Category Archives: Politics

Critique of Aid, Health, Politics

Ebola: Three Ideas (continued)

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Ebola 3. A Time To Point Fingers? Yes.

“We can’t dawdle on this one”. That is Barack Obama on September 16, inaugurating a litany of Very Important People sounding clarion calls that the world must act to curtail the scourge of Ebola. David Cameron followed suit. Ban Ki Moon jumped up and down, calling for urgent action, also for nations to give lots of money to the UN and for Bono to organize some sort of Live Aid rerun. To date, the action of calling has greatly dwarfed the action of acting.

There is an undeniable truth to the urgent call for action. But having dawdled for so long – allowing this outbreak to infect and kill so many more people than should have been the case – there is a fundamental deceit in the call as well. In terms of preempting the exponential spread of this disease, the time to act passed four, five, maybe six months ago. Now we must talk of action – action on the ground in West Africa (not to be confused with airport screenings, conferences full of petits fours or throwing money at the problem) – and we must talk of accountability for its opposite.

Ellen Sirleaf Johnson in her recent letter to the world: It is time to stop talking and “send a message that we will not leave millions of West Africans to fend for themselves.” With all due respect, Madam President, that ship sailed. The nations of the world long ago decided that they would do exactly that. They decided to act only when it became a matter of self interest. And I note here that this self interest seems largely electoral, a question of curtailing political damage at home rather than a virus overseas.

Rather than save lives, the response of nations like the US or UK seems designed to save political ass. Through months of inaction, these governments are contributors to Ebola’s explosive spread. And yet they are the best the world has to offer right in terms of response.  We need their boots on ground.  The lone exception to self-interest seems to be Cuba, neither threatened by Ebola nor under pressure to respond, who has pledged hundreds of additional medical doctors on the ground.

Let me be very clear: the urgency of accountability exists because at the nation-state level this is not primarily a question of charity or even humanitarianism. This is not a question of choice or option. This is a question of human rights. This is a question of nations violating their obligation to provide international cooperation and assistance to Liberia, Sierra Leone and Guinea. See for example Physicians for Human Rights or Amnesty International. (Whose voices remain curiously muted. Where is a more strident defense of the human right to health? Where are creative R2P-inspired arguments that there is an international responsibility to protect citizens against a massive violation of their human rights when, as in West Africa, the states themselves are unable to do so?).

And then this is also a question of international security in the form of global outbreak response, which has been entrusted to the most powerful nations on Earth and the UN, who had the money, know-how and responsibility to act much earlier. Finally, there is the question of humanity. These nations, in pursuit of national interest and in a rather self-congratulatory fashion, do such a good job of talking the humanitarian talk; of talking the talk of caring and aiding and helping. But when it came to Ebola, they decided against doing the walk.

Another reason to act right now on accountability is to stop its perversion. We are in danger of accepting a simple story that the World Health Organization is to blame. Well, that is true. But there is a difference between blame for WHO shortcomings and exploiting the WHO as a scapegoat. For starters, there is the impact of WHO funding cuts by governments like Obama’s USA. Or even better, as Dr. Anne Sparrow writes in The Nation, world powers have ensured that the WHO has shifted emphasis to the diseases of the Western World. But more importantly, the WHO was only one of he firemen who sat and watched while this flame spread to a fire and then a blaze and then an outright conflagration.

Will heads roll in the governments of Guinea, Liberia and Sierra Leone? It is a simply wrong to believe that the “basketcase” state of their health systems were either natural or inevitable, like a typhoon. They should have been in a better position to deal with this outbreak. It is true that the scale of the outbreak today, or even back in July, would have swamped all but a well-developed nation. But we must assess matters earlier in time, when the basics of good case management and information flow could have prevented the outbreak from escaping control. What shocked me the most is that so many of their own citizens so distrusted these governments that Ebola was first seen as a ploy to attract and embezzle aid. The abundant health education message of EBOLA IS REAL makes me want to cry. How to stop an outbreak if that is where you begin?

And yet I heard Sirleaf Johnson blame the miserable state of her country’s healthcare system on a war that ended eleven years ago. Perhaps I missed her explanation of what happened to the considerable aid sent to Liberia to rebuild. Ditto for Sierra Leone or Guinea. As Human Rights Watch notes: Endemic corruption, including in health services, has long plagued the governments of all three countries and contributed to years of unrest and lack of development. It is in the first instance not the rich governments of the world who decided to leave millions of West Africans without adequate healthcare or basic outbreak response.

