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Page 9 of 10
America should also offer--not directly but through suitable international or nongovernmental organizations--a number of further financial inducements to Iraq's recovery. These might include fellowships for the training of lawyers, judges, journalists, social workers, and other civil-affairs workers. Two days' cost of the current war, or $500 million, would ably fund such an effort.
In addition, assistance to ``grass roots'' organizations and professional societies could help encourage the return to Iraq of the thousands of skilled men and women who left in the years following the first Gulf war. Relocation allowance and supplementary pay might be administered by the Iraqi engineers' union. Medical practitioners might receive grants through the medical association. Teachers might be courted by the teachers' union or the Ministry of Education. Assuming that some 10,000 skilled workers could be enticed to return for, say, an average of $50,000, this would represent a cost to the American taxpayer of $500 million. Roughly two days' cost of the war would be a very small price to pay to restore the health and vigor of Iraqi society and to improve America's reputation throughout the world.
We should also encourage the World Health Organization, UNICEF, and similarly established and proven nongovernmental organizations to help with the rebirth of an Iraqi public-health system by rebuilding hospitals and clinics. One reason for turning to respected international organizations to supervise this program is that when the CPA undertook the task, funds were squandered.
At last count, some seventeen years ago Iraq possessed an impressive health-care infrastructure: 1,055 health centers, 58 health centers with beds, 135 general hospitals, and 52 specialized hospitals. Many of these facilities were badly damaged by a decade of sanctions and by the recent warfare and looting. If we assume that fully half of Iraq's hospitals and health centers need to be rebuilt, the overall outlay can be estimated at $250 million, one day's cost of the current war. Equipment might cost a further $170 million. These figures, based on a study prepared for the United Nations Millennium Development Goals project, throw into sharp relief the disappointing results of the American ``effort'': one American firm, Parsons Corporation, has been investigated for having taken a generous ``cost plus'' contract to rebuild 142 clinics at a cost of $200 million; although the company put in for and collected all the money, only twenty clinics were built.
Estimating the cost of staffing these facilities is more complicated. Theoretically, Iraq has a highly professional, well-trained, reasonably large corps of health workers at all levels. Yet many of these people left the country in the years following the 1991 war. The Iraqi Health Ministry has estimated that about 3,000 registered doctors left Iraq during the first two years of the American occupation. Hopefully these workers will return to Iraq once the occupation and the insurgency have ended, but even if they do so, younger replacements for them need to be trained. The UNMDG study suggests that the training period for specialists is about eight years; for general practitioners, five years; and for various technicians and support personnel, three years. We suggest that a training program for a select number, say 200 general practitioners and 100 advanced specialists, be carried out under the auspices of the World Health Organization or Médecins Sans Frontie 2res, especially given that some of this training will have to be done in Europe or America. Even if the estimated cost of building and equipping hospitals turned out to be five times too low, even if the American government had to cover the bulk of salaries and operating costs for the next four years, and even if additional hospitals had to be built to care for Iraqis wounded or made ill by the invasion and occupation, the total cost would still be under $5 billion. It is sobering to think that the maximum cost of rebuilding Iraq's public-health system would amount to less than what we spend on the occupation every twenty days.
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