An Israeli medical staff member tends to a Syrian young boy, who was wounded in the violence in Syria, as he lies on a hospital bed during his treatment at Ziv hospital, which perches on a rocky hilltop in the upper Galilee town of Safed.  Menahem Kahana / AFP
An Israeli medical staff member tends to a Syrian young boy, who was wounded in the violence in Syria, as he lies on a hospital bed during his treatment at Ziv hospital, which perches on a rocky hilltShow more

Revealed: how Syrian rebels seek medical help from an unlikely source in Israel



BEIRUT / AMMAN // When a rebel was shot and severely wounded during a new offensive on Syria’s southern front, his colleagues knew the only hope of saving his life was to get him to Israel.

The rebels called their contact on the Syrian side of the frontier, a man known as Abu Nidal, who had a phone given to him by the Israelis to facilitate emergency border crossings.

Abu Nidal called Israeli forces, which put an ambulance on standby and the rebels took the injured fighter to a crossing point and left him there.

After the rebels pulled back, Israeli soldiers checked the patient for booby-traps and weapons, and then whisked him over the border and rushed him to hospital.

This scenario from last week has played out more than 200 times in the past six months, rebels in southern Syria said.

Wounded civilians and fighters have been ferried across one of the world’s most bitterly disputed frontiers, as Syrians seek expert medical treatment from a country they once viewed as the enemy.

Syria and Israel have officially been at war since 1948, and Syrians have grown up with state propaganda blaming the country’s problems on Israel and its main ally, the United States.

With the uprising-turned-war against the president, Bashar Al Assad, however, rebels engaged in combat near Israel have begun to reassess who is friend and who is foe.

Possible motivations for Israel offering such help are numerous. To start with, it gains intelligence and develops useful contacts with more moderate rebel factions.

And Israel also has to be wary of rebel factions linked to Al Qaeda taking control of the Syria-side of its frontier, something it is at pains to avoid fearing it would then be attacked. Earning some goodwill among local Syrians through provision of medical care may pay dividends in keeping Al Qaeda groups away.

Transporting wounded across the border is, from the rebel point of view, fairly easy. They call Abu Nidal, take the wounded to the border and leave. The Israelis do the rest.

"More than 250 of our people have gone across, they get amazing medical care there," said a rebel commander in Deraa, where a new offensive known as Geneva Horan is under way.

“We’ve had wounded people taken across and get airlifted to specialist facilities far inside Israel, we couldn’t dream of getting that kind of treatment here, our field hospitals don’t even have proper doctors or pain killers.”

According to Israeli media, 700 civilians, including the elderly and children, have been treated for war injuries in a field hospital set up a year ago in the Golan Heights, territory Israel annexed from Syria in 1981 after seizing it during the 1967 war, a move not recognised by the international community.

Getting wounded men into Israel for treatment is sometimes more straightforward than transporting them into Jordan, where rebels say the authorities have a more lengthy screening process that the severely injured can ill afford to wait out.

Rebel commanders recount cases in which wounded fighters were turned back from the Jordan border, the closest exit at the time, and taken to Israel instead. Some have died en route having been rejected by Amman, rebels said.

Those taken for treatment in Israel are not harshly treated and are only questioned if they agree to talk to Israeli security officers, according to rebels in southern Syria. Those who refuse to speak are given medical care and allowed to recuperate alongside those who opt to share information.

“The Israelis are mainly interested in the Islamists, they want to know their numbers and locations and even the most trivial details about them,” said another rebel commander who has sent wounded fighters over the frontier.

“They also want to know what kind of weapons the rebels have, what quantities, what capabilities.”

In Deraa the more extreme rebel fringe has limited presence compared to other parts of the country, but Jabhat Al Nusra, an Al Qaeda affiliate, remains a significant force and the Islamic Muthanna Movement, ideologically close to more radical groups, is also powerful.

Both groups knew about rebels seeking medical aid in Israel, and turned a blind eye to it, rebel commanders said.

“It’s not a secret and they [Al Nusra and the Muthanna Movement] know that if the wounded don’t get help in Israel they will die, so they look the other way and wounded fighters get a chance to live,” said a rebel commander.

