To the Editor,
Richard Horton quotes Dr. Jamil Suliman, who says “nothing is changing” with respect to the crisis in health care in Gaza (“Palestinians: The Crisis in Medical Care,” March 15, 2007 http://www.nybooks.com/articles/19974 ). One might add that nothing has changed in reporting on this crisis either. Dr. Horton accepts the tendentious arguments of his Palestinian handlers without even elementary scrutiny. Could 90% of Gaza children under 11 really have PTSD? Did 40% of 1.4 million Palestinians in Gaza really lose a relative among the 1,956 deaths in the second Intifada? Every time these supposed medical facts are subjected to scrutiny, they do not hold up (see, for example, a report of delays in medical care due to Israeli checkpoints in the British Medical Journal, May 26, 2006; a more careful look showed that the delays affected only 18% of emergency admissions, with an average delay of 8 minutes – this in the 6-month period of the study where terror attacks killed 76 and wounded 234 Israelis).
Dr. Horton did not apply his medical acumen to these reports. Nor did he question why medical staff took the time to videotape the mortally wounded child brought to Beit Hanoun Hospital and had this ready to show him. These are sad lapses for the editor of a major medical journal.
The sad truth is that Palestinian leadership has failed its people; that is the source of the medical crisis. Nor are the medical and civil society organizations that Dr. Horton praises immune from this failure. The Gaza Community Mental Health Program, which has condemned launching of kassam missiles from populated areas, also posts on its website that it “condemns the diggings near Al-Aksa Mosque and warns of the ramifications of agitating Muslim feelings.” So much for medical neutrality.
Steven M. Albert, PhD, MSPH
Professor of Behavioral & Community Health Sciences
Graduate School of Public Health
University of Pittsburgh
Dr. Albert is of the SPME Task Force on Medical and Public Health Issues