Lack of healthcare, retirement schemes leads Lebanon's elderly to struggle for basic necessities during pandemic

Beirut:  Tiny and bowed by age, Marie Orfali makes the trip five times a week from her Beirut apartment to the local church, a charity and a...

Beirut: Tiny and bowed by age, Marie Orfali makes the trip five times a week from her Beirut apartment to the local church, a charity and a nearby soup kitchen to fetch a cooked meal for her and her 84-year-old husband, Raymond.

Their only support — Raymond’s $15,000 one-time end-of-service payment from when he retired more than 20 years ago — long ago ran dry.

They have since depended on charity to cover almost everything: rent, cleaning supplies, pain killers and food for their white dog Snoopy. But charity covers less and less as Lebanon’s currency collapses. The cash they get from a benefactor and the church every month, once amounting to $400, is now barely worth $40.

The 76-year-old Marie broke down in tears when asked how she’s doing. “I’ve become scared, I’ve become jittery,” she said. “I sit and cry and think, I want money. I want to get stuff for the house.”

The elderly couple Marie Orfali and her husband Raymond from Lebanon have to resort to soup kitchens and charities to fetch food in these times of crisis, in the absence of a national healthcare system. Image via The Associated Press/ Hassan Ammar

With virtually no national welfare system, Lebanon’s elderly are left to fend for themselves amid their country’s economic turmoil. In their prime years, they survived 15 years of civil war that started in 1975 and bouts of instability. Now, in their old age, many have been thrown into poverty by one of the world’s worst financial crises in the past 150 years.

Lebanon has the greatest number of elderly in the Middle East — 10 percent of the population of 6 million is over 65. Around 80 percent of the population above the age of 65 have no retirement benefits or health care coverage, according to the UN’s International Labor Organization.

Family members and charities, traditionally the prime source of support, are struggling with increasing needs as unemployment rises.

Any dollar savings the elderly had from a lifetime of work are locked up in banks, inaccessible in the banking crisis. The savings lost nearly 90 percent of their value as the local currency collapsed against the dollar. Imported medicine and basic goods are in jeopardy, and a once reliable health care system is crumbling.

“I don’t have money to buy clothes or shoes,” Marie said, whispering. She didn’t want Raymond to hear her complain. He recently went through a COVID-19 infection and brain surgery and gets agitated, and it’s only worsened by lockdowns and the financial crisis.

Raymond worked for 26 years as an orderly at one of Beirut’s hospitals, and Marie as a custodian at a university.

Now they live among piles of their belongings in a rented apartment in east Beirut, trinkets filling the shelves and pictures of Jesus and the holy family adorning every wall. The black suits that Raymond once wore to parties — he was a lively dancer — still hang over his bed. A bag of bread is under the bed for easy access. He moves around the apartment with a walker. Their five children are struggling as well and can’t help.

Over the past two years, more elderly have taken to the streets, searching through trash or begging, said Joe Taoutel, who runs Rafiq el-Darb, or Friends Until the End, the charity where Marie gets some of the meals each week.

Taoutel delivers home meals to more than 60 elderly families, up from five before the crisis.

“Those who used to give are now in need,” said Taoutel. “At first, groups would help their sects. Now, needs have increased, and no one can replace the state.”

Lebanon is one of only 16 countries in the world with no pension scheme for private sector workers in case of old age, disability and death, according to the ILO. The national social security program covers only 30 percent of the labor force, mainly giving one-time payments at retirement, and is dangerously underfunded.

To rub salt in the wound, a massive explosion in Beirut last summer devastated parts of the city where hundreds of homes of Lebanon’s older Christian population stood, temporarily or permanently displacing them.

The government is struggling to provide for a population where now 55% live under the poverty line since the crisis began in late 2019. The World Bank has given Lebanon a loan of $246 million to offer cash assistance to about 160,000 Lebanese families — but disbursement has been delayed. The financial institution said it had no data for how many of the elderly are under the poverty line.

As the economy falters, more young Lebanese are migrating, leaving behind aging parents.

The UN estimates that by 2030, those above 65 may make up more than 15 percent of Lebanon’s population, a trend that could be accelerated with the brain drain and a deteriorating health care system.

“The elderly and those with disabilities are remaining. If society is not aware of this problem, I think we’re heading toward more crises,” said Mustafa Helweh, head of Social Services Medical Association, a rehabilitation hospital and nursing home in Tripoli, northern Lebanon.

Thousands of foreign domestic workers — the backbone of the elderly care system — left as dollars became scarce. The overwhelmed health care system is no longer considered reliable.

At the height of the pandemic, nursing homes were considered a high risk around the world. In Lebanon, some families saw them as the answer.

Helweh’s 104-year-old facility accommodates up to 300, a mix of elderly, mentally ill and people with disabilities. It halted admissions and visits at the start of the pandemic.

When it reopened six months later, 42 new patients were admitted, an unexpected rush. With currency depreciation, a private room now costs the equivalent of only about $100 a month. The facility is refitting part of the basement for more rooms, but a plan for a 72-bed annex never took off. Foreign funds were stuck in the bank, and bureaucracy delayed government approval.

A homeless Lebanese man sleeps on a refrigerator inside an old deserted house in Beirut. Image via The Associated Press/ Hassan Ammar

Private donations made up for shortages, though families were asked to look for medicines in short supply or bring in adult diapers, now five times more expensive. Nurses looked for jobs elsewhere as salaries couldn’t keep up with inflation.

Suleiman Ali Yousef, an 81-year-old merchant, arrived nearly two months ago.

Yousef and his wife contracted coronavirus together last year. Unlike everything they did together the past 50 years, she passed away alone. His health weak, Yousef needed care. His children admitted him.

A self-made man, Yousef said he survived the treacherous business world with quick wits and good connections. He imported cheap goods from Europe during the civil war.

His wife managed the savings, and they lived well, never needing financial help from family. He only stopped working because of a stroke two years ago.

Now half his savings are stuck in the bank. The other half is merchandise stored at a warehouse. He has no social insurance.

“I never cost the state anything in my life. I worked and paid for everything,” he said from his bed. “It must offer me a service. I am sick.”

He despairs at finding himself alone and in need. “I don’t want to go back to being a young man. No, thank you! But I want to take care of myself.”

Back in the Orfalis apartment, Raymond said he can’t afford to hire help. He can barely afford his pain killers.

His equally aging wife is his only caregiver. She changes his diapers and responds to his bell rings in the middle of the night from the room next door.

“She is suffering with me. I don’t want her to suffer,” he said, weeping. “I have nothing. Just God. May He take me back and relieve me.”

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