A young barber from Kim Lien Village cuts a customer’s hair in an open air barber shop

The next time you need a haircut in Hanoi, eschew the high-end, luxurious salons.

Instead, make your way to Kim Lien Village (Phuong Lien Ward, Dong Da District) just a twenty minute amble from Lenin Park.

If you’re lucky you’ll find a barber from the century-long birthplace of the nation’s barbers. If you’re not in the mood to wander, take my Uncle Minh’s advice and go see Pham Duy Hao. “He’s not only a good barber,” Minh told me. “He’s a cute, funny, little guy.”

Nestled behind the cluttered clothing clothes stalls in Kim Lien’s second-hand market, Duy Hao Hairdressing Shop doesn’t bear any outward signs of belonging to a local master. But once Hoa’s scissors are out and snipping, Hoa will unfold Kim Lien Village’s great legacy like a hot towel.

“I am the third generation in my family doing this work,” Hao said, as he worked. “My grandfather Pham Duy Hien was among the first barbers in Kim Lien Village; he opened the first barber shop in Hanoi nearly a century ago when he was just 19-year-old.”

Hao swelled through the tiny shop as he recalled his ancestral past. “My grandfather’s skill brought him the great honor of an invitation from King Bao Dai to come to his citadel in Hue and work as the private barber for the royal family,” he said. “The king was so pleased with his skill that he took my grandfather with him on all his trips, even abroad. Thanks to the king, my grandfather earned enough to buy a big house and provide a rich life for his family in Hanoi.”

After some political upheavals, Hao’s grandfather left the palace and opened a chain of lucrative barber shops on Hang Quat and Hang Dao streets. He soon became the man to see about a haircut.

Hao can recall his grandfather belonging to a dapper circle of barbers who dressed like silent film heartthrobs. They wore felt hats, smoked wooden pipes, and maintained meticulous bi-bop hairdos in the style of King Bao Dai – imagine a sort of slicked-back mini-pompadour sans height.

While Hanoi’s famous barber class enjoys numerous stars, no one knows precisely who pioneered it all.

“According to Tu Hinh, who used to be a famous barber and now is tending the village’s pagoda, no one knows who the ancestor of our hairdressing trade is,” Hao said.

Hao introduced Thanh Nien Weekly to a pair of veteran barbers. These old-timers said that in feudal times, when Vietnamese men twisted long, luxurious hair into chignons, Kim Lien Village became the place to come for a shave.

Most of this work was done out of the home, Mau and Hien agreed. In their eyes, the trade took off with the arrival of the French at the end of the 19th century.

“The French guys brought scissors or clippers,” 84-year-old Nguyen Van Mau remembered. “They heard about us and came to instruct us on the use of these new tools. Some of our Vietnamese customers were gradually influenced by their style.”

Sixty-nine-year-old Nguyen Duc Hien is one of the few veteran barbers still working now. He clearly recalls the heyday of Kim Lien’s barbers. “When the French came, we started to open a lot of shops in Cot Co Street to serve them,” Hien recalled. “These foreign clients were very finicky. Before working on their hair, we had to clean every tool with boiling water and alcohol. They wanted their ears covered with cotton and asked to have scented water sprayed on their hair. When finished, they demanded that not a trace of hair be left on their clothes.”

Because most of their customers were French and aristocratic Vietnamese, Kim Lien barbers at that time all learned to speak some French. “Thanks to the high standard of these foreign customers, we always strove to become perfect barbers with professional manners. These demands made Kim Lien barbers famous throughout the country,” Mau added.

Beyond all the pomp, Hien says it was their sense of humor that really hooked the city’s elite. “Besides learning hair design, we had to figure out how to make our customers feel at ease. We told jokes and funny stories while we cut their hair,” he said. “Our customers came from different cultures and varied economic and social positions; we had to learn how to be able to talk to all of them.”

From the early 1950s to the late 1960s, Kim Lien’s hairdressing trade hit its peak. The town’s barbers enjoyed so much renown, they were able to leave Hanoi and establish businesses based on their hometown’s reputation. In the capital, barbers grouped themselves into a collective managed by Hao’s father.

“I started helping my father at his barber-shop when I was just a kid,” Hao remembered. “Anyone who wanted to work there had to pass an entrance exam and attend a course. I aced the first course, but I had to pass a few advanced placement exams to become a first-class barber – the highest-paid honor.”

Hao looks much younger than his fifty-plus years. His short hair is streaked with ruby-red highlights and quick, delicate hands. He carries a fanciful, stylish air about himself. Hoa says he needs just an instant to determine what haircut you need. Today, Hao is free to improvise with hair and take his time experimenting. He remembers a time when he served around 30 customers per eight-hour shift. “At that time everyone wanted the same haircut,” Hao said. “If we were inspired by a beautiful face and added a few flourishes, they docked our pay.”

As the capital continues to open up to the global economy, Kim Lien’s youth has its sights set on white-collar work. Many of them have turned away from their ancestors’ trade.

“In the 1970s and 1980s, 80 percent of our village was still doing the job,” Hao said. “Now that figure has shrunk to around 10 percent (about 200 people).”

The remaining barbers have had to equip their shops with modern tools and techniques to meet evolving customer demands. Yesterday’s barbers are now known as hair designers. Gone are the men who would arrive at your door carrying their wooden toolboxes offering a simple shave.

Now they are confined to open sidewalk stalls struggling to continue their line.

This spring, Kim Lien’s remaining barbers went head-tohead in an exciting hair design competition. The event was held to honor their traditional trade and encourage young people to follow in their ancestors’ footsteps.

A hairdressers club was also introduced on this occasion.

The chairman of Phuong Lien Ward’s People’s Committee, Bui Minh Hoang, has expressed a desire to preserve the barbers in Kim Lien. Hoang personally called on villagers to organize the competition. When we asked what he would do next, the young chairman said that he wanted to have a small street here dedicated to the preservation of the town trade.

Veteran barber Pham Duy Hao says he’s willing to open a class to teach the traditional job to the next generation.

 Tran Thi Hoan stands in front of the US Supreme Court in 2008. Hoan is a victim of Agent Orange, the herbicide laced with dioxin-tainted defoliant that was sprayed across huge swaths of Vietnam between in the 1960s and early 1970s, and she fears that she could pass on the poison that saw her born without legs and with a withered hand to her children.

At 23, Tran Thi Hoan dreams the dreams of a typical young woman: find a good job, start a family and, as a native of a country long ravaged by war, live in peace.

But Hoan is a victim of Agent Orange, the herbicide laced with dioxin-tainted defoliant that was sprayed across huge swaths of Vietnam between in the 1960s and early 1970s, and she fears that she could pass on the poison that saw her born without legs and with a withered hand to her children.

So she’s let go of part of her dream.

“Maybe my children will be disabled like me. So I don’t believe I can get married,” Hoan told AFP after she became the first Vietnamese victim of Agent Orange to testify before the US Congress.

“I’m worried,” she added quietly.

“I’m scared.”

Hoan had just read a three-page testimony in English to US lawmakers in a packed hearing room.

“I am not unique, but am one of hundreds of thousands of people whose lives have been marked by our parents’ or grandparents’ exposure to Agent Orange,” she said.

“I was born as you see me: without legs and missing a hand.”

But in spite of her handicap, and in spite of her fears that nobody would want her as a wife, Hoan told the packed hearing called by Congressman Eni Faleomavaega, a veteran of Vietnam, to try to determine how to meet the needs of Vietnam’s victims of Agent Orange, that she was “one of the lucky ones.”

“I’m missing limbs, but my mental functioning is fine,” she said.

Some Agent Orange victims do nothing but sleep, she said. Others fall ill with a slight temperature change. Still others die young, at age 10.

“Many babies, children and young people live lives of quiet agony. They are trapped in bodies that do not work. Their brains remain in infancy even as their bodies grow.

A ribbon supporting Agent Orange victims. Today, Agent Orange and dioxin, which is known to increase the risk of cancer, immune deficiency disease, and reproductive and developmental disorders, still contaminates the land and water of Vietnam.

The American Public Health Panel estimates that some 77 million liters of herbicides, including 49.3 million liters of Agent Orange containing dioxin-contaminated defoliants, were sprayed over 5.5 million acres (2.23 million hectares) in what was then South Vietnam by the United States military.

The aim was to destroy the densely wooded hiding places of the Vietnamese liberation forces.

Today, Agent Orange and dioxin, which is known to increase the risk of cancer, immune deficiency disease, and reproductive and developmental disorders, still contaminates the land and water of Vietnam.

Vietnamese medical doctor Nguyen Thi Ngoc Phuong told the hearing that studies she has conducted have found that up to 4.1 million Vietnamese were directly exposed to Agent Orange during the war and more than three million have suffered its effects.

Babies are exposed through their mother’s breast milk. Others have been exposed by living in or near contaminated areas called “hotspots,” such as Da Nang, where the United States had a base during the war.

The United States, which reestablished diplomatic ties with Vietnam 15 years ago, is funding a program to “remediate” dioxin at Da Nang, or burn it at ultra-high temperatures of 350 degrees Celsius (662 Fahrenheit), which causes it to vaporize.

Not doing anything would mean dioxin, which has a half-life of 100 years – meaning it will take 100 years for it to fall to half its initial strength – would still be tainting the land and people’s lives next century.

“My gosh,” said Faleomavaega, “We’ll all be dead and it’ll still be there.”

Though Hoan’s life has been marked by an event that happened decades before her birth, she insisted Agent Orange victims have to look to the future.

“We can look at the past and see the consequences of war, but we don’t want to stay in the past. We have to look to the future and see what we can do,” she told AFP.

And she added another wish to her wish-list.

“We want those responsible for the terrible consequences of Agent Orange to hear our pain and respond to us as humans,” she said, speaking not only for Vietnamese victims but for “the children and grandchildren of Americans who were exposed to Agent Orange and who are suffering like us.”

In the audience, a veteran of the Iraq war cried. Another applauded quietly.

One of the chemical companies that made Agent Orange, Dow, says on its website that manufacturers were compelled by the government to produce the herbicide.

In 2007, Dow said there was no evidence to link Agent Orange to Vietnam veterans’ illnesses.

And last year, a US embassy spokeswoman in Hanoi said there has been no internationally-accepted scientific study establishing a link between Agent Orange and Vietnam’s disabled and deformed.

Members of the French Vietnam-Dioxine Collective gather in Paris on June 18 to show their support on the same day the US Court of Appeals held a hearing in New York related to a lawsuit filed by Vietnamese victims of the chemical Agent Orange against several US chemical companies that manufactured the toxic material. Agent Orange, a dioxin-containing defoliant used during the Vietnam War, caused disfiguring birth defects, cancer, and many other health problems to those exposed.

Progress is paving its way through Vietnam’s ancient cities and no one knows what to save and what to toss.

After several debates regarding preservation efforts in Hanoi, the nation still lacks an agency capable of evaluating the historical significance of a given site. What’s more, Vietnam needs technicians who know how to preserve the relics it wants to keep.

Olivier Tessier, researcher from the French School of Asian Studies (École Française d’Extrême-Orient, EFEO), sat down with Thanh Nien Weekly to discuss what Vietnam can do to hold on to its cultural heritage.

