1: What are you trying to accomplish?
2: What's your evidence that you can accomplish it?
3: How is it possible that you can provide an open heart surgery in Iraq for less than $1,000? Is that the full cost?
4: So is that the same thing as saying that my donation doesn't really make a difference? That the "up to 85%" funded locally by those inside Iraq is all that is really necessary to make this work?
5: Any other costs?
6: What is the bottleneck to more surgeries: money or skilled labor?
7: I'm skeptical of non-profits and charities because they always seem to be asking for more money. How can I be sure that Preemptive Love Coalition has "room for more funding" and that I'm not paying into a huge savings account, "Rainy Day Fund", or something similar?
8: Do you have enough volunteer surgeons available for unfunded Remedy Missions? (i.e., are there trips that you could fund if you had more money, or is there a labor bottleneck?)
9: Many heart surgeries require follow-up treatment (including additional surgeries). Do you have a way of providing these to patients?
10: How do you assess whether surgeries are completed competently and appropriately?
11: What is the rate of complications during and following surgery?
12: How do you assess whether surgeons are performing additional surgeries that they would have not had the funding or motivation to perform otherwise?
13: How do you assess whether surgeons are charging their patients for the surgeries you fund?
14: Do you follow up with the surgeons you've trained to assess whether they are correctly applying their training?
15: What information is available on the activities - and competence - of the surgeons you've trained?
16: Where do surgeons work after completing training? Do they serve poor patients?
17: How much do you spend each year on "program" expenses and how much on "overhead?"


----------

 Q: What are you trying to accomplish?

A: Train Iraqi heart surgeons and nurses so they can eradicate the backlog of tens of thousands of Iraqi children waiting in line for lifesaving heart surgery. [Back to Top]

 Q: What's your evidence that you can accomplish it?

A: Each year we continue to increase Iraq's total number of pediatric cardiac surgeries with new surgeries in Iraqi centers that would not - indeed could not - have been accomplished otherwise. Ministry of Health (MOH) officials speculate 500 surgeries were accomplished in 2009 (of which we provided 23 - 4.6% - outside the country). The addition of our 82 surgeries in FY 2010 - to the 500 baseline - for a total of 582 approximated surgeries, represents an increase created by PLC of 14% over 2009. In FY 2011 we anticipate increasing Iraq's total number of pediatric cardiac surgeries to at least 719 (or another 19% over FY 2010 directly attributable to our surgeons and our training).

Each year the local teams with which we work will become more proficient, and each year they will independently take on a larger case load than they could have the year before. None of these figures yet account for that additional output.

In March 2010 the Iraqi Ministry of Health asked us to expand our work to three additional sites. In May 2010 we began additional discussions about establishing a fellowship program in which international surgeons and nurses would take up residence in the Iraqi system to train locally for 40 weeks out of the year.

Our model does not rely strictly on volunteers because the level of need in Iraq outstrips what we could reasonably supply through volunteer labor alone. Accordingly, we set our budgets so as to actually contract the international surgical and nursing staff we need to accomplish our mission.

Sure, this increases the cost-per-mission (and thereby, cost-per-child) over early "mission" models in which volunteerism was idealized and training was not necessarily prioritized. But our contract labor + volunteerism model is inarguably the only way to create a nationwide quarterly training program and fellowships inside Iraq with international experts across approximately 6-8 surgical sites. Moreover, our model does not face the same sluggishness of learning that other surgery organizations suffer because we do not have the same rates of turnover; we have incredible consistency across our programs and missions. [Back to Top]

 Q: How is it possible that you can provide an open heart surgery in Iraq for less than $1,000? Is that the full cost?

A: The "less than $1k" numbers we routinely publish represent the amount in "program costs" we spend from our international donor money. The figure does not necessarily account for every single management, overhead, or fundraising expense.

Our total expenditures for FY 2010 were $188,919. We performed 82 surgeries during the same period for a per child total of $2,304 (though this data is a bit moot moving into 2010-11 as we abandon our very expensive "surgery exports" program(s) in Turkey, etc. and focus henceforth on more cost-effective in-country surgeries alone).

When all of our Remedy Mission partners are taken into consideration - including the Iraqi Government, medical companies that donate medicines and supplies, and local organizations - the real Remedy Mission cost to all donors is in the range of $5,400 - $7,000. Put another way, up to 85% of the total cost of a single surgical/training mission is now subsidized by local, Iraqi constituent institutions. [Back to Top]

 Q: So is that the same thing as saying that my donation doesn't really make a difference? That the "up to 85%" funded locally by those inside Iraq is all that is really necessary to make this work?

