Health care professionals in Egypt conduct a stakeholder analysis to help spell out governance principles for Egyptian hospitals.
A hip replacement in the United States, paid for out-of-pocket (i.e., without health insurance), would cost anywhere from $11,000 to $125,000, depending on what hospital you go to, according to a 2013 survey of 100 hospitals featured on National Public Radio. And that was among the hospitals that, when asked, could actually produce a quote – 40 of the 100 hospitals surveyed couldn’t quote a price at all.
Those fortunate enough to have insurance don’t need to worry about price-shopping. When I go to my primary care physician, I pay a $20 co-pay. (Under our previous insurance, provided by my wife’s former employer, it was $10. Why the difference? Who knows?) I have no idea how much my insurance company pays the doctor. I suppose I could find out, but… honestly? There’s really no compelling reason for me to do so. It’s $20 no matter who I see.
And it turns out that, even if there were more incentive for me to price-shop, more expensive hospitals aren’t necessarily better hospitals, according to a 2014 study.
Entrepreneurship is increasingly touted as a key ingredient to economic growth, job creation, and expanding opportunity, particularly for youth and women, in the Middle East and North Africa region. As a result, the number of initiatives supporting entrepreneurship in the region has increased exponentially, particularly following the Arab Spring.
Sally Roshdy was a CIPE-Atlas Corps Think Tank LINKS Fellow at the Project on Middle East Democracy (POMED).
It was a great pleasure participating in the Think Tank LINKS Fellowship in Washington DC and serving at the Project on Middle East Democracy (POMED). Once I learned that the accepted applicants would serve at an American think tank, I was very interested in applying to this prestigious fellowship. The first time I heard the term “think tank” was in my second year at the Faculty of Economics and Political Science at Cairo University when one of my professors emphasized the significance of think tanks and their role in helping decision-makers in all fields of public policy.
“Here’s why you have my undying support and friendship: you are doing what I take for granted all the time and forget sometimes. You are carving out the space for people to breathe and express themselves in a way that I think is incredibly admirable…”
— American Satirist Jon Stewart to Egyptian Satirist Bassem Youssef, April 24, 2013
Egypt has once again captured the world stage these past few weeks as millions of revolutionaries charged Cairo to demand President Morsi’s ouster and were supported by military intervention. As we continue to watch the events in Egypt unfold, many are resting their hopes on this revolution as a grand solution to the disappointments that lingered after January 25, 2011. In fact, in these past two years Egypt has focused primarily on fresh leadership to revive hope—a new father figure for Egypt who could keep the passions for democracy and unity burning after the streets cleared and the face paint washed away.
As Egyptians again search for a new authority, they must also address the deeper cooperative issues hindering democracy and prioritize stronger institutions to determine and stabilize the transition they seek. With strong civic and private sectors, the future of Egypt will no longer be determined by one Egyptian, but by all Egyptians.
Egypt has been in the process of rapid change since the fall of Mubarak in 2011. So far, the conservative Military and Muslim Brothers, in addition to an ineffective opposition, have failed to agree on a plan to transition to democracy. Moreover, democracy has been limited to episodes of conflict over the ballot box while disregarding its other essential components, such as freedom of association and the independence of civil society, which are inseparable from democracy.
According to the 2012 constitution, “Citizens have the right to form associations and parties only by notification, and they shall have a legal personality and said entities or their boards of directors may not be dissolved except by a judicial order.” Observers consider this article to be a breakthrough in the relationship between state and society in Egypt. Conversely, the new draft NGO law discussed by the Shura Council in April 2013 empowers the government to impose restrictions on civil society.
Before discussing the major concerns about this draft law, it is important to highlight the nature of the relationship between state and society in Egypt. Middle East observers need to be aware that the state-society order in the region is different than in established democracies. In Egypt, the society is trying to emerge out of a state and not vice versa. In other words, the state remains the dominant institution, not society.
A market in Egypt (Photo: Wikimedia Commons)
Sally Roshdy is a CIPE-Atlas Corps Think Tank LINKS Fellow serving at the Project on Middle East Democracy (POMED) .
In Egypt, my home country, the rulers and the political elite are immersed in a struggle for power and have forgotten the simplest principles of good governance: to deliver economic opportunities to their citizens.
Given the current economic crisis in Egypt, a new approach that prioritizes economic development should be adopted. By supporting small enterprises, the government can build a stronger economy and empower people in need to be productive. This way, those in need of assistance are more than just aid recipients; they are contributors to the overall economic growth.
New and well-planned initiatives must be created to improve Egypt’s economic and social conditions. These initiatives should involve all three sectors – the government, private sector, and civil society.
Anna Nadgrodkiewicz and Marko Tomicic present the Implementation Gap handbook.
This past week, CIPE’s Cairo field office worked with partners Federation of Economic Development Associations (FEDA) and United Group to facilitate a conference on “Combating Corruption between the State and the Society.” The event was intended to summarize the lessons learned and experience gained by CIPE and its partners since 2008 under CIPE Egypt’s U.S. Agency for International Development- funded Combating Corruption and Promoting Transparency program, and to lay the groundwork for the newly-funded, two-year next phase of the initiative.
Of particular interest to the approximately 120 Egyptians present were two panelists who telecasted in from our Washington, DC office to share their perceptions of the “implementation gap” in Egyptian governance.
Marko Tomicic, a manager at the innovative transparency, governance, and corruption research organization Global Integrity, encouraged the audience to shy away from the conventional reliance on ranking indexes to understand the relative successes and failures of a country, and in particular, their own country.