Thanh Nien Weekly: How do you assess the historical value of a place like the Thang Long Imperial Citadel?

Olivier Tessier: The imperial citadel has great historical and cultural value. It was the capital of the Ly, Tran and Le dynasties as well as a major center for cultural and economic exchange between Vietnam, China, Champa and other countries in Southeast Asia.

A section of Hoang Hoa Tham Street, thought to be part of the citadel, was recently excavated during the construction of an overpass. What are your thoughts on that?

- Cities run into this problem all over the world – Rome, Paris, Athena, etc. We want to preserve our heritage as well as develop our cities. Meanwhile, cities can’t develop if everything is preserved. Hanoi is a city with a long history. When you build roads, you’re going to run into relics of the past – as was the case in Hoang Hoa Tham Street.

So, what can Vietnam do in this case? If you ban all construction, you’ll stymie socioeconomic development. Every year in France, some 700 square kilometers of land are set aside for the construction of roads, railways and private and public buildings. Underground relics are definitely destroyed during the construction. Inevitably this leads to disputes among politicians, scientists, residents and economic sectors. So, in 2002, the French National Institute for Preventive Archaeological Research (INRAP), was established to research the protection of archaeological relics.

While researching 20 percent of the 700 square kilometers, INRAP combs the project sites, work out their maps, and photograph them, before a decision on the use of the site is issued. Construction projects are seldom stopped. INRAP doesn’t make the decision, politicians do, but only after considering our findings regarding the site’s historial and cultural value. They weigh those findings against issues such as land planning, and the development demand of the surrounding community.

Such an agency can’t make everyone happy, but it can cool down disputes by establishing a legal procedure for potential construction projects. Such an agency could help Vietnamese authorities make decisions in cases like Hoang Hoa Tham Street. Once again, however, you can’t please everyone.

But, we should strive to maintain our cultural heritage for posterity...

- Right, you are right. Everyone agrees with you. But, you can’t save everything. Hanoi might not have become the capital of Vietnam if construction had been banned, a thousand years ago, to maintain historical integrity.

There are a number of ways you can approach the preservation of a given site. You can preserve relics on-site. You can study relics and then remove them to museums. Additionally, you can bury them so that future generations, with more advanced technology, can study them further.

There are different methods (for preservation) but the goal is to maintain something that scientists can continue to study and preserve evidence of the past for future generations

What should we do about the Thang Long Imperial Citadel?

- The discovery of archaeological relics at the imperial citadel is of great significance to Vietnam’s history. The relic site has two unique features. The first is that the site sits on top of five meters of sediment filled with objects that span 13 centuries (from the 8th-19th). The second is that the space above ground continues to be used.

There are older and better heritage sites in the country, but Thang Long is especially interesting because it contains a long-term history. It is here, in the space of a few hectares, that Vietnam’s political center has been established over the course of a thousand years.

This historical gem sits in the middle of Hanoi, an expensive city that’s rapidly modernizing. Moreover, it is in the center of Ba Dinh political area, adjacent to the National Assembly’s building. For that reason, its development has been widely debated in recent years.

So, what’s the best option in this case?

- Now, we must determine how to best preserve the site and develop a working plan for the project. Foreign and local experts agree that there’s no single best recipe for handling this scenario. It’s not like baking a cake.

Research proposals from the Institute of Archaeology (of Vietnam) have proposed that part of the site be left open for sightseeing, while the rest be covered with land and soil to protect it from the elements. This should be urgently implemented. In fact, the relic has been affected by rain, sunshine, and moisture since it was unearthed eight years ago.

Is there anything else Vietnam can do to preserve its cultural relics?

- I think Vietnam should train more experts in the technical aspects of preserving archaeological relics in particular, and cultural relics in general. Archaeologists cannot succeed without this technical understanding and capacity. This is a subject that is taught at many universities, especially in Europe.

 For expats in Vietnam immersion is the best way to learn Vietnamese

Vincent Milliot was late, again.

“He spent at least 15 minutes trying to tell the taxi driver where to meet us,” complained his friend, Frank Picatto. “Finally the guy got it.”

Picatto didn’t understand what took so long. The fact is, his pal Milliot, a French diplomat, was practicing his Vietnamese.

Like many other expats who have just arrived in Vietnam, Milliot took every opportunity to try his hand at the language.

He is not alone.

Four expats told Thanh Nien that when they first arrived, they took language lessons at least two times per week (the price of a private lesson ranges from US$5 to $15) and sought to practice Vietnamese everywhere with everyone. But in many cases, this “fever” doesn’t last forever.

In fact, there are many expats who live in Vietnam without speaking Vietnamese.

“I think if an expat works in Vietnam for more than two years they have to study Vietnamese seriously,” said Alberto Fabeiro Linares, trade adviser of Spanish economic and commercial office in HCMC, Embassy of Spain. “My contract to work in HCMC is nine months, and at first I [studied] Vietnamese at university. Then when I tried to speak Vietnamese with people like taxi drivers, I suddenly felt like people do not understand. “English” they asked so I started speaking in English,”

Last week, Linares and his friends gathered in his apartment to watch their home team battle the Portuguese. A note pad on the door offered pointers on how to buy fruit and ask for directions. The sign offers the only trace of that initial enthusiasm to learn Vietnamese.

Alberto’s colleague, Joan Navarro, IT manager of Spanish Economic & Commercial office in HCMC agreed with him. “I studied Vietnamese for the first three months during my nine months in Vietnam. I find it is very difficult to study. I could always speak English with my friends. Now I only use Vietnamese to order food, ask for directions, and deal with money. If I lived in Vietnam for two years I would learn more.”

Joan Navarro said that he travelled from HCMC to Hanoi on train, bus, and motorbike. “These were moments that I really wished I could speak Vietnamese more than ever. During the trips to small villages, I enjoyed discovering the place but I could not speak to the people there.”

As a language with six distinct tones, Vietnamese can quickly discourage expats who work here for a short time. For those who live here for a long time, learning Vietnamese allows them to break into all aspects of Vietnamese society.

Sarah Johnson started working in HCMC two years ago as a journalist. “When I got to Vietnam, I was determined not to learn Vietnamese because at the beginning I planned to stay for just nine months,” she said. “But then I changed my mind and I found out that learning Vietnamese would make life easier. For three months, I took private lessons with a tutor. Then as I made more friends I practiced Vietnamese with them and people on the street.”

Jon Dillingham, an American editor also agreed with Sarah. For his first three years in Vietnam he kept picking up and dropping Vietnamese classes. At first, he felt very stupid for living here and not speaking the language. “You can speak English with middle and upper class people but there are so many more other people outside these classes,” Dillingham said. “At first I learned on my own and I did not pay attention to the tones and that was stupid. After two months, my tones became better. I was lucky to have lots of encouragement from my friends.”

Encouragement and help from friends are important contributing factors to learning Vietnamese. But, the main factor is you.

Chantelle Woodford is one of many expats who can speak Vietnamese quite well. When this young diplomat makes a speech in Vietnamese, she receives high praise from Vietnamese audiences.

Chantelle Woodford has been working as Vice Consul (trade, economic) to the Australian Consulate-General in HCMC for one and half years. It is her first overseas diplomatic post. She was so passionate about her job that, in her first year, she studied Vietnamese every day for three to four hours.

She says she now spends around one hour per week studying with her teacher. She makes a point of reading Vietnamese newspapers, listening the radio and watching Vietnamese TV. “Now that I can speak Vietnamese I understand people more and Vietnam is more accessible to me. I can integrate with people from all corners of life. I like to talk with children and people in the market and school.”

Woodford says she is a long way away from fully understanding Vietnamese culture but speaking the language is an essential tool.

From South Africa to Laos, authorities are cracking down on traders in endangered flesh

Environmental police seize two frozen tigers and one frozen panther from a house in the north-central Nghe An Province’s Dien Chau District on June 22. Conservationists have called for more efforts to stop the trade of endangered species.

Experts are lauding the recent seizure of two frozen tigers and a frozen panther in the north-central province of Nghe An. Still, they say more must be done to stop Vietnamese traffickers plundering the world’s precious fauna.

In an extensive response sent to Thanh Nien Weekly, Douglas Hendrie, technical advisor for Education for Nature-Vietnam (ENV), the country"s first local nongovernmental organization (NGO) to focus on conservation of nature and the environment, said that a more holistic approach is needed to staunch the loss of wildlife.

Vietnamese authorities must collaborate across borders to take down the international networks responsible for the trade, he said. At home, they must make sure local markets are free of the illicit products.

“We are focused too much on the act and too little on the enterprise,” Hendrie said.

Thomas Osborn, coordinator of the wildlife trade monitoring network TRAFFIC’s Greater Mekong Program, said that the environmental police have demonstrated once again their dedication to halting the illegal trade in protected species such as tigers.

“If we hope to save the country’s remaining tigers and other threatened species, it will take ever increasing vigilance from authorities and a strong commitment by the government to support and promote existing wildlife laws.”

As few as 30 wild tigers are estimated to survive in Vietnam.

Despite their protection under Vietnamese and international law, tigers and panthers continue to be illegally hunted and traded across Vietnam and Southeast Asia. On the black market, tiger parts are sold as food, souvenirs and the components of medicine. According to a TRAFFIC statement released on July 2, tiger bone wine remains in high demand throughout the region.

Tiger farming

On June 22, environmental police entered the farm of 53- year-old Le Xuan Thoan in Dien Chau District in the north-central province of Nghe An. VietNamNet news website cited reports from the local Forest Protection Agency that Thoan’s farm housed two rhinoceroses and a host of other wild animals.

Inside his house, they discovered a menagerie of a different kind.

In addition to the trio of frozen feline carcasses, police seized the skeleton of a wild animal believed to be a lion and around five kilograms of wildlife bones.

Senior Lieutenant Colonel Nguyen Viet Nhi of the provincial environmental police said this was the biggest case of frozen wildlife ever to rock the region. He said police will continue to investigate the matter.

RECENT WILDLIFE
SMUGGLING CASES

From April 14 to May 19 in 2010: Seven young bears were seized in three separate cases in Dien Bien, Ha Tinh and Nghe An provinces. All three cases involved smuggling from Laos to Vietnam.

From April 29 to May 28 in 2010: Hai Phong City customs officials busted four smuggling cases. They confiscated around 4.7 tons of elephant tusks in total.

March 2010: Lao Bao Border Guards in the north-central Ha Tinh Province seized the body of a 95-kilogram tiger and a 27- kilogram black panther being transported across the border to be sold in Vietnam.

October 2009: Vietnam Environmental Police seized two frozen tiger carcasses weighing a total of 130kg and arrested five suspects in Hanoi.

(Source: Education for Nature – Vietnam)

Several conservationists have said that Thoan is not the first “wildlife farmer” to be caught in the illegal trade.

ENV has taken aim at the tiger farming.

The NGO recently issued a study that found three out of seven tiger farms across Vietnam are involved in illegal tiger smuggling. Some farm owners opt not to report the number of newborn and dead tigers so they may trade them on the black market, it said.