A: There is not a single site across Iraq for which our Remedy Missions are fully funded. If we fail to provide our 15-19% of the overall budget, Remedy Missions fail, surgeons and nurses do not get trained regularly, on-site audits from our international team do not happen, up to 20 children are delayed from receiving surgery, and a few may even die or become inoperable. Your role in funding the remaining 15-19% is as critical in the short term as any other entity. A single Remedy Mission is binary - it either happens or it doesn't. Your money makes it happen. But our goal is to continue to graduate all our programs so they are 100% funded locally in the next 5-10 years. [Back to Top]

 Q: Any other costs?

A: Our numbers per Remedy Mission do not account for "indirect costs," such as the cost (or value) of our volunteer medical staff from around the world, costs to local healthcare systems, the cost of a family to travel to the surgery site, the opportunity costs of lost income for families as they wait for surgery, etc. The reason we think it's important to note this here is because lifesaving is actually quite difficult. Building a pediatric cardiac surgery system for the entire country of Iraq is laborious and full of complexities. [Back to Top]

 Q: What is the bottleneck to more surgeries: money or skilled labor?

A: People often assume that the biggest need is more Iraqi heart surgeons. We could use a few more, but the real bottleneck is skilled nurses, technicians, and non-surgical physicians. A surgeon is only as good as his support staff. One of our biggest challenges is training pediatric cardiac intensive care nurses. To date, we haven't found a better model than our Remedy Missions through which we bring quarterly hands-on training to local nurses (and surgeons) in Iraq. Rather than exporting the nurses to Europe or the USA for training (whose medical systems barely resemble the Iraqi system), we train them with what they have on hand in their local environment. [Back to Top]

 Q: I'm skeptical of non-profits and charities because they always seem to be asking for more money. How can I be sure that Preemptive Love Coalition has "room for more funding" and that I'm not paying into a huge savings account, "Rainy Day Fund", or something similar?

A: For the record, we are skeptical of non-profits as well! In 2012 PLC needs $350,000 on hand at any given time to cover our cash flow needs for up to three Remedy Missions per quarter. We are still 30% under-funded against that goal. In addition to cash flow needs, we still require 15-19% funding on most of our missions after local sources contribute their portion; we have un-funded pilot programs in new cities where local doctors have been requesting our help (but where weve yet to woo local philanthropists or health directors); and we have research and social service initiatives through our Followthrough program that require funding at present because we have not yet sought local funding for those initiatives (seeing as how they relate mostly to our Monitoring & Impact Evaluation objectives). Please see our "Funding Gap" page to look deeper into our anticipated program costs, the sources of funding we are counting on, and the funding gap between the two for the next few years. [Back to Top]

 Q: Do you have enough volunteer surgeons available for unfunded Remedy Missions? (i.e., are there trips that you could fund if you had more money, or is there a labor bottleneck?)

A: Great question! We use a hybrid volunteer/staff model. Roughly 25-30% of any one of our Remedy Mission teams is employed by the International Children's Heart Foundation (typically the surgeon, scrub nurse, anesthesiologist, ICU doctor, and often a part-time ICU nurse). The remainder of the team typically comprises volunteer physicians, technicians, and nurses from across the world. Because the hardest-to-come-by positions are contract labor for us and NOT volunteers, we have never failed to run a mission for lack of personnel. We have only cancelled or turned down a request for a future mission due to lack of funding. [Back to Top]

 Q: Many heart surgeries require follow-up treatment (including additional surgeries). Do you have a way of providing these to patients?

A: Yes, we do. Our model dictates quarterly visits to each program site (a hospital inside a regional hub). Our reliance on local cardiologists ensures that the local team prioritizes and almost entirely sets the agenda for patient selection (within a development curricula) - after all, Iraqi doctors are the ones who are most intimately connected to the patients and their daily progress! When a local cardiologist sees a child who has either (1) deteriorated and requires another intervention or (2) advanced as expected to the next step of a complex, staged intervention, the child is prioritized for follow-up treatment. [Back to Top]

 Q: How do you assess whether surgeries are completed competently and appropriately?

