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.”

Vietnam has just begun to enter the thriving Asian semi-conductor boom.

Some say that if Vietnam plays its cards right, the nation could compete with tech powerhouses like South Korea in the next ten years.

In the interim, Professor Hiroshi Ochi from the Kyushu Institute of Technology (Japan) has advised Vietnam to invest in its highly talented students.

Thanh Nien Weekly: How is the semiconductor industry going at this moment?

Hiroshi Ochi: The semiconductor market is growing worldwide thanks to smartphones, Ipods and all these electronics devices which are very popular. Today, even in developing countries, everyone has a computer. The market size is getting bigger and semiconductor manufacturing is changing: yesterday’s leading producers (like Japan and the US) are lagging. China, Taiwan’s and Korea’s are on the rise. So they compensate each other.

Those Asian economies are becoming very strong. So, as a result, we can say that semiconductor production is increasing. In the future, Vietnam and Indonesia could be the third generation of semiconductor producers. You could be the next generation.

Why do you say that?

If the government goes in the right direction Vietnam can become like Korea. You are growing. You organize high-tech conferences. The Vietnam National University (VNU) is a great university, and you have ICDREC (IC Design Research and Education Center), the design center. So there are a lot of possibilities to bring the semiconductor industry to Vietnam.

What do you predict for the IC industry over the next ten years?

China is a good example. At the beginning of their economic development, they earned a lot of money from low tech production – mass production. Then, as the next step, they invested all this money in the semiconductor segment and the automobile industry. They opened their market to the world. That’s why a lot of foreign companies decided to invest in China.

So this big investment of money stimulated the economy and education. They still don’t have big electronic companies, they just have companies for mass production, and appliances. They don’t produce high-tech semiconductors or applications like the iPod or the iPhone. Still, they have been successful. Because the government wanted to invest in this field.

So China is a success story even if they don’t have high-tech companies: the secret is the government control. If the administration decides to invest in a certain field, like semiconductors, you don’t need big companies, you have the government that can help local companies to develop. The same thing can be applicable to Vietnam. Your government is strong and, if it has the money, it can invest in this field.

So how much do we need in order to have substantial production in Vietnam for this industry

I’ll reply with another example: Taiwan. In Taiwan, the target was semiconductor fabrication plants. The company TSMC needed huge investments. At the beginning they didn’t build any plants. They waited for the foreign money. So this can be a model for you: if your government doesn’t have the money right now to invest in the semiconductor industry, wait. And while you are waiting you can educate your students and engineers.

But even if your government has the money, it should think very carefully about the right way to spend it. In Taiwan, they invested in semiconductor fabrication plants. They became successful but I don’t think you should follow Taiwan’s lead. TSMC is already a strong company, you can’t compete with them, you should avoid investing in costly plants.

Are you suggesting that Vietnam should only concentrate on design?

Exactly. And when you design something, you can ask Taiwan to make it.

What do you think of Vietnamese students?

Vietnamese students are top quality. My direct experience can better show what I’m talking about. I’m the director of the LSI (Large Scale Integrated) Design Contest. We hold it annually and we invite universities from many Asian countries. Usually Kyoto or Osaka wins first prize.

But recently things have changed. In Indonesia there is the Bandung Institute of Technology, and it is one of the top technological universities. They won three times. But the achievements of the Vietnamese students are far better than the Indonesian or Japanese students. Last time your students won. That proves that your education system and the caliber of your students are very good.

The history of Vietnam-US relations is still crazy (after all these years)

Former US President Bill Clinton is greeted on the street in Hanoi, Vietnam on Wednesday, December 2006

In the days following the liberation of Saigon, Nayan Chanda, the young Saigon correspondent for the Far East Economic Review, thought he had a scoop.

He went to the man he hoped would be his source: the editor in chief of the Vietnamese Communist Party’s Nhan Dan (The People) newspaper, Hoang Tung.

“I said I know that a lot of official US documents were left behind in Saigon, which your government now has in its possession. Would you help me get access to these documents?” Chanda told Thanh Nien Weekly via phone.

Tung’s answer was no.

“I was surprised,” said Chanda. “He [Tung] said: ‘Look, the war is over, there is no reason to throw salt in the American wounds.”