“Tiger farming in Vietnam should be banned. Only licensed zoos and qualified and strategically planned tiger conservation facilities should be permitted to keep tigers,” ENV’s Douglas Hendrie told Thanh Nien Weekly.

“Most tiger farmers in Vietnam would be better named ‘tiger businessmen’ because they are hardly farmers like the public thinks, but rich businessmen, most of which have purchased their tigers illegally, and nearly all of which are suspected or confirmed to be illegally selling tigers out the back door of their farms, while crying to the public that they are only trying to help save tigers by breeding them for conservation,” he said.

Rhino smuggling

Though tiger numbers in Vietnam are dwindling, rhinos have been forced to the brink of extinction. This April, the carcass of a Javan rhino was found hornless and bullet-ridden in the forest in the Central Highlands Lam Dong Province.

Biologists are still trying to determine whether the corpse represents the last of its kind in Vietnam.

Meanwhile, the thirst for rhino horns prevails.

On March 29, South African authorities seized a Vietnamese national named Xuan Hoang at O.R. Tambo International Airport. Of the seven rhino horns found in Hoang’s possession, several matched the DNA of a rhino that had been poached just a few days earlier.

The horns weighed 16 kilograms, and were valued at approximately US$117,000 according to a press release issued by South Africa-based NGO Endangered Wildlife Trust (EWT).

The South Africans hit the Vietnamese trader hard.

According to the EWT’s press release, Hoang pleaded for mercy and tried to convince the court to levy a fine for his crimes. Magistrate Prince Manyathi responded by saying that fines would no longer suffice as a measure of discouraging future such crimes.

On June 30, the magistrate sentenced Hong to ten years in prison for possessing the horns. “A message needs to be sent to Vietnam,” he said.

Last week, three Vietnamese citizens applied for bail in South Africa. The trio were arrested on the opening night of World Cup 2010 on June 11 with a total of 25 rhino horns, EWT told Thanh Nien Weekly via email. Their court case is due later in July.

“[Hoang’s] sentence will be setting a norm in the courts for future sentencing of similar cases and will hopefully be a deterring factor to the poaching. It is very significant that such a large number of horns get smuggled out of South Africa into Vietnam undetected and it is our aim to see that better detection of such horns becomes the thing of the future,” said Faan Coetzee, Executant of EWT’s Rhino Security Project.

Officials call for more regulation amid shady dealings between Docs and Drug Suits

Inpatients at Nguyen Trai Hospital in Ho Chi Minh City. Several experts and policymakers have said that Vietnamese hospitals are paying unreasonably high prices for medicine.

Vietnamese hospitals are paying unreasonably high prices for medicine, according to several experts and health policymakers.

Critics have alleged that backroom deals between drug manufacturers and hospitals have resulted in doctors prescribing drugs that patients don’t need in exchange for kickbacks.

The recent dust up goes back to December of 2009 when inspections in public hospitals turned up irregularities and outright scams.

Officials and Ho Chi Minh City residents were outraged this spring when city inspectors revealed that doctors at the 115 People’s Hospital had pushed outpatients to purchase medicines at the pharmacy for inflated prices. The hospital had not complied with laws requiring it to hold competitive bidding prior to purchasing pharmaceuticals.

In March, investigators from the Drug Administration of Vietnam found that a HCMC University Medical Center physician had received VND528 million ($27,687) in July last year in kickbacks from the US Schering Plough Pharmaceutical office for selling hepatitis medicine.

He was not alone.

Legislators have found that public hospitals have purchased pharmaceuticals, particularly imported drugs, at 150-300 percent mark-ups, said Nguyen Duc Thu, deputy head of the Social Affairs Section at the National Assembly Office.

“Some hospitals have spent more on medicines than one would at local retail outlets. Such high prices have badly hurt patients and health insurance companies,” he said at a June 26 health policy seminar in the northern Vinh Phuc Province.

“Patients have not benefited from pharmaceutical promotions aimed at wholesalers and prescribing doctors,” he added. Thu claimed to have evidence that many hospitals hadn’t held competitive bids and that it was difficult to prevent backdoor deals.

In Vietnam, everything from unemployment to health insurance is regulated by a governmental body, Vietnam Social Insurance (VSI). Representatives from VSI are fuming about the rising costs of medicine.

The organization recently reported that drug costs account for 60 percent of its annual health expenditures.

“This is an unreasonably high proportion,” said the agency director Le Bach Hong. “Several countries in the region spend far less. China pays 45 percent, Indonesia pays 38 percent and Thailand pays 35 percent.”

Experts are concerned that health insurance policyholders are paying exorbitant prices for medicine due to poor management of public hospitals.

Hong said that many hospitals paid between 10-30 percent more than their retail value. “Wholesale prices are higher than retail. It is really unreasonable,” he said.

In Vietnam, the government used to cover all health costs for those who could not pay their way. This included the nation’s poor, children under six years old, orphans and those who contributed to the nation’s fight for independence.

Early this year, a new health insurance law changed all of that. Several members of this group now have to cover between 5-20 percent of their health care costs.

Where’s the bid?

In 2007 the ministries of Health and Finance passed a law requiring public hospitals to hold competitive bidding before purchasing a specific drug and prescribing it to patients.

Experts have charged that some hospitals have agreed to buy medicines at unreasonably high prices and have kicked back commissions from drug manufacturers.

Vietnam’s state insurance provider is left footing the bill.

“The insurance agencies bought these medicines,” said director Hong of VSI. “But the high prices were negotiated by the hospitals and pharmaceutical firms.”

Critics have offered, as evidence, the lack of consistency in prices. Ta Van Bang, a senior official at VSI’s Health Insurance Department, said that some public hospitals paid exponentially more for the same drug than others.

Experts also said certain doctors over-prescribe medicines in the hope of receiving large illicit dividends.

Hong said that, in a recent case, a 70-year-old man was prescribed nine different drugs—some of which he did not need. “This means patients paid more for drugs that could do more harm than good,” he said.

“The insurance agency could save VND1 trillion per year if hospitals cut 10 percent of [unreasonable] prescriptions. With that money, we could cover 2.5 million of the nation’s poor,” he said.

Poor management

In a recent report to the National Assembly, Vietnam’s legislature, the Drug Administration of Vietnam committed to take action to control medicine prices. The agency vowed to establish maximum retail prices and promotion rates.

By law, pharmaceutical companies and importers are required to report a product’s price to authorities before it goes on the market. Manufacturers are required to announce all rate increases. Authorities reserve the right to demand that manufacturers lower prices that are deemed unreasonable.

The Drug Administration has admitted, however, it could not tackle such a Herculean task.

Vietnamese authorities oversee more than 22,000 pharmaceutical products. They have not, thus far, established maximum prices for all of these drugs, much less established a definition for “unreasonable cost.”

Some members of the government are suggesting that VSI should assume control of negotiating purchases.

Dang Nhu Loi, deputy head of the NA’s Social Affairs Committee, said the Health Ministry should prevent unreasonably high drug prices at public hospitals “at the root of the problem by allowing the insurance agencies to hold open bids before public hospitals buy medicines.”

He said the arrangement could eliminate the risk of doctors favoring certain medicines for the wrong reasons.

Doctor Tran Van Ban, a member of the NA’s Social Affairs Committee, argued that the Drug Administration should be able to obtain information on the production costs of imported drugs rather easily. Based on that information, he said, they should be able to establish “reasonable” prices inside Vietnam.

Ban added that India dealt with a similar problem in 1975. Costs were reduced by making the purchasing process more transparent, he said.

Reducing drug prices benefits all: WHO official

The Vietnamese government and its people, particularly the poor, would all equally benefit from policies aiming to reduce drug prices, Dr. Jean-Marc Olivé (photo), the World Health Organization Representative for Vietnam told Thanh Nien Weekly in a phone interview.

Thanh Nien Weekly: How do drug costs in Vietnam rank, regionally

Dr. Jean-Marc Olivé: I think that there are very limited surveys [on drug prices] that have been done in Vietnam. [My] recommendation would be to continue to do surveys. It is important to analyze the insurance  claims of the expenditure on medicines, and all of this should be monitored by the government as well as the price of the top 20 medicines reimbursed by health insurance. The idea is that the government should adopt a general policy for drugs and monitor prices of medicine. That is what it is all about.

But in a recent report sent to the National Assembly, the Drug Administration of Vietnam pointed out many difficulties in monitoring the drug prices in Vietnam. Do you think the job of monitoring drug prices will be tough for Vietnam?

To adjust and monitor the price of medicine and ensure the price is affordable is a challenge faced by many countries like Vietnam that are growing very fast.  One of the recommendations that we have made to the government is to monitor drug prices. I think many of the instruments are in place, and should be used to monitor and find ways to reduce prices, as other countries have done. Just by monitoring you can achieve a lot.

Is the WHO aware of any untoward or illicit activity on the part of pharmaceutical companies selling medicines to Vietnamese public hospitals?

No, the WHO has not done any study in this area. We are giving support to the Ministry of Health, developing guidelines and regulations for appropriate drug use in hospitals. That’s the only thing we are doing. This is the business of the government, we are not involved.

We are just technical advisors. It is up to the government to implement laws and guidelines. It is not the role of the WHO.

What should the Vietnamese health authorities do to better protect poor and vulnerable patients?

I think the big challenge for the government is covering 100 percent of the Vietnamese population. One easy way would be to reduce the price of drugs seeing as they total 60 percent of reimbursement. [But] this is still far more than most developed countries where the proportion of drugs that are reimbursed overall is 10-15 percent.

It will be difficult to sustain this because of the cost of healthcare that increases regularly, and the higher proportion of drugs to be reimbursed by health insurance in the future.

One very good way to ensure sustainability and reduce costs of medical expenses would be to reduce the costs of drugs.

From what I understand, the government is trying very hard to address this issue; one of the priorities of the government is [to] increase access to healthcare for all Vietnamese while giving priority to the poorer ones. They have dramatically increased the coverage and now they are trying to ensure that the poorer people have the same access to healthcare as the wealthy. This is easier said than done. Many poor people are in remote regions and there are difficulties to do with transport and accessing healthcare. But we are on the right track. By increasing access to health insurance, you will include all the strata of the population, particularly the poor. (Reported by An Dien)

A Son Dong sage passes on the art of Chinese calligraphy

The 69-year-old retired farmer and veteran Nghiem Quoc Dat practices writes Chinese calligraphy, which is helpful for people to perfect their character

Every Sunday afternoon, nearly a hundred students gather to listen to the teachings of Nghiem Quoc Dat.

On a recent afternoon, the old man sat in the cramped quarters of his living room—his former classroom. A blousy kerchief hangs from the slight 69 year-old man’s neck like a flag. A large plush blazer ruffles against his narrow shoulders as he paints the beautiful tapered lines of a single Chinese character.

Dat, a retired farmer and former soldier, is perhaps his village’s most vital mind.

Five years ago, he began teaching the lost art of Chinese calligraphy. “I principally began doing this because I wanted the children in my family to carry on our traditional love of learning,” Dat says. “But, what’s more, my village is famous for its lacquered boards and wood panels which are all engraved with the complex characters. The younger generation needs to know about this so they can preserve the village’s traditional trade.”