A: Because we are a broker and play a combination administrative and financier role in the coalition of partners working in Iraq to develop pediatric cardiac care, we are able to stand in-between the local surgical team and the international surgical team (whom we contract as a third-party to train and perform surgeries in Iraq). If the local team or health directorate suspects a lack of competence in the international team, a cavalier attitude, or a single poor judgement call, our role is to be the go-between - to be the advocate for the local healthcare providers vis-a-vis the international surgical team.

Similarly, if the international surgical team feels pushed by the local surgical team to perform procedures with which they are uncomfortable or for which they think the local system is ill-prepared, they are able to refuse children for surgery and/or use us (PLC) as a go-between.

The checks-and-balance between the two teams helps us ensure surgeries are performed in a competent, appropriate manner. [Back to Top]

 Q: What is the rate of complications during and following surgery?

A: We report our in-hospital and 60-day mortality after each Remedy Mission. You can finds those numbers here. We also produce reports after each Remedy Mission detailing the trip, including data on intraoperative complications, post-operative complications, and mortality. You can find those reports here. We are also deliberately raising the funds necessary to help us bring our various heart hospitals into compliance with the International Quality Improvement Collaborative for Congenital Heart Surgery in Developing Countries. If this kind of quality improvement and reporting initiative interests you, we are currently looking for financial partners for our Followthrough program. [Back to Top]

 Q: How do you assess whether surgeons are performing additional surgeries that they would have not had the funding or motivation to perform otherwise?

A: Pediatric heart surgery in Iraq is almost nonexistent without our work. There are two active programs for relatively simple surgeries (one in Erbil and one in Baghdad). Local surgeons claim that combined they perform no more than a few hundred pediatric surgeries a year. In every location where we work, pediatric heart surgery is effectively nonexistent. Therefore, every surgery performed at our program sites (both when we are present and when we are not) are "additional surgeries" that they would not have had the SKILL to perform without the FUNDING we employed to train them in their local environment. [Back to Top]

 Q: How do you assess whether surgeons are charging their patients for the surgeries you fund?

A: Because we work in public (government) hospitals - and because healthcare in Iraq is provided almost entirely free of charge - it is widely known that any cardiologist, surgeon, or administrator seeking compensation for services is acting outside of Iraqi law. [Back to Top]

 Q: Do you follow up with the surgeons you've trained to assess whether they are correctly applying their training?

A: We see them quarterly in their local environment and perform real-time audits of their skills, recollection of past training, application of new techniques, etc. Additionally, our international surgeon remains on call at any time via phone, Skype, or email for consultation. [Back to Top]

 Q: What information is available on the activities - and competence - of the surgeons you've trained?

A: Because our Remedy Mission training program only began in late 2010 - and pediatric heart surgery at our sites across Iraq is the same age - there is still relatively little independent practice to report, and therefore little data on the activities and competence of our surgeons and their teams. But as they begin performing more surgeries independently, we are trying to align each site/surgical team with the International Quality Improvement Collaborative for Congenital Heart Surgery in Developing Countries (a data collection and tracking initiative of Children's Hospital Boston and Harvard University). [Back to Top]

 Q: Where do surgeons work after completing training? Do they serve poor patients?

A: As of Q2 2011 there was only one private hospital in Iraq (to our knowledge) providing pediatric heart surgery (and those surgeries were on the lower end of the complexity scale). Our work does not necessarily mean to exclude private hospitals as they continue to come online and become viable options, but at present the government system has a better equipped foundation for training local surgical teams. As we look to fully graduate our local surgical teams in the next 5-10 years, we imagine that most of them will stay in the public sector for all of the stability, pensions, and benefits of loyalty provided to those who stick with it. But, undoubtedly, some will seek positions at private hospitals (assuming private hospitals are willing to invest in the requisite capital purchases necessary to establish a credible program). In the public sector, rich and poor are served alike. In the private sector, poorer patients would be at an obvious disadvantage. [Back to Top]

 Q: How much do you spend each year on "program" expenses and how much on "overhead?"

A: As a rule, we do not adhere to the model that claims that "overhead" is somehow bad and "program" is somehow good. There are very bad program expenses. There are overhead expenses that are excellent investments. We agree with Paul Brest, President of the Hewlett Foundation, when he said, "Achieving a low overhead ratio drives many charities to behaviors that make them less effective and means more, not less, wasted dollars." Therefore, we spend as much on overhead as we need to accomplish our mission. The mission itself is our North Star - not arbitrary (even harmful) standards about overhead-vs-program expenditures. For the record, however, you can find a current pie chart of our expenditures here (and if you're into that sort of thing, you'll probably be impressed!). [Back to Top]

Jeremy Courtney Founder, Executive Director Twitter: @Jeremy_Courtney

“I'd love to hear any critique or questions you might have!”