Governmental failure is a matter foremost for civil society. West African voices can already be heard. See, for example, this blog post, questioning poverty in the face of mineral riches and offering judgment on governance: It is not good enough for the Deputy Minister of Foreign Affairs of Sierra Leone Ebun Strasser – King to note that Ebola “took us by surprise and met us when we were ill prepared for it”. Or Abdul Tejan-Cole, speaking eloquently on seeing “civil society step up when government institutions have crumbled or not addressed the crisis”, not because of poverty but because of poor management.

Beyond governments, will heads roll in any aid NGO or agency aside from (presumably) WHO? What of those agencies who have spent years claiming to develop health capacity in West Africa? What of those who have raised money by declaring themselves leaders in global humanitarian emergency health? Where are their beds and nurses and doctors? And where were they when the epidemic could have been controlled? The WHO was silent and even downplayed the gravity of the situation. Did they own the only working phone in West Africa? Aside from MSF, where were the alarm bells from other agencies with health teams already on the ground? Are board members going to resign in disgust? Or is everybody too busy ramping up activities to respond to Ebola the cash cow in addition to Ebola the virus?

There are those who argue that now is the time for action, not recrimination. That is the pragmatic voice of the aid establishment. And that is sweet music for those responsible, who do not in any way fear the hand wringing and promises to do better in the future which have long served to excuse failure and defuse calls for change. To delay accountability now is to reinforce this entrenched pattern of inertia tomorrow.

As did the global political elite know and ignore brewing famine in south central Somalia a few years ago, as did they know and ignore the mounting crisis in Syria, so did they know and ignore the burgeoning Ebola crisis in Guinea, Liberia and Sierra Leone. This is the new world order, in which the most powerful are either unwilling to meet their international obligations, or incapable of doing what is right and what is human until direct self-interest and fear muster the political capacity to act.

Critique of Aid, Politics

World Update: It’s Big and Small

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[Originally posted September 12 and lost due to website issues. Apologies to those whose comments have been lost as well.]

Monday marked six months since I stopped working in the humanitarian field – I left the insulation and employ of MSF and headed off to parts unknown. Actually, I headed off to parts known, the USA, and spent most of the half year with my wife, immersed in the day to day. Road trip. Chilling out. Taking a break. I recommend it.

We passed through spectacular natural scenery, ate sublime meals at diners whose steady disappearance is as tragic as DRC, and interrupted my 15 years living abroad to spend a full month with my aging parents. Even without its day to day excitement, the trip would have been wonderful simply for the fact of spending so many months off the grid. The phone didn’t ring. The email didn’t stack up. Stress seeped into the ether and sleep came in deep doses.

Did I find myself? Discover the meaning of life? Nope and nope. I did manage to attain nirvana in the tiny town of Webb, Mississippi. This perfection came in the unlikely form of neckbone stew at Vera’s café, with sides of cornbread, mac & cheese, and okra. That’s it? The secret of life is high-cholesterol Southern cooking? It may well be. Beyond that, this is the most I can say. First, the world is a really big place. Second, the world is a really small place.

The world got bigger the moment I left MSF. The adrenaline rush of emergency aid causes a narrowing of vision. Aid agencies churn limited ground. Outside, the world is full of joys and marvels and realities like the miserable, inexplicable poverty of many Native American communities. Or take Syria. At the time of my departure it was a daily point of focus. During my first few months in the States I never once heard somebody mention it in conversation.

The fact of the world seeming suddenly so much larger says something about the worlds in which we live. The world became quite small as well, at one point not much larger than our campervan. That is partly a function of snugness, the age old feeling of comfort or refuge in our own world. In one way, I had replaced MSF’s porthole with another, but at least stress did not fix my gaze. It felt easy at first to join the big world again.

But beyond my road-tripping, the smallness of the world is partly a new phenomenon, as internet information and social networking shrink rather than expand our understanding of issues, and solidify polarized points of view. See this fascinating piece on data visualization of Twitter action during the Israeli-Palestinian conflict: “We’re most likely to only talk to people like us”.

Since coming back on the grid, the news portrays a world in even worse shape than only a short time before. 2013 was bad enough (see my New Year’s Day send off in Huffington Post). Now add Putin’s Ukraine invasion, Ebola, the atrocities of the Islamic State, Israel’s recent attempt to rubble-ize Gaza, Libyan strife, etc.