According to Chanda’s history of postwar Indochina Brother Enemy: The War after the War, American banks and oil companies were invited to Hanoi as early as 1976 to explore possibilities of trade and financial relations. “They [the Vietnamese government] wanted to seek everyone’s help. It was this [US-imposed] embargo that prevented western countries from helping Vietnam,” he said in the interview.

This July 11 marks 15 years since the US decided to open its doors and lift the embargo.

Warren Christopher, US Deputy Secretary of State 1977-1981 and Secretary of State 1993-1997 (during normalization) wrote to Thanh Nien Weekly via email:

“In 1995, with the war almost two decades behind us, I believed that the time had come to establish a working relationship with Vietnam, to recast the word in the American consciousness as a place rather than a war.”

What took so long?

After the fall of Saigon, Vietnam was invaded by the Khmer Rouge several times. Vietnamese-led forces then crossed into Cambodia and ousted Pol Pot in 1978, ending a genocide that had killed two million Cambodians.

The US was not pleased. In 1981, US Secretary of State Alexander M. Haig Jr. said the US would not recognize Vietnam because of its actions against Pol Pot and the Khmer Rouge.

Edwin A Martini, author of Invisible Enemies: The American War on Vietnam, 1975-2000 and Associate Professor of History at Western Michigan University, told Thanh Nien Weekly what the US was up to in Cambodia at the time:

“The US was providing all these supplies and materials to what they called the ‘non-communist resistance’ when everybody knew full well that most of those supplies and most of those materials were going to the Khmer Rouge.”

This relationship made normalization seem virtually impossible for the Vietnamese.

“After the war, the US led a coalition of nations to establish a political blockade and economic embargo on Vietnam, preventing Vietnam’s development of regional and international relations,” recalled vice chair of the National Assembly’s Foreign Affairs Committee Ngo Quang Xuan, who served as Vietnamese ambassador to the United Nations during the normalization process.

Martini added that even ostensibly non-political organization like the IMF and World Bank, whom Vietnam had invited into the country post-1975, were under the influence of the US and couldn’t work here under the embargo.

But now, with Vietnam a World Trade Organization member and major trading partner with the US, Xuan considers the large economic gap between the two nations to be their greatest challenge.

However, even given the richness of the friendship, Xuan still felt relations were not yet “comprehensive.”

“I believe that US-Vietnam relations will only be comprehensive once the Agent Orange matter has been resolved.”

Flying high

In a press conference on June 29, US ambassador Michael Michalak announced the winner of the anniversary logo contest: a soaring kite, made up of the two nation’s flags.

Michalak went on to describe the various millions of dollars the US government has invested in Vietnam since the end of the embargo: including $46 million that had been donated since 1989 to help the disabled.

“I feel very strongly that relations between the US and Vietnam have never been stronger,” he said in his closing remarks.

‘Propaganda’ no more

Seated at her District 1 office in confident repose, Madame Ton Nu Thi Ninh, retired diplomat and former vice chair of the National Assembly’s Foreign Affairs Committee, seems comfortable in the light of Vietnam’s bright future. She plans to open a major new private university and is always happy to speak with the press.

Though she holds no grudges, Ninh remembers the harshness of the embargo with great clarity.

The stateswoman told Thanh Nien Weekly that a high-ranking UNICEF official had explained to her that even for a multilateral body, normal relations with the US were an important prerequisite for serious cooperation.

She considers Agent Orange the only problem between the two nations. “But AO will never capsize the boat,” she said.

To illustrate how far the two nations had come, Ninh recalled that years ago, a former US ambassador had dismissed Vietnam’s Agent Orange toll as “propaganda.”

“No US ambassador will use that word anymore,” she said.

Encouragement

Nguyen Duc is perhaps Agent Orange’s most famous victim.

He was joined at the leg, from birth, to his brother Viet – who remained bedridden following their 14-hour separation surgery.

Viet never fully recovered following the operation. He died in 2007.

Now, Duc walks with one leg.

He is married and living in a home made possible by international donations and the salary he earns as a computer technician.

He was just a child when relations normalized. “Over the past 15 years, I have seen remarkable progress in the relations between the two countries,” he said over the phone. He was encouraged by the recent arrival of four US Senators willing to discuss dioxin cleanup and hopes that the Vietnamese government will continue to lean on the US for a resolution to the Agent Orange problem.

“If I had a chance to speak with the US leaders, I would tell them to stop all other wars waged elsewhere in the world,” he said.

