Jordanians see red over blood transfusion charges



A new policy requiring Jordanians to pay for blood has sparked widespread anger, with many calling it another example of the public being forced to shoulder the burden of the government's financial woes. Jordanians undergoing surgery are used to being given units of blood free from the country's blood banks, provided they donate the same amount in return. But the new policy requires them to pay US$21 (Dh77) for each unit at public hospitals and still donate blood for free.

After much criticism of the new policy, the health ministry on Monday appeared to soften its stance and said it would charge a fee only for the first five units. At private hospitals, patients are asked to pay $45 for each blood unit, and for non-Jordanians the rate has doubled to $60. Cancer patients and those diagnosed with blood diseases or hepatitis are excluded from the payments. The decision has become so unpopular in the country, that it has become a national joke.

Imad Hajjaj, the country's renowned cartoonist, played on the theme in one of his cartoons published in Alghad newspaper last month. He depicted Abu Mahjoob, his main character, ridiculing the pricing formula. "I donate my blood so that they would sell it for $45! ... Dracula is better ... come and have one [suck] for five dinars," Abu Mahjoob tells the mythical vampire. The health ministry defended itself against the criticism. Nayef al Fayez, the health minister, said the ministry is not a vampire, and that it is not selling blood to make a profit.

"Jordanian's blood is too precious to be sold," Mr al Fayez told reporters last week. He said it is simply asking citizens to pitch in part of the fees it incurs from running a host of tests on donated blood to ensure its safety. The minister explained that the fee at public hospitals covered only 25 per cent of blood-testing costs that reached almost $9 million last year. On average, 100,000 Jordanians donate their blood annually, refilling the blood bank with 95,000 units or litres, but Mr al Fayez said private hospitals and doctors are responsible for wasting half of the blood units they receive.

"The [measure] is to help curb squandering of the blood caused by the private hospitals," he said. "Private hospitals in western Amman asked for a total of 50,166 blood units, but they only used 25,325 units." But the Private Hospital Association and private-sector doctors disagreed with this assessment. "Surgeons are the ones who determine how many units they need, not a hospital's administrations," Fawzi Hammouri, the head of the hospital association, said.

Mazen Hanna, a gynecologist, described the decision as illogical. "The ministry is asking for too much. In some instances, if I wanted to perform a minor surgery, I ask my patients to secure up to five blood units and between 10 and 15 for major ones. We return the ones that are not used to the blood bank. "It is not logical that the fee of blood transfusion might cost more than the surgery itself. We do not approve of such measures."

Mr al Fayez insisted that the decision would only affect five per cent of Jordanians because 87 per cent are covered by insurance. There are also uninsured citizens who can obtain medical exemptions from the Royal Court, he said. Since Jordanians donate their blood for free, many are furious at the thought of having to pay for units in return. "My cousin and I donated blood for my friend's son," said Firas Mustafa, 27.

"My cousin's blood group is rare and I think the lab should be paying him money," he said as he left a blood bank in eastern Amman. "I don't think I will ever donate my blood again. People are hardly making ends meet. It is as if one is buying his own blood." The fees are most likely to affect those not covered by a health insurance scheme. Most of those without insurance are refugees who are ineligible for public insurance. There are 120,000 Palestinian refugees from Gaza registered by the United Nations Relief and Works Agency (UNRWA) who do not hold a national identity number that recognises them as citizens. Jordan is also home to between 500,000 and 750,000 Iraqi refugees.

Abu Husam, a Palestinian refugee from Gaza whose wife is awaiting an operation to remove a dead foetus, said he was surprised by the decision. "I managed to get an exemption from the UNRWA for the operation," he said. "The hospital asked me to bring two blood units for my wife. If I am donating my blood, why should we pay, this is not acceptable. But I will not let my wife die." @Email:smaayeh@thenational.ae

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Living in...

This article is part of a guide on where to live in the UAE. Our reporters will profile some of the country’s most desirable districts, provide an estimate of rental prices and introduce you to some of the residents who call each area home. 

