The economic crisis in this country has exploded into a public health emergency, claiming the lives of untold numbers of Venezuelans. It is just part of a larger unraveling here that has become so severe it has prompted President Nicolás Maduro to impose a state of emergency and has raised fears of a government collapse.
Hospital wards have become crucibles where the forces tearing Venezuela apart have converged. Gloves and soap have vanished from some hospitals. Often, cancer medicines are found only on the black market. There is so little electricity that the government works only two days a week to save what energy is left.
At the University of the Andes Hospital in the mountain city of Mérida, there was not enough water to wash blood from the operating table. Doctors preparing for surgery cleaned their hands with bottles of seltzer water.
"It is like something from the 19th century," said Dr. Christian Pino, a surgeon at the hospital.
The figures are devastating. The rate of death among babies under a month old increased more than a hundredfold in public hospitals run by the Health Ministry, to just over 2 percent in 2015 from 0.02 percent in 2012, according to a government report provided by lawmakers.
The rate of death among new mothers in those hospitals increased by almost five times in the same period, according to the report.
In the Caribbean port town of Barcelona, two premature infants died on the way to the main public clinic because the ambulance had no oxygen tanks. The hospital has no fully functioning X-ray or kidney dialysis machines because they broke long ago. And because there are no open beds, some patients lie on the floor in pools of their blood.
It is a battlefield clinic in a country where there is no war.
"Some come here healthy, and they leave dead," Dr. Leandro Pérez said, standing in the emergency room of Luis Razetti Hospital, which serves the town.
This nation has the largest oil reserves in the world, yet the government saved little money for hard times when oil prices were high. Now that prices have collapsed - they are around a third what they were in 2014 - the consequences are casting a destructive shadow across the country. Lines for food, long a feature of life in Venezuela, now erupt into looting. The bolívar, the country's currency, is nearly worthless.
The crisis is aggravated by a political feud between Venezuela's leftists, who control the presidency, and their rivals in congress. The president's opponents declared a humanitarian crisis in January, and this month passed a law that would allow Venezuela to accept international aid to prop up the health care system.
"This is criminal that we can sit in a country with this much oil, and people are dying for lack of antibiotics," says Oneida Guaipe, a lawmaker and former hospital union leader.
Late last fall, the aging pumps that supplied water to the University of the Andes Hospital exploded. They were not repaired for months.
So without water, gloves, soap or antibiotics, a group of surgeons prepared to remove an appendix that was about to burst, even though the operating room was still covered in another patient's blood. Read more
(Source: The New York Times)