<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109191116/636beeb34b0ad905ca02ef60jpeg.jpg" alt="" width="1500" height="1112"/><figcaption>Charge d' Affaires L. Douglas welcomes BP Koirala to the US Embassy inaguration in 1959.</figcaption></figure>On 15 December 1960 (पुस १) exactly 60 years ago, King Mahendra ordered the jailing of Prime Minister BP Koirala and other political figures, many of whom the Nepali people had put in power 18 months earlier in Nepal's first-ever election.Ending a decade of democratic experimentation, Mahendra decided to rule the country directly. After his death in 1972 his son Birendra took power. Many of today's top political leaders cut their political teeth in years of underground opposition to the monarchy.The U S government at the time noted that Mahendra's coup was accomplished ‘with great secrecy and superb organisation’. After 1960, the US slowly shifted its approach in Nepal, embracing the monarchy and moving away from democratic reform.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109191116/636beeb64b0ad905ca02ef61jpeg.jpg" alt="" width="600" height="719">Ten years earlier, the globalisation of the Cold War had forced the US to pay more attention to South Asia. After China turned Communist in 1949 and war broke out on the Korean peninsula in 1950, Asian nations, particularly those near China, became hot spots for Cold War competition between the Soviet Union and China on one hand, and the US led capitalist democracies on the other.During the 1950s, believing economic progress and expanded political freedoms would inoculate Nepal against communist influence, the U S offered aid programs and supported democratic reforms. As part of this vision, Washington promoted health and agriculture programs but also, in part to counter populist Communist Chinese programs, pushed for economic leveling programs such as land reform.In the late 1950s, the US grew increasingly concerned as China and the Soviet Union expanded activities in Nepal. A November 1960 National Security document warned that Nepal had become ‘a particularly vulnerable target’.But the US believed that Nepal's 1959 election had strengthened the country. Nepal, the National Security document noted, ‘currently enjoys greater internal stability than heretofore, following the introduction of popularly-based parliamentary government’.The US also thought highly of B P Koirala. A 1960 memo explained, ‘Koirala is intelligent, forceful, respected by his party, and popular with his people.’ He was ‘basically pro-Western and anti-Communist’ and didn't underestimate the communist threat, showing ‘grave concern’ about it.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109191116/636beeb84b0ad905ca02ef62jpeg.jpg" alt="" width="465" height="578">The US had a less positive view of Mahendra. He was seen as anti-communist and as a ‘stabilising and unifying force’ but seemed less forceful, and less consequential. An internal memo discounted him as ‘a conscientious man of simple tastes and austere habits … rather naive politically and not particularly forceful as a ruler … awkward socially, and indecisive’. It noted he had advanced some reforms but that ‘he is firmly convinced that a strong monarchy is necessary to insure stability’.The last lines of an April 1960 US memo raised the possibility of a royal takeover in Nepal, saying the king was not ‘irrevocably committed’ to representative government. But it discounted the possibility: ‘Such a drastic step is not anticipated.’A week after the coup, on 20 December, 1960, CIA Director Allen Dulles told the National Security Council that the King's ‘strange coup’ owed to two reasons: Koirala was ‘too progressive’ and had too ‘close relations’ with India. He warned of a more ‘archaic form of government’.US Ambassador Henry Stebbins met with Mahendra on 21 December, 1960 and cabled Washington to say that the King professed a strong belief in democracy, which he claimed he himself had brought to Nepal. He said he dismissed the Koirala government and imprisoned its leaders because they were guilty of corruption and of aiding and abetting Communism. In a letter to US President Dwight Eisenhower a couple days later, he also blamed poor administration.Stebbins did not buy it. He wrote: ‘Mahendra is guided less by the issues of corruption and Communism than by a growing fear that his own personal position and prestige were dwindling and that if he did not act soon, it might be too late." Stebbins thought the coup might yield ‘disastrous’ results.President Eisenhower addressed the Nepal coup at a 11 January 1961 meeting, just 10 days before handing over the office to John F Kennedy. He was reminded of ‘intensive Bloc efforts to detach Nepal from India's sphere of influence’. The choice was to support the Nepali Congress or create some kind of accommodation between the NC and the king. The US chose accommodation, pointing to ‘the inevitable chaos which would be exploited by the Communists … and the Nepali Congress’ presumed