DROP A NOTE OR DONATION BY MAIL: Preemptive Love Coalition 1300 Darbyton Dr. Hewitt, TX 76643 GIVE BY PHONE: To make a gift over the phone, using your credit card (Visa, MasterCard, American Express, or Discover), please call +1 (806) 853-9131 during normal business hours. IRAQ OFFICE: +964 770-355-6298 (local)

Mohammed Recovering in ICU & Expected to Stay for a Few Days

July 25, 2009 by Jeremy · 7 Comments 

Mohammed received a full correction from his TOF/DORV and is recovering in ICU. He’s expected to sleep on the medicine through the night when his dad will join him.

His dad cried great tears of joy and happiness (and probably not a little sadness) at seeing his son hooked up to the tubes in ICU. It’s a terribly mixed feeling of relief and grief to see your child, supposedly healed, hooked up to so many monitors and sedated so heavily.

Doctors are very happy and hopeful and “all is well” with Mohammed.

Follow 11-year-old Mohammed on Twitter: @mohammedgaelan. Subscribe to Mohammed’s updates via RSS here. Follow Mohammed’s thread of longer stories (with pictures) on the PLC blog here.

Jeremy Courtney lives and loves in Iraq as a co-founder and Executive Director of the Preemptive Love Coalition. He's also the father of two spectacular children, and married to the lovely Jessica Courtney. When not absorbed in PLC work he can be found writing songs and singing about hope and future. Follow Jeremy on Twitter: @JCourt.

The Wait is Over! Mohammed’s Surgery a Complete Success; All 5 Defects Corrected

July 24, 2009 by Jeremy · 35 Comments 

PUSH PLAY ABOVE TO VIEW PARTS OF MOHAMMED’S SURGERY. Video shot by one of PLC’s summer interns, Benjamin Landis, from the middle of Mohammed’s surgery with Dr. Sertaç Çiçek and Dr. Ahmed Arsalan.

Mohammed’s surgery lasted longer than was expected… which should have probably have been expected when correcting FIVE different heart problems in an eleven year old boy.

His father waited for his son in Turkey. His family waited in Iraq. And even as he’s emerged from surgery there is the wait before he comes out of ICU. And once he returns to his very troubled city in Iraq, there is the constant waiting for some sort of solution – or some sort of chaos.

The wait is the hardest part… Thankfully, Mohammed came out of surgery with flying colors (none of which were BLUE). Most of the waiting is over. There is life to be lived ahead of him now!

Music Courtesy The Autumn Film

Follow 11-year-old Mohammed on Twitter: @mohammedgaelan. Subscribe to Mohammed’s updates via RSS here. Follow Mohammed’s thread of longer stories (with pictures) on the PLC blog here.

Jeremy Courtney lives and loves in Iraq as a co-founder and Executive Director of the Preemptive Love Coalition. He's also the father of two spectacular children, and married to the lovely Jessica Courtney. When not absorbed in PLC work he can be found writing songs and singing about hope and future. Follow Jeremy on Twitter: @JCourt.

Mazyar in Surgery for His 2nd Surgery in a Year – Expecting Full Correction

July 24, 2009 by Jeremy · 1 Comment 

Mazyar got a bit of a delay on his surgery today after doctors Çiçek (pronounced CHEE-check, btw) and Arsalan needed a little more time than they expected for Mohammed’s TOF/DORV surgery. But Mazyar is in surgery now for his second surgery in the last year, the first of which was conducted in Iran by a facility that, for whatever reason, made a few decisions and performed a procedure that disappointed our Turkish experts.

In any case, a full correction is expected today for little three year old Mazyar and the risks have been estimated at an encouraging 2-3%.

A few pictures with Dr. Sertaç Çiçek and Dr. Ahmed Arsalan in surgery taken by one of PLC’s summer interns, Benjamin Landis.

Follow 3-year-old Mazyar on Twitter: @mazyartahir. Subscribe to Mazyar’s updates via RSS here. Follow Mazyar’s thread of longer stories (with pictures) on the PLC blog here.

