  had  a  special  taste  for  instruction  and  culture,  and  our  young   graduates   are   sought   out   overseas.   Just   like   me,  sometimes   they   come   back   to   help   their  country  which  needs  them.  And  to  these  new  graduates  I  say:  we  have  to  help  you   because  you  are  the  future.  All  possible  future  prospects  are  allowed  thanks  to  you.  And   all  my  thoughts  are  for  you  and  for  your  talents.         Karim  Noujaim