[News] How U.S. Sanctions Are a Tool of War: The Case of Venezuela

[Anti-Imperialist News]

venezuelanalysis.com <https://www.venezuelanalysis.com/analysis/15834>
How U.S. Sanctions Are a Tool of War: The Case of Venezuela
By Celina della Croce - mronline.org - August 23, 2023
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On March 26, 2022, Francisco lay in a public hospital bed in Bolívar,
Venezuela, roughly eight hours inland from the capital of Caracas. He had
been waiting for more than twenty-four hours to be seen by a doctor for
fluids filling his stomach in a hot room with no fan or air conditioning.
By then he was stick thin, his skin clinging to his bones as he lay on his
side, waiting.

When he was finally seen by a doctor and given a prescription, he was also
told that the hospital did not have the medicines he needed. His family
would need to try to find them on their own. At the pharmacy, the initial
prescription totaled $35 (well beyond the monthly earnings of many), in
addition to the $5 the family had already spent on saline solution—of which
the hospital had run out. Though public pharmacies are available in many
places throughout the country with subsidized prices, they don’t always
have access to the medicines needed, or if they do (especially as the worst
of the shortages has subsided), even the lower prices—for medicines that
were once free—are unattainable for many.

In fact, UN Special Rapporteur Alena Douhan reported
<https://venezuelanalysis.com/news/15323> in 2021 that Venezuela was
experiencing 85 percent shortages of medicine, according to the national
pharmaceutical federation while high-cost procedures such as heart surgery,
dialysis, and cancer treatment remain especially out of reach—a result of
sanctions imposed and increasingly tightened as part of the U.S. “maximum
pressure campaign” since 2017. For the same reason, Venezuela has
experienced a 45.7 percent decrease in the number of registered doctors,
leaving public hospitals with 50 to 70 percent shortages of qualified
medical personnel and up to 80 percent of hospital equipment in disrepair,
much of which is missing parts that were once imported from the United
States. In other cases, the purchase of equipment from other countries has
been blocked by the U.S. sanctions, which prevent other countries from
doing business with Venezuela lest they be punished with the same sanctions
as a result.

This would explain why, when Francisco’s roommate—who was in for a
collapsed lung after a surgery-gone-wrong at a private clinic, where he
could not afford to continue receiving care that would have cost in the
realm of $1,000 a day—was told he needed an x-ray, he was also told that
the hospital had no working x-ray machines and he would have to seek out
and pay a private lab that had working equipment. Since the hospital only
had one wheelchair and was severely understaffed, his family would also
need to arrange transportation since he was in no condition to walk.

Meanwhile, Francisco waited with his daughter-in-law and his son, who had
been out of work for some time. Two weeks later, on April 12, Francisco
died, unable to get the medical tests he needed that could have helped
diagnose and treat his condition.

In a single year, 40,000 people in Venezuela, like Francisco, died as a
result of the U.S. sanctions <https://venezuelanalysis.com/images/15295>
that have devastated the country’s ability to import medicines and export
key goods such as oil, paralyzing the economy and stunting the country’s
ability to meet the basic needs of the population. The same year, another
300,000 people were at risk of dying because they were not able to access
essential medicines for diabetes, cancer, HIV, kidney disease, and other
treatable conditions for more than a year. Many have left the country in
search of accessible medicine, while many others have died, as Alexis
Bolívar of Rompiendo la Norma reported in the case of those with HIV/AIDS,
the brunt of which have been disproportionately borne by the LGBTQ+
community.

The timeline that I have heard over and over again—from people of all
political persuasions including family members of patients, the wheelchair
attendant who spoke to me about the breaking-down elevators with missing
doors, and members of communes across the country—coincides with the years
that the United States ramped up its maximum pressure campaign against
Venezuela under Donald Trump, allegedly propelled by a concern for human
rights over the country’s democracy and electoral process. But not only has
this rhetoric proved, again and again, to be false­­—Trump himself
dispelled the myth, declaring in June 2023: “When I left [office],
Venezuela was ready to collapse. We would have taken it over. We would have
gotten all that oil. It would have been right next door.” This declaration
echoed a statement made by his secretary of state Mike Pompeo four years
earlier that “We always wish things could go faster.… The circle is
tightening, the humanitarian crisis is increasing by the hour.… You can see
the increasing pain and suffering that the Venezuelan people are suffering
from.”

Based on a bilateral study of thirty-six other oil-producing countries,
economist and opposition supporter Francisco Rodriguez found that,
beginning with Trump’s 2017 blanket sanctions on Venezuela’s oil sector,
“the collapse in Venezuela’s oil production is of a dimension seen only
when armies blow up oil fields,” explaining that “the only country that
suffered a change in trend similar to Venezuela in that period was Yemen,
whose oil fields were the target of a Saudi bombing campaign at the time.”

According to figures released the following year, the U.S.-imposed
sanctions caused the government’s revenue to shrink to a mere 1 percent of
what it had been before the sanctions—in other words, a 99 percent
decrease. A 2023 government report estimates that “since 2015, Venezuela
lost on average $40 billion per year” while the production of the state oil
company PDVSA—the source of most of the country’s social spending—fell by
87 percent from January 2015 to June 2020 as a result of the U.S. blockade.

