http://www.eppc.org/publications/pubid.3033/pub_detail.asp
 
Doc Jihad, Part II   <file:///C:/images/spacer.gif> 
An old connection.   <file:///C:/images/spacer.gif> 
By Stanley Kurtz <file:///C:/scholars/scholarID.81/scholar.asp>
<file:///C:/images/spacer.gif> 
Posted: Wednesday, July 11, 2007   <file:///C:/images/spacer.gif> 
  <file:///C:/images/spacer.gif> 

ARTICLE   <file:///C:/images/spacer.gif> 
National Review Online
<http://article.nationalreview.com/?q=NzNhZDAzMjU1YjE1NTc5OWM0ZGE1MGJlMzVjNj
g0NWU=>      <file:///C:/images/spacer.gif> 
Publication Date: July 11, 2007   <file:///C:/images/spacer.gif> 



Terrorist doctors? There's nothing unusual here, I'm sorry to say. On the
contrary, in the universe of Islamist radicalism, professional terrorists --
who are also professionals -- are the oldest story in the book. Consider
this: A study of 172 al Qaeda members and associates found that two-thirds
had gone to college. Most of them were professionals. Another study of five
major anti-Western attacks by Islamists found that 54 percent of the
terrorists had attended college (compared to 52 percent of Americans who
have done so). A study of 300 militants prosecuted for the assassination of
Egyptian President Anwar Sadat found that, of those who were students,
around a third were studying in Egypt's elite faculties of medicine and
engineering.

These facts and more are laid out in "A Matter of Pride
<http://www.democracyjournal.org/pdf/3/DAJOI3_LindBergen.pdf> ," a
thoughtful article by Peter Bergen and Michael Lind. Bergen and Lind do an
excellent job of puncturing "the myth of deprivation" -- the notion that
poverty causes terrorism. Certainly Bergen and Lind allow us to conclude
that the British terror doctors are not anomalies. Unfortunately, Bergen and
Lind go on to make some less-than-convincing suggestions about what actually
does cause Islamist terror -- and how to go about stopping it. Tracing down
the sources of Islamist terror is the key to solving some of America's most
urgent policy dilemmas. So here, in Part II of "Doc Jihad," I'll continue to
explore the strikingly significant role played by medical doctors in the
spread of political Islam, in light of which we can return to the important
issues of theory and policy raised by Bergen and Lind.

Under-Employed
In Part I, we learned that Egypt's massive expansion of higher education
under Presidents Nasser and Sadat produced unexpected results. Instead of
taking a nation of pious traditional villagers and turning them into secular
modern technocrats, college students fresh from Egypt's villages were
turning the nation's secular professions into Islamist bastions. Far from
eliminating the traditional system of honor and shame, the mass education of
women had actually brought back the veil as a traditionalist strategy for
coping with coeducation. And instead of churning out a new democratic elite,
Egyptian higher education's authoritarian methods were simply reproducing
traditional cultural modes. 

Yet something else intervened to tip the balance against liberal modernity
and in favor of Islamism. There was more at work than village traditionalism
and authoritarian education. Egypt's economic troubles played a critical
role as well. This is the kernel of truth in economic explanations of
Islamist radicalism. Egypt's huge new generation of doctors, lawyers, and
engineers may not have been poor, but after years of study and sacrifice
they were seriously underemployed. The emergence of Islamism is less a tale
of abject poverty than a classic case of social revolution fomented by
rising expectations.

Nasser's rash promise of a government job for every graduate was never
fulfilled. By the mid-1980s the waiting list for public-sector jobs was up
to eight years long. And without a job, Egypt's socially traditional
graduates were forced to remain unmarried celibates, living alone, or under
the authority of their parents for years. Many of those professionals who
did have jobs made barely more than manual laborers. In fact, some had to
give up their profession and become manual laborers just to make ends meet.
These young doctors, lawyers, and engineers couldn't help but wonder why
they and their families had sacrificed for so long.

A massive make-work bureaucracy couldn't generate the sort of economic
growth that would employ Egypt's huge new cohort of professionals. Paralyzed
by a bloated and corrupt government, the Egyptian economy was stuck in
recession -- at the very moment the new professional class was pouring into
the job market.