The twinned trends of a world getting larger and a world getting smaller are not unrelated to this horrific state of affairs. For example, the more misery that piles up in the world, the more (for example) Sudan, CAR and Haiti gather into a white noise of faceless crisis, meaning these specific realities are rendered invisible from our small worlds. Or this phenomenon: in the face of all that bigness – in the face of seemingly inexorable economic and cultural massification on a global scale — there is a retreat into the local. Self-determination at the atomic level, whether it be the selfie, the slow food movement, or Scottish desire for independence. The discourse of nationalism is on the rise. That can be a good thing – ethnic pride. And that can be the success of the Islamic State or Boko Haram.

This self-determination is not only a longing for freedom or power. It is not only political in nature. It is also the self-determination of right and wrong itself. Reversing 500 years of trending enlightenment, “truth” in the form of political conviction is becoming more localized; naked self-interest more shielded as opposing views no longer enter the fortresses of small world opinion. The internet promised the globe and has in many ways delivered the (isolated) village. Safe in those narrow confines, POW slaughter is justified by religious edict and drone assassinations by self-defense.

Contrary to my hopes, 2014 suggests that 2013 was no aberration (again, see link). Of specific concern to humanitarians should be international law, human rights, and humanitarian action. These have all formed part of the world getting bigger – a concerted effort to globalize respect for certain norms and standards. Now, their meaning and hence their potency has been drained by the steady erosive forces of self-interest, exceptionalism, and realpolitik of the flag bearers.

In the aforementioned Huffington Post piece I wrote there were a “mounting number of places that have reached a critical mass of disrespect for international law and universal ideals, or their outright rejection; and where rudimentary compliance is no longer deemed useful.” My primary concern is not the upsurge of bad actors – there will always be bad actors – it’s the very public destruction of these laws and standards by the good actors, or at least of those who typically advertise themselves as good. In the long game of establishing rules against summary executions or slavery, the act of a jihadi beheading a journalist is a call for strengthening international law; the act of the US government torturing prisoners in Abu Ghraib is a knee-capping of it. What is good for the goose is good (easily justified by) for the gander.

(Diversion alert) The US government should take a lesson from Charles Barkley, who understood there are insidious consequences when the public anchors their beliefs and aspirations in the wrong place (see clip): “I am not a role model”. Sadly, such public self-awareness is not the stuff of nations. Here is Samantha Power a few days ago, banging the drum of international order against Mr. Putin’s Ukraine transgressions: “These rules and principles that have taken generations to build, with unparalleled investment – countless lives have been lost to establish and defend these principles.” Ouch. There falls another brick in the house of international law, crumbled as the world’s biggest pot calls Putin’s (pretty big) kettle black. (Diversion ended)

I do not know what happens to humanitarianism in the face of the world getting bigger and the world getting smaller. Aside from shrill press releases, what course of action to take if we believe that our access to people in crisis (Somalia, Iraq, Syria, Congo…) depends in part upon a strong respect for international law and norms? Where it concerns us, I know that we aid agencies have trumpeted ourselves as flag bearers in the international order. We are the goose too. So I know that we who define the humanitarian project must break from our own growing trends of self-interest and living in too small a world.

Politics

EF Inhumanity

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Let me start off with a good old American colloquialism: It ain’t over till the fat lady sings.  Well, in terms of my career with MSF, the fat lady is warming up her voice.  After 15 years, today is my last day.  Question I am asking myself:  So, Mr. Ex-Director, what words of wisdom after all that time?  What is the big message?  What is the meaning of our MSF/humanitarian life?  Answer I keep coming to: Beats me.

Every time I feel on the verge of grasping it, waves of emails and interruptions tumble me back to the starting line.  More pertinently, waves of challenges from, well, reality.  I cannot understand why MSF was forced to withdraw from Somalia. Why a multi-billion-dollar aid industry struggles to provide a meaningful response to crisis in South Sudan. Or why easily preventable diseases tear through children in so many parts of the world.  Humanitarian action is complex.  No duh.

But there is a message. I have seen the light.  Specifically, I saw the light a few months ago, cycling to work on yet another cold, damp day in London.  I saw a pair of legs.

The owner of these legs was weaving in and out of the traffic (in this town where last year more cyclists have died than British military personnel in Afghanistan), those boxy black letters his well-inked press release about the power and peril to his left, right and rear.  It was a message for MSF, for all of us.

