Ten Countries With The Worst Health Care Systems


Ten Countries With The Worst Health Care Systems

“Let us be the ones who say we do not accept that a child dies every three seconds simply because he does not have the drugs you and I have. Let us be the ones to say we are not satisfied that your place of birth determines your right for life. Let us be outraged, let us be loud, let us be bold.” Brad Pitt.

There is a huge difference between developed and developing countries when it comes to healthcare. Each year, more than eight million children die from preventable diseases in countries with the worst health care. These countries receive a raw deal from growing globalization, inequitable infrastructure, brutal or ineffective government and poor resource allocation. This results in a cycle of poverty and ineffective healthcare. Here are the worst countries. There are many more.

1. Sierra Leone has the dubious distinction of being the worst country in providing healthcare to its citizens, with a score of 0.00 on the WHO health systems performance index. During the most recent civil war the medical facilities in the country were looted and destroyed. There are only about 22 physicians for every million people, and about 60% of the rural population does not have adequate access to clean drinking water. Life expectancy at birth is about 54 years. Malaria is a big problem.

2. Myanmar spends much more of its money on the military than healthcare. Malaria, AIDS, malnutrition and tuberculosis are serious problems. The risk of infectious diseases is very high and life expectancy is now fifty years old. The government spends less on health care than almost every other country.

3. Central African Republic ranks third as far as health care is concerned. The political instability and general lawlessness, combined with poverty and poor infrastructure, have brought down the average life expectancy to 49 years. Sanitation problems and lack of clean water are major sources of ill-health in this country. Diarrhea is one of the main causes of death for children under 5 years old.

4. The Democratic Republic of Congo is almost always in conflict. Average life expectancy is forty-eight years old. Cholera and diarrhea are rampant due to unclean water and lack of sanitation facilities. Malnutrition and malaria are the biggest problems.

5. Nigeria is the most populated country in Africa with more than 174 million residents. The average life expectancy in the country is fifty-two years. They have the second largest number of people in the world living with HIV. Malaria is the top cause of child illness and death. As one of Trump’s s—-hole countries, they suffer from a continual mass exodus of nurses, doctors and other health practitioners who leave looking for better opportunities abroad.

6. Liberia is sixth on the list of countries with the worst health care.The people have a life expectancy of fifty-seven years. The health care system in Liberia is highly dependent on support from foreign agencies which now carry out more than 90% of health service. They have the highest infant and maternal mortality rates in the world. Childhood malnutrition is high.

7. As with many African countries, common diseases in Malawi are malaria, measles, tuberculosis and pneumonia. The country also suffers from a HIV/AIDS epidemic which has struck southern and central African countries so severely. Over 90,000 people in Malawi live with HIV/AIDS – more than one in ten adults are infected. The life span in Malawi is fifty-four years with the main cause of death being malnutrition. Access to basic sanitation and clean water is difficult.

8. The lack of healthcare personnel is a major problem faced by Mozambique. Most professionals move to other countries to seek better opportunities. There is always a shortage of necessary drugs, so locals often resort to traditional medicine. Mozambique is plagued by severe HIV, malaria, and cholera.The average life span is fifty years.

9. The situation looks bleak for the people of Lesotho: the average life expectancy is 49 years, and 25% of the people between 15-49 years of age have contracted HIV. There are rising rates of tuberculosis, malnutrition and infant and maternal mortality Access to health care is difficult for people in rural areas. Serious emergencies are often referred to neighboring South Africa.

10. The country with the tenth poorest healthcare system is Zambia. The average life expectancy of Zambians is fifty-five years. Diarrhea is the leading cause of child death because of limited access to clean drinking water and adequate sanitation. Almost half the population of Zambia is below the age of fourteen because of the tremendously high birth and death rate. Malnutrition is widespread particularly in rural areas. Malaria is proving hard to control and there has recently been a resurgence in some areas.

Fly safe,



Jerusalem, Old City


Jerusalem Old City

“If the Arabs put down their weapons today, there would be no more violence. If the Jews put down their weapons today, there would be no more Israel’” Benjamin Netanyahu

My first trip to Jerusalem was in the seventies. My parents always paid for an Israel extension to my self financed Europe trips. I think they were hoping for an Israeli son-in-law. Our days started at the Jaffa Gate near our hostel. We would meander through the Old City in the heat of summer and end up at the Damascus Gate or the New Gate. You could wander back and forth through a stairway in the Western Wall. We walked in and out of the mosques, often just to cool off and enjoy the peaceful feeling inside.