For a time, in the 1980s, migration to the oil-rich Gulf states provided a
solution. A newly minted Egyptian physician could find work in Saudi Arabia,
just as Middle Eastern doctors find work today in Britain, Canada,
Australia, and the United States. Remittances sent back from the Gulf by
migrants in the 1980s effectively propped up the Egyptian economy. In the
meantime, Egyptians were exposed to the austere form of Islam which seemed
to many to account for Saudi Arabia's prosperity. God appeared to have
blessed the pious Wahabbis, but to have turned his back on an impoverished,
secular Egypt. The need to toil in a foreign land for years, just to save up
enough money to finance a respectable wedding and start a household, was
galling. What was wrong with Egypt, the public asked, that its sons could
succeed only by leaving? When the Gulf job-boom ended in the 1990's and the
migrants headed back to a still-stagnant economy, the failure of the
Egyptian system seemed obvious. Was Islam the solution?

Parallel Government
Egypt may not have been a democracy, but at least the government had been
able to dole out goodies to the public -- the massive university expansion
had once stood as proof of that. Yet an Egypt in recession, weighed down by
a bloated and corrupt bureaucracy, could provide neither jobs nor services.
So the new Islamist groups stepped in to fill the gap. To call the Muslim
Brotherhood's student and professional associations "unions" doesn't quite
do justice to what they became. In truth, the Muslim Brotherhood (quite
possibly backed by Saudi money), began to construct a kind of state within a
state.

Once again, doctors led the way. The Muslim Brotherhood gained power in the
physicians association in the 1980s, just as the cost of medical care was
skyrocketing. With young doctors underemployed and financially strapped, the
association offered a health-care plan to union members and their families.
Soon other professional associations followed suit, always under the
direction of Islamists. Eventually, Brotherhood-led professional
associations expanded these services to cover marriage funds, maternity
benefits, consumer purchases, housing, business training, insurance,
pensions, even vacation packages.

When a massive earthquake hit Cairo in 1992, the Medical Association arrived
on scene long before the government, providing food, blankets, and medical
care -- compliments of the Muslim Brotherhood. Fearing that the professional
associations had succeeded in forming a state within a state, President
Mubarak cracked down on the Brotherhood, which had nonetheless firmly
established itself by then as what it remains today -- the only organization
capable of posing a genuine challenge to the government.

So it was the provision of services -- the virtual creation of a parallel
government -- that expanded the appeal of the Muslim Brotherhood to the
broader membership of the professional associations, thereby facilitating
the Islamist takeover. Given Egypt's strapped economy, even pooling the
financial resources of the most well-off professionals (perhaps with some
Saudi help) couldn't fundamentally reverse the economic condition of the
downwardly mobile professional middle class. Nevertheless, the Muslim
Brotherhood was visibly doing more than the government. Egypt's corrupt
bureaucrats could barely manage the state's social services without looting
them. The Islamists, on the other hand, were honest. In recent years, this
pattern has been repeated throughout the Middle East. From the religious
parties in Turkey, to Hezbollah in Lebanon, and Hamas in Gaza, Islamist
parties win hearts and minds by providing honestly managed social services,
where corrupt governments cannot.


Of course, the Muslim Brotherhood and other Islamist organizations are
anything but liberal. Having taken over the Medical Association, the
Brotherhood forced union members to sign a pledge to be pious Muslims (by
the Brotherhood's Islamist standards, of course). Farag Foda, a prominent
Egyptian secular liberal, objected, arguing that the association must belong
to all Egyptian doctors, not just Muslims. For this and other such offenses,
Foda was killed by Islamic militants (although not by the Muslim Brotherhood
as such, which had formally renounced violence).

A Different Modernity
Despite its stunning success with doctors, engineers, scientists, and to a
lesser extent, lawyers, Egypt's Muslim Brotherhood has had trouble breaking
through to the less prestigious unions of veterinarians, teachers, and
agricultural workers. These groups are all state employees, and can
ill-afford to antagonize the government by throwing in their lot with the
Brotherhood. Lawyers, as we've seen, are more likely to be liberal, given
their education in, and professional devotion to, the rule of law. Egypt's
doctors, on the other hand, are relatively independent of the state, yet
also largely bereft of liberal leaning and accustomed to traditional Muslim
mores.