Located some 25 kilometers from Hanoi, Son Dong Village has long been a home to craftsmen and artisans. The town boasts a number of Confucian scholars still capable of rendering and interpreting the nearly 4,000 year-old pictorial alphabet.

The characters first appeared in Vietnam in the first century BC.

Because the language is character-based (each word is represented by a symbol that must be memorized to be understood) it requires intense study to master. Modern Chinese dictionaries contain more than 47,000 symbols; a “literate” adult may only know between 3,000-4,000.

Portuguese missionaries began developing the current Romanized script in Vietnam in the 16th century to advance evangelical efforts. By the late 19th century, the Chinese alphabet had all but disappeared.

Since then the art has been carried only by artisans and scholars.

Startled by the possibility of its disappearance, Dat consulted the small educational board chaired by his extended family (the Nghiem clan). They encouraged him unanimously to begin teaching at the end of 2006.

The old man shelled out a huge chunk of his meager monthly pension to buy ink and brushes for his students.

He refused to accept any money from the children’s families and cleared out his 25 square-meter living room to make space for students.

The first class was made up entirely of Nghiem kids. He called it Sao Khue, after the Chinese astrological constellation that has served as symbol of art and literature in Chinese and Vietnamese culture.

Dat had no teaching experience when he began his Sunday lectures. But he soon found himself peppering his lessons with poems, puzzles and stories. The old scholar’s lessons don’t merely focus on the technical aspects of classical calligraphy. When teaching a given character, he inevitably delves into its complex Confucian meaning. For example, the symbol for “rest” combines the symbol for “man” and “tree.” Thus, a man sitting near a tree is deemed to be at rest.

His method worked. The floor of Dat’s living room swelled with students crowding onto the floor. He was forced to cap classes at 20 pupils until a local secondary School principal offered him the use of a classroom.

Dat believes in the old Vietnamese adage: net chu net nguoi - literally, “handwriting reveals your character”.

Dat’s tutelage has won praise from satisfied parents.

“We all know that Dat has a profound knowledge and, more than that, lots of personality,” said Van Thi Duyen whose ten-year-old son attends the old teacher’s class. “We all love watching naughty children improve under Dat’s moral guidance.”

In addition to kids, Dat’s classes are frequented by teachers, artisans, farmers, and Buddhist priests who attend whenever they can. Shocked by their dedication, Dat tends to gush when speaking about his pupils.

In some cases, it seems as though the old man’s calligraphy lessons have given some men a new hope in life.

“Tien is a war invalid,” Dat said. “But for the past two years he has driven his three-wheeler some 20 kilometers to come to class. He used to be a hot-tempered man but after a while in my class, he has developed a patience that extends into all things.”

Nguyen Phuc Hiep was born to a poor family in Dong La Village— some 15 kilometers away. Though he loved to learn, Hiep had to leave school to begin working at the age of 13. He now works on construction site and is one of Sao Khue’s top students.

“Studying calligraphy is very interesting,” said Hiep, who enrolled in the class three years ago. “Besides studying the meanings behind each character, I’ve fallen in love with the act of writing them. I really enjoy every lesson and want to organize a class to teach people in my village”

Several Sao Khue alumni have gone on to pursue calligraphy professionally. Thrilled by their success, Dat has no plans of stopping. “I still want more students,” he says. “I will continue to teach free until my health forces me to stop. The biggest reward for me is seeing my students absorbed in their work.”

Growth of Vietnam’s IT sector depends on its ability to combat piracy, Rebecca Ho, IP program strategist with Microsoft, tells Thanh Nien Weekly.

Thanh Nien Weekly: Where does Vietnam stand now, in terms of IT development and copyright protection?

Rebecca Ho: The IT sector and software industry are growing rapidly in Vietnam, while the piracy rate has steadily gone down since 2005. Inevitably, as we have seen in many countries around the world, there are those who will seek to exploit this thirst for technology by producing and selling inferior counterfeit products to consumers and businesses across the region.

In 2009, despite the financial crisis and consequently the general expectation that piracy will worsen, Vietnam was able to contain its piracy rate to 85 percent (according to the Seventh Annual BSA and IDC Global Software Piracy Study, 2010). This is higher than the regional average piracy rate, and it will need to be further reduced in order not to impede the growth of the IT sector.

No country is immune to the impact of software piracy – it is a global issue that needs to be addressed in every market and Microsoft is working in partnership with local ecosystems, including local governments, educational and industry bodies to ensure we are focusing our efforts in a way that will make the most positive impact and increase growth opportunities for local economies.

Which products of yours are most vulnerable to piracy?

In part, today’s high rates of piracy reflect the surge in demand for software in emerging markets as the benefits of technology are realized. Usually the more popular the products, the more widely they are pirated, such as Windows, Office and Windows Server.

These high rates of piracy represent a need for continued education on the value of genuine software to individuals, business and the economy, and the risks inherent in using counterfeit software.

We are committed to supporting governments as they boost their economies by educating their communities on the value of intellectual property and the opportunity it represents.

In Vietnam, the Business Software Alliance (BSA), of which Microsoft is a member, formed a partnership with VINASA, and the Copyright Office and Inspectorate of the Ministry of Culture, Sports & Tourism, to protect intellectual property rights.

How does copyright infringement in Vietnam affect your company?

Counterfeit software has an enormous impact on the software industry. Microsoft invests a tremendous amount of human and monetary effort in its software development and distribution, which is impacted greatly by the effects of piracy.

Microsoft is determined to protect its customer, reseller, and partner ecosystem from the threats and losses associated with piracy, and to prevent counterfeiters from taking advantage of innocent victims and gaining an unfair advantage over our honest partners.

More importantly, copyright infringement impedes the growth of local IT industry. The government of Vietnam has a clear goal to turn Vietnam into an IT power by 2020, aspiring to export software and digital content services to the world.

To realize that goal, we believe that innovation needs to be fostered. Innovators, however, will not have sufficient incentive to innovate if their intellectual property will not be protected. Emerging economies which have strong intellectual property laws can also benefit from technology and knowledge transfer and strategic alliances with multinational companies such as Microsoft which in turn will help enhance the competitiveness and innovative capacity of the local IT industry.

Has your company sued any individuals or organizations in the country for piracy?

No, we have not. At Microsoft, we believe in first educating (the public) about the benefits of using genuine software, and working with law enforcement agencies as well as our industry association, Business Software Alliance. We believe in taking legal action as a last resort to show that there are serious consequences to the crime.

What measures do you take to minimize piracy?

We focus our activities and investments on combating software counterfeiting and other forms of piracy into a single coordinated effort, the Genuine Software Initiative (GSI). The initiative focuses on increasing investments across three strategic areas: education, engineering and enforcement.

Vietnam finds it difficult to balance the reduction of software use and respect for copyright, while prices of legitimate software are too high compared with people"s income. Does your company have any pricing strategies for the Vietnamese market?

Pricing is only one component of why people choose to pirate software, and not purchase it. Microsoft has many options for delivering value and cost savings for customers. The best pricing usually comes through either the pre-installation from original equipment manufacturers (OEMs) or from our home and student packages for Office, for example.

Just lowering pricing does not result in less piracy; there is more to it than that. As an example, Lac Viet, another BSA member, whose Dictionary software is priced at US$2.5, probably the same cost of a KFC meal in Vietnam, is also widely pirated. This is clear proof that pricing is not a main factor for piracy.

Many firms find it hard to implement the intellectual property law due to limited financial capacity or awareness. What would you say to them?

Intellectual property protection is an essential part of maintaining a healthy cycle of innovation in the IT industry and it is important that intellectual property rights are respected across borders.

Intellectual property rights protect legitimate businesses by making it possible for companies to focus on the areas which differentiate themselves and their products from the competition, improve product features, and speed up delivery to the market. This spurs growth and job creation that benefits consumers, industry and the economy.

Hanoi’s old-school portraiture still captures the moment

75-year-old Nguyen Bao Nguyen, as one of old-Hanoi’s best portraitists, has been working at that easel in that 10.2 meter-square-room for nearly a half of century

The tiny old shop on Hang Ngang Street is surrounded by sparkling fashion boutiques crowded with hipsters.

But inside Truyen than Bao Nguyen (Bao Nguyen Portraits), it’s a different world.

The distinguished and aging artist, thin and white-haired, sits cross-legged in repose at his easel, the way he has been doing for 50 years.

Portraitist Nguyen Bao Nguyen, 75, began working at that easel in that 10.2 meter-square-room as a young man, a whimsical bohemian from a middle class family trying to make ends meet during the war years.

He was supposed to have gained a degree in 1960, but he took a severe stomach ache the day of his graduation exam as an omen, and he’s been living with ink-stained fingertips ever since.

The young Hanoian had always drawn as a self-taught artist at home, and when he decided to follow the traditional urban trade no one in his family had yet plied, Mom and Dad supported him.

The investment wasn’t much compared to the possible returns. He just needed paper, charcoal, and pencil-brushes, which he made himself with the ends of incense sticks and matches.

It turned out to be a good move, as he quickly earned a reputation as one of old-Hanoi’s best young truyen than artists. The 60s were an energetic time in downtown Hanoi, and Nguyen brought in a good deal of money with the art.

Old gold

Truyen than (Conveying the Soul) portraiture first showed its face in the small streets and alleys of Hanoi’s old quarter in the early 20th century. The simple black and white charcoal drawings were meant to convey the essence and spirit of whatever their subject was in a non-ostentatious or sensational way.

The art came about as people wanted more personal depictions of their relatives to use for ancestor worship. The artistic renditions of family members copied from old photographs quickly became popular, especially for wedding photos.

For the first time, not only the super-wealthy could decorate their homes with realistic images of their nuptials.

And some people simply wanted copies of their photos, or to create a new image as their old photos were fading.

Truyen than family portraits became a popular ornament in many Vietnamese homes. For a small price, people could easily have a high-quality, large-size portrait hung in their living-room.

Reinvention

According to Nguyen, truyen than drawers are not copycats. He said that the key was in making the viewer feel both the aura and spirit of the character in the picture, whether it is a human or still-life.

“The special features of each character must be found by the artist’s senses. The spirit could be expressed in any detail like the corner of one’s eyes, the wrinkle on the forehead, a snub nose or just a hair on the face. No one can teach you that.”

A truyen than portrait must not only look like the character but also “make viewers feel that the character is sitting there and talking to them,” said Nguyen, adding that it usually takes him a week to finish a piece.

“A 10-20 percent divergence from the character’s real face or figure is a success... but I only draw a portrait once, it’s too hard to repeat.”

He said the inspiration comes to him only once, and he does not like to copy his “emotion” again and again.

But he admitted that there were some pictures that he has had to fix four or five times before they were done.

"I looked [at the character] for a long time but the person in the drawing still couldn"t talk to me," he told Sports and Culture newspaper.

He once spent two years completing a portrait of writer Lan Khai from an old and stained photo Khai’s son had given him.

Over the period, Nguyen read Khai’s writings obsessively to find true inspiration.

