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41 hours after the earthquake, U.S. President Barack Obama announces $100 million in aid. Led by Lieutenant General P.K. Keen, the U.S. deploys aircraft, naval vessels, and drones in what Katz calls a coordinated "compassionate invasion" (68). Relief agencies flood the country. Global aid totals $2.21 billion with more donations pouring in over the following weeks. Katz explains the unique challenges of medical triage in such a devastated landscape, and the lack of reliable census data makes it impossible to keep an accurate count of the dead. Death toll estimates range from 85,000 to 316,000. Bodies overwhelm the nation's small morgues and are left in a parking lot, bloating in the hot sun. Some are hauled away and buried in mass graves. After three days, the smell is overpowering, driving some journalists out of the country. Préval, meanwhile, remains hidden, leaving press conferences to his communications minister.
Aid efforts focus on search-and-rescue operations with members of the news media hovering nearby, hungry for images of survivors. Most of the rescue efforts concentrate on commercial centers in the capital, like hotels and high-end grocery stores, while homes and schools are often ignored. There is a lack of coordination among the many different aid agencies, Katz explains, and when new relief arrives, it is directed toward the same familiar sites that attract most of the media coverage.
Three days after the quake, Katz and Evens drive to Carrefour, a small town closer to the epicenter. Gas is in short supply, and Katz pays $12 a gallon to partially fill his tank. In Carrefour, they find similar destruction but no rescue workers. Katz notes that Carrefour means "crossroads," and the term has both literal and mystical significance. A town built on a crossroads is vital as a social hub and for gathering news. In the Vodou tradition, a crossroads is also a place where spirits of the dead must "find their reckoning" (77), writes Katz.
The U.N. World Food Programme claims it has enough food to feed 300,000 people one meal a day for three months, but accurate reports of food supplies are elusive. Solving the food and water crises, Katz argues, requires investment in local infrastructure: fixing seaports, assisting farmers, and creating sustainable sources of potable water instead of shipping in millions of cases of bottled water in disposable plastic containers. Assistance is well-intentioned but haphazard. Effective methods of food distribution are not in place until a month after the initial quake.
While evidence suggests that, post-crisis, people tend to unite rather than divide, authorities still focus their efforts on law enforcement and crowd control. The expectation of riots—largely unrealized—keeps soldiers on edge while some Haitians, angry at government corruption, clamor for a U.S. takeover. While the rates of some crime spike, notably sexual assault and extortion, analysis of overall trends proves difficult beyond the anecdotal. Katz and a corps of other journalists hunker down at a mostly intact hotel, listening to the perpetual sounds of a nation in crisis.
After weeks of interviewing earthquake victims, experiencing aftershocks, and trudging through the rubble of collapsed buildings, Katz finally agrees to take a break. He goes home to Louisville, fearing for his mental health. At his parents' house, Katz spends the week resting, eating, and resupplying. He also decides to see a therapist, and upon entering the office, he immediately scans the walls for signs of structural damage. Noticing a Time magazine with a cover photo of Haiti, he realizes that the image on the magazine feels more familiar than his hometown. Katz confesses to the therapist an emotional numbness; he doesn't feel sad nor has he shed any tears over the dead. Although he doesn't experience any symptoms immediately after the quake, he later recognizes the signs of post-traumatic stress disorder (PTSD). He admits he doesn't want to "get over" the memories; on the contrary, he clings to them. In his current state of latent trauma, they're all he has.
Katz turns his narrative back to the Chery family, living outdoors under a makeshift shelter. While it would be safer to move away from the city, their rent is paid for the year, and they cannot afford to squander it. Rosemide visits her family's vendor cart in the market only to find it's been looted. Security here is virtually nonexistent, as authorities prioritize the "more visible and prosperous establishments" (94), according to Katz. High-interest loans make recouping the Chery's business losses impossible. Weeks after the earthquake, bodies are buried, the injured are treated, and aid shifts to recovery efforts like finding permanent shelter for the homeless.