Freedom fighter

Nguyen Kim Phuong, 80, fought in the guerilla resistance movement against both the French and Americans. His father was killed by the French and his father-in-law was confined at Con Dao prison, notorious for its infamous “tiger cages.”

Like most Vietnamese, Phuong is forgiving about the war and is happy to see US-Vietnam relations moving forward.

“Since normalization, the lives of our people and our economy have both improved. Our relations are mutually beneficial. The Vietnamese people are grateful to the generous support from the US,” Phuong said.

“But... history cannot be forgotten.”

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.”

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.”

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.

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.

 Marc Moynot, 66, in his HCMC chocolate lab in Tan Binh District

Marc Moynot, 66, stands in the garden of the French General Consulate during a Bastille Day celebration.

The little old man’s soft, gentle face seems to disappear behind his trove of handmade chocolates. They are white and black, milky and dark. Some have the yielding texture of truffles. Others feature firm shells that burst open to yield tropical bonanzas: passion fruit jam, orange peel marmalade and kumquat liqueur.

Cinnamon and other piquant spices swirl through the buttery softness of these little marvels and a je ne sais quoi that is distinctly Vietnamese.

The following day, I decided to trek out to the small workshop he shares with his Vietnamese partner and her two children out in Ho Chi Minh City’s sprawling Tan Binh District.

The intoxicating aroma of 50 kilos of chocolate almost knocks me out as I step through the door of 27 Nguyen Van Mai Street – Moynot’s home and the headquarters of Astair Chocolates private company. The ground floor of the private home features Moynot’s neat laboratory. Shelf after shelf of pots and trays line the walls. The slight man slinks along a long stainless steel table and goes to work.

Moynot’s production team consists solely of his partner, Nguyen Thi Mai Huong, her two children and a maid. Together, the crew is endlessly experimenting with new fillings based on distinctly Vietnamese flavors - white honey from Da Lat, kumquat, mango, peppercorns.

The nose knows

Laurent Severac has made a living scouring Vietnam for thrilling smells. For the past 16 years, the stout Frenchman has tromped through the nation’s forests in search of seeds, leaves and aromatic woods that delight the senses. He makes his livelihood distilling his finds into essential oils and selling them to Western perfume designers.

For this olfactory epicure, Moynot’s chocolate is sui generis.

Last year, Severac ordered around 200 boxes of kumquat chocolates to give to friends and clients for the Lunar New Year. “Marc’s chocolate surprises me most with its purity and simplicity,” Severac said. “I’ve been in Asia for 22 years. Every time I come home, my father asks me to bring him two things: Tiger Balm and Astair chocolates.”

When Severac tries to slip a French-made truffle to his staff in Hanoi, they turn up their noses.

“I prefer chocolates from your friend in Saigon,” they say.

Moynot has agreed to customize chocolates to suit Severac’s thirst for Vietnamese flavors. In his small lab, he’s whipped up fillings derived from ingredients harvested in the mountains of the north: star anise, wild pepper, and wild ginger – to name just a few. “They are simply the best I’ve eaten in my life,” Severac said.

Moynot B.C. (before chocolate)

The master candy man once made his living as an Apline guide, leading ski trips, forays and search parties into the mountains in Savoir, France. He was busiest during the snow-packed four- month winter season. The rest of the year was slow and Moynot got by on taking tourists hiking and camping.

In 1993, he decided to visit Vietnam on a one-month holiday.

After returning to France, he was determined to change his life. In 1995, he moved to HCMC and took a teaching job. He didn’t care much for the work and toyed with the idea of becoming a water sports instructor in Mui Ne. During the transition, Moynot’s friend, a successful HCMC caterer tried his two standby dessert recipes: chocolate mousse and dark chocolate truffles.

His friend was blown away.

“I had these two recipes when I was in France,” Moynot says. “I learned them from a box of chocolate.”

The apprentice

Moynot’s caterer friend helped him import ingredients and supplies from France. Seeking further guidance, Moynot approached Serge Rigaredin, the former head chef of Sofitel Saigon Hotel, to learn more chocolate recipes. (Rigaredin has since returned to France and could not be reached for this article).

The budding chocolatier felt very lucky at the time. “Serge Rigaredin was a very kind, skillful and devoted teacher,” said Moynot. “He also loaned me several good books.”

In 2001, the standard for chocolate was fairly low in southern Vietnam; Moynot worked hard to change that.

