Heart drugs and all kinds of other medicines have disappeared from drug stores across Lebanon. The drug shortage is the latest in a series of problems in the country, which was once a center for medical services, banking and real estate.

    Rita Harb works as a nurse at a hospital in Beirut, the capital. She cannot find heart drugs for her 85-year-old grandfather.

    She has searched Lebanese drug stores and called friends overseas. Not even doctors she knew could get the drugs from pharmacies or other providers.

    Harb’s story is becoming increasingly common in Lebanon.

    Officials and pharmacists say the drug shortage was made worse by panic buying and hoarding after an announcement by the country’s Central Bank governor. He said that with the supply of foreign money running low, the government would not be able to keep up subsidies, including subsidies on drugs.

    That announcement “caused a storm, an earthquake,” said Ghassan al-Amin, head of the Order of Pharmacists of Lebanon.

    Many Lebanese now search the country and beyond for necessary drugs. Older adults ask religious organizations and aid groups for help.

    In the country’s economic crisis, more than half the population has been pushed into poverty. Lebanon’s money has lost nearly 80 percent of its value. People’s savings also have dropped in value.

    Lebanon imports nearly everything, including 85 percent of its drugs.

    Lifting subsidies is a likely step for the government. This is expected to increase prices and inflation. Fixed at 1,500 to the U.S. dollar for many years, the Lebanese pound is now worth around 7,000 for $1 on the black market.

    The difference between the official and black-market dollar rate has fueled smuggling. In other words, subsidized Lebanese drugs were secretly taken to neighboring countries.

    In the chaos, six out of every 10 brand drugs have become unavailable, notes Malak Khiami, the pharmacist at Amel Association, an aid group.

    For years, around 20 importers have controlled Lebanon’s drug market. Lebanese law awards rights to some drug importers, giving them power to resist reforms and keep out competitors.

    The import rights are part of Lebanon’s economic order, which after the civil war’s end became controlled by militia chiefs, wealthy traders and real estate owners.

    As that economic order falls apart, the market for foreign drugs will likely become smaller, says Viviane Akiki, an economic reporter. “The dollar shortage will impose new solutions.”

    In the Zoukaq al-Blat neighborhood of Beirut, Mahmoud Mahmoud’s pharmacy was quiet. Except for painkillers and other products, the store’s shelves were empty.
    在贝鲁特的Zoukaq al-Blat街区,马哈茂德·马哈茂德的药店非常安静。除了止痛药等产品,药店的货架上空空荡荡。

    Mahmoud believes suppliers are holding back drugs because they are waiting for higher prices — or smuggling them out of the country. One gout drug, he said, was found in Iraq, selling for $7, more than five times its price in Lebanon.

    “They are destroying the profession,” said Mahmoud. “With the way the country is going, the profession is collapsing.”

    I’m John Russell.