Syrians from Deraa, the birthplace of the uprising and an area that has long been garrisoned by regime troops because of its proximity to Israel, have been appreciative of the medical assistance.

“Any help we can get we appreciate and in my opinion if the Israel air force want come and bomb some of Assad’s bases here, they’d be very welcome,” said a Deraa resident.

When they are discharged and returned across the border, rebels say the recovered patients are given between US$200 (Dh735) and $1,000 in cash and supplies of whatever medicines they need for their recovery. Many rebels in Deraa have been fighting without pay for months.

Israel has been discreet about its provision of the medical care, although it allowed TV cameras into a field hospital last month for the first time.

Its medical aid for the opposition fighters has prompted speculation that even greater help is going to Syrian rebels, including suggestions of intelligence sharing on regime forces and even arms supplies.

It remains a highly sensitive issue and the identities of Syrians being treated in Israel are kept secret, out of fear of mistrust from their friends and retribution, either from Islamic extremists or the regime.

Israel’s policy towards the revolt appears to have been as confused as western policy. The conflict, which has killed more than 136,000 people, has prompted worries about the growing role of Al Qaeda, Iran and Hizbollah.

Israel is widely reported to have carried out missile strikes to prevent weapons transfers from the Syrian regime to Hizbollah, but they have been limited.

The wounded fighter stretchered across the border on February 2, just a day into the Geneva Horan offensive, received medical treatment but died. His corpse was returned to Syria, cleaned and with a note of condolence attached, written in Arabic, together with a thorough medical report detailing cause of death.

An opposition activist from Deraa was quick to contrast that with the treatment of Syrian wounded in regime administered hospitals, where human-rights groups and the UN have documented the injured being arrested, refused treatment and tortured by government security agents.

“Wounded Syrians go to Israeli hospitals and their lives are usually saved but if they go to a Syrian [regime] hospital, they are more likely to be killed,” the activist said.

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Formula Middle East Calendar (Formula Regional and Formula 4)
Round 1: January 17-19, Yas Marina Circuit – Abu Dhabi
 
Round 2: January 22-23, Yas Marina Circuit – Abu Dhabi
 
Round 3: February 7-9, Dubai Autodrome – Dubai
 
Round 4: February 14-16, Yas Marina Circuit – Abu Dhabi
 
Round 5: February 25-27, Jeddah Corniche Circuit – Saudi Arabia

Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.

Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.

Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.

Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.

“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.

Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.

From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.

Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.

BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.

Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.

Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.

“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.

Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.

“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.

“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”

The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”

The Melbourne Mercer Global Pension Index

The Melbourne Mercer Global Pension Index

Mazen Abukhater, principal and actuary at global consultancy Mercer, Middle East, says the company’s Melbourne Mercer Global Pension Index - which benchmarks 34 pension schemes across the globe to assess their adequacy, sustainability and integrity - included Saudi Arabia for the first time this year to offer a glimpse into the region.

The index highlighted fundamental issues for all 34 countries, such as a rapid ageing population and a low growth / low interest environment putting pressure on expected returns. It also highlighted the increasing popularity around the world of defined contribution schemes.

“Average life expectancy has been increasing by about three years every 10 years. Someone born in 1947 is expected to live until 85 whereas someone born in 2007 is expected to live to 103,” Mr Abukhater told the Mena Pensions Conference.

“Are our systems equipped to handle these kind of life expectancies in the future? If so many people retire at 60, they are going to be in retirement for 43 years – so we need to adapt our retirement age to our changing life expectancy.”

Saudi Arabia came in the middle of Mercer’s ranking with a score of 58.9. The report said the country's index could be raised by improving the minimum level of support for the poorest aged individuals and increasing the labour force participation rate at older ages as life expectancies rise.

Mr Abukhater said the challenges of an ageing population, increased life expectancy and some individuals relying solely on their government for financial support in their retirement years will put the system under strain.

“To relieve that pressure, governments need to consider whether it is time to switch to a defined contribution scheme so that individuals can supplement their own future with the help of government support,” he said.

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Group C: Bayern Munich, Auckland City, Boca Juniors, Benfica.

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