Let us begin with HUMANITY, since that is the simple imperative where humanitarian action itself should begin.  At once compassion for those who suffer and a declaration of our fundamental sameness.  We are one family, the family of human beings, all so very different at first glance and yet blessed with an identical, universal dignity.  The humanitarian imperative commands a bond with those who do not look or sound like us, believe in what we believe, or watch the same edition of Big Brother that we watch.  The imperative propels us towards those who suffer not out of duty to kin, friends or clan, not out of affinity to those who share our religion or nationality, but because the suffering of one affects the whole and touches us as individuals.  Because in responding to the stranger, we build our own place in the family of humanity.

On top of that, humanity has propelled me to crisis – to this career – because humanity itself is at the root of crisis.  To be sick or injured and have no access to care is bad enough.  All the worse when it is caused by or paired with violence, abuse, exclusion, oppression.  Or greed, power, hatred. Or staggering, structural poverty.  There is something compelling, challenging and sinister about that combination – of responding to crisis because something bad happened to people (e.g., rains didn’t fall) and because something wrong was perpetrated against them (e.g., displaced onto marginal lands).  Compelling because that is where MSF finds those most in need.  Challenging because being humanitarian requires more than therapeutic action.  Sinister because it transforms medical action into an act of protest against the human origins of the harm.  MSF’s very engagement levies an accusation against those who reject humanity.

And that means some people won’t like us.  And that means some won’t let us do our work.  So, MSF (not to mention the rest of the humanitarian system):  What are you going to do?  As the proficiency, ambition and impact of our medical action becomes ever greater, what will become of our commitment and courage as an organization of protest?  As governments around the world become ever more cynical and capable in their manipulation/control of humanitarian aid, as they insist that we shut our neo-colonial mouths, what course will we steer?  What choices will we make?  Establishment aid agency or rebel humanitarian?  Fractious silos of ego and power or collective voice of dissent?  Muted opinion?  Round after round of risk-averse calculation? Or “Fuck Taxis,” because that is the voice of a piece of humanity bearing witness to powerful pieces of its antithesis.  Fuck inhumanity.

Well, MSFers?  I’m leaving.  So what are you going to do? The trend may be clear, but on this key question of humanitarian identity, the fat lady has yet to sing.

[I will leave MSF but Humanicontrarian will live on for a few weeks, then take a break, and then come back fresher than ever.  I hope.]

Critique of Aid, Politics

Keep it Simple, Stupid

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Poor George Clooney.  He’s such a busy guy.  What with making blockbusters, Nespresso ads and all those mystery women, it’s a wonder the actor has had time to throw himself into the quagmire of Sudan.

South Sudan isn’t doing too well these days.  Arguably, the mess is George’s fault. If we hadn’t all suffered the delusion of Sudan’s bright future, we might have been busier dealing with its complex faults.  That’s what Daniel Howden insinuates.  He takes Clooney (among others) to task now that the South Sudan house of statehood has collapsed faster than Anthony Weiner’s political career.  Howden writes that “actors were highly effective at communicating a narrative about the new country that borrowed from a simple script.” That narrative (i.e., all problems were caused by the Wicked Witch of the North) was, unfortunately, “part truth, part wilful misunderstanding” and “deeply flawed”.

Let’s give George some credit. He is not a phoney when it comes to playing savior.  He didn’t just show up at a fundraising dinner, or make one self-aggrandizing visit.  The man has invested something of himself.  He even got arrested for the cause.  But there are limits to that credit.

Howden is right to call out the overly simplistic narrative, but let’s not blame actors for the superficial script.  As I’ve blogged (e.g. cleansing conflict from the ‘perfect storm’ of factors causing famine in Somalia in 2011), the entire international community – politicians, aid NGO agencies, UN officials – seems dependent upon simple scripts.  The only time we embrace complexity is in explaining our failures.  (Of course, academics ply a healthy trade in the complexity of places like Sudan, but who really listens to academics besides other academics?).

You can’t sell complexity.  No funding, no donations, and no political support.  It’s even a hard sell within an agency.  Try getting MSF to add some nuance to its analysis of Syria!  And maybe that’s not such a bad thing, given the need for action rather than endless deliberation. Complexity is a cousin of perfection – it can be an enemy of the good.

As for Clooney and the celebrification of the aid business, maybe I’ve been wrong in the past. Maybe it’s wrong to begrudge him the attention he and other celebrities get.  Sure, NGOs across the spectrum have sold out to the celebrity culture in the hope of increasing attention to our causes. But maybe celebrities really do make more effective champions than we activists.  Maybe humans are hardwired to follow the opinions of celebrities. See this article.   Apparently, it has to do with something so academic sounding as the anthropology of prestige.