When we got to the meat part which was deep in the market, I was always ready to turn back. It was the first time that I saw raw, dead animals hanging outside like that.There were a lot of flies. It was hot and smelled bad. We were allowed everywhere. One day, a young  Arab boy decided  to be our tour guide for free. He took us walking on the walls above the city. I remember that he said that they were the only red-headed Arab family in the market.

The Arab souq was our favorite huge shopping labyrinth to get lost in. They sold beautiful handmade backgammon sets, religious artifacts and boxes made from olive wood, interesting jewelry, worry beads, scarves, clothes and evil eyes. The bargaining was half the fun (even though we just got it down to the real price in the stores) “We dont hate the Jews,”said the people in the market. “It’s the Zionists we don’t like.”

On my first trip, I did not blame them. The Israeli boys we met were aggressive and the girls were mean to us. Cheap college day tours took us all over Israel from Jerusalem. We met a lot of Americans doing the same thing. The second summer I met nice Israelis. We truly believed that there would be a lasting peace.

I resisted coming back to Jerusalem for many years because I did not want to see what was happening. The Arabs and Israelis did not learn how to coexist. Now Israel the hero of my childhood, is seen by many as the oppressor. For some reason, they have more UN human rights violations than the most corrupt, brutal, sadistic, child army, third world nations. Israel wasn’t the attacker in the 48, 67 and 73 wars. They defended themselves and won. Isn’t that what happens in a war? Governments get land and young people die or get injured. The Palestinians like the American Indians had unfortunately lost the claim to their land from the British before Israel became a state. Israel built their country from nothing just like America did. It seems to be a hopeless situation now.

They call it apartheid by choice. There are Arab speaking schools and Hebrew speaking schools. The Arab schools are divided into Muslim and Christian schools.

The Hebrew Schools are divided into Orthodox and Secular Schools. There are divisions between the divisions. There are a few mixed schools.

I think those who call it South African apartheid have forgotten or never knew what South African apartheid really was. Yes there is prejudice on both sides  and many problems but it is not that.

The holiest city on earth is even more divided on my return many years later. It is still living as one but with a lot of new rules, security and boundaries.

This time, I am staying at the beautiful King David Hotel. As we enter the city from the nearby New Gate, Dvir, our tour guide, tells me that there is still only one red-headed Arab family in the market.

Fly safe,





Museums In Tel Aviv, Israel


Museums In Tel Aviv

“We used to build temples, and museums are about as close as secular society dares to go in facing up to the idea that a good building can change your life (and a bad one ruin it).” Alain de Botton

Tel Aviv is an outdoor city with beautiful soft sandy beaches, flea markets, food and craft markets and alfresco dining most of the year.

This time I was there in January and February. The first ten days were particularly cold and rainy so I spent some time exploring a few museums.

I’ve written about the Tel Aviv Museum Of Art designed by Preston Scott Cohen before. If you are into architecture as I am you will love the building.

It is located in central Tel Aviv within a Cultural Complex inside a beautiful park.

My god-daughter lives nearby. In a city where everything closes on Saturday, this museum is open.

We walk passed the families in the playground and through the skateboarders to the entrance. The temporary exhibits are always interesting. The one I wanted to see was called Total Red which was photography from early twentieth century Soviet Photographers. Pastel, the museum’s restaurant i is beautiful and delicious.

Visiting Eretz Israel Museum in the rain is probably not the best way to see it. It is a collection of several pavilions and excavations spread out all over.

The focus is on culture and history. When I travel and do large museums, I usually just pick a few exhibits to see, Otherwise it is too overwhelming.

I love photography so I went to those exhibits.

There was one about life in the internment camps in Cyprus where the Holocaust survivor were kept until Israel became a nation.

And another about the Italian ship captain that brought refugees to Israel.

I also watched a film on how Baron de Rothschild helped Israel grow. The restaurant is delicious and the gift store is one of the best in Tel Aviv for art and crafts.

Exodus was one of my favorite TV movies when I was very young.  Paul Newman played Ari Ben Canaan who was the head of the Haganah. I was always interested in them. The Haganah was the military organization that protected the Jewish settlements in Palestine.