Around the same time, he met his partner in Da Lat. Soon after the meeting, the two began making chocolate together. Huong said that it was difficult to enter the field at the time. Step by step, she added, things became easier.

After a few months their chocolates were being served at some of the finest restaurants and hotels in HCMC.

A tiny, happy empire

After nine years, Moynot’s empire is confined solely to the four walls of his little lab.

He has played a role in every aspect of his operation. He sketched out a design for the heated cauldron he uses to mix the chocolate and built the device he uses to cut wrapping paper.

His major problem has been marketing. “When I started I had very little money for marketing but I am conscious that we need a marketing team for our chocolate,” he said. “Many of the hotels in HCMC make their own chocolate these days.”

Moynot still takes orders from luxury hotels, but he’s on the lookout for new customers across Vietnam. Though he sometimes finds himself pining for the quiet of the Alpine forests, he remains a satisfied man in busy HCMC.

“I have a happy family here and I make something that other people like,” he said.

Nude photos of a provincial leader were found in the cell phone of a sex worker

Defendants are escorted out of a trial in February of a high school principal having sex with his students in the northern mountainous Ha Giang Province. The Party’s Inspection Commission has proposed dismissal of Ha Giang head while police sources accused that he had involved in the sex scandal.

Communist Party inspectors have recommended the dismissal of a provincial head due to his “unhealthy relations” and “irresponsible way of life.”

The inspectors said Nguyen Truong To, chairman of the northern province of Ha Giang’s People’s Committee, the local government, has committed several violations. Most of these violations pertained to To’s lifestyle.

According to several police sources, To might have had sexual relations with a sex worker in 2005, when he headed a department in the people’s committee. Two other sex workers earlier this year also accused To of having sexual relations with them.

During the 32nd meeting of the Party’s Inspection Committee, inspectors recommended that To be dismissed from his posts as Deputy Secretary of Ha Giang Province Party Unit, Chairman of Ha Giang People’s Committee and Deputy of Ha Giang People’s Council, which acts as the provincial legislature.

In a statement released on July 5, the Party’s Inspection Commission said that To had “seriously violated the conduct [expected] of a [good] Party member” and “negatively impacted the image of a leading official.”

The Party’s Inspection Committee had warned To about his violations but he failed to admit wrongdoing and did not seem receptive to improving his behavior, according to the statement.

The inspectors ordered the provincial Party Unit chief and director of Ha Giang Police Department to file official reports regarding their knowledge of To’s wrongdoing. In their statement, the inspectors also proposed punitive measures against the two officials who had known about To’s dalliances since 2005 but failed to report it to higher ups.

Nude photos

The inspectors did not articulate the specifics of To’s wrongdoings in their official statements, but according to the police sources, To was alleged of having patronized sex workers on two occasions.

According to the police sources, the first instance took place in November 2006 when Ha Giang police busted a prostitution ring. Police found nude photos of To posed “in different positions” saved in the phone of the sex worker, in addition to several text messages sent from his cell phone number.

The case was reported to Nguyen Binh Van, Director of Ha Giang Province Police Department and Hoang Minh Nhat, secretary of the provincial Party Unit and only resulted in internal rebuke.

Fast times at Viet Lam secondary schoo

Nguyen Truong To, deputy secretary of Ha Giang Province Party Unit, Chairman of Ha Giang People’s Committee and deputy of Ha Giang People’s Council

In the second case, a high school student accused To of having sexual relations with her when she was under 18.

Last November, the Ha Giang Court sentenced Sam Duc Xuong – former principal of Viet Lam Secondary School in Vi Xuyen District – to ten and a half years after he was found guilty of statutory rape.

Prosecutors alleged that the principal had abused his position to coerce young women into having sex with him. Two of his students, Nguyen Thi Hang, 19, and Nguyen Thi Thanh Thuy, 18, were sentenced to six and five years respectively for procuring other young girls to have sex with older men.

All three defendants appealed for more lenient sentences. Then, during their February appeals hearing, they changed their pleas. They were not guilty, they announced.

Two years earlier, the young women claimed, they were forced to have sex with local officials.

For the first time, Hang and Thuy named ten men, including To and other senior government officials, whom they claimed had had sex with them when they were underage.

The accusations came to light during the February 1 hearing of the Ha Giang Court of Appeals. The court found that last year"s trial by the Vi Xuyen District Court (as well as the supporting investigations) had "seriously violated" regulations. As a result, they ordered a fresh investigation of the case.

