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)

It’s The Day Before Parzheen’s Surgery And She Can’t Wait To Run!

March 2, 2011 by Cody · 2 Comments 

Meet Parzheen.

She’s four and a half years old and was born with a congenital heart defect that wasn’t discovered until she was three years old.

If you ran into this beautiful girl outside of the hospital, you probably wouldn’t even notice that she had a heart defect.

It wouldn’t be until you saw her run, play, and laugh that you would notice how quickly she became tired. A year and a half from now you would notice it when she wouldn’t be able to walk to school with the rest of the children. When she’s at school, you would notice her not having the strength to stay awake in class.

But tomorrow Parzheen is being given the surgery that’s going to change all of that!

It will let her run to school.

It will let her interact with her classmates at school.

It will give her the chance to try out that jump rope that she’s never had the strength to conquer.

It will save her life.

Parzheen goes into surgery in the next few hours.

Stay with us as we follow her story!
If you’re on Twitter this week be sure to use the #RemedyMission hashtag to describe all the good news coming out of Iraq this week via @preemptivelove.
With help from our friends:

We’re Already Plotting Our Way Back To Hamma

February 24, 2011 by Cody · 1 Comment 

We had to say goodbye to baby Hamma and his mother.

We didn’t want to.

We didn’t want to say goodbye because his big brown eyes and his mother’s smile drew us in from the moment we met them.

Another reason we didn’t want to say goodbye is because Hamma never received the surgery he needed to patch the hole in his heart.

He was scheduled to receive surgery but was delayed three different times.On the fourth time, the Intensive Care Unit had no more beds open for children and by the time a bed opened up, there wasn’t enough time to operate on Hamma.

Remedy was already coming to a close.

So after waiting ten days in the hospital for surgery, Hamma and his mother had to go home without a remedy.

It’s eerie to walk through the hospital ward now and see entire rooms that were packed with families, now empty and vacant because once we leave, the Remedy Mission comes to an end.

That breaks our hearts.

As long as there are children with heart disease, they should be in the hospital getting treated. In southern Iraq, it doesn’t work that way because the doctors and nurses don’t have the skills they need to take care of all the children with heart disease.

One day they will. That’s what Remedy Missions are all about.

We told Hamma’s mother that we would be back in May and that Hamma is one of the first babies that the doctors want to operate on.

So we’re standing up for Hamma!

When you order our new tank, 100% of the profit goes toward bringing Remedy back to Hamma! All we have to do is sell 59 to give Hamma his life-saving surgery and to take one step closer toward not just bringing Remedy back to southern Iraq, but to LEAVING it there!

Some tanks blow holes in stuff. This tank patches the hole in a heart. Stand up for Hamma!

Order NOW by clicking HERE!

If you’re on Twitter this week be sure to use the #RemedyMission hashtag to describe all the good news coming out of Iraq this week via @preemptivelove.

Our Partners

10 Things You Need To Know You’re A Part Of When You Support Remedy

February 20, 2011 by Cody · Leave a Comment 

Did you know that each Remedy provides over 7,000 hours of hands on training and education for local Iraqi doctors and nurses during each two week mission?

Did you know that each medical team Remedy brings in is composed of 15 medical professionals from some of the world’s top hospitals?

Did you know that each medical team member Remedy brings in has one goal, and that’s to teach and inspire locals?

Did you know that Remedy literally trains 24 hours a day, 7 days a week from the moment it begins to the moment it ends?

Did you know that most medical team members Remedy brings in are giving up their only 2 weeks of vacation time to come and be involved in investing in the future of Iraq?

Did you know that Remedy is one of the only outside programs that is investing in the health care in Iraq by training locals where they live rather than just extracting children and operating on them overseas?

Did you know that Remedy is proving itself to be one of the most effective tools in inspiring and encouraging local Iraqi medical teams while tearing down walls of prejudices and misunderstanding between the East and the West?

Did you know that each Remedy gives local surgeons the skills and knowledge to perform surgeries they never knew how to perform before?

Did you know that in the midst of thousands of hours of training each Remedy, over twenty children are given life-saving heart surgeries each trip?

Did you know that’s what you get to be a part of each time you support Remedy?

We hope so!

Because Remedy wouldn’t be gaining momentum all across Iraq if it wasn’t for you!

Our Partners

His Heart Condition is Threatening His Life – Have You Met Alawi?

February 18, 2011 by Jeremy · 860 Comments 

You need to.

This just may be the cutest and most adorable boy in Iraq.

Alawi Hussein is just under three and a half years old and he was born with a congenital heart defect.

At 9 months old, instead of taking bets on what his first word was going to be, his parents were coping with the devastating news that Alawi had a heart problem. It was a heart problem, like most heart problems in Iraq, that could only be fixed outside of Iraq.