In a sense, when it comes to Egypt's physicians, private enterprise and the
modernization paradigm have had some real success. There is unquestionably
something modern about the new Islamist ethos. A traditional Egyptian
peasant doesn't much concern himself with either social reform or political
participation. True to the classic modernization paradigm, educated Islamist
professionals have attained a sense of civic obligation, and a conviction
that they are capable of bringing about morally informed social change. Yet
the ongoing power of tradition, the failure of liberal mores to penetrate
the educational system, and the corruption and weakness endemic to Middle
Eastern economies and bureaucracies, have combined to produce a hybrid. Here
is the self-confidence and transformative social power of a conventional
modernizing middle-class -- yet all under the direction an ideology
descended from Sayyid Qutb

Sovereign at Last
And now, for the first time, the Muslim Brotherhood has gained sovereignty
over a piece of territory. Hamas, an armed annex of the Muslim Brotherhood,
now controls Gaza. Hamas was founded in 1987 -- by a doctor, and a
pharmacist who first encountered the Brotherhood while studying in Cairo.
Along with al Qaeda's Ayman al Zawahari -- the most famous member of the
Muslim Brotherhood to turn terrorist -- the founders of Hamas are some of
the original doctors of terror. With the Muslim Brotherhood now governing
territory next to Egypt, Mubarak is deeply worried. So as happened following
the '92 earthquake, Mubarak has recently cracked down on the Brotherhood,
jailing hundreds of its doctors, businessmen, and engineers.

Today, the high quality Islamist-run medical clinics long popular in Cairo
have spread throughout the Middle East. There's even an Islamist-run medical
clinic in the Sunni-dominated Western part of Baghdad. It would be
interesting to know if the Baghdadi doctor at the center of the British
terror plot might have had contacts there before he migrated. According to
the German magazine
<http://www.spiegel.de/international/world/0,1518,491925,00.html> Spiegel,
the average member of the Muslim Brotherhood is a middle class doctor,
pharmacist, teacher, or lawyer "filled with rage...over what he sees as the
close cooperation between his government and the hopelessly corrupted West."
Sounds like the rage-filled terror doctors of Britain have plenty of
company.

To what degree Briton's terror doctors were radicalized in their home
countries, and to what degree they radicalized after migration is unclear.
Some of the British terrorists may have imbibed middle class Islamism early
on, and some may have been driven to radicalism by Qutb-like disaffection
with their "hopelessly corrupted" Western environment. The point is that the
Islamist doctor is a well-established phenomenon -- one that has everything
to do with rising radicalism in the Islamic world.

Islamist Democracy?
So what are we to make of all this? What does the story of Islamism's
medical radicals tell us about terrorism's causes and cures? After disposing
of the "deprivation myth," Bergen and Lind point to two key causes of
Islamist terror. First, they argue that terrorist movements emerge from a
feeling of collective humiliation -- especially the humiliation of military
occupation, as in Iraq and the Palestinian territories. Bergen and Lind go
on to suggest that terrorism is an outlet for grievances in politically
closed societies, like Egypt and Saudi Arabia. On Bergen and Lind's
analysis, the obvious solution to the problem of Islamist terror would be an
American withdrawal from Iraq, Israeli withdrawal from the Palestinian
territories, and American support of democratic participation by the Muslim
Brotherhood in Egypt.

If this program strikes you as unlikely to be put into practice, it
shouldn't. An early American exist from Iraq grows more likely every day.
Israel has already withdrawn from Gaza, thereby opening the way for the
triumph of Hamas (a military arm of the Muslim Brotherhood). And in addition
to Bergen and Lind (who wrote for a Democratic policy journal), the centrist
Democrat, Progressive Policy Institute, recently released a paper
<http://www.ppionline.org/documents/Political_Islam_06272007.pdf>  urging
engagement with Egypt's Muslim Brotherhood as a solution to the problem of
Islamist terror. A recent article
<http://www.foreignaffairs.org/20070301faessay86208/robert%20s%20leiken%20st
even%20brooke/the%20moderate%20muslim%20brotherhood.html>  in Foreign
Affairs calls for engagement with the "moderate" Muslim Brotherhood, in an
effort to moderate them further, thereby isolating al Qaeda from more
"mainstream" forms of Islamism. Call this new policy wave Dinesh D'Souza's
revenge.

By these indications, should the Democrats gain the presidency, an attempt
to open Egyptian democracy to a supposedly "moderate" Muslim Brotherhood
could become an even more serious policy option than it's been under
President Bush. The Bush administration has apparently had second thoughts
about democracy promotion -- certainly when it comes to the likes of the
Muslim Brotherhood -- and hasn't bothered to protest Mubarak's recent
crackdown. Surprisingly, however, there is now a stream of policy thought
among Democrats (and certainly some Republicans as well) that may take the
Bush democratization strategy to a whole new level -- intentionally
cultivating and empowering Egypt's powerful Muslim Brotherhood, in hopes of
somehow isolating radical terrorists.