According to an anonymous police source, Hang has told the investigators she had sex with Xuong [the principal] and other Ha Giang officials for money between 2008 and 2009. The source says that she implicated senior officials from the Ha Giang People’s Committee, police and entrepreneurs in the province.

Tran Dinh Trien, Thuy’s defense attorney, told the Tuoi Tre newspaper on July 7 that he was not surprised by the results of the Party’s Inspection Commission.

“In the Sam Duc Xuong case, the defendants produced a black list accusing several Ha Giang officials of having sex with them,” he said. “Nguyen Truong To topped the list.”

Trien also said he heard about To’s nude photos after Xuong’s trial but he couldn’t verify the information as a lawyer. “Now the [Party’s] Central Inspection Commission has clearly concluded the issue,” he added.

Party officials call for Ha Giang leader’s ouster

A senior official has endorsed the a recent proposal by the Communist Party’s Inspection Commission to dismiss the chairman of Ha Giang Province’s People’s Committee for his alleged role in a wide-scale sex scandal.

“I think violating ethical norms is not a minor issue,” Hoang Trung Luyen, head of Ha Giang Party Unit’s Propaganda and Education Commission, told the Tuoi Tre newspaper on July 8. “There should be stricter [measures] if violations of the Penal Code were found,”

Luyen was speaking to the media about the case of Nguyen Truong To. Party inspectors recently called for To’s dismissal from his current posts as Deputy Secretary of Ha Giang Province Party Unit, Chairman of Ha Giang People’s Committee, the local government, and Deputy of Ha Giang People’s Council, the provincial legislature.

Luyen confirmed that police notified Party officials after finding To’s nude photos in a cell phone belonging to a sex worker. Luyen said that the revelation resulted in internal rebuke. He also confirmed with Thanh Nien that To remains on next term’s ballot for key posts in the province.

Nguyen Dinh Huong, former vice head of the Central Party’s Organization Commission, said To deserves to be subjected to stricter measures.

“A Party member who is the head of a locality and has deteriorated should be dismissed from the Party, not just his posts,” he said, adding that there should also be repercussions for officials who knew of To’s actions but failed to report them to higher authorities.

Meanwhile, Le Quang Trieu, head of Ha Giang Party Unit’s Inspection Department said any measures against To would be taken by the Party’s Secretariat.

The swelling number of state-provided cars in Vietnam is a luxury that the country’s struggling economy cannot afford, experts say

A state-provided car (C) in Ho Chi Minh City. The increasing number of state-provided cars in Vietnam is a luxury that the country’s struggling economy can ill afford, experts say.

Bureaucrats all over the world are famous for their penchant for showering themselves with largesse at the tax payers’ expense, and a recent report from the Public Asset Management Department shows Vietnam is no exception.

The department estimates that as of June 24, 2010, Vietnam had around 26,000 cars valued at about VND13 trillion (US$680 million) meant for official use. Ho Chi Minh City led the pack with around 1,000 state-provided autos, followed by Hanoi with 800 cars, the report said.

In July 2006, when around 19,300 state-provided cars were recorded nationwide, Prime Minister Nguyen Tan Dung applied the brake on further purchases, but released it in July 2009.

The report points out that many provinces and cities have spent more money than they were allowed to on buying official vehicles. Provinces are only authorized to purchase cars that cost less than VND700 million each; many have ignored the regulation, the report said.

“The increasing number of illegitimate state-provided cars has done nothing but confirm the egregious squandering of the state budget,” said Dr. Le Dang Doanh, an economist with the Hanoi Economic College.

“This is a huge paradox compared with the size of Vietnam’s economy,” Doanh said.

Around 70 percent of all Vietnamese citizens still depend on agriculture for their livelihood. Per capita income is about $1,000 and the minimum government salary is VND730,000 ($38) per month.

The World Bank has also said that Vietnam’s budget deficit was “very high” at 8.4 percent of gross domestic product (GDP) in 2009. “I think this is not just a question of money. People would need a clear and transparent explanation for the use of state-provided cars bought with their tax money,” Doanh said.

Unhealthy privilege

Recent media reports have highlighted how state-provided cars have been used for different unofficial purposes.

A bunch of official cars, distinguished from others by their green license plates, were found parked in front of many schools in Hanoi and HCMC last month when the national college entrance exams took place.