Jeremy Courtney lives and loves in Iraq as a co-founder and Executive Director of the Preemptive Love Coalition. He's also the father of two spectacular children, and married to the lovely Jessica Courtney. When not absorbed in PLC work he can be found writing songs and singing about hope and future. Follow Jeremy on Twitter: @JCourt.

Two Great Pictures of Mohammed’s Surgery by 20-year-old PLC Summer Intern

July 24, 2009 by Jeremy · 6 Comments 

A few pictures from the middle of Mohammed’s surgery with Dr. Sertaç Çiçek and Dr. Ahmed Arsalan taken by one of PLC’s summer interns, Benjamin Landis.

Follow 11-year-old Mohammed on Twitter: @mohammedgaelan. Subscribe to Mohammed’s updates via RSS here. Follow Mohammed’s thread of longer stories (with pictures) on the PLC blog here.

Jeremy Courtney lives and loves in Iraq as a co-founder and Executive Director of the Preemptive Love Coalition. He's also the father of two spectacular children, and married to the lovely Jessica Courtney. When not absorbed in PLC work he can be found writing songs and singing about hope and future. Follow Jeremy on Twitter: @JCourt.

Mohammed Heads to Surgery to Correct 5 Different Heart Problems

July 24, 2009 by Jeremy · Leave a Comment 

Mohammed’s family has already been through enough, living on one of the fault line cities of Iraq’s Kurdish/Arab conflict. But today all the politics and problems of home faded into the background and one thing took center stage: Mohammed’s five separate heart problems and the question of whether or not this team of top-flight Turkish surgeons can achieve a total correction for Mohammed.

As we wait for the doctors and one of PLC’s summer interns who was taken in to photograph and observe the entire surgery to emerge again, we’ve spent time walking, talking, praying, and drink tea with Mohammed’s father. He is deeply grieved and has shed many tears in the last few hours… but his faith runs deep and he is resting entirely in the hope that God will bring his son through this very difficult surgery.

So are we….

Follow 11-year-old Mohammed on Twitter: @mohammedgaelan. Subscribe to Mohammed’s updates via RSS here. Follow Mohammed’s thread of longer stories (with pictures) on the PLC blog here.

Jeremy Courtney lives and loves in Iraq as a co-founder and Executive Director of the Preemptive Love Coalition. He's also the father of two spectacular children, and married to the lovely Jessica Courtney. When not absorbed in PLC work he can be found writing songs and singing about hope and future. Follow Jeremy on Twitter: @JCourt.

Ruzhan Out of Surgery & Living off the Strength of Her Own Heart & Lungs in ICU

July 23, 2009 by Jeremy · Leave a Comment 

Ruzhan had a phenomenal surgery and the doctors were able to do exactly what they planned to do, achieving a total correction. She is now resting in ICU without the aid of any machines. She will be extubated tonight and should be back in her private room tomorrow by noon!

Follow 8-year-old Ruzhan on Twitter: @ruzhanferis. Subscribe to Ruzhan’s updates via RSS here. Follow Ruzhan’s thread of longer stories (with pictures) on the PLC blog here.

Jeremy Courtney lives and loves in Iraq as a co-founder and Executive Director of the Preemptive Love Coalition. He's also the father of two spectacular children, and married to the lovely Jessica Courtney. When not absorbed in PLC work he can be found writing songs and singing about hope and future. Follow Jeremy on Twitter: @JCourt.

Ruzhan Heads to Surgery Video

July 23, 2009 by Jeremy · 1 Comment 

As Ruzhan headed to surgery we we right by her side and spent the next few hours sitting, talking, distracting, and praying with her father as he waits for good news…

Music Courtesy The Autumn Film

Follow 8-year-old Ruzhan on Twitter: @ruzhanferis. Subscribe to Ruzhan’s updates via RSS here. Follow Ruzhan’s thread of longer stories (with pictures) on the PLC blog here.

Jeremy Courtney lives and loves in Iraq as a co-founder and Executive Director of the Preemptive Love Coalition. He's also the father of two spectacular children, and married to the lovely Jessica Courtney. When not absorbed in PLC work he can be found writing songs and singing about hope and future. Follow Jeremy on Twitter: @JCourt.

Ruzhan is in Surgery – Worrisome Waiting Begins for Her Father & Family in Iraq

July 23, 2009 by Jeremy · 3 Comments 

After twelve hours of no food or drink, and after a few hours of playing at the hospital in the morning with PLC staff and summer interns, Ruzhan was taken to surgery at 11:30 a.m. in what doctors hope will be a total correction of her congenital heart condition.