Because the photo was blurry, and Nguyen also loved Khai’s writings, it took an immense amount of time, he said. He wanted to draw the perfect picture.

All paid off when he saw how moved Khai’s son was when he saw the picture of his father.

“This is him,” the son told Nguyen.

Bringing out the dead

Despite the abundance of imported ink now available in Hanoi, Nguyen still uses his own handmade ink.

To do so, he burns scraps of rubber tires with a kerosene lamp. He uses the soot collected from that smoke to create pitch-black ink that stands in stunning contrast with his white paper.

He also makes his own pencils.

He makes them with the slender end of an incense stick or match and then ties them tightly to chopstick-like bamboo stick with a little copper wire.

Nguyen said his most rewarding work was when families came to him asking for pictures of their dead parents, many of whom were killed or went missing during the war.

Many of his customers have burst into tears upon receiving their folks’ pictures. Some say the drawings have helped them through the pain of missing their loved ones.

Blogger Hoang Duc Nha said Nguyen has a guestbook full of praise, appreciation, regards and letters.

“That is the most precious gift that I’ve gotten in my career.”

But he worries the art is slowly fading away.

“The city used to have over 300 truyen than shops,” said Nguyen. “But now we can count the number of artists on two hands.”

Proposed increase in prices of medical services can be too much or too little, depending on who’s paying, but affordable healthcare remains out of reach for Vietnam’s impoverished

Two patients at Nguyen Trai Hospital in Ho Chi Minh City’s District 5. Many poor patients are concerned by a government plan to increase hospital fees.

Nguyen Thi Ha is slightly apprehensive as she enters the cashier’s booth, bill in hand, at the Hospital of Lung Diseases and Pneumonia in Hanoi.

The bill, for more than VND5 million (US$260), has been incurred for the treatment of her husband Nguyen Van Thong, who is suffering from tuberculosis. This does not include other daily expenses incurred staying away from home in Hanoi’s Thuong Tin District.

For a poor farming family from Thuong Tin District, this is an astronomical sum, and this is true for millions of other families in a country with a per capita income of about $1,000 and where the minimum government salary is VND730,000 ($38) per month.

A simple question about the bill has tears flowing down from Ha’s swollen eyelids. “It is really difficult for us to pay for the treatment,” she says.

Ha and her 40-year-old husband earn less than VND5 million per each rice season [three-four months] as farmers.

It is not uncommon in Vietnam’s rural areas for a family member’s illness [and subsequent death, in many instances] to plunge the household so deep in debt that they have to sell the only source of livelihood they have – their land.

Later, they subsist on hiring out their labor in surrounding areas or neighboring cities, forcing children to give up their education or parents to leave their children behind with relatives to work in cities to pay off their debt.

In fact, several NGO reports have noted that illness, accompanied by the lack of affordable healthcare, is one of the most common reasons for people to fall into poverty.

This dismal state of affairs could get worse for Thong and other patients nationwide who would have to spend a lot more on hospital fees if and when a draft document on the issue jointly prepared by the Ministry of Health and Ministry of Finance takes effect.

The document proposes increases in hospital fees that are up to ten times more than current rates, but policymakers argue that these increases are nominal, adjusted for inflation.

Nguyen Thi Xuyen, deputy minister of Health, said the 1995 document on hospital fees that is in use now was unsuitable because it stipulates examining fees of between VND3,000 and VND5,000 and hospital beds at just VND10,000 a day.

She said the proposed fees were between VND10,000 and VND30,000 for examinations and between VND50,000 and VND100,000 per day for a hospital bed.

Such an increase would not affect many patients because up to 62 percent of Vietnamese citizens have health insurance, Xuyen said. The poor are supported with health insurance fees while others will be able to pay all their fees, she added.

The family of Ha and Thong do not qualify for any health insurance assistance.

About 49.5 million people, or 56.6 percent of the total population had health insurance by the end of last year, according to the Vietnam Social Insurance – the central agency in charge of managing social and health insurance.

Groundless factors

Pham Luong Son, head of Vietnam Health Insurance’s policy division, was not convinced about the rationale for the increase.

“There should be a clear and reasonable foundation for the increase in hospital fees. I think the draft was not based on enough technical data for such an increase,” Son was cited by the Tuoi Tre newspaper as saying on July 18.

According to Son, drafters had proposed medical examination fees of VND30,000 per person because they estimated that there are about 20 patients being examined a day and the daily cost for an examining room is VND600,000.

This is not the situation in Vietnam’s hospitals, where around 50 patients are being examined in each examining room every day, he said.

Son also said the proposed hospital bed price of between VND100,000 and VND180,000 per day was also not feasible. Most hospitals would not be able to supply such services that require actual hospital beds and facilities like televisions, while hospitals at present have simple beds that are sometimes shared by two or three patients because of overcrowding.

Better service?

A recent editorial in the Tuoi Tre newspaper said the draft document on hospital fees should have included a plan to improve medical facilities and services that are overloaded and fail to meet demand.

“The number of patients sharing beds remains high, even three or four patients sharing a bed in some cases and the current solution is shortening the treatment period for inpatients,” the paper said.

“Following an increase in hospital fees, patients should be supplied with minimum services like giving each patient a bed of her/his own and each doctor examining a maximum of 30 patients a day. But with the current demand, such simple requirements cannot be satisfied,” it added.

Local media have many times reported constant overloading at many hospitals where each doctor has to examine some 100 patients a day and doesn’t have enough time to conduct thorough examinations and offer detailed consulting services to the patients.

According to a report by the Ministry of Health about state-run hospitals, only 38 percent have nutritional departments and 51 percent have their own kitchens while 16 percent lack conditions to provide round-the-clock care for seriously ill patients.

Insurance fees follow suit

Facing a hike in reimbursement of hospital fees for patients with health insurance, the central insurance agency is looking to significantly increase insurance premiums.

Nguyen Minh Thao, deputy director of Vietnam Social Insurance, said they would increase health insurance fees by 40 percent once the draft regulations on hospital fees are approved. The current health insurance fee is VND450,000 per year.

However, Thao also said that Vietnam Social Insurance would suggest that the government supports policyholders with the surplus amount that can be taken from current subsidies granted to public hospitals.

Life and death

According to Vietnam Social Insurance, the 62 percent of patients having health insurance are mostly civil servants, workers and retired workers. People who don’t have health insurance are those who don’t have stable incomes, like households living near the poverty line, daily-wage laborers and farmers.

In April, the Ministry of Labor, War Invalids and Social Affairs had said the number of poor families in Vietnam will increase to between 17 to 22 percent if the new poverty lines are approved and take effect from next year. The ministry has submitted a proposal to the government to define poverty at a monthly average income of VND300,000 ($13.2) per person in rural areas and VND600,000 ($31.6) in urban areas. Another option is to set the threshold at VND480,000 ($25.3) and VND700,000 ($36.9), respectively.

While it is clear that an increase in hospital fees would affect those without health insurance, policyholders would also suffer.

Under the Health Insurance Law taking effect in July 2009, poor patients have to pay five percent of hospital fees, and the rest is reimbursed by the health insurance agency. Having to pay five percent will also hit many families hard, and can mean the difference between life and death.

Truong Thi Ngoc of An Giang Province in the Mekong Delta says the health insurance agency used to pay in full the hospital fees for the treatment of her six-year-old son at the HCMC Tumor Hospital. Her son suffers from leukemia, or blood cancer. With the new policy, they have to pay a portion of the costs. Ngoc and her husband have had to leave their rice fields in the Mekong Delta to work for daily wages as construction workers in HCMC to take care of their child.

“We have to borrow more money to pay for each of his treatment periods. But we can’t afford it if the hospital fees increase. Maybe we will have to take him back home to An Giang then.”

 A Vietnamese farmer pulls off dying rice plants in Ben Tre province

The rivers that should nourish his thirsty rice paddies are too salty, and the rains are late this year. Dang Roi does not know if he will be able to salvage anything from this spring’s crop.

Vietnam is the world’s second-biggest rice exporter and the Mekong Delta, where Roi farms, accounts for more than half of its production.

But Roi’s paddy fields in Ben Tre province are burning up during a drought which meteorologists say is the worst in decades.

The dry season should have ended already, but in the yard of Roi’s house in Que Dien commune, barrels that collect rainwater for his family’s cooking and washing show the desperate situation. They are half-full, or empty.

Experts say Vietnam is one of the countries most threatened by climate change, whose effects are seen in worsening drought, floods, typhoons, exaggerated tides, and rising sea levels.

The country is planning for a one-meter (three feet) rise in sea levels by 2100, which would flood about 31,000 square kilometers (12,400 square miles) of land – an area about the size of Belgium – unless systems such as dykes are strengthened, said a UN discussion paper released last year.

It said the threat of floods is greatest in the Mekong Delta, where 17 million people live.

If that land becomes unusable there are “serious implications” for the region, Helen Clark, administrator of the United Nations Development Program (UNDP), told AFP last month.

She said Vietnam faces a “huge challenge” from climate change.

Over the past 50 years the sea level has already risen by 20 centimeters (eight inches) along Vietnam’s coast, according to the increasingly worried communist government.

While delta farmers cope with drought, they are also challenged by sea water intrusion, which experts also link to climate change.

There is little water in the rivers near Roi’s fields “and it’s salty so we can’t pump it” for irrigation, he says.

Recalling easier times on his 1.2 hectares (three acres), Roi says, “The rice fields weren’t dying like this.”

The Vietnamese government emphasizes the role of climate change in disrupting its agricultural environment, but experts do not rule out an effect from dams upstream in China. That impact could be worsened by the opening of more dams further south in Laos and Cambodia, they say.

“The Chinese dams have made the system fragile, but the impact of the downstream dams will be cumulative,” said Marc Goichot, of the WWF.

Goichot said a delta is influenced by three forces which affect one another: subsidence, which causes the delta’s bed to fall; coastal currents; and sediment brought down by rivers.

Dams retain sediment, reducing the amount that collects where the coastal current and waves are strongest downstream, meaning the salty water can more easily penetrate, he said.

The impact of sediment needs to be better understood, Goichot added, calling for a suspension of dam projects pending further research.

China has eight planned or existing dams on the Mekong River, but rejects activists’ criticism that the hydropower dams contribute to low water levels downstream.

There are proposals for another twelve dams in the lower Mekong countries.

Vo Tong Xuan, a leading Vietnamese rice expert, said the flow of the Mekong River – whose long journey ends at the delta – is “extremely reduced” this year.

He is concerned about the impact of Chinese dams, but also blames Vietnam’s increasingly intensive methods of rice growing.

As the delta’s population has expanded, farmers have gone from planting one to two and sometimes three rice crops each year.

Xuan says that too many farmers plant three crops, draining crucial water from provinces such as Ben Tre during the dry season.

Ultimately, he says, the Delta may need new varieties of rice more adapted to a dry and salty environment.

Roi, 64, grows rice only twice a year and is not waiting for new strains.

Squatting beside his sorry-looking paddies, he points out about 30 baby palm trees he has planted along the edge of the rice field. They are better adapted to the delta’s harsh environment.

“If one day we can’t grow rice any more, we’ll grow coconut palms,” he says.