Katz describes the "three Rs" of disaster aid: "emergency relief, medium-term recovery, and long-term reconstruction" (95). Some workers are still mired in phase one with no clear protocols for long-term follow-up. The biggest priority is shelter, but temporary camps become permanent slums as aid agencies sustain them with food and water rather than focusing on rebuilding. Further, relief agencies focus on security far more than data suggest is necessary. Meetings are held behind security checkpoints where few Haitians can attend. Mike Godfrey, an experienced aid worker, reasons that a better approach is to provide aid directly to families outside the urban centers to prevent migration back to the cities. His advice falls on deaf ears, and the camps swell with displaced Haitians.
The U.S. aid delegation wants to build temporary shelters, but they need the government to provide land, a difficult request given the imprecise and incomplete records of ownership. In Port-au-Prince, land titles are often transferred or forcibly taken without accurate record-keeping. The agency tasked with maintaining these records is underfunded "and could account for less than 5 percent of the country's land" (101), writes Katz. In light of this confusion, multiple interests jostle for government compensation.
When Katz and Evens visit one of these camps, they find it is a self-governing community. The leader of the camp's governing body, Dieusin St. Vil, insists that all communication with the press go through the committee. Once Katz and Evens are able to observe the camp away from St. Vil's presence, they discover malnutrition, lack of shelter, and corruption. Despite all the problems, there are successes: Engineers repair the seaport; the municipal water authority produces more filtered water than before the quake; and medical workers carry out a successful vaccination campaign. But the military's top-down approach makes coordination with local residents difficult and ultimately inefficient.
Ideas to "fix" Haiti, Katz claims, tend to rely on external approaches, but the logistics of aid distribution often mean that too much money goes to overhead, administration, and private contractors with little left for actual projects. Reformers argue that giving aid directly to local governments is a better strategy, and in 2005 more than one hundred countries sign a declaration to "work through 'country systems and procedures to the maximum extent possible'" (111). Although the U.S. is a signatory, American officials are hesitant because private contractors stand to lose lucrative contracts. As aid groups meet to plan rebuilding strategies, media stories about the settlement camps reinforce and exaggerate long-held stereotypes about unsanitary and dangerous conditions on the ground.
Attempts by celebrities and the U.N. to help are also hampered by misinformation—namely, the danger of a spring rainy season. U.N. Secretary General Ban Ki-moon warns that the ground will "turn to mud, dangerous and diseased" (114). According to Katz, feeding a climate of panic prevents effective, decentralized aid. Nevertheless, it is imperative to move people out of the camps before hurricane season.
In the absence of government enforcement, squatters claim abandoned lots and defend their claims against apathetic police. As camps become permanent settlements, the pressure on Préval to allocate land for resettlement grows. Decades of deforestation, however, have made flood-safe land a rare commodity. Finally, after landowners refuse to make a deal with the government, Préval claims eminent domain and expropriates a stretch of land north of Port-au-Prince. He secures this land nine days before a major donor conference and a visit by former U.S. presidents Bill Clinton and George W. Bush. Clinton, whose administration's Haiti policy had been problematic, seeks to redeem himself in his new role as U.N. Special Envoy.
On March 31, donors gather at the U.N. to discuss reconstruction. While ostensibly a "country-led" plan, the details reveal a great deal of latitude for foreign influence, including heavy reliance on the private sector. U.S. Secretary of State Hillary Clinton pledges $1.15 billion, but also warns that the global community "must do things differently" (125). Doing things differently, however, requires Congressional approval, and that is stymied by a lingering concern over corruption. While Katz admits that corruption exists in Haiti, the media often fails to provide adequate context. Much of the corruption, he claims, exists within agencies whose salaries are below poverty level. Also, a country's level of corruption is often measured by perception which is hardly a scientific measure at all. Haiti is often falsely accused of corruption when much of the donor money never even reaches the country.