How about that! Evolution has left us biologically inclined to follow the political analysis of celebs, not to mention their fashion tastes, recipes and personal grooming tips. Can somebody please get Miley Cyrus to say something about CAR?

Politics

2013: Goodbye to an Ominous Year

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I have posted a rather depressing rumination on 2013.  See the Huffington Post UK site.  Here’s a teaser:

Though certainly depressing, the observation that 2013 was a bad year is fairly unimportant. More worrisome is the prospect that 2013 signals a dangerous trend, even while experts tell us there has never been so much peace in the world. I see a mounting number of places that have reached a critical mass of disrespect for international law and universal ideals, or their outright rejection; and where rudimentary compliance is no longer deemed useful.

Politics

Typhoon Daze

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Can the blogosphere survive another set of random thoughts on Typhoon Haiyan?

1.  Check out any decent post-Armageddon flick. Try The Road.  Or for a classic, and one of the first great zombie flicks, try The Omega Man.  How do the heroes survive and feed their families?  It’s an old routine.  They help themselves.  No way Charlton Heston would do it if it were looting.  The guy was Moses and then President of the National Rifle Association.  That gives him more law and order cred than Wyatt Earp, Serpico and Judge Dredd combined.

I’m glad to see some journalists questioning the use of the term “looting”, as if bread for a child on Day Five without food were somehow akin to a burglar’s cartoon sack marked $$$. We can’t condone guys walking out of shops with plasma TVs. But without aid, without food, shelter, water or information on when/how it is coming, can we really equate this scavenging with acts of lawless criminality?  More importantly, can we base policy choices on it?  (hint hint, see below).

2. Ever watch news coverage of rioting or protests in your home town and have others call to see if you’re OK, when you were out having fun with friends?  Images of localized, small-scale disorder, demonstration, crime create a perception of the situation that is distorted well beyond reality.  More than that, we seem to imagine ourselves in those places and (a) feel the fear all those millions of people must be feeling then (b) cry out for somebody to put an end to it.

Note here the entry into the perception game of Western society’s own hyperbolized sense of security and risk (see e.g., my post on helmets for babies) and a view of the Global South as primitive bedlam-filled Bongo Bongo lands.  So my mother wants me to stay inside and lock the door when 200 protesters at Parliament toss stones, and she wants a soldier on every corner in Tacloban.

This distorted image matters.  Law and order are indisputably important.  But threats to law and order have a long history of provoking overreaction on the part of authorities, whether for political gain against enemies or simply to preserve face.  As is often the case, in these early stages of catastrophe response prioritization has to be spot on, and it has to place saving lives at the top. With heavy loss of airport capacity coupled with the necessity of an airborne aid armada, every flight counts.  Every cubic meter of cargo, every ton of supplies, every single landing slot has lives attached to it.  So what does it mean to fly in armoured personnel carriers and security forces?

Cue here a story of prisoners breaking out so we imagine the islands of the Philippines resemble the anarchy of life in a Mad Max movie, and are grateful for soldiers “retaking control” of the place. I am not at all against priority given to military relief capacity, I’m talking about the idea that life-saving assistance must be displaced to establish law and order (a particularly ironic conclusion where a primary driver of “crime” and “disorder” is the absence of aid). Perhaps it is necessary for aid to flow.  Perhaps it’s not, and aside from a few hot spots the impact quite minimal.  Hence the weight on figuring out to what extent is this real and to what extent is it misperception and a knee-jerk reaction to fears.

In Haiti, arguably, the world got that balance wrong.  Fears of looting or the descent into anarchy were exaggerated, decisions consequential (e.g., see here on WFP reports of looting being “overblown”, or this MSF denunciation of its surgical capacity circling overhead and then diverted to Santo Domingo while the US military landed planes full of troops). My experience is that disasters force communities to come together, that people are remarkably supportive of one another and fair. The people in Cebu and Samar are neighbours and families.   Social networks distribute relief with stunning efficiency and effectiveness and zero fanfare.

Of course there are criminal gangs.  Of course water distribution to thirsty people can resemble a scrum.  Experienced aid agencies deal with this all the time, delivering aid in war zones and in the midst of sectarian violence or everyday desperation.  We do it all the time because waiting for somebody to put an end to the war and violence is, well, absurd. Aid delivery in crisis will always be imperfect.  Nobody wants aid convoys getting attacked, but the risks are often manageable under far worse conditions than in the Philippines.  So unless the threat is substantial risk, establishing “law and order” to ensure the arrival of assistance may come with a heavier cost than benefit to those who are waiting for said assistance in frightened, rain-soaked desperation.