It was the predecessor to the Israeli Defense Forces.

The Haganah Museum is located on beautiful Rothschild Blvd in the house of one of the Haganah founders.

It traces the story from the earliest watchtowers to the struggle for independence to the development of the modern army.

You will see many troops of Israeli soldiers being brought there on field trips.

Fly safe,





The Voice Heard Round The World


The Voice Heard Round The World

‘Where words fail, music speaks.’ Hans Christian Andersen

I love to be able to travel when I am home. I watch The Voice. Reality TV and coffee are my vices. If you happen to live under a rock, it is a singing competition with celebrity judges. I love the Blind Auditions where the judges have to pick their team by hearing them. The audition is the only reality TV that we have left. You can’t fake an audition. You are actually watching someone vulnerable who’s life can be changed. I like seeing new talent emerge.

One night I was trying to catch up on some auditions, and I came across videos of blind auditions from The Voice Around The World. I was hooked. I’m obsessed with the Italian and the French judges. The Ukrainians and the Russians love heavy metal music and they like to make comments.  The Voice originated in Holland. I have no idea who any of these judges are. I watch the British version now as well. Here are my favorite auditions in no particular order. One is a battle round.

italy, France, Germany, Australia, Ukraine, UK, China, Russia, Holland, Poland.

Music always makes me feel that we are more the same than different.

Fly safe


Israeli Museum In Jerusalem


Israeli Museum in Jerusalem.

“Art is only relevant, if it asks the most critical questions and expresses emotions with an innocent eye.” Ai Wei Wei

The Israeli Museum in Jerusalem is the largest museum in the Middle East.

It is located near the Knesset (government), the Israeli Supreme Court and the Hebrew University of Jerusalem.

One of the highlights in the museum collection is the Shrine of the Book which houses the Dead Sea Scrolls. The white roof of the building emulates the lid of a Qumran jar where they were found. Upon entering this incredible cave-like display you feel like you are actually in one of the Qumran jars.

The scrolls are the oldest biblical manuscripts in the world, and were found near the Qumran area in eleven different caves over a ten-year period (1946-1956). The age and scope of these amazing scrolls basically proved the authenticity of our modern Bible’s Old Testament.

Upon arrival there was an added bonus, an exhibit by one of my favorite artists, Ai Wei Wei. It was an odd choice of country for the pro Palestinian Chinese artist. In the age of fake news and the manipulation of truth, the timely exhibit is called Maybe/Maybe Not. The money from the exhibit goes to an Israeli Palestinian relief fund. It features large-scale works such as part of his “Sunflower Seeds” installation featuring millions of seeds made from porcelain, weighing some 23 tons. (sorry, no flash)

Wallpaper across part of  the exhibition depicts the plight of refugees while mixing in classical images, giving it the look of a frieze from ancient Greece.

His “Soft Ground” installation has particular resonance for Israel.  It is a hand-woven carpet that replicates the floor of the Haus Der Kunst in Munich, commissioned by the Third Reich for the display of Nazi-approved art.

Everything at closer inspection was not what it seemed. There were self portraits made of legos,

chandeliers made of surveillance cameras

and a selfie taken through mirror when he was being arrested in China.

Iron trees are “planted” at the museum.

They are made from casts of parts of trees from Southern China and part of series that started in 2009.

Were the porcelain cups real or fake?

Even the artist himself raises questions. Ai Wei Wei is one of the richest artists in the world.  He is a Chinese dissident who had his passport taken away  by his government but he can travel freely throughout the world. Is what we are told true? Is what we see real? Maybe or Maybe Not. (middle finger all over the world)

Fly safe,


Yad Vashem, Holocaust Memorial, Jerusalem


Yad Vashem, Holocaust Memorial, Jerusalem

“A country is not just what it does – it is also what it tolerates.’
Kurt Tucholsky (quote on the wall as you enter)

Yad Vashem is Israel’s Holocaust Memorial. I had been here many years ago. I knew what to expect. I went again now because I am going to visit Auschwitz in the spring. It was a winter weekday afternoon and the museum was not as crowded as usual. No photos are allowed. I knew what to expect and yet I was once again newly affected by the inhumanity of systematic cruelty.