The list of countries that could help him was long.

Iran.

Turkey.

Jordan.

India.

America.

Basically – many other countries except the one he was born in.

While the list of opportunities was long, the list of actual possibilities for Alawi was short.

Hearing about all the doctors overseas that can heal your son is simply cruel if you don’t have the money – or even a passport – to pursue the option.

His family had to learn to enjoy the time they had with Alawi and just hope for a remedy the doctors might have somehow missed.

That surprise came this month when they were called by their local cardiologist here in southern Iraq and told that Alawi no longer needs to go overseas to be saved, because of a team of doctors and nurses that was being brought in to save his life at the hospital just fifteen minutes from their home

It was thirty-two months later than they were hoping but remedy finally came to southern Iraq.

We still hope that Alawi’s family will visit foreign countries someday, but not as last chance medical tourists!

You are the Remedy.

You bring in medical teams every time you give. Our medical teams teach Iraqi doctors and nurses. Our medical teams save lives. So Iraqi doctors and nurses learn how to save lives. Our medical team goes home. The Iraqi’s keep saving lives.

It’s one beautiful domino affect!

We hope we can save Alawi’s life this week… and not just because he’s one of the cutest boys in Iraq! Follow Alawi’s story this week on the blog and on our Facebook page (<-- link) to see what comes next...

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Pondering Available Responses to Genocide and Its Effects

June 10, 2010 by Lauren · Leave a Comment 

On March 16, 1988, toward the end of the Iran-Iraq War, the Iraqi military used chemical weapons on the city of Halabja. The attack was meant to erase all Halabja inhabitants off the map: plants, animals and humans. A total of 5,000 men, women and children were killed in the attack, and of the survivors, 11,000 were injured.

As we walked through the memorial, I recalled an ancient Hebrew poem:

By the rivers of Babylon, we sat and wept
When we remembered Zion.
There on the poplars we hung our harps,
For there our captors asked us for songs,
Our tormentors demanded songs of joy

The poem is about the Hebrew people who were exiled in the land of Babylon, present-day Iraq. They cried because they missed their homeland; they cried because they were expected to be happy and play songs for their captors. But they couldn’t.

I wonder if that’s how the survivors of Halabja felt. They didn’t want to sing songs. Their families died. Their neighbors died. Like the Hebrews, some Iraqis living in Halabja had to leave their land and flee to Iran.

I’m trying to make sense of what happened in Halabja. I’m trying to make it mean something to me. We are bombarded with images of war and genocide on the news, making it easy to forget that Halabja was a reality. We forget that congenital birth defects caused by this and similar chemical attacks are a reality.

O, Daughter of Babylon, doomed to destruction,
happy is he who repays you
for what you have done to us

I hate how the Hebrew poem ends. Instead of offering hope for a people, it speaks of revenge against the tormentors. Hate is so easy. It is our job to choose not to hate.

Many children here need surgeries and medication and therapy to address their congenital birth defects. And some of them probably need this help as a result of the chemical attacks in Halabja and other attacks similar to it. As a newcomer and summer intern, I love that the Preemptive Love Coalition response to genocide is not to seek revenge on behalf of victims, but to work alongside Iraqis to bring healing to suffering children.

Mohammad’s family had $6,000 in-hand on loan from a friend to get their son the heart surgery he needed. Then the creditor decided to build a new house and took his loan back before Mohammad received surgery. Now the family is trying to find surgical solutions. Donate the amount of your choice by entering it in the field below to help send Mohammad to life-saving heart surgery.

In Tribute to a Fallen Friend

April 19, 2010 by Jeremy · Leave a Comment 

I learned yesterday that the man on the right (above) was assassinated in Baghdad by the Mehdi Militia of Moqtada al-Sadr. The man above is a friend and a partner in our efforts to wage peace in Iraq. In fact, it was his efforts to bridge gaps and stand down oppression that earned him the array of bullets and bombs that finally took his life at the hands of his enemies.

This is not a post to celebrate the Preemptive Love Coalition, me, or anyone other than the countless thousands of brave men and women in Iraq who face down these petulant bullies every day and get virtually no credit; no headline stories; no Facebook pages dedicated to their efforts; no trending topics on Twitter; no books written about their peaceful hearts or comparisons to Mother Teressa or Mohandas Gandhi.

I knew him as Abu Namis or “The father of Namis” – a typical way to be known in Iraq. So it was immediately striking. When I learned of his death, I thought of Namis, now fatherless because his dad worked across the aisle with a vision that far exceeded the atrophied imagination of his opponents.

The photo above is taken from my first meeting with him. The other two men in the picture – who are currently alive & well today الحمد لله – are sheikhs with whom we have worked to help children receive the heart surgeries they’ve needed. All three of these men are Sunni, but like so many un- and under-reported similar groups in Iraq, these men do not bow to the minority who argue for violence between Sunnis and Shi’as.