For thousands of years, farmers in Vietnam’s rural communes have supplemented their incomes by producing handicrafts in the post harvest season.

These villages tended to specialize in a specific craft item: from fine crockery to baskets to traditional lacquered woodwork. The trade secrets have been passed from generation to generation.

At the moment, these villages are finding it increasingly difficult to survive in the new global economy. Complicated procedures have hindered them from accessing subsidized bank loans and government efforts to expand this cottage industry have proven ineffective. General Secretary of the Vietnam Association of Craft Villages, Luu Duy Dan sat down with Thanh Nien Weekly to explore the bigger picture.

What is happening these days in Vietnam’s handicraft villages?

Vietnam’s handicraft villages have developed in line with Vietnam’s rural economic growth. According to last year’s statistics from the Ministry of Agriculture and Rural Development, Vietnam is home to 2,790 craft villages which produce 200 kinds of products.

However, these craft villages have stayed afloat largely on their own. Cooperation is weak among the small scale operations. They face a whole host of difficulties: limited production spaces, poor production infrastructure, unqualified laborers, unstable material sources, you name it. What’s more, the limited coordination between these production households has prevented some craft villages from securing big contracts.

Kids coming up in these villages often love the traditional careers, but they avoid them due to the low income involved. These children end up leaving their villages to work in cities as construction workers, motorbike taxi drivers, and stevedores.

We are not doing enough to save this crucial aspect of our society. Many of our policies are not in line with the reality these craftsmen face. Local authorities have proven unmindful and irresponsible towards these communities. As a result, some investors flinch at the prospect of investing in these villages.

In a glaring catch-22, craft firms wishing to secure government subsidized loans must employ 50 laborers or more, under current policy. Meanwhile, most of the firms are small and cannot expand production because they don’t qualify for subsidized loans.

If we don’t start paying more attention to them, many handicraft villages will be lost or continue to limp on in this half-dead manner.

What role do craft villages play in the rural economy

Craft villages have made an important contribution to the export economy. But, most importantly, they create jobs in rural areas. In 2007 craft exports accounted for only US$760 million of the country’s total export revenues of $35 billion. On the other hand, craft villages generated jobs for 11 million people, including the disabled, the elderly, and children. As more and more arable land is seized for large development projects, handicraft production is emerging as the only viable endeavor for rural farmers.

A thriving village economy can help reduce social ills, foster close sentiment among villagers, and attract visitors curious about Vietnam’s traditional culture. Many craft villages have become successful tourist destinations.

Under current policies, some craft villages are thriving, while others are stagnating. What are the reasons for this?

It all comes down to production planning. Bat Trang craft village has a pottery market. Its production is organized under existing business law and the small firms operating there have a good understanding of that law. The village market promotes trade, promotes technological advances in production, and has secured stable material sources for its manufacturers. As a result, Bat Trang has been able to net large contracts from straight-laced companies. What’s more, the village’s pottery makers have managed to infiltrate the overseas market, while at the same time attracting domestic buyers with reasonable prices.

After the economic recession (in 2008), some craft villages succeeded in tapping the domestic market, where there’s a large demand for stone, wood, and bronze products that bear cultural significance.

Don’t some craft villages become even poorer after following their traditional career?

That’s a serious problem. Some craft villages are struggling right now. Non Chuong Village is a good example. Each production household in the village makes about two or three hats per day. They cannot possibly survive in the new global economy using their traditional production model. This should be cause for alarm. We still lack many things. We have not yet developed a school that specializes in the training of craftspeople; we only have general policies [on handicraft village development]. Meanwhile, production space in the villages is shrinking. Many villages have no ponds or sewers - a circumstance that poses grave risks to the environment.

So, what should we do to deal with these issues?

The main difficulty is the trajectory of capital and development. We need to have a long-term vision for these villages.

The procedures for accessing bank loans should be simplified, advanced technology should be applied, and we should work towards tapping both the domestic and overseas markets. Current regulations on capital need to be brought in line with reality.

Craft villages also face difficulties in terms of manpower, and material sources. The government has planned to train one million laborers for craft villages between now and 2020. We (the Vietnam Association of Craft Villages) have proposed three training models: training laborers for developing new craft villages, training laborers for production of materials and improving manpower in production areas.

Now, most craftspeople are trained by skilled veterans. The training is not officially organized with the support of local authorities or the government.

We should regard the development of these villages as a rural and social development issue, which will help generate jobs, contribute to poverty reduction and reduce social evils.

About ten Vietnamese children continue to drown every day; concerned agencies scramble to address the crisis

A group of children play by the Hoan Kiem Lake in Hanoi. Concerned agencies are seeking to reduce drowning rates among children in Vietnam as about ten children die of drowning every single day of the year on an average.

Two children drowned on July 11 while picking snails with their grandmother on a riverbank in the south-central Khanh Hoa Province.

Nguyen Thi Trang Nha, 14, and her younger sister, Nguyen Thi Anh Huyen, 10, fell into a deep underwater hole along the bank of the Tac River in Nha Trang’s Phuoc Dong Commune.

Neither child could swim.

The sisters’ horrible end is just a piece in a larger tragedy: about ten Vietnamese children die from drowning every single day. It is the leading cause of injury-related deaths in children and adolescents in Vietnam. Official statistics found that over 3,500 children and adolescents, aged 0-19, died from drowning nationwide in 2008.

“[Drowning] accounts for about 50 percent of injury-related mortalities among children and adolescents,” said Jean Dupraz, UNICEF Acting Representative in Vietnam, told a conference in Hanoi on July 16. The conference was aimed at building a communications campaign to battle the epidemic.

“They die close to their homes and close to their playgrounds, often left alone without adult supervision and care,” Dupraz said. “Compared to other countries in the region, Vietnam has the highest fatal drowning rate. This reflects the extent of the problem in Vietnam, which requires urgent and strong action from all of us.”

“Evidence has shown that creating a safe environment for children can help to save them from drowning,” he said.

Seeking solutions

At the conference, the leaders of 15 provinces where the problem is most acute signed a commitment to reducing child drowning cases.

The leaders pledged to raise community awareness about the urgent demand to prevent drowning deaths and call for the urgent action from families, community and local leaders to address the issue. In the meantime, representatives from the central government pledged their full support.

“The Ministry of Labor, War Invalids and Social Affairs will cooperate with other ministries and mass organizations to guide and monitor the implementation of child drowning prevention activities in the 15 provinces with the highest rate of child drowning” said Dam Huu Dac, Deputy Minister of Labor, War Invalids and Social Affairs.

“It’s important that all children and adolescents live in safe and secure environments”, he added.

Dupraz said UNICEF would continue to aid Vietnam in the prevention of child drowning.

“We will continue to work closely with the government in its efforts to protect children from injury in general and from drowning in particular”, he said.

Over the last couple of years UNICEF has continued to play its part by supporting the government of Vietnam in its efforts. Recently, they helped fund programs to teach children how to swim and perform first-aid.

The Ministry of Labor, War Invalids and Social Affairs reported that other countries have succeeded in reducing drowning casualties by building fences, covering water jars, and stressing child supervision.

Positive examples are found in cities and provinces such as Da Nang, An Giang, Dong Thap, where due to leadership commitment, regular swimming classes are offered to children in addition to other prevention activities. The measures have helped to dramatically reduce the number of child drowning deaths in those provinces in recent years, the ministry said.

Farmers, lawyers baffled by provincial farmers’ association reluctance to take river polluter to task

A portion of the Thi Vai River in 2008, much of which was polluted by the illegal wastewater discharge of Taiwanese MSG manufacturer Vedan Vietnam.

Nguyen Lam Son was angry, puzzled and relieved.

His lawyer had just told him that he is likely to win a lawsuit against Vedan, the company that had destroyed his livelihood by dumping untreated wastewater into the Thi Vai River in the southern Dong Nai Province for 14 years.

“The prospects are bright. This is totally different from what I was told a week ago,” Son said.

At a meeting between some 100 representatives of 5,000 farmers from Long Thanh and Nhon Trach districts in Dong Nai on July 7, the provincial farmers’ association reiterated its stance that members stood little chance of winning a lawsuit against Vedan.

Despite the fact that province was hardest hit by the pollution caused by the Taiwanese MSG maker, the association asked affected farmers to drop the case, and continued to “negotiate” the compensation with the company.

“I was shattered by that. It seemed that we have no choice but to accept something that has already been set up,” Son told Thanh Nien Weekly.

At the July 7 meeting, all the farmers accepted that they would drop the case.

Except Son

Shrimp farmer Nguyen Lam Son of Dong Nai Province’s Nhon Trach District said he would sue Vedan on his own, despite warnings from the local farmers’ association.

“I was frustrated as the association just clung to the lack of evidence claim to talk the farmers out of pursuing the lawsuit. They kept saying that we had to present all the invoices and documents certifying that our business had suffered heavy losses due to Vedan,” Son said.

“But I would dare anyone who can find such documents as evidence. Most of the farmers in my commune are illiterate and their business transactions are based solely on mutual trust and word of mouth.”

Son, a shrimp farmer, said he decided not to drop the case because he has had enough of putting up with the “crime” Vedan has committed.

“Vedan’s crime happened right in front of me for years. Now I will never ever let them do it again,” said Son, who had been breeding shrimp by pumping water directly from the Thi Vai River since 1996.

Devious ploy

In September 2008, government inspectors found Vedan Vietnam dumping untreated wastewater into the Thi Vai River in the southern province of Dong Nai. The company had avoided detection by hiding pipes under ground and in the river, and had been discharging toxic liquids through them for 14 years, massively polluting the surroundings.

A study authorized by the Institute of Environment and Natural Resources found in December 2009 that Vedan was responsible for 77 percent of the pollution then plaguing the Thi Vai River.

The report said Vedan should compensate farmers in Dong Nai Province, Ba Ria-Vung Tau Province and Ho Chi Minh City with a total of VND1.7 trillion (US$89.2 million) for the damages it has caused, including the destruction of marine farms and damage to land crops on the banks of the river.

But the company rejected the figures about the extent of damage as “groundless”. Vedan claimed it had inspected and assessed the damage by itself and offered far less compensation than the government-sponsored study said the farmers are entitled to.

Earlier this year, farmers’ societies from HCMC, Ba Ria-Vung Tau, and Dong Nai, agreed that they would take the company to court and demand fair compensation.

Lawyer Nguyen Van Hau, who will defend HCMC farmers in the upcoming lawsuit, said he could see what Vedan was up to in trying to delay the bargaining process.

“After September 15, two years after the company was caught red-handed, if no lawsuit takes place, demanding even a penny from the company would be a tough task,” Hau said, referring to a statute of limitations.

But the Dong Nai farmers’ association made a u-turn early last month, saying it would persuade the farmers to drop the case due to lack of evidence.

The association also agreed in principle to accept “financial assistance” worth VND15 billion from Vedan without consulting the farmers.

Lawyer Hau said he found the decision of the association incomprehensible.

“I’m baffled. Dong Nai farmers are the hardest-hit and they should receive the largest support [from the association]. I just don’t understand.”

