Monday, November 12, 2012

Suffering by design--Shortage of medicine in Iran

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The Islamic republic of Iran has been very vocal recently regarding the impact of sanctions on medicine imports. The Iranian representative in the United Nations was quoted by press TV to say "Mr. Ban Ki-moon! Here is my question: On the basis of which law and which moral, religious and human criterion, are the evil powers and arrogant countries imposing embargoes on the supply of medications and primary healthcare requirements of a nation’s children, women and men while the United Nations, which is headed by you, remains silent?” (1)

Even US news organizations have picked up on this story. The NY times published an article titled "Iran Sanctions Take Unexpected Toll on Medical Imports" By Thomas Erdbrink on November 2, 2012. The article noted that "Though the unilateral sanctions put in place by the United States and the European Union have exemptions for medicines and medical equipment, as well as foodstuffs, companies interested in selling such merchandise to Iran require a special license from the Treasury Department’s Office of Foreign Asset Control." The article also pointed out that despite the treasury department's recent steps to ease bureaucratic barriers to authorized exports to Iran, most banks are not inclined to deal with Iran, making payment to suppliers very difficult.(2)

PBS ran a story on November 8, 2012 titled "Sanctions' Ill Effects, Part 1: The Disappearance of Lifesaving Drugs". The conclusions were similar to above. (3)

As a healthcare professional I thought it would be interesting to dig a little deeper and see what, if any, steps were taken by the regime to alleviate this "medicine shortage" problem, or is it simply aggravating the problem in the hope of using the resulting human suffering as a tool to fight the sanctions in general.

Looking at the Farsi language headlines in Iran, it wasn't very hard to see the other side of this story. Perhaps someone should recommend to the NY times and PBS to do the same. 

The Iranian Health Minister Marziyeh Vahid Dastjerdi was quoted by ISNA to say "We don't know what happened to the hard currency allocated to the purchase of medicine"
(وزیر بهداشت: نمیدانیم ارز مرجع دارو کجا مصرف شده است). The same article quoted Ms. Dastjerdi to say that out of the annual $2.5 billion allocated for the purchase and import of medicine, the Iranian central bank has only provided $600 million thus far. (4)

Mehr news posted an article that claimed that the allocated "medicine purchase" dollars were reassigned for the purchase of luxury goods such as makeup and luxury cars. The media article almost appeared to shift the blame of underfunding of the "medicine purchase program" to the the middle and upper classes who purchase the above mentioned luxury products. (5)
(ارز دارو همه جا خرج میشود غیر از دارو/ از لوازم آرایشی تا خودروی لوکس":خبرگزاری مهر")

Ettelaat newspaper reported that the head of the parliament committee on health (the equivalent of the health and human services committee in the USA) was critical of the government's handling of funding of the healthcare sector. He also confirmed the same figure of $600 million being the only amount provided by the central bank for the purchase and import of medicine this year. (6)

So could this "medicine shortage" crisis be a result of the 76% drop in the "medicine purchase" budget, or is it all due to the western sanctions as the regime claims?

Lets assume for the sake of argument that the facts about the drastic healthcare budget cuts are not a factor, and Iran truly wants to import medicine but can't. The next question to ask is if there is a way for Iran to purchase medicine without having to jump through hoops?

Some of you may remember discussions here about the new payment system Iran had agreed to with India whereby Iran gets paid for its oil in rupees deposited into a bank account in India which can then be used by Iran to purchase Indian products, including medicine.

The Wall Street journal ran an article recently in which it was reported that Mr. Rafeegue Ahmed, the president of the Federation of Indian export organization had indicated that such an account was indeed opened with an initial amount equivalent to $500 million and that it was expected to eventually hold $4.5 billion of Iranian oil sales revenue. The WSJ also reported that businesses on both sides had signed deals valued at an estimated $3 billion for shipment of goods, such as "rice, wheat, soy meal and pharmaceutical products".(7)

Perhaps someone should remind the Iranian regime that India happens to be a major pharmaceuticals producer and that the Iranian oil money sitting in Indian banks in local currency is available for medical purchases. Easier said than done I'm sure, as Iran may not see the upside in solving the "medicine shortage" in the country when it can get so much anti-sanction publicity from it.