In February this year, state-provided cars thronged the site of a major lunar festival in the Mekong Delta province of An Giang. The cars were spotted littering closed streets and halting traffic throughout the city.

“Ordinary people can easily spot a green-plate car parked at a restaurant or a wedding party,” Doanh said.

Those traveling in official cars are apparently immune from punishment for any traffic law violation, Doanh said.

“This is a very unhealthy privilege which should be stripped,” he added.

‘The government knows all’

“26,000 cars and VND13 trillion are indeed startling figures,” said Nguyen Minh Thuyet, a prominent parliamentarian.

Both Thuyet and Doanh urged a comprehensive probe of all state-provided cars to ensure they have been used properly.

But they remained doubtful that drastic and serious measures would be taken against the misuse of state-provided cars.

“Punitive measures will only work when they are enforced frequently and seriously. Otherwise they will turn out to be just lip service,” Thuyet said.

“I think the government knows all about the squandering of money [in buying state-provided cars] because it is nothing new,” he added.

Thuyet recalled a plenary session of the National Assembly in 2005 when the then Finance Minister Nguyen Sinh Hung took the floor to address the issue of wasting money in buying state-provided car.

Hung, now the deputy prime minister, was then quoted by the media as saying that officials who waste state money on buying cars should not get any promotion or nomination for awards.

“But I have not seen anyone punished until now,” Thuyet said.

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)

Farmers whose lives have been ruined by pollution in the Thi Vai River are not going away, and neither are their demands that Vedan pay for the damages in full

Farmers in Thanh An Commune, an impoverished area on the outskirts of Ho Chi Minh City that is still reeling from 14 years of pollution from an upstream Vedan factory that destroyed sea stocks and crops

Nguyen Xuan Ty said he might as well have died several years ago along with the section of the Thi Vai River killed off by Vedan’s secret and illegal discharge of untreated wastewater.

In 2003, upon learning that his stocks of clam and blood cockle had been all but wiped out by the pollution, Ty had no idea what he would do.

“I was at a loss. I was just kneeling down [in front of the dead stocks]. It was sheer luck that I didn’t commit suicide,” Ty told Thanh Nien Weekly.

The water in which he bred his animals, mostly clams and cockle, in Ho Chi Minh City’s Thanh An Commune had been seriously polluted since 1999, Ty said. As Vedan had already paid out compensation to local farmers whose stocks it damaged with pollution in 1996, residents had been suspicious of the Taiwanese firm. But they couldn’t prove their claims with evidence until a decade later.

In September 2008, Vedan Vietnam, the Taiwanese monosodium glutamate (MSG) maker, was caught by government inspectors dumping its untreated wastewater into the Thi Vai River in the southern Dong Nai Province. The company had avoided detection by hiding pipes deep in the river, and had been sending toxic liquids through those pipes for 14 years, inspectors found.

An Environment Ministry-authorized study by the Institute of Environment and Natural Resources found in December 2009 that Vedan was responsible for 90 percent of the pollution then plaguing the Thi Vai River.

The 2009 report indicated that 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 had caused, including the destruction of sea farms and damages to land crops on the banks of the river.

But the company has dismissed the damage figures presented by the institute as groundless. Vedan already inspected and assessed the damage by itself and has offered compensation far less than the government-sponsored study said the farmers are entitled to.

The waiting game

The Institute of Environment and Natural Resources concluded that Thanh An Commune in HCMC’s Can Gio District, 60 kilometers to the southeast of the Vedan plant at the mouth of the Thi Vai River, had been hit by Vedan’s wastewater. Despite the severe damages to the area, the level of pollution there was low compared to the most affected areas, the institute said.

“I don’t know how serious the pollution is. I just know it had completely annihilated my stocks in 2003,” Ty from Thanh An Commune said.

Ty lost around VND1.3 billion he had invested in 2003 alone and has been in heavy debt since. His only income now is from a small sweet soup eatery in the commune.

Many other locals in the commune whose meal ticket used to be fishing and breeding seafood have also switched to other jobs to eke out a living, said Le Hong Phuc, chairman of the Thanh An Commune Farmers’ Society.

The commune is one of the five poorest in Can Gio District and among the 20 most impoverished in HCMC.

Thanh An Commune locals had filed complaints about the suspected pollution caused by Vedan for years before 2008, when the company was caught red-handed, Phuc said.

But they’ve been waiting in vain.