The situation has improved slightly, but the government’s ability to fund
social programs remains a shadow of what it once was as a result of the
U.S. blockade. As the report explains, “although the country experienced a
slight recovery between 2021 and 2022, the income of the latter year
represents only 10% of what Venezuela received in the year when the
economic aggression began.” As economist Pasqualina Curcio puts it, the
resources lost as a result of the economic war from 2016 to 2019 alone
could have provided “resources sufficient to import enough food and
medicine for 45 years” or fund the health system (both public and private)
for twenty-nine years.

Furthermore, Rodriguez notes that “Venezuela’s deep deterioration in
health, nutrition, and food security indicators occurred alongside the
largest economic collapse outside of wartime since 1950,” with a 31 percent
increase in mortality the year after the sanctions were imposed. By March
2020, former UN Special Rapporteur Alfred de Zayas estimated that 100,000
Venezuelans had died as a result of the sanctions.

The hospital where Francisco was admitted, like others across the country,
is a shell of what it once was: a robust, free, and well-stocked facility
with quality doctors that tended to its patients with care in a country
with one of the highest human development indexes in the world. This is
because, after the Bolivarian Revolution in 1999, the government began to
dedicate 75 percent of its resources on social spending, a 50 percent
increase from what it had been previously. Among these programs, largely
funded with oil revenues, are Mission Barrio Adentro, setting up health
clinics in 320 of Venezuela’s 355 municipalities; Mission Sonrisa,
providing free dental care; and Mission Milagro, restoring the eyesight of
some 300,000 Venezuelans and providing eye surgery to 1 million.

But these programs and many others were shattered with the U.S. sabotage of
the Venezuelan economy, following Richard Nixon’s old mandate to “make the
economy scream” as a key part of the strategy for regime change. As an
independent expert wrote in a 2018 UN report, “Modern-day economic
sanctions and blockades are comparable with medieval sieges of towns with
the intention of forcing them to surrender. Twenty-first century sanctions
attempt to bring not just a town, but sovereign countries to their knees.”

Three years later, UN Special Rapporteur Douhan released a report on the
impact of unilateral coercive measures in Venezuela, concluding, among
other key points, that “the tightening of sanctions from 2017 undermined
the positive impact of the multiple reforms and the State’s capacity to
maintain infrastructure and continue to implement social programmes.” The
report shows, for example, that as a result of these measures, the
children’s heart hospital, which Douhan refers to as the most modern in the
country and which handles 90 percent of children’s heart operations
nationwide, decreased its surgeries by 94 percent from 2015 to 2020.
Meanwhile, at the J. M. de Los Ríos children’s hospital in Caracas, the
main hospital treating children from outside the capital, “care in several
of its 34 specialist areas is reportedly no longer available. The hospital
lacks basic medicine, medical equipment and instruments, and can no longer
provide food for the patients. Patients requiring oncology and haematology
services cannot receive complete treatment, which has forced families to
seek supplemental treatment elsewhere—if they can afford it. Here again,
the poorest are the most affected.”

On July 27, 2023, Dr. Isabel Iturria, the director of the Children’s
Cardiology Hospital Dr. Gilberto Rodriguez Ochoa—which performs surgeries
for children across the country, with 85 percent of its patients coming
from the inland—told a delegation <https://venezuelanalysis.com/news/15819>
from the International People’s Tribunal that, even though they have begun
to perform more surgeries (406 so far this year) and maintain a high
success rate of 96 percent, the surgeries are performed under less than
ideal conditions. For instance, whereas before the blockade they were able
to use catheters to perform less invasive and risky heart surgeries on
children, from newborns to adolescents, they now have to perform much more
invasive heart surgeries on children because they have been unable to
purchase catheters as a result of the U.S. blockade. In addition, she
explains, “there are no saws to open children’s chests; we operate on four
children every day, and we need four saws. We have one. Why don’t we have
more? Because it’s impossible to buy them [because of the blockade].… So,
we have to function with just one, and we have to use an external knife to
open the thorax, which is a methodology that we stopped using many years
ago because of the consequences it can bring.” Other surgeries are limited
by insufficient air conditioning, without which they are unable to safely
operate. “They won’t sell us anything,” she told us, speaking of the
hospital’s many thwarted attempts to purchase medical equipment—even when
they have the money.

Venezuela is by no means an isolated case, though it is one of the most
severe. According to 2021 data from the U.S. Treasury Department, U.S.
sanctions have increased by 933 percent over the last twenty years, meaning
that nearly a third of the world economy and one-fourth of the countries in
the world are subjected to them. If the U.S. can’t win with tanks and guns,
it calculates, perhaps a campaign to suffocate the people will expedite
regime change.

Despite killing tens of thousands, and despite figures of everyday life
only comparable with battlefields, the sanctions have not been able to
strip joy from the life of Venezuelans, nor have they been able to
accomplish their objective of regime change. While getting sick may very
well cost the average Venezuelan their life as a result of the devastating
U.S. blockade, it has not been able to stop the plazas from filling with
music, theater, and bustling life. Nor has it hampered the warmth,
ingenuity, and resilience of its people, who refuse to be beaten down.

*Celina della Croce is the publications director at Tricontinental:
Institute for Social Research as well as an organizer and activist.*
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