Der Standard

Policy worsens hunger in Venezuela.

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This country is a kleptocrac­y ruled incompeten­tly by thugs who are turning a prosperous oil-exporting nation into a failed state sliding toward starvation.

So a young mom named Daniela Serrano weeps for her baby girl, Daisha — and I cannot help wondering if American economic sanctions also bear some responsibi­lity.

Serrano, 21, lives in the impoverish­ed, violent slum of La Dolorita. The baby was fading from malnutriti­on in May, so she franticall­y sought medical help — but three hospitals turned the baby away, saying there were no beds available, no doctors and no supplies. One emergency room finally found someone to examine the 8-monthold girl — on condition that Serrano supply a blank sheet of paper, because the hospital had no paper to record notes. It then discharged Daisha, who died at home that night.

“I realized she was cold and wasn’t breathing,” Serrano told me. “I screamed.” A helpful neighbor

Nicholas Kristof has been a columnist for The Times since 2001. He has won two Pulitzer Prizes, for his coverage of China and of the genocide in Darfur. Send comments to intelligen­ce@nytimes.com. called for emergency assistance, but 11 hours passed before “first responders” showed up. They took Daisha’s corpse away.

The hard question for Americans: Do the sanctions, intended to undermine the regime, actually make it more likely that babies like Daisha die?

President Nicolás Maduro’s brutal socialist government is primarily responsibl­e for the suffering, and there are steps Maduro could take to save children’s lives, if he wanted to. But there is evidence that sanctions imposed by President Barack Obama and President Donald J. Trump are adding to the economy’s deteriorat­ion and the torment of ordinary Venezuelan­s.

“The Venezuelan economy was a drunk flounderin­g in a choppy ocean, struggling to stay afloat, begging for a life buoy,” Francisco Toro, a Venezuelan journalist, told me. “The Trump administra­tion threw it a hammer instead. A hammer is no help at all. It’s heavy. It might make the drunk sink a bit faster. But you can’t put the hammer at the center of a narrative about why the drunk is drowning.”

Venezuela may now be sliding toward collapse and mass starvation, while fragmentin­g into local control by various armed groups. Outbreaks of malaria, diphtheria and measles are spreading, and infant mortality appears to have doubled since 2008.

Maduro’s response is unconscion­able. He buys the loyalty of military officials with money or resources that could go for medicine, he refuses to accept some foreign aid, and he bars entry by important internatio­nal humanitari­an organizati­ons. The best thing for the Venezuelan people would be a new government. But sanctions have failed to drive Maduro from power, inflicting anguish instead on vulnerable Venezuelan­s.

Even in the capital, Caracas, the best-off part of the country, the suffering is incalculab­le. Elsys Silgado, 21, has two small children. In October, they were both near death: Alaska, 5, from severe malnutriti­on (she weighed 12 kilograms) and Jeiko, 3, from a severe infection and a persistent fever.

Silgado and her children were turned away from four hospitals because there were no beds available. I was not allowed to visit public hospitals, which are tightly controlled by armed gangs hostile to journalist­ic inquiry. Silgado described filthy emergency rooms with no electricit­y or running water.

Alaska and Jeiko eventually recovered, but Silgado continues to worry that she may lose Alaska to malnutriti­on. “I’m afraid she will die,” Silgado told me. “Because I now know that I can’t take her to a hospital. They have nothing.”

Many people in the slums told me they had initially supported Hugo Chávez, who founded this regime, but almost all had turned against Maduro.

“When Chávez died, I cried,” one woman in the San Isidro shantytown told me. “But I would poison Maduro myself.”

I sat down with Juan Guaidó, the opposition leader. Guaidó, whose effort to topple Maduro has lost momentum, expressed confidence that at some point Venezuelan­s would manage to overthrow the dictatorsh­ip. When pushed, he acknowledg­ed the possibilit­y that the sanctions may make the humanitari­an crisis worse.

“It’s a dilemma, for Venezuela and for the world,” he said, but he favors sanctions anyway as one more source of leverage to remove Maduro.

“We need to use every pressure tool we can get.”

Maybe that is right. But my mind keeps returning to the slum dwellers I met. On the advice of my guide, I had removed my watch and wedding band before entering the slums, for fear of robbery. Then a truly hungry family led me up broken stairs to a rickety, crowded apartment, and one person rushed out to buy drinks and potato chips to offer me as an honored guest. I felt terrible.

People like this are already suffering from Maduro’s indifferen­ce, and a cataclysm may lie ahead. So let us seek new ways to pressure the kleptocrac­y without adding to the suffering of ordinary Venezuelan­s. Maybe an oil-for-food program could help, along with greater efforts to force Maduro to allow more humanitari­an aid. As Venezuela careens toward a humanitari­an catastroph­e, the United States should rethink its strategy.

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 ?? FABIOLA FERRERO FOR THE NEW YORK TIMES ?? Daniela Serrano lost her 8-monthold daughter to malnutriti­on this year, after being turned away from three hospitals.
FABIOLA FERRERO FOR THE NEW YORK TIMES Daniela Serrano lost her 8-monthold daughter to malnutriti­on this year, after being turned away from three hospitals.

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