“The farmers have had enough of waiting for the compensation,” Phuc said. “Vedan said the pollution level was not that serious and they had assessed the damage by themselves. But we have never ever seen a single Vedan official come here to ‘assess.’”

Thanh An farmers have demanded compensation totaling around VND46 billion. Vedan said in a statement to the HCMC government that it would only pay VND7 billion.

Elsewhere, farmers in the provinces of Ba Ria-Vung Tau and Dong Nai, where the pollution level is concluded to be much more serious than that in Thanh An Commune, are also destined for the same fate as Vedan has been offering only one-fifth of the claim to Ba Ria-Vung Tau and less than one-one-hundredth of the claim to Dong Nai.

Now or never

Vietnamese President Nguyen Minh Triet said during a meeting with locals in HCMC’s Cu Chi District on June 24 that the government would not tolerate any pollution activities of any company in the country

Triet pointed to the Vedan case.

“The US$20 billion BP pledged to compensate for the Gulf of Mexico oil spill could not bail the company out of the public outcry all over the world. The crime Vedan had caused to the Vietnamese people was much more serious than just a pollution crime.”

Earlier this month, Environment Minister Pham Khoi Nguyen indicated that the government was determined to press criminal charges against major polluters in the country.

“We’ve backed into a corner in terms of protecting the environment and it’s time for strict measures against those who try to cover up acts of pollution,” he said.

Lawyer Nguyen Van Hau, the legal consultant for Thanh An Commune farmers in the Vedan case, said everything is ready for the lawsuit he plans to file at the Can Gio District People’s Court later this month.

“They [Vedan] have defied not just the affected farmers. They have challenged the public and the country as well,” Hau told Thanh Nien Weekly.

Hau said he would first propose that HCMC farmers boycott all Vedan products at a meeting with the municipal farmers’ society on July 2.

Farmers in Ba Ria-Vung Tau and Dong Nai have also indicated their determination to bring the case to court, according to local media reports.

Hopes for justice

Wayne Lewis, a HCMC-based environment consultant, said he was convinced that the lawsuit would deliver solid results, given the national support behind the farmers.

[The impact of the environment pollution] here is far greater than it would be anywhere else in the world because there is no infrastructure in Vietnam for waste management,” Lewis said.

“What do Vietnamese people think about foreign companies coming over here and polluting your country? What do you feel if those major polluters are coming to kill your people, and to maim and deform your children?”

Ty of Thanh An Commune said he was also ready for the lawsuit.

“I will go to the end of it, it could be my last chance,” Ty said.

“I only hope justice will be done.”

Inquiry follows wave of Agent Orange interest in wake of Senators’ visit

Tran Thi Hoan, 23, with her friends at Peace Village in Ho Chi Minh City’s Tu Du Maternity Hospital, a home for Agent Orange victims. Hoan, who was born without two legs and a hand due to her mother’s dioxin exposure, is testifying about the plight of Vietnamese Agent Orange victims at the US House of Representatives this week.

The United States House of Representatives is set to hear the testimony of the first Vietnamese Agent Orange victim to ever speak on capital hill this week.

Tran Thi Hoan, a 23-year-old 2nd generation victim told Thanh Nien Weekly her testimony on July 15th would focus on the agonies she and her peers have suffered, “and the aspirations of Vietnamese Agent Orange victims to be fully redressed by the US government and chemical companies.”

Hoan’s testimony coincides with a rising tide of US interest in Vietnam and its estimated 3 million Agent Orange victims. Hoan was born without a hand and both legs, which doctors have attributed to her mother’s exposure to Agent Orange.

According to an article written by Charles Bailey, Director of the Ford Foundation’s Special initiative on Dioxin/Agent Orange: “Between 1961 and 1971, the US sprayed close to 20 million gallons of Agent Orange and other herbicides over 10 percent of what was then South Vietnam.” Bailey added that the chemicals contained Dioxin, defined as a “persistent organic pollutant that even in tiny amounts (parts per trillion) can seriously harm the health of anyone exposed and potentially their offspring and future generations.”

Nearly 50 years later, members of the US government are stepping forward and taking ownership of the act.

“We as a country and a government formulated this policy of using this chemical toxic substance to supposedly fight the war in Vietnam only to find out that the consequences were just unbelievable,” Congressman Eni Faleomavaega (D -Am. Samoa) chairman of the House Foreign Affairs Sub-Committee on Asia, the Pacific and the Global Environment told Thanh Nien Weekly.