In the meantime Iranian patients are sure to be left to fend for themselves with no light at the end of this tunnel, as the regime clings to its nuclear policies and the west remain committed to forcing Iran to change its behavior through sanctions.

I should mention that the healthcare system in Iran haven't totally been neglected by the Iranian government; 60 hospital were recently issued warning about the dress code of their nurses. (8) It's nice to see the regime is still focused on the "below the waist" concerns of society, even at a time of national crisis.



Anonymous said...

Jew York Times usual bla, bla and then some bla.

Anonymous said...

Didn't you know that all these mullah class of people think only of what lies below the waist!

On a more serious note,the theocracy can easily import medicine,but they choose not too,because of the devious nature of the regime.

Anonymous said...

good essay.

emotional appeals about the suffering of the helpless and innocent caused by heartless and malign Westerners always get published.
the sanctions against Iraq got endless blame for causing the deaths of Iraqi children, but few people noted that the areas where those children lived were in Iraq's south, where regime supporters were sparse and Shi'a many.

Anonymous said...

Iranian regime is purposely restricting the import of various medicines?!

This must truly be the most shameful joke of the century.

Mark Pyruz said...

1) Part of the problem with the medical supply allocation is adaption of the multiple exchange rate system being operated under emergency economic conditions.

2) The Indian barter arrangement does not make for immediate kinds of "shopping". There remains a lag time.

For an analogy of Iran's present difficulties, the shortages and rationing experienced by Britain in the early 1940s serve as a useful analogy. Of course during this period, also, there were commentators outside of the country like Lord Haw-Haw that hurled vitriol against the British regime they claimed was responsible for all of Britain's hardships during the conflict.

Anonymous said...

Why is it that blame is usually thought to be a zero-sum game: either a dictatorial regime is at fault, or US imperialism is at fault. What is it that leaves so many of us entirely unwilling to consider that Iran's population is caught between the political rivalries of an Iranian dictatorship and US imperialism?!

Unknown said...

@anon 5:10
That's a fair point, but don't you think what the actions of the regime in Iran affects Iranians more directly? They set the contentious foreign policy, they arrest, torture and kill activists, they dictate what budget items to cut or not cut; The United States is not involved in any of that.

I happen to believe that the greatest evil and ill is coming from within, and while the west is not perfect, we can't use that to justify what this regime is doing to Iranians.

Unknown said...

@Mark 11:36
Thanks Mark.
I'm sure this comes as a surprise but I disagree.

The three tier exchange system, or the trade lags have nothing to do with the fact that this regime had not stockpiled medicine and did not plan ahead for the sanctions when it comes to procuring medical supplies.

Whether or not that denotes incompetence or cynical ploys we can never be sure, but they clearly are dropping the ball on this issue. After all the sanctions were not "surprise sanctions" and Iran had months to prepare.

As far as analogy goes I think sadam Hussein's Iraq is a better analogy. Sadam continued to renovate his palaces and upgrade his military while many Iraqis died of poor medical care.

This is not propaganda, i consider this shedding the light on the regim's propaganda and not allowing it to get away with lying to all of us. Nonetheless I hope I don't hang like lord Haw Haw, and if I do, I hope the regime would have fixed the hanging apparatus by then.

Anonymous said...

Anon 5:10---- good initial point concerning correctly apportioning blame and the Iranian population.

Anonymous said...

Mr Fazili ,
Great !!Now we know you are not a good Dr as well!!
Mr know it all!

Unknown said...

@anon 11:14 am
No need to be jealous, you too can achieve your full potential one day in the right environment.

I would suggest you come to the USA for that but I'm pretty sure with your IR passport and your BS in BS you don't stand a chance of getting a visa. That leaves us with plan B ; stop supporting the dictatorship and let Iran and iranian, including yourself, flourish.

In the meantime, I suggest you expand your horizon beyond your cubical and read "The Book of Healing" ( کتاب الشفاء , Latin: Sufficientia) written by (Dr) Abū Alī ibn Sīnā (Avicenna) and published in 1020 AD in Persia. Spoiler alert, Despite its title, it is not about medicine. It's on science and philosophy and is intended to "heal" ignorance of the soul.

Ps. When you misspell individuals' names, its not an insult, it just shows that you can't spell.