In that first meeting the man second from the right seemed stand-offish and suspicious. This photo itself seemed more an act of obligation than something born from a genuine desire to mark a memorable meeting after forging the beginnings of a partnership to take children to Turkey in conjunction with their Baghdad-based organization. But when the camera turned off, I put my hand on his shoulder and apologized for the things that had happened to his children, his neighbors, and his countrymen here in Iraq.

We frequently talk about the need to avoid lazy generalizations. All Arabs, Muslims, and Iraqis are not this way or that way. Nor am I America or Christianity. But I can apologize for myself – and I can do it honestly – because the truth is that I didn’t initially have many objections to a lot of the terrible things that happened in Iraq. But that was before “these people” had real names, real stories, and real lives in my eyes.

In an instant, that apology seemed to unlock his heart.An hour has passed inside our poorly lit apartment office and then – for the first time – he took off his glasses. He had seen me for an hour – but I had not been allowed to see him, hiding under a keffiyeh and sun shades. But now I was allowed in. I was still an outsider – but at least an outsider with a heart. And with the glasses off he looked at me and said “Thank you” as tears started coming down.

I’m not trying to be dramatic. But an assassination of a man I knew to be kind and who genuinely desired peace for his people is, in and of itself, dramatic! My main goal here is to honor his memory. To say what the newspapers likely won’t. And to let Abu Namis stand as a representative of so many other unsung Iraqi heros. There are too many to celebrate. And like Abu Namis, many of them pay the price every day.

In the Fall we will begin our first tour of America. We will be talking more about these stories, about Iraqi peacemakers, Muslim peacemakers, and Christians peacemakers; and about how these principles are deeply relevant to your friendships, your marriages, and your engagement with the world around you, and about how you can live a similar life – even when the stakes may not seem as high.

Until then, may GOD do something to amazing and unpredictable to intervene in the current course of events in IRAQ. Peace was GOD’s idea long before it was ours.

Peace from Iraq,

OUR CORE VALUES: Multi-Dimensional Reconciliation

February 8, 2010 by Jeremy · Leave a Comment 

Photo: Matt Addington

Call it settling accounts, setting to rights, or the restoration of friendly relations – reconciliation is why we do what we do.

There are thousands of children in Iraq who are born with hearts “at odds” with the good intentions of GOD when He created the world. We want to set that physical situation to rights; to reconcile what is with what should be.

But a healed heart is an occasion for only a tempered celebration if your family is living in the middle of civil conflict between ethnic neighbors or regional superpowers. Sure, much of this strife comes from global issues that are beyond our direct reach. But a few days on the ground in Arab Iraq, Kurdish Iraq, Turkey, etc makes it clear that these “global issues” are exacerbated by our closely held opinions about “the other.”

Photo: Matt Addington

So we work to unravel the effects of evil that were wrought by Saddam Hussein’s genocidal campaigns, by years of sectarian conflict between Sunni and Shi’i Muslims, and by ethnic struggles.

For example, Kurds, Arabs, and Turkmen are in a political (and possibly cultural) struggle over the historic city of Kirkuk – each laying some sort of ancient claim to the city; each group (generally) vilifying the other. On his Restorative Justice blog, Dr. Howard Zehr talks about our “temptation to emphasize ‘otherness’,” whether it be through photography, storytelling, or our administration of justice. At the Preemptive Love Coalition, we do not deny “otherness” when working between ethnic and tribal prejudices or religious worldview differences. But we try not to make “otherness” our starting point.

Communication guru Joseph Grenny talks about the important role that “storytelling” plays in our emotions and actions. According to Grenny, (1) we make an observation (e.g., Saddam Hussein was an Arab with largely Arab soldiers that attacked our city) and (2) immediately start telling ourselves a story (e.g., therefore all Arabs in Iraq want “our” land and are evil and would kill us if they had the chance) which (3) leads to strong emotions (like fear and hate), thereby (4) triggering fight/flight instincts inside us such as protectionist policies or aggressive police (or vigilante) action. The fork in the road is that first story we tell ourselves when faced with an observable fact.

You can see how this plays out closer to home, as well. Observable fact: Men who wrapped themselves in Islam attacked America on September 11, 2001. But the stories that have flowed from that fact have been varied. And the emotions that arise from those stories have been serious and sincere. And over the past decade the actions that have come out of those various emotions have changed the course of world politics, international relations, and daily life for millions.

So when you donate, host an event, or buy a tshirt or pair of shoes, you are engaged in something bigger than the shuffling of money from one place to another to save a child’s life. We give people over “here” a tangible opportunity to save a life over “there” and to see “those” people as exactly that: people. Humans. Sons and daughters. We are all more than the images we receive from the professional media. It’s not “us” helping “them” get over “their” problems. It’s “us” becoming reconciled with “us”.