System Failure
It would be a mistake to attempt to draw the Muslim Brotherhood into
supposed moderation by licencing what would effectively be illiberal
democracies in the Middle East. A faulty account of the sources of Islamist
terror lies at the root of this policy error. Bergen and Lind's notion that
collective humiliation is the chief source of terror has already been ably
critiqued <http://www.democracyjournal.org/printfriendly.php?ID=6521> . 

If humiliation stimulates terrorism, we still need to know why some
societies feel humiliation more acutely than others. Bergen and Lind don't
come close to uncovering the underlying sources of Islamism's famously acute
sense of humiliation.

The well springs of terror run deeper than military occupation -- or the
democratic exclusion of Islamist organizations (groups that were never truly
democratic to begin with). That is what our survey of middle-class Islamist
professionals reveals. For example, although poverty per se does not cause
terror, powerful economic forces have facilitated the rise of Islamist
radicalism, and these economic forces flow from still more fundamental
social and cultural roots.

A critical generator of Islamist humiliation is the economic and social
stagnation of Middle Eastern societies. Islamist complaints about Western
imperialism are a relatively safe way to point to the real source of
humiliation -- the weakness of Middle Eastern societies themselves.
Countries characterized by corrupt, factionalized, and bureaucratically
top-heavy governments do not inspire pride.

These governments are incapable of operating according to modern principles
of individual rights, equal justice, bureaucratic neutrality, or rule of
law, because their broader publics have never truly encountered, much less
embraced, any of these ideas. Middle Eastern society itself is structured
according to principles alien to modern liberalism, one of which happens to
be an honor-shame dynamic that acutely accentuates feelings of humiliation.
A society constructed around tightly woven, mutually suspicious, in-marrying
kin groups feeds corruption and leaves Islam as the only non-kin based
justification for altruistic cooperation. The result is "hopelessly
corrupted" governments, and an emerging Islamist welfare state that
transcends local rivalries by accentuating a sense of collective Muslim
dishonor (i.e. "humiliation") vis-a-vis the West. (For more on the way this
pattern plays out in Egypt, see my 2002 piece, "With Eyes Wide Open
<http://www.nationalreview.com/contributors/kurtz022002.shtml> ." And for
more on the tensions between modernity and traditional Muslim kinship
practices, see "Marriage and the Terror War" Part I
<http://article.nationalreview.com/?q=OWYyMDhkOWYwOWU4YWZlMTkwMWEzMDY0MTA0MG
M0YmY=>  and Part II
<http://article.nationalreview.com/?q=M2RhZTg4ZWM4ZTI0MzkzOWE5MjJkZGMzZTE3ZD
llZmM=> .) 

There are no quick or simple solutions to these problems. The actual social
causes of Islamist terror are interlocking and systemic. No mere Western
political response will, by itself, solve the problem, because no Western
policy has truly caused it. As brittle Middle Eastern governments rattle,
while nervously glancing at possible Islamist takeovers (see Pakistan), the
West is headed for a long-term struggle -- much like Israel's long-term
battle, but this time played out on a world-wide scale.

There are things we can do. In the short term, military action will
sometimes (by no means always) be necessary. In the long term, I think
Europe provides the most opportune theater in which to begin a slow social
transformation of the Islamic world -- breaking up the old social networks
and injecting a liberal spirit. Right now, globalization works against us in
Europe. But change Muslim society there, and the positive shift could bounce
back to the Middle East.

One thing we can say right now is that appeasing Islamists by precipitous
retreat, or handing groups like the Muslim Brotherhood the keys to a bogus
"democratic" takeover is a bad idea. Over the very long term, genuinely
liberal democracy may see the light of day in the Middle East. Yet that will
be a late-stage outcome of a longer and deeper process of social
transformation. Premature (and therefore illiberal) Islamist democracy is
not the solution.

And the doctors of terror? Let them stand as a reminder of the profundity of
our challenge. It turns out that mere wealth and scientific knowledge are
not the most important things about modernity. In the end, it's liberal
democracy that makes us who we are. Yet it will take years of slow and deep
social and cultural transformation before the Middle East is ready for that.
In the meantime, recognition of the deep-lying nature of the problem should
stiffen our spines and warn us away from fantasies of retreat. Who knew that
such strong and bitter medicine would best be delivered by doctors?

 



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