Faleomavaega used the words “chemical warfare” to describe the US spraying campaign.

The Congressman was stationed with the US Army in Nha Trang from 1967-68. He summoned the first congressional hearing on Agent Orange that included the US-Vietnam dialogue group in 2008. He called another in 2009. In this third hearing, members of the House will come face to face with the consequences of the spraying.

“When I see these children in the hospital there in Vietnam who are deformed, it’s almost like being exposed to nuclear radiation in a way,” he said.

Rep. Faleomavaega is the second US official in two weeks to acknowledge a direct moral obligation on behalf of the US government to increase aid to Vietnamese Agent Orange victims.

The Samoan Congressman was unaware that a group of three US Senators had visited Vietnam last week and toured Agent Orange treatment centers in and around Da Nang.

During the delegation’s visit, the Tuoi Tre newspaper reported that Sen. Tom Harkin (D-Ia.) expressed a desire to raise the current allotment of $3 million to $20-30 million.

“[What] I want to do is to get the money for the compensation for the same illnesses here as we are doing in the US,” he was quoted as saying.

In an e-mail, Sen. Harkin’s staff said they could not commit to a specific number. “Sen. Harkin is working hard to increase funding,” a spokesperson said.

Senators Bernie Sanders (I-Vt.) and AL Franken (D-Minn.), who accompanied Harkin to Vietnam last week, declined repeated requests for comment on the nature of their trip and plans for future action.

During the fiscal year of 2007, Congress approved $3 million for Vietnamese Agent Orange victims. The amount was approved again in 2009 and 2010.

“This 3 million is just pittance,” Rep. Faleomavaega said. “I really hope that we’re gonna see what we can do to increase our efforts.”

Both Harkin and Faleomavaega independently praised the work of the Ford Foundation, a charitable organization that has worked to develop a $300 million clean-up plan with the US – Vietnam Dialogue Group on Agent Orange/Dioxin. The plan requires funding largely by the US government –money that has yet to arrive.

“I don’t know where this is going to end up,” said Rep. Faleomavaega. “I’m just doing the best I can. Hopefully there will be members who will see the rightness of the issue and say we just need to correct it that’s all.”

Dr. Nguyen Thi Ngoc Phuong, who will testify alongside Hoan and was the first Vietnamese citizen to speak on the issue before congress in 2008, said the money that comes into Vietnam for Agent Orange assistance needs to be used properly.

“The money should be directed to Vietnamese NGOs for better distribution. As far as I understand, the already meager assistance has been trimmed by US NGOs tasked with bringing the money to Vietnam,” said the former president of HCMC-based Tu Du Maternity Hospital and current vice chair of the Vietnam Association for Victims of Agent Orange/Dioxin (VAVA). Phuong has conducted extensive research on the impact of Agent Orange on breast milk in Vietnam.

“Imagine how much Vietnamese Agent Orange victims would receive given the fact that such [US] NGOs often come to Vietnam in large delegations and stay in five-star hotels.”

SHOW ME THE MONEY

Congressman Faleomavaega was the first to hold a hearing on Agent Orange that included the Vietnamese government. He served in the US Army from 1967-8 and was the first Asian-American in the history to chair a sub-committee on Asia and the Pacific.

In 1989 he was elected to Congress by the people of American Samoa. They have been re-electing him ever since.

During an extensive interview with Thanh Nien Weekly, Congressman Faleomavaega spoke on a range of issues, excerpted below.

We’re gonna spend another $100 billion on the 100,000 soldiers we’ve got on the ground in Afghanistan. And we’re right in the middle of saying, are we justified, does this smell of Vietnam again?

... Every time I read about the billions and billions of dollars that have been wasted on the war on Iraq and out of Afghanistan... that really burns me up, you know?

... We can’t account for billions and billions and we can’t spend a few million to alleviate [Agent Orange]? Billions and billions we can’t even account for? Give me a break. That’s not right.

In my review of the situation, this started under the Kennedy Administration, these major chemical companies like Monsanto... They pointed the finger at the Department of Defense. They are both responsible for what happened.

... What makes it worse is that this didn’t go on for a few months, it went on for close to 10 years!

... I have to put the ball squarely on the pentagon and those officials who conducted the war effort are responsible for what happened.

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.

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.

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.”

 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.

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.