I've just discovered that a few weeks after I wrote this post, an Israeli doctor involved in this type of "humanitarian assistance" exposed its political agenda. It turns out I was even more correct, sadly, than I knew. The following was first published in Israel's Yediot and then translated by Sol Salbe and posted with commentary on Tikkun Olam :

Public Relations instead of saving lives

Sending portable toilets to Haiti would have been a better option, but this does not provide good photo opportunities. Israeli missions to disaster areas in the past have shown that such activity was in vain.

Yoel Donchin

I received my final exemption from the army after I published an article which said that the State of Israel acts like the proverbial Boy Scout, who insists on doing a good deed daily and helping an old lady cross the road even against her will. How ungrateful of me to publish such a column when I had participated in almost all the rescue missions to overseas disaster areas! Suddenly I am no longer suitable to take part in such heroic endeavours. But in light of the experience I gained in such missions…we have wasted our effort.

Generally speaking, we start preparing for such a mission within hours of the announcement of a natural disaster. Most often the Israeli mission team is the first one to land in the area. Like those who climb Mount Everest, it plants its flag on the highest peak available, announcing  to all and sundry that the site has been conquered. And in order to ensure that the public is aware of this sporting achievement, the mission is accompanied by media representatives, photographers, an IDF spokesman’s office squad and others.

I understood the purpose perfectly when the head of one of the delegations to a disaster zone was asked whether oxygen tanks and a number of doctors could be removed to make room for another TV network’s representatives with their equipment. (With unusual courage, the delegation head refused!)

The lesson learnt from the activities of those missions is that when there is a natural disaster, or when thousands of people are expelled from their homes by force, as happened in Kosovo, survivors may benefit from international assistance only if it responds to the region’s specific needs. Also assistance must be coordinated among the various aid agencies.

The competitive race to a disaster zone imposes a huge strain on the local health and administration authorities. Airports are clogged by transport planes unloading a lot of unnecessary but bulky equipment. Doctors and rescue organisations seek ways to utilise single carriageway roads and in fact they are a burden.   The correct way to help is to send a small advance force to gauge the dimensions of the disaster…

Would they still call that child Israel?

Three components are crucial:  shelter, water and food — these things are crucial in order to save the largest number of people. Water purification equipment, tents, basic food rations are needed. But they do lack the desired dramatic effect. If we went down that track we would miss out on seeing that child who was born with the assistance of our physicians. Most certainly, the excited mother wouldn’t give her child (who knows if he will ever reach a ripe old age?) the name Israel or that of the obstetrician or nurse. (Would he get citizenship because he was born in Israeli territory? There would be many opposed to that.) The drama is indeed classy, but its necessity is doubtful.

It being Israel, our current force contains a Kashrut supervisor, security personnel and more.

In the present disaster, which is of a more massive scale than anything we have encountered to date, the need is not so much for a field hospital but field, ie portable, toilets. There is more of a need for digging equipment to dig graves and sewage pipes.

A country which wants to provide humanitarian aid without concern for its media image should send whatever is required by the victims, and not whatever it wants to deliver. But would the evening news show the commander of the Israeli mission at the compound with 500 chemical toilets? Unlikely. It is much more media savvy to show an Israeli hospital, replete with stars of David and of course the dedicated doctors and nurses, dressed in their snazzy uniforms with an Israeli flag on the lapel.

…It is quite likely that financial assistance commensurate with Israel’s resources would be preferable to the enormous expense and complicated logistics involved in the maintenance of a medical unit in the field…

But apparently a minute of TV coverage is much more important…and in fact Israel is using disasters as [military] field training in rescue and medical care. After a fortnight, the mission will reportedly return to Israel. To be truly effective a field hospital needs to remain for two or three months, but that’s a condition that Israel cannot meet.

…It is only in the Israeli aid compound in Haiti that large signs carrying the donor country’s name hang for all to see.

Prof. Yoel Donchin is the director of the Patient Safety Unit at the Hadassah Medical Centre in Jerusalem.
Translated by Sol Salbe, who directs the Middle East News Service for the Australian Jewish Democratic Society.