Hau said he did not think suing the Taiwanese company would be that tough.

Son’s lawyer, who wished to remain anonymous, said he has found the way out not only for Son but for other farmers hit hard by Vedan. However, he declined to spell out specific measures, saying, “Let’s just wait until we get to the court.”

The farmer’s willingness to go against the stated odds has impressed 47-year-old Hoang The Dung, another shrimp farmer in Dong Nai’s Nhon Trach District.

Dung said he would also follow Son in taking legal action against Vedan.

Dung said he was not consulted when the Dong Nai farmers’ association held a meeting on what action they should take against Vedan. “That just made me livid,” Dung said.

“I don’t trust the association anymore. I will go on my own.”

‘Certain to win’

Nguyen Van Phung, chairman of the HCMC’s farmers’ association, said he was not in a position to judge the decision of his Dong Nai counterparts.

“But I just don’t agree with them.”

Phung said he was glad that the two farmers in Dong Nai have shown their determination to take the case all the way.

“The court officials have told me that they all know about the ploy by Vedan to buy time. They urged us to expedite the process so that the court hearing could take place in time,” Phung said.

“We are certain to win.”

The Tuoi Tre newspaper quoted Nguyen Quoc Cuong, chairman of the Vietnam Farmers’ Association as saying that they would strongly support the farmers.

“Any farmers’ association should be protecting the right interests and benefits of the farmers,’ Cuong was quoted by Tuoi Tre as saying.

“Perhaps because Vedan is located in Dong Nai Province, the farmers’ association there need to take their relations with the company into consideration,” he surmised, referring to the reluctance of the local farmers’ association to pursue the case against the company.

Shady Libyan construction firms and crooked labor brokers are allegedly exploiting Vietnamese workers!

Vietnamese workers at a construction site in Tarhoona, Libya. Hundreds of Vietnamese guest workers in the Northern African nation say they are working under harsh conditions for pay that often comes in low and late.

Every day, Dai, a 26-year- old Vietnamese construction worker, wakes up and works 11 hours under the hot Libyan sun.

For the past four months, Dai has endured sandstorms and siroccos – the notoriously hot and dusty winds blowing out of the Sahara desert. What keeps him working is the hope that he will provide a better life for his relatives back home in the northern province of Ninh Binh.

But, here in Libya, there are no guarantees that his hard work will pay off.

Dai and hundreds of Vietnamese workers in the Northern African nation are working under harsh conditions for pay that often comes late. When pay does arrive, workers said, it is lower than the contracted amount. There is no compensation for overtime.

Before arriving in Libya, some of the poor rural men said they had been fleeced by fake labor brokers in Vietnam. Others say they had bribed employees at “legitimate” personnel firms in order to secure positions with “good” companies abroad.

Long road to Libya

Can Van Chien, a 24-year-old carpenter from Hanoi, said he had faced a number of difficulties before being sent to work at a residential construction site in Souq Al Ahad, some 80 kilometers to the south-east of Tripoli.

In 2006, he said, a man posing as a labor broker took him for VND10 million. Chien had been promised a job in the Czech Republic. A year later, he failed to qualify for a mechanic’s position in Egypt with the Vinaconex Company. Chien says that Vinaconex collected application fees from Chien and promised to send him to Algeria to work. After five months of waiting, he was told that his contract in Algeria had been canceled. But there was work in Libya.

Like many other workers, Chien had to take out bank loans to cover broker fees and his plane ticket. Interest on the loans continued to accrue during the months that he waited for his assignment to come through.

Khuong, a construction worker in Souq Al Ahad, said he and seven other workers were sent to Libya last year by Vinaconex after bribing a company representative in Libya VND2 million each. Khuong said he and the others were told that the man could arrange them to work for a Turkish company in Libya that was supposed to be better than others.

Underpaid

After overcoming all odds, the workers have complained that their payment has come in low and late.

In October 2009, late payment prompted 500 Vietnamese workers (80 percent of the STFA Construction Company workforce) to strike for three days. The workers complained that the company had delayed the transfer of funds to their accounts for five consecutive months. They claimed to have lost between US$10 and $100 per transaction.

In another case, 91 Vietnamese employees at the Ahua Company said they had signed contracts to work eight hours a day for $260 a month. They claimed to have been paid just $240 a month in Lybian dinar.

“For four months we worked an extra three hours a day and weren’t paid for it,” a worker said.

At the Hadsa construction site, owned by South-Korean Halin Company, 27 Vietnamese workers reported a similar story.

Bang, a 37-year-old worker from the northern mountainous Son La Province, said he and his co-workers signed contracts for $260 a month but the company only paid 260 Lybian dinar, equaling only $208. What’s more, Libya took a 20 percent tax bite out of their checks.

Desert hope

For workers from the tropical Vietnam, Libya’s desert-like climate proved to be an unforgiving working environment.

The 41-year-old carpenter Minh prepares for his daily work by covering himself tightly, from head to toe, in ninja-like garb. “Everyone dresses like this,” he says. “You will know why when going out. The construction site is just like a pan of boiling fat. Any uncovered body part will be immediately badly burnt by the sun.”

The construction site is surrounded on all sides by endless sand dunes. Without a tree in sight, the whole place heats up quickly under the scorching sun.

Minh said that 300 workers from his village, Huong Ngai in Hanoi’s Thach That District, were sent to work as plumbers in Libya. Nearly half of them developed respiratory diseases soon after arriving due to the dusty working conditions, he said.

Khoai, a 39-year-old construction worker, said he spent his days painting a layer of mazut oil onto formwork to prevent them from sticking to plaster. “The smell of oil in the unbearable heat has made my nose bleed,” he said. “Some pass out due to sunstroke.”

Quyen, a Vietnamese plumber who has been working in Libya since early this year, said he accepted the gig despite regular underpayment in order to support his family.

“I hope my daughter will pass the university entrance exam this month so she won’t have to work hard like her parents,” he said.

South Korean authorities have pledged to make Korean men looking to marry foreign women undergo a cultural education program after a Vietnamese woman was allegedly killed by her husband in Busan.

“Those with a history of mental illness or a violent crime record and those who have married and divorced foreign brides three times or more will face restrictions on applying for visas for their would-be brides,” Moon Soo-Yong, a ministry deputy director, told AFP.

The move came after 20-year-old Thach Thi Hoang Ngoc was stabbed to death by her South Korean husband, Jang Do Hyo, who had a history of mental problems, on July 8, just eight days after arriving in South Korea to live with her new husband, according to the Korea Times, which cited reports from the Busan Saha Police Station.

Ngoc was beaten and stabbed to death in her house in Busan after quarreling with her 47- year-old husband, the Korea Times said, adding that the husband told police that he had been instructed by a ghost to kill her during a fight the couple was having.

Make me a match

Statistics from the South Korean Consulate General in HCMC show that around 27,500 Vietnamese women had been granted marriage visas by 2008 and around 8,000 such visas were granted in 2009 alone. This means around 35,500 Vietnamese women had migrated to South Korea for marriage by the end of 2009.

Many of these marriages were arranged by illegal brokers, who put women up on show at human supermarkets.

In a famous case, Ho Chi Minh City police arrested a man caught displaying 65 Vietnamese girls to two prospective South Korean grooms in an allegedly illegal marriage brokerage scam in 2007.

Following many such cases, the International Organization for Migration (IMO) and the South Korean government collaborated to set up a website, www.vovietchonghan.org, on Vietnamese and Korean customs laws and how they affect cross-cultural marriages.

Police requested an arrest warrant for Jang on murder charges July 9, the paper said, adding that investigators were now questioning the husband about the brutal beating and stabbing.

Ngoc married Jang without knowing he had undergone psychiatric treatment for depression and mental illness 57 times since 2005, South Korean media reported.

Ngoc’s parents, Thach Sang and his wife Truong Thi Ut, were informed of the death on July 9.

Ut told Thanh Nien Ngoc had met Jang, her husband, on February 7 via a brokerage firm, whose name has not been released. She said the wedding was held ten days later in Ho Chi Minh City.

Before the wedding, Jang’s family gave Ngoc’s family VND3.8 million (US$199) and rented a car to bring her family to HCMC.

Broken dreams

Ngoc’s family comes from Thoi Hoa B Hamlet in the Mekong Delta city of Can Tho’s Co Do District, where they live with 300 other ethnic Khmer families. Most of them are poor and many in the Mekong Delta area have seen their daughters marry husbands from Taiwan and South Korea in recent years.

But several cases of Delta women marrying foreign men through brokerage services have ended in tragedy.

In 2008, Tran Thanh Lan, 22, of Hau Giang Province reportedly committed suicide in Kyongsan City just 25 days after she went to South Korea with her husband Ha Jang Su, whom she had been married to for six months.

Vietnamese media reports said she had become depressed after failing to integrate into the new society. The reports also said there were suspicious circumstances surrounding her death, pointing out that she had requested to get divorced a week earlier and that her husband had already bought her a ticket home.

In 2007, Le Thi Kim Dong of Can Tho died while allegedly attempting to escape from her husband’s house in Daegu Town, some 400 kilometers from Seoul. The pregnant woman had allegedly suffered maltreatment at the hands of her husband’s family, Vietnamese media reports said.

Emotional arbiter

In upholding the 12-year murder conviction of Huynh Mai’s husband – known only as Jang – chief justice at the Daejeon City trial Kim Sang-jun said he hoped the incident would not give Vietnamese people a poor image of South Korea, according to the local Hankyoreh newspaper.

The paper quoted him as saying: “We [the South Korean people] should cordially and sadly confess the brutality hidden in our hearts.”

“No one told Jang who his bride would be nor what her expectations would be and Jang himself did not make any effort to find out... We cannot blame Jang alone. This is something that was caused by the immaturity in our society, by which foreign women are regarded as objects that can be imported.”

“We wanted to seek forgiveness from the victim’s family for the brutality in our society. It is regrettable that we’ve had to make the ruling without informing her family.”

Regulations on the trade and processing of dog meat have been awaiting government action for over a year, according to a Ho Chi Minh City animal health official.

In the meantime, the popular food item continues to pose grave public health risks.

“We are not encouraging dog meat consumption but we need regulations to ensure food safety for the current situation [dog meat demand],” Phan Xuan Thao, head of HCMC Animal Health Agency, told Thanh Nien Weekly on July 19.

A survey conducted last year by Thao’s agency identified around 175 restaurants and eateries in HCMC that served dog meat daily. At that time, the agency found up to 350 dogs were being slaughtered per day to meet city demand.

Early last year, the city’s Animal Health Agency produced draft regulations that would require strict inspections of dog processing - from the farming to the slaughtering of the animals. According to Thao, the regulations also contained stipulations on the trade of the meat.

“[Dogs killed for human consumption] must have a clear origin,” Thao said. “They must be vaccinated against rabies and other diseases and quarantined 15 days before being slaughtered,” he said.

While the regulations await action from central authorities, the industry remains largely unregulated.

In Vietnam, dog meat has long been considered a tasty drinking food with traditional health properties. A study conducted by a Thai researcher from

Chulalonkorn University estimated that as many as 30,000 dogs are trafficked from Thailand to Vietnam every month along a single road.