Her father has been full of grief this morning, but we are doing our best to comfort him in his worry and to let the presence and solidarity of friendship carry him through these difficult hours of waiting. After three or four hours we should know more…

Follow 8-year-old Ruzhan on Twitter: @ruzhanferis. Subscribe to Ruzhan’s updates via RSS here. Follow Ruzhan’s thread of longer stories (with pictures) on the PLC blog here.

Jeremy Courtney lives and loves in Iraq as a co-founder and Executive Director of the Preemptive Love Coalition. He's also the father of two spectacular children, and married to the lovely Jessica Courtney. When not absorbed in PLC work he can be found writing songs and singing about hope and future. Follow Jeremy on Twitter: @JCourt.

Daryan Had Difficulty Giving Blood – Gained Only 1 lb. in Since Birth

July 22, 2009 by Jeremy · 3 Comments 

You can probably discern this from the photos, but Daryan is not a normal four month old. At birth a “normal” newborn weighs more than Daryan weighs today as a four month old. What’s more is that Daryan is not growing. In the four months since birth he has only gained a single pound. He has had a lot of difficulty eating. And last night a great deal of energy was expended trying to acquire the six vials of blood that were needed to run his blood tests.

But Daryan is doing well this morning and we are hoping for a Friday surgery if all else goes well. But before we get too far ahead of ourselves, we are still waiting for an operability assessment and trying not to forget the sobriety of what was meant when Dr. Aso Faek in Iraq said Daryan was the “worst case” he’s ever seen.

Follow 4-month-old Daryan on Twitter: @daryansalah. Subscribe to Daryan’s updates via RSS here. Follow Daryan’s thread of longer stories (with pictures) on the PLC blog here.

Jeremy Courtney lives and loves in Iraq as a co-founder and Executive Director of the Preemptive Love Coalition. He's also the father of two spectacular children, and married to the lovely Jessica Courtney. When not absorbed in PLC work he can be found writing songs and singing about hope and future. Follow Jeremy on Twitter: @JCourt.

Mohammed Very Scared & Not Eating As He Awaits Surgery

July 22, 2009 by Jeremy · 3 Comments 

Note the Texas Longhorns football tee that he is wearing!

Mohammed is the oldest and most aware of all our kids right now. As a result, he is probably the most tuned in to the stories of Turkish-Kurdish tensions as told by his family as he prepared to come to Turkey. He is the most sensitive to the poking and prodding of nurses and doctors as they work in a different language. And he is the most accustomed to being able to express himself – only to find now that no one understands him. On top of it all, he is a man; or at least, he is told he is supposed to be.

So Mohammed is has been very affected by the first 12 hours in country and is having a hard time eating or calming down. This, in turn, has caused his father great grief.

One of the PLC summer interns has taken it on as his joy to serve Mohammed and entertain him during these difficult days. Hopefully the movies and the strolls in the park by the seaside hospital will be good for Mohammed’s soul as he waits for surgery.

Follow 11-year-old Mohammed on Twitter: @mohammedgaelan. Subscribe to Mohammed’s updates via RSS here. Follow Mohammed’s thread of longer stories (with pictures) on the PLC blog here.

Jeremy Courtney lives and loves in Iraq as a co-founder and Executive Director of the Preemptive Love Coalition. He's also the father of two spectacular children, and married to the lovely Jessica Courtney. When not absorbed in PLC work he can be found writing songs and singing about hope and future. Follow Jeremy on Twitter: @JCourt.

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OUR BLOGGERS

	Matt Willingham is the PLC press secretary and writes primarily on politics, history, general updates and visual peacemaking through photography and film.
	Cody Fisher is a PLC cofounder and writes primarily on program development and peacemaking by giving us a lens into the lives of the real people we love.
	Jeremy Courtney is a PLC cofounder and writes primarily to emphasize our vision and values, including organizational and financial transparency.

Preemptive Love Coalition provides lifesaving heart surgeries for Iraqi kids in pursuit of peace between communities at odds. We offer the 30,000 Iraqi children suffering from life-threatening heart defects a chance at the surgery they need to save their lives. With our world-class international surgical partners we create long-term solutions by training local Iraqi doctors and nurses so they can sustainably save lives without our help.

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