Day 1, Abu Dhabi Test: At a glance

Moment of the day Dimuth Karunaratne had batted with plenty of pluck, and no little skill, in getting to within seven runs of a first-day century. Then, while he ran what he thought was a comfortable single to mid-on, his batting partner Dinesh Chandimal opted to stay at home. The opener was run out by the length of the pitch.

Stat of the day – 1 One six was hit on Day 1. The boundary was only breached 18 times in total over the course of the 90 overs. When it did arrive, the lone six was a thing of beauty, as Niroshan Dickwella effortlessly clipped Mohammed Amir over the square-leg boundary.

The verdict Three wickets down at lunch, on a featherbed wicket having won the toss, and Sri Lanka’s fragile confidence must have been waning. Then Karunaratne and Chandimal's alliance of precisely 100 gave them a foothold in the match. Dickwella’s free-spirited strokeplay meant the Sri Lankans were handily placed at 227-4 at the close.

NO OTHER LAND

Director: Basel Adra, Yuval Abraham, Rachel Szor, Hamdan Ballal

Stars: Basel Adra, Yuval Abraham

Rating: 3.5/5

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Tuesday's fixtures
Group A
Kyrgyzstan v Qatar, 5.45pm
Iran v Uzbekistan, 8pm
N Korea v UAE, 10.15pm
A MINECRAFT MOVIE

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Rating: 3/5

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4. The biggest black holes lurk at the centre of many galaxies, including our own

5. Astronomers believe that when the universe was very young, black holes affected how galaxies formed

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 lowdown

Badla

Rating: 2.5/5

Produced by: Red Chillies, Azure Entertainment 

Director: Sujoy Ghosh

Cast: Amitabh Bachchan, Taapsee Pannu, Amrita Singh, Tony Luke

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Opening Rugby Championship fixtures:Games can be watched on OSN Sports
Saturday: Australia v New Zealand, Sydney, 1pm (UAE)
Sunday: South Africa v Argentina, Port Elizabeth, 11pm (UAE)

2025 Fifa Club World Cup groups

Group A: Palmeiras, Porto, Al Ahly, Inter Miami.

Group B: Paris Saint-Germain, Atletico Madrid, Botafogo, Seattle.

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

Group D: Flamengo, ES Tunis, Chelsea, (Leon banned).

Group E: River Plate, Urawa, Monterrey, Inter Milan.

Group F: Fluminense, Borussia Dortmund, Ulsan, Mamelodi Sundowns.

Group G: Manchester City, Wydad, Al Ain, Juventus.

Group H: Real Madrid, Al Hilal, Pachuca, Salzburg.

The National's picks

4.35pm: Tilal Al Khalediah
5.10pm: Continous
5.45pm: Raging Torrent
6.20pm: West Acre
7pm: Flood Zone
7.40pm: Straight No Chaser
8.15pm: Romantic Warrior
8.50pm: Calandogan
9.30pm: Forever Young

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At a glance

Global events: Much of the UK’s economic woes were blamed on “increased global uncertainty”, which can be interpreted as the economic impact of the Ukraine war and the uncertainty over Donald Trump’s tariffs.

 

Growth forecasts: Cut for 2025 from 2 per cent to 1 per cent. The OBR watchdog also estimated inflation will average 3.2 per cent this year

 

Welfare: Universal credit health element cut by 50 per cent and frozen for new claimants, building on cuts to the disability and incapacity bill set out earlier this month

 

Spending cuts: Overall day-to day-spending across government cut by £6.1bn in 2029-30 

 

Tax evasion: Steps to crack down on tax evasion to raise “£6.5bn per year” for the public purse

 

Defence: New high-tech weaponry, upgrading HM Naval Base in Portsmouth

 

Housing: Housebuilding to reach its highest in 40 years, with planning reforms helping generate an extra £3.4bn for public finances

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