Historically, Haiti is a favorite spot for missionaries who profess a desire to teach Haitians self-reliance, a skill they already possess in abundance, Katz argues. Raised a Southern Baptist, Bill Clinton approaches his Haiti mission with a missionary's zeal and a certainty that Haiti cannot repair itself without outside help. He is determined to be that help, and his enthusiasm for the project plays well to the outside world. Despite a lack of concrete results early on, Clinton persists. His development proposals are based on a report authored by Oxford Economics professor Paul Collier. Collier's report asserts that economic security is paramount, and that the "garments industry has the scope to provide several hundred thousand jobs…" (139), provided that wages are kept low. Accepted economic wisdom suggests that, as workers become more productive, wages increase; but Collier's report argues that wages must be kept low to prevent the industry from moving somewhere cheaper. In fact, it's not jobs that Haiti needs—an entire "informal sector" of work already exists—but stable income, something the garment industry would not provide. It's an industry infamous for its low wages and poor working conditions. Attempts to raise the minimum wage from $1.75 to $5 per day are met with resistance from business owners, but Préval, under pressure from the U.S., arrives at a compromise. He promises $5 to most workers but only $3 for garment workers who are deemed "outsourced" labor.
At the March 2010 donor meeting, the Haitian people present their opinions. Overwhelmingly, they long for sovereignty and self-sufficiency; they want to rebuild their own country, not to outsource the work to foreign contractors. Clinton, however, appears to prioritize the voice of the private sector, personified by Reginald Boulos, a wealthy Haitian businessman who pushes strongly for development of a garment export industry as well as "a responsible elite laying and implementing a vision of development that benefits all Haitians" (148). His speech does not mention participation of average Haitians in the process. American aid, envisioned as a partnership between the private and public sectors, is mistargeted, often funneling money to those who need it least.
The debate over who will lead the rebuilding effort—the Haitian government or foreign actors—never happens. Non-Haitians argue that if foreign governments provide money, they have the right to "dictate terms" (150). U.S. skepticism over Haiti's ability to handle its own rebuilding effort hampers attempts to implement a reconstruction model successful in Indonesia. Oversight is therefore delegated to the Interim Haiti Recovery Commission (IHRC) co-chaired by Bill Clinton and Prime Minister Jean-Max Bellerive. While the IHRC is seen as a joint partnership, Katz argues that Clinton has far more influence than his Haitian counterpart. At the close of the donor's conference, pledged donations total $8.4 billion over ten years.
In the aftermath of the earthquake, Katz describes the unique combination of factors that make recovery and reconstruction such difficult tasks. The island nation must contend with a myriad of conflicting forces, many of them rooted in good will. In fact, most of those predominantly external forces seem to have Haiti's best interests at heart, but that altruism brings with it a paternalism that may help in the short term—and provide donors with a degree of self-satisfaction—but is ultimately counterproductive. Foreign actors treat Haiti like an infant incapable of wiping its own nose without parental supervision; and that supervision is often held over the country's head like a bargaining chip. In exchange for aid—donated and overseen by outside actors predominantly from the United States—donors expect something in return, usually influence in the country's governance. Since the government is weak and perpetually hobbled by debt, it has little choice but to accept the imposed conditions. As a result, Haiti is forever caught between opposing dynamics and unable to stand on its own. The cycle has continued for over a century, and the cycle repeats yet again in the wake of the earthquake.
This attitude of humane interventionism seeps into every corner of the relief effort. Often with little evidence, the news media conveys an image of Haiti as constantly on the brink of full-scale civil unrest, which reinforces a stereotype long held by more developed countries. Further, journalists clamor for visuals as opposed to detailed analysis, and those visuals tend to emphasize the sensational: discontent, rioting over food and water, and crime. Because those images are often the only things outsiders see, dysfunction becomes the accepted narrative.
Those same inherent biases are also held by the aid workers on the ground, the NGOs, and even Haitians themselves, some of whom advocate an American takeover of the government. Even Bill Clinton, a noted policy wonk with a keen eye for details, is influenced by long-held notions that Haiti cannot fix itself without outside assistance that is best provided by public/private sector partnerships. Meanwhile, evidence shows that the private sector is often just as riddled with corruption as the maligned Haitian government. In a disaster of this magnitude, Katz emphasizes that relief in the early stages must be effectively coordinated. But in a country like Haiti with little centralized power, that coordination becomes nearly impossible. Doctors treating the injured in makeshift triage centers, for example, operate in an information vacuum. Without someone to oversee the whole process, they can only see the wounded trees in a vast, devastated forest.