3. On the surface, the aid industry is treating the typhoon emergency as the second coming of the December 2004 Indian Ocean tsunami, with all the expectations of another once-in-a-decade event.  In other words, expectations of all-hands-on-deck to get aid to the millions of desperate Filipinos, of a large dose of the aid circus and calls for better coordination, and of a fundraising/branding extravaganza.   Certainly some of the destruction we have seen on our screens warrants such an investment in the emergency response.  But other factors instil us with an uneasy feeling:  the creeping signs that the worst of the destruction affects a large but not massive number of people coupled with a world that is no longer helplessly waiting for the NGO saviours to arrive – first, because the Philippines is not Haiti and second, because other actors, most notably the military, are now in the saviour business.  Will we succeed in being the stars of the show?  Tune in these coming weeks.

.


Critique of Aid, Politics

Depoliomacy

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Having swapped his political fez for the humanitarian beret of the International Rescue Committee, David Miliband is calling world attention to the spectre of polio outbreak in Syria. He has seized on a tragic development.  Rising polio numbers play out like a dead canary in a coal mine. At once powerfully symbolic of the calamity of Syria today and a frightening omen of Syria tomorrow.

Coincidentally, polio confirmation comes just as chemical weapons inspectors have declared that equipment for producing, mixing and filling chemical weapons has been destroyed.  Cut to fist-pumping Western nations?  I mean, progress on CWs is relatively good news, no?

In an astute exchange on BBC Radio 4’s Today programme (yesterday, around the 2:10 mark), Miliband and John Humphries aired the rather stunning conclusion that the world has breathed a sigh of relief since the chemical weapons deal has been made.  Guard down.  Attention elsewhere.  Result:  in the hoo-hah around chemical weapons – well-deserved though it may have been – Assad found a “licence to carry on what he was doing – slaughtering an awfully lot of people” (Humphries).  This analysis, shared by many others, makes for a cautionary tale.

The only law left standing in Syria today may be the law of perverse consequences.  MSF played an instrumental role in sparking attention/reaction to the chemical attacks (see my previous blog).  As if Western governments justifying potential retaliatory strikes were not enough of an unintended consequence, there is also the sidelining of a truly unprecedented humanitarian crisis.  As Christopher Stokes eloquently explains:  Syrian people are now presented with the absurd situation of chemical weapons inspectors freely driving through areas in desperate need, while the ambulances, food and drug supplies organised by humanitarian organisations are blocked.

Absurd?  Yes.  Predictable?  Why not?  What chunk of this hindsight should not have been foresight? We all knew that U.S. or French militaries would twist the outcry against chemical weapons to suit their own ends.  We should also consider it no surprise that Western governments, desperate for a chance to demonstrate action/resolve/victory will jump on any issue that masks their protracted, utter inability to do something about the horrors of Syria.  Action is generic in that regard.  Action acts as a pressure release.  Action is solution.  No need for further attention.  Chemical weapons?  Sleep easy. Mission accomplished.  You could airlift 2 million ab-tronic exercise devices to Syria and the US public would coo in the comfort at good being done.

And it is not just governments. It is no surprise that the media needed a new angle to this Syria tale, that NGOs needed to show success, that we were all emotionally drained by trying to think of the ever-worsening big fat disaster.  In other words, did we not know enough to understand that one major risk of speaking out against chemical weapon attacks was that the international effort would be diverted away from the millions of starving, abused, sick, wounded and frightened people? Absurd = perverse, does it not?

Now: what of polio? In one breath, Miliband laments the negative impact of chemical weapons as distraction and then raises the issue of polio.  Obviously, it may turn out differently.  And obviously, dealing with polio is a good thing.  But this is Syria 2013.  We ignore the law at our peril.

In the end, it is quite sad that ten cases of polio are able to generate more attention, and perhaps more momentum for change, than massacre after massacre, month after month, million after million.  A new outcry:   Stop the killing! Humanitarian ceasefire! We need to stop the polio!

Miliband is shrewd.  He comprehends the symbolic value in a polio outbreak.  He trumpets the potential for a polio campaign to give rise to a new “humanitarian bridgehead” inside Syria.  Polio vaccinations as a silver bullet?  That makes for a nice soundbite, but it ignores the governing law of the land.  The risk is that depoliomacy produces a great campaign and an even greater distraction.


Politics

Secret Agent Man, Redux

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They won’t start talking until we put all our phones in the refrigerator. Dennis McNamara, of the Centre for Humanitarian Dialogue, talking about sensitive negotiations.