And in case you are wondering… Yes, we are just naive enough to believe that when we start seeing each less as other and more as brother these “global issues” might start to change too. And if they don’t… well, we are still committed to making change in the neighborhoods where we live and work; to be people of peace – whether anyone joins us on the journey or not.

Soma, Hamma, Danar, & Mohammed Leaving Iraq

January 6, 2010 by Jeremy · 19 Comments 

Fearing they are headed into “enemy territory” as Kurds crossing into Turkey for much-needed heart surgery, Baby Soma, Hamma, Danar, & Mohammed ride the shuttle in Iraq to their airplane.

Follow Their Journeys:

Follow 7-month-old Soma on Twitter: @SomaSalah. Subscribe to Soma’s updates via RSS HERE. Follow Soma’s thread of longer stories (with pictures & video) on the PLC blog HERE.

Follow 1-year-old Hamma on Twitter: @HammaDana. Subscribe to Hamma’s updates via RSS HERE. Follow Hamma’s thread of longer stories (with pictures & video) on the PLC blog HERE.

Follow 9-month-old Mohammed on Twitter: @MohammedUmed. Subscribe to Mohammed’s updates via RSS HERE. Follow Mohammed’s thread of longer stories (with pictures & video) on the PLC blog HERE.

Follow 3-year-old Danar on Twitter: @DanarSami. Subscribe to Danar’s updates via RSS HERE. Follow Danar’s thread of longer stories (with pictures & video) on the PLC blog HERE.

Report on “Iraq: The Forgotten Story” Art Show in UK & Beyond (VIDEO)

June 18, 2009 by Jeremy · 672 Comments 

On May 22, 2009, the Preemptive Love Coalition unveiled IRAQ – THE FORGOTTEN STORY at our inaugural event outside London, England. The Forgotten Story features the work of 6 Iraqi artists and tells the story of life in Iraq under Saddam Hussein’s Ba’ath Regime through their eyes.

The above video was compiled by a Kurdish company out of London that attended the event.

All proceeds from events, donations, and sales of this art help the Preemptive Love Coalition give life-saving heart surgeries to Iraqi children and create cooperation between communities at odds.

Happy Birthday, BSSL! Meet PLC!

July 7, 2008 by Jeremy · 1 Comment 

On July 7th, 2007 an amazing thing happened… a guy named Chad was the first of hundreds and hundreds of compassionate people to purchase the as-yet-unknown shoe called Klash. Chad and hundreds like him have given us the encouragement and confidence we’ve needed to keep selling Klash and using the proceeds to fund heart surgeries for Iraqi kids.

And as cliche as this is about to sound, lots of people thought we were crazy. Most thought it was a three week project that we would outgrow. Some thought it was a silly failure to comprehend the real needs of Iraqis. Indeed, at times we probably thought so ourselves. But as one month has turned to twelve, there is no denying the magnetic force behind the simplicity of our message.

The Preemptive Love Coalition, via the “Buy Shoes. Save Lives.” program, has now sent 13 kids to surgery, funding them at various stages along the way to the tune of $36,500. What a pretty tune! We raised and gave away an additional $16,000 for pre-op heart screenings and have money waiting for 6-7 kids that we plan on sending later this month.In 12 months we’ve invested nearly $22,000 into local klash-making economies, plus tens of thousands more into the broader economy as a by-product of operating our business. We’ve sold $33,000 of Klash across the US, UK, Europe, Africa and Australia, and have seen such a range of creativity exercised in helping these children that we sometimes just sit astounded at all you do!

One of the major developments of the past year is the way in which we’ve reorganized under the banner of The Preemptive Love Coalition. After 4 months of selling shoes to save lives we started realizing that we had more to say than “buy shoes. save lives.” We wanted to say “Love your enemies. Do good to those who do bad to you.” In a region where “tit for tat” is the predominant peacemaking method, we wanted to lead out with another option.

Our “this for that” model is as simple as encouraging those who would be with us to find something in their current environment and use it (“this”) in the service of the thousands and thousands of Iraqi who are waiting in a line for life-saving heart surgeries outside the country (“that”).”This for that” is also about giving back love for hate; kindness for oppression; truth for perceptions.

As we look forward to the coming year we envision moving deeper into the hurt of Iraq and working among the more oppressed and excluded groups of people. We want them to know that there is an entire movement of people in America and around the world who will not abide the ongoing retaliatory methods of “peacemaking” in the region. We are those who use all manner of “this” for that – for peace; for kindness; for truth.

We are The Preemptive Love Coalition. Thanks for being with us!

Jeremy, Cody, Michelle, Ruth, Scott, Bobby
Audrey, Angel, Chris, Colby, Jesse, Peter (THE INTERNS)

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