The Holocaust History Museum was designed by world-renowned architect Moshe Safdie, and occupies over 4,200 square meters. This museum takes you on a journey through in-depth displays telling the story of the Holocaust. There is a ten and half hour guided audio tour. You choose what you want to listen to. In many cases, the photos are enough.

Yad Vashem, means “a place and a name” in Hebrew and comes from the Book of Isaiah. It refers to the millions who were not given the dignity of a Jewish burial with a specified burial plot.

The chilling Hall of Names is a memorial to each and every Jew who perished in the Holocaust, housing an extensive collection of over two million “Pages of Testimony” – short biographies of each Holocaust victim, with room for six million in all.

Yad Vashem also recognizes and honors a number of non-Jewish people who helped save Jews during this bleak period. These heroes are called The Righteous Among The Nations.

The Children’s Memorial is located in an underground cave, enveloping you in darkness.

As your eyes adjust, you can make out flames of light representing the 1.5 million children who died during the Holocaust.

Recorded voices call out the names and ages of these innocent souls. A few days later there is another school killing spree in the United States.

I return to the hotel. On Israeli news that day, they report that Poland has passed a law making it a criminal offence to suggest that “the Polish nation” was in any way responsible for the murder of six million Jews. I spent a long time in the Polish section of the museum as I will be going to those places. There were photos of Polish people “colluding” and stories of Jews being reported by their neighbors. Three million Jews died in Poland – more than any other country.

It is impossible to visit the Holocaust Museum at Yad Vashem and not be moved, horrified and ashamed. How does this story relate to the present? It began with words, indifference and silence. Indifference and inaction never help the victims. It is our responsibility to speak for the children, the elderly, the abused women, the poor and the refugees. “Whoever saves a single life, it is as if he or she has saved an entire universe.”

Fly safe,


The Street Is Your Gallery – Urban Art In Tel Aviv


The Street Is Your Gallery – Urban Art In Tel Aviv

“The words  of the prophets are written on the subway walls and tenement halls” Paul Simon and Art Garfunkel


The gentrified  Florentin neighborhood is the area to go to find amazing street art and graffiti in Tel Aviv. 

The crumbling walls of Florentin will soon turn into high rises so go before that happens.

The person to go with is Guy Sharett who does an urban street tour.  You can sign up on his website Streetwise Hebrew http://www.streetwisehebrew.com.  It’s very popular.  I’ve tried to get on this tour twice before so book in advance. The tour is in English and my  group of twelve was international. He weaves some Hebrew, history, humor and insight into the one and half hour tour.

There is a major difference between Guy’s tour and other street art tours. He focuses on the street words to teach Hebrew and Israeli Culture.

We begin with a piece by Muriel Street Art.

We see a few of her pieces throughout the tour. Muriel Street Art wants us to think.

SENED creates Figures known as “kufsonim” (mini boxes) They are ready-made stencils that are spread all over the city. The characters were developed from an abstract of a cube.

missK is an eastern european artist who lives in Israel. Apparently some of the local artists do not like the growing number of graffiti tourists. 

We see a lot of her work in Florentin.

Ometz (Hebrew for bravery) writes street poetry. He is a religious scholar by day and street artist by night.

Dede is one of Israel’s most prominent street artists and the only one I knew of so I was glad to see pieces of his.

Solomon Souza is a British Israeli artist who is best known for painting faces on the shutters in the Mahane Yehudi market in Jerusalem.

It is only visible on Saturdays when the market is closed.

Frenemy creates colorful characters in chaotic environments.

Tiny Tiny Gallery on Florentin 18 shows slut machine until August 6.

 The “27 club” is a group of influential rock musicians that died at the young age of 27 of drug and alcohol abuse. Kurt Cobain, Jim Morrison and Amy Winehouse  are part of this group. Some say the blank face is the artist Kis-Lev.

.In Hebrew you can decipher each letter from the bottom.

In Arabic you can do it from the top. This word is a combination of toda and shukraan. It means thank you in both languages. The message is clear.

Tel Aviv is the most liberal city in the Middle East and attracts both local and worldwide street artists. There weren’t as many large-scale polished murals in Florentin as in other areas but smaller and rougher with different styles and materials.

  You will see amazing street art through out the city. Yes President Trump, Israel is the Middle East.

Fly safe,