A year or so ago I posted a blog about the risks of being infiltrated by spies.  I seem to have missed the point.  True enough, we humanitarians should do more about stopping NGO penetration by the Felix Leiters and Carrie Mathisons of the world. If we want to safeguard trust in our intentions, trust in our essential harmlessness, then we need to keep the spies out.

But that misses the point driven home, driven right into my breast pocket, by Edward Snowden.  The revelations about NSA spying make it clear, the spy is I.  It is no longer a question of keeping spooks-people out, it is a question of the degree to which they have  transformed us into spooks-people in.  The unwittingness of our role is of no relevance. Ditto for our pure hearts.  It is no longer about deliberately passing information back to spy agencies, it is about their routine extraction of sensitive information from our everyday work.

What to do given the lack of convenient refrigerators?  Negotiating access requires daily contact with armed groups, many of whom have so-called terrorist or similar status.  We must talk to them.  We must phone them to ask if it is safe to travel, safe to deliver care, safe to transport a wounded child.  Who needs a mole when our Nokias and Thurayas provide such an effective set of eyes and ears?

Decades ago I thought (briefly, very briefly) about working for the CIA.  I never thought I would be doing it for free.

Politics

Big Numbers

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[After that heavy post, how about a light one, for Friday the 13th?]

Two weeks ago I was sitting in our lovely expat residence in Goma, Lake Kivu lapping at the back garden.  It would be hard to be any closer and further at the same time from the grinding violence, fear and misery that affects much of the Eastern DRC.  And, at least for me, it would be hard not to think that what DRC really needed was not more humanitarians but more Yul Brynners. And Steve McQueens.  And Charles Bronsons, James Coburns, Robert Vaughns and Horst Buchholzs.  Yes, we need the Magnificent Seven (sorry, can’t remember the seventh).  If you prefer low culture – because the Magnificent Seven is decidedly high culture even if Bronson grunts most of his lines – then think of it this way: what Congo needs is the A Team.

We need some tough guys.  Sort of.  Actually, there is a major surfeit of tough guys, but they tend to be criminals, rapists and butchers, which has its drawbacks in terms of being a force for good, though certainly hasn’t stopped the international community from funding programmes to incorporate them into the army.

So we need some tough guys who are also good guys.  Instead, the Kivus have armed criminal gangs, various sorts of mai mai forces, ethnic “defense” gangs, armed criminals, security companies and the official armed criminal gang, the national army, more renowned for their profiteering, military ineptitude and sexual violence than for defending the population.  And then there is MONUSCO: 20,000 UN Peacekeepers from places like Uruguay, India and Tanzania.

There is already plenty of critique and analysis of UN peacekeeping. Has it helped keep warring parties apart in some places?  Undoubtedly. Has it provided breathing space for peace negotiations?  Undoubtedly? (Are peace negotiations in Congo a well-funded yet industrial-sized scam? That’s another story).  But as I watched an extremely expensive refrigerated truck lumber up the non-road between Mweso and Pinga – Patagonian beef for the Uruguayan troops? – one couldn’t help marvelling at the fantastic cost of it all.  Think of what it takes to build a complete military infrastructure of bases, communications, supply, etc., fly in 20,000 of soldiers from around the world, pay their salaries, and another few thousand advisors and sundry specialists…

Well, for the coming year it will cost almost $1.5 billion. Do the math. That’s enough money to pay $5,000 each to 100,000 of the worst criminals, rapists and thugs, provided they sit and play foosball all day, or eat steak that doesn’t have to be airlifted from Argentina.  Oh, and still have a billion left over to build schools and hospitals.

A more startling example of math: instead of spending $2 trillion for messy wars in Afghanistan and Iraq, the US could have just givenv20 million pissed off militants each $10,000 to hang out at home watching reruns of The Rat Patrol.  And still had $1.8 trillion left over to end poverty in South Asia.

I do not think we as humanitarians comprehend the scale of military expenditure.  The numbers are interstellar. Ditto for the bailout of banks. And ditto even for Presidents like Clinton or Obama, who certainly understand the lives of the poor, and yet who would chip away at the funding for a $10 million schools programme while signing into action a $250 billion military foray into futility.

There is a lesson in there for the international community.  Something about scale. Something about what and how Save, MSF or Oxfam spend on operations versus the meaning of that money in a place like DRC.

BTW, the Magnificent Seven?  They cost $140.00. Total.  For six weeks.  And they killed all the bad guys.