At the moment, Vietnamese laws only require that dogs slaughtered for consumption have a certificate of origin and proof of rabies vaccination.

However, a 2007 study by the National Institute of Hygiene and Epidemiology showed that 20 percent of sick dogs tested in Hanoi area slaughterhouses tested positive for rabies.

Meanwhile, the city’s enforcement wing bears a heavy load.

Thao and his officials are only permitted to inspect vaccination certificates.

Inspectors at the year-old HCMC Food Safety Agency have the authority to seize dog meat from slaughterhouses and restaurants if the owners fail to produce certificates of origin. Officials from the Food Safety Agency declined to comment on their capacity or status.

Thao said the fledgling force is restructuring to more effectively enforce existing regulations.

The trafficking of Thai dogs into Vietnam appears to be a growing problem for the country, as demand for dog continues to rise. Last year, the Global Post reported that “Hanoi’s leftover Thai dogs were once re-sold in China, according to researcher Thanyathip Sipana, but now Vietnamese consumption leaves little for the Chinese.”

Meanwhile, at home, the thriving trade in the meat is only occasionally stymied by health raids which are usually prompted by outbreaks of communicable disease.

Early this month, officials from the Hanoi Department of Health closed dozens of dog restaurants and slaughterhouses in Hoai Duc and Ha Dong districts after samples of dog meat tested positive for cholera.

In response to last year’s demand for controls, the city Agriculture Department instructed HCMC’s Animal Health Agency to draft regulations on dog meat trading. The draft proposal has been submitted to the central Department of Animal Health twice in the last year and the issue continues to be batted around like a hot potato.

In February 2009, the central Department of Animal Health declined to enact national regulations on the trade, thus shifting the onus of approving the regulations back onto the HCMC People’s Committee – the city’s municipal administration.

Seven months later, in September 2009, city officials asked Vietnam’s Ministry of Agriculture and Rural Development to issue nationwide regulations on trading and slaughtering dogs. The problem is too large to be managed by city officials, they intimated. This time, city officials recommended that the ministry consider limiting or banning dog meat altogether.

The ministry told Thanh Nien Weekly that they have re-submitted the request to the central Department of Animal Health – the very organization that declined to establish national regulations in the first place.

Thao says that the city has not received any feedback from the ministry so far and that an outright ban on dog meat would be unfeasible due to existing demand. He further indicated that such a ban could exacerbate smuggling, thus complicating the prospect of effective food safety management.

“I think the ministry and department [of animal health] were afraid that [a decision] would draw opposition from international organizations for human health and animal protection,” he said.

Indeed, one such organization has publicly taken credit for defeating the measure.

Animals Asia Foundation (AAF), an international nonprofit organization, claims to have been instrumental in the central government’s decision not to enact the regulations.

AAF’s website claims that the Vietnamese government solicited their opinion in February of 2009 on a plan to extend existing standards for the slaughter of “cattle, pigs and chickens” to dogs. After writing an opinion denouncing the measure, they claim, the government relented.

“Vietnam Central Department of Animal Health (DAH) issued an official directive stating that they would not enact legislation designed to regulate the processing of dog meat for human consumption,” AAF stated in a release posted on their website.

The release quotes the organization’s Vietnam Director, Tuan Bendixsen, as saying that individual localities can still attempt to enact their own regulations. “Usually they will not go against the Central Government"s directive,” he says in the release. “I"m now looking at getting the Central Government to officially ban it [dog eating] instead of just not enacting regulation.”

The authors of a ten-year plan to battle the effects of Agent Orange have witnessed the first trickle of US funding and hope for more

Two children affected by Agent Orange at Peace Village in Ho Chi Minh City’s Tu Du Maternity Hospital, a home for Agent Orange victims. Despite growing declarations of goodwill from high-level US officials, funding for Vietnamese Agent Orange victims remains elusive.

The US House of Representatives has just approved a War Spending Bill which includes US$12 million for dioxin clean-up at Da Nang Airport during this fiscal year. The bill, passed on July 27, also approved an additional $13.3 billion in funding for US Veterans affected by the same chemical. The money symbolizes the first step in funding a $300 million, decade-long effort to remediate the effects of a chemical campaign waged by the US military during the Vietnam War.

“It’s a good start,” Congressman Eni Faleomavaega (D-AS), chairman of the subcommittee on Asia, the Pacific and the Global Environment told Thanh Nien Weekly by phone. “More needs to be done.”

In June, the US-Vietnam Dialogue Group on Agent Orange and Dioxin, an independent consortium of scientists, private donors and policy-makers, issued a comprehensive ten-year action plan for the clean-up of highly toxic “hot spots” and the treatment of disabled people throughout Vietnam.

The group set a $30 million annual target to fund comprehensive restoration efforts - from the re-forestation of defoliated countryside to an improvement in the diagnosis and treatment of cancers. The hope was for the US to take the lead on the funding and spur private donations from American companies doing business in Vietnam.

The recent approval of spending signifies something of a victory for those who have worked hard to increase US funding to Agent Orange victims inside Vietnam - though it is unclear how far the money will travel. The language of the bill approves the $12 million in “assistance for Vietnam to support the remediation of dioxin contamination at the Da Nang Airport, which poses extreme risks to human health and welfare, and related health activities.”

In a release made subsequent to the approval, Susan Hammond, director of the US-based War Legacies Project wrote: “How much, if any, of the funding recently allocated will go towards the ‘related health activities’ is not yet known.” Hammond added that some analysts have estimated that the cost of cleaning up the former base alone will run to $34 million.

The airport has received a great deal of attention of late.

Early this month, a delegation of three US Senators visited the Da Nang Airport, where American soldiers once loaded more than 11 million gallons of the dioxin-laced defoliant to be sprayed all over the country. The senators then toured a local facility designed to assist deformed and disabled victims of the fat-soluble chemical. According to the US-Vietnam Dialogue group’s action plan, the American Institute of Medicine has linked dioxin to “cancers, diabetes, and nerve and heart disease among people directly and indirectly exposed, and to spina bifida among their offspring.”

Because the known carcinogen is slow to break down, it can persist in soil, ponds and streams for generations. One study in Vietnam discovered high concentrations of the chemical in fatty tissue samples taken from fish and livestock living in heavily sprayed areas.

In an interview with a Vietnamese newspaper, Sen. Tom Harkin (D-IA) told reporters he was aiming to raise between $20-30 million for victims here, a sum that represented a tenfold increase of the $3 million annual allotment that the US had set aside in the fiscal years of 2007, 2009 and 2010. During a recent interview, Rep. Faleomavaega (D-AS) referred to the $3 million as “just a pittance.”

In response to a list of questions sent by Thanh Nien Weekly, Sen. Harkin’s staff backed away from an exact figure, and confirmed only that Harkin would “continue to seek funding” for AO victims. “Things can change,” a staffer noted in the response.

Meanwhile, at home, the US is trying to reconcile stark projections for the care of its retired soldiers and their offspring. Early this year, the US office of Veterans Affairs projected a $42.2 billion increase in domestic Agent Orange-related medical claims over the next decade.

Those affected in Vietnam have not been nearly as fortunate.

According to a report prepared last year by Michael Martin of the Congressional Research Service, much of the initial funding was spent on scientific research and did not reach Vietnamese victims. Since then, there has been greater interest in involving Vietnamese organizations in the effort. There is a hope among those involved in the process that future funding will have more of an impact on the day-to-day lives of the disabled and afflicted here.

Martin’s report closed with a suggestion that the United States could stand to benefit from more generous involvement in the Agent Orange remediation efforts: “US military interventions in Afghanistan and Iraq have undermined its global image,” it said; and to restore its image, “the United States should more actively engage in ‘soft power’ exercises, such as humanitarian assistance to Vietnam to address its ‘war legacy’ problems.”

Last week, during a visit aimed at discussing regional security, Secretary of State Hillary Clinton made similarly vague pledges to increase funding for Vietnamese victims.

"We"ve been working with Vietnam for about nine years to try to remedy the effects of Agent Orange,” Clinton told reporters. “I will work to increase our cooperation and make even greater progress together."

A State department spokesman declined to elaborate on any developments.

“We are increasing our funding,” P.J. Crowley told Thanh Nien Weekly. “I don’t know whether it will get to [$30 million per year].”

Phil Sparks, a spokesman for the Agent Orange in Vietnam Information Initiative, a lobbying group, said that a Senate appropriations committee has included $10 million in Vietnamese Agent Orange funding for the 2011 fiscal year. “[The $10 million] will be considered between now and the end of the year,” Sparks said.

He attributes the sudden rise in funding to the publication of the report by the US-Vietnam Dialogue Group.

“They’ve opened the dialogue,” Sparks said.

Despite a lack of firm commitments from private donors, members of the Vietnam-US Dialogue remain optimistic and hopeful.

Charles Bailey can remember arriving in Vietnam as the country liaison for the Ford Foundation in 1997, eager to take on the long-debated problem.

“It was a logjam,” Bailey said. “People [on both sides] were not allowed to talk about it for various reasons.”

Since that time, the Ford foundation has been lauded as one of the principal groups advancing the Agent Orange cause inside Vietnam. Based on figures released in the US-Vietnam Dialogue Group’s plan of action, “the Ford Foundation has provided $11.7 million in grants to develop treatments and support for affected Vietnamese, test and contain contaminated soils, restore landscapes and educate the US public and policymakers on the issue.”

Bailey said he is not concerned that no additional private funding has been committed since the plan’s publication last month: “It’s still early days.”

Bailey did stress the need for “an increased sense of urgency” on the part of policymakers and potential donor corporations.

“There’s a new spirit of hope,” he said of the atmosphere created by the publication of the action plan. “It’s good for people with disabilities; it’s good for US-Vietnam relations. It’s a window of opportunity and, as we know, windows open and they close.”

David Devlin-Foltz, director of the Advocacy Planning and Evaluation Program at the Aspen Institute (a major player in the International Dialogue group), said that he is firmly convinced of the United States’ liability in Vietnam.

On a recent visit to Da Nang Airport, Devlin-Foltz and his colleagues recounted how they had been asked to don disposable shoes to protect themselves from the toxic chemicals that continue to seep up out of the ground.

“We could see and smell how negative the impact was,” Devlin-Foltz said. Not far from where they stood, children continued to play in a pool of water.

Despite the overwhelming evidence, the US has been calling for increased research on the actual effects of the chemical on the Vietnamese population. While it has come to acknowledge 13 conditions and diseases as associated with Agent Orange exposure in its own veterans, it has not done so for those who were on the receiving end of the spraying. Devlin-Foltz has attributed the long delay in US Agent Orange money to a fear of similar claims from war victims all over the world.

“[The refusal to extend US veteran benefits to Vietnamese victims] has largely to do with concern that it could be interpreted as an admission of legal liability that could open [the US government] up to massive damage claims,” he said in a taped press conference.

Devlin-Foltz told Thanh Nien Weekly that he remains patient.

“The action plan calls for activity over a ten year period,” he said. “If it ramps up over time, that’s fine. What we are hoping to do with the [plan] is to make real change in the lives and livelihood of Vietnam.”