Politics

Altered States

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Ever heard of Piltdown man?  He would have stood four feet tall and was the talk of the scientific town 100 years ago.  If you are an evolutionary biologist, you probably know exactly who I am talking about; otherwise, you’ve no idea.  That is, unless you are a creationist Christian who believes the Bible is a literal interpretation of the word of God; hence unless you are somebody who believes that mankind dates back only several thousands of years that that the stunning paleo-biological history of humans is false.  If you believe that, if you deny Darwin, Australopithecus and the concept of evolution itself, then the Piltdown man is, well, he is your man.

The story is fairly simple:  a seminal scientific discovery turned out to be a hoax. If you read creationist literature, that example is trafficked over and over and over again to dismiss the entire body of evidence called the fossil record and the credibility of scientific thinking.  To the believer in Adam and his rib, that one hoax is enough to negate every bone in the ground, every trilobite’s age, every Lucy.

It may be an indication of my mental state, but I choked up with pride when MSF launched its bombshell press release that there had been a devastating chemical weapon attack in Syria, with 3600 treated and 355 killed.  I could well imagine the risks of going public with such témoignage, and could well imagine the difficult discussions and calculations that went into the message.  I could not imagine, of course, that that I’d misconstrued the press release so badly.

MSF’s témoignage is why I joined MSF.  It stems from the idea that an humanitarian response to crisis cannot limit itself the delivery of assistance, but must also take into account the protection and dignity of people;  and is rooted in that special relationship between medical carer and patient, where seeing the wounds of violence prompts a responsibility to act.  The doctor does not treat a child for rape and keep his/her mouth zipped.

Témoignage is further refined in MSF, an organization that must make sage use of what it knows.  Illness, wounds, and voices will tell you a great deal about the bad things some people are doing to others.  So there are times where we engage in advocacy about what we see, what our medical data reveals, in the hopes that exposure and pressure can play a role in stopping the crimes, or pushing others to stop them.  The foundation of all this activity is the word témoignage itself, its implication that we have – directly – seen something through our medical work and our presence amidst people in danger.  Bearing witness is the closest English.

I have had to defend the use of our voice to angry authorities many times. Very often they believe we are being naïve, being used, being fed messages that we then transmit. Me to Sudanese security guy: “We know that village was burned down because our mobile clinic team, including two expats, went there while it was still smouldering.” His response: surprise (“You went there?” – “Yes”) then quiet. Acting as a spokesperson for what others have said happened is not the same thing as bearing witness to it ourselves.

Yesterday evening, along the shores of Lake Kivu, I was catching up on my inbox and realized that MSF had not treated anyone for chemical weapon attack, nor had MSF seen the results of the attack.  I was confused, furious; calling up the press release to read it again.  In fact, I had missed its clear declaration: the report of the chemical weapon attack came from doctors whom we support with supplies, not from MSF.

I guess a first lesson is how the brain simplifies: I had missed sentences worth of disclaimer. Rather predictably (intentionally?), this distinction also seems to have been lost on U.S. Secretary of State John Kerry, who swiftly stoked the USG’s neocon reaction to events in Syria with the credibility of MSF (no chance of another WMD moment embarrassment, we have MSF’s word!).  Such distinctions and disclaimers are hard to maintain, and don’t live on very long in the media, where speculation that, e.g., there “could be as many as 200,000 refugees” quickly hardens into fact.

There is nothing easy or formulaic about the development of, in particular, public messaging around témoignage (which can, of course, remain at the diplomatic level). I hate to find myself as the defender of orthodoxy, that we do not talk about it if we haven’t seen it, even (or especially!) when the news is so shocking, so aching to be released from our lungs. Such orthodoxy clashes with a world, and even an MSF, that are evolving.  For example, we are increasingly working through partners, and will have built relationships of trust – of faith – with doctors such as these brave Syrians, struggling heroically to care for the wounded in such a brutal war.

They are not MSF, and yet they are not strangers.  On the other hand, we know that this is a highly polarized war, that operating via partners involves compromise (see e.g., this post), and we certainly understand the massive investment on both sides of this conflict in the war for global hearts and minds, with propaganda at the fore. As an organization, can we afford to believe them? Me, I do not think we can afford staking so much of value on such imperfect calculations.  But as humans, can we afford not to believe? I don’t know.  I am uncomfortable with the path of conservatism, and fear it harbors dogmatism.  In the end, though, I prefer “you have to see it to believe it”, because credibility is like being pregnant, you either have it or you don’t, and in the hands of our enemies, one misplaced bone wipes out a veritable record of truth.