inability to establish a viable government’.But this didn't mean giving the king full legitimacy. As a later document put it, for a short time after the coup, the US maintained ‘correct relations’ with Mahendra but didn't openly back him ‘for fear of alienating the exiled NCP (Nepali Congress Party)’.Things began to shift a year later, by early 1962, even before the dramatic events of later that year on the Sino-Indian border. ‘State is considering a new emphasis in our Nepal policy,’ reported a February memo. Department officials ‘now believe the King will probably stay in power despite the recent sharp increase in NCP-sponsored dissident activity’. They showed new concern the King would turn to the Communist bloc. ‘State feels now may be the time to move closer to him, lest he look increasingly to the Bloc for support.’Democratic values seemed less a concern than power politics. ‘Our chief problem is to keep Nepal from becoming too dependent on Bloc aid, especially from Red China, and to preserve her strong economic ties with India. In the past, we’ve tuned our policy to New Delhi’s.’At first, though, coming round to support the King did not mean the abandoning US efforts at democratic reform within Nepal. Instead, the US hoped Mahendra could be the source of reform. Mahendra, it said, ‘is probably making almost as much progress with economic and social reform as the NCP did’. He appeared to embrace land reform as well.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109191116/636beeb94b0ad905ca02ef63jpeg.jpg" alt="" width="500" height="379">Everything changed in the fall of 1962 when China and India came to blows over disputed Himalayan territory. Catching the Indians flat footed, Chinese incursions spurred a reversal of India's hardline stance toward Mahendra. India abandoned support of Koirala and the Nepali Congress dissidents, and moved to win back Mahendra's favour. The U S lost leverage in Nepal, and land reform lost momentum.Mahendra continued to back भुमी सुधार land reform, but only outwardly. By March 1963, an American Ford Foundation official had noticed a new ‘spirit of complacency’ in Kathmandu on the issue. He wrote: ‘The desire to move ahead with the measures of unquestioned importance for the welfare of Nepal, so evident in September is hard to find now.’A sea change in Nepal politics had occurred. Observers began to see the 1950s as a restoration, not a revolution. The monarchy had returned to full power, not the people. The US, once a strong voice for democracy in Nepal, now supported the king and gave up on programs such as land reform.America's Reform Push in 1950s NepalVisiting Kathmandu in 1953, US Ambassador to India and Nepal Chester Bowles confronted a tricky issue: As an outsider working in a starkly hierarchical society, how much should you work with the existing power structure and how much to push for change?Nepal's land ownership patterns, some of the most unequal in Asia, spurred Bowles to ponder this question. He had come to Nepal to meet with Nepal's King Tribhuvan to discuss land reform. How hard should the U S push?Many foreigners in Nepal do not see the country's harsh hierarchies. Or they see parts, such as class and gender divisions, but miss more unfamiliar caste and ethnic divisions. I still remember my disappointment visiting Dang a few years ago after the end of the Maoist war, and learning that, of the many foreign volunteers working in the district, all of whom lived with local families, not one lived with a Tharu or Dalit family.But Bowles had an unusual background, and the early 1950s were a special moment. He had emerged from a progressive tradition, connected to the Great Depression of the 1930s, that had emphasised structural poverty and social reform. And because of family relations, he possessed a much deeper understanding of America's history of racial discrimination than many white Americans. In the 1950s, he pioneered opportunities <a href="https://www.nepalitimes.com/here-now/african-americans-in-cold-war-nepal/">for African Americans as diplomats</a>, including in Nepal.In February 1953 Bowles <a href="https://archive.nepalitimes.com/article/nation/land-reform-in-cold-war-Nepal,4192">travelled from New Delhi to Kathmandu</a> to meet with Nepali government officials, including King Tribhuvan, to discuss new American development programs for Nepal. In the previous year the US had started mineral surveys, agriculture, and health programs. But most of all Bowles wanted to discuss land reform.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109191116/636beebb4b0ad905ca02ef64jpeg.jpg" alt="" width="640" height="357"><figcaption>Chester Bowles Papers (MS 628). Manuscripts and Archives, Yale University Library</figcaption></figure>Few Asian countries had starker disparities in land ownership than Nepal. A UN report as far back as 1952 highlighted that fully one-fourth of Nepal's cultivable land was tax-free birta and that the jamindar landlord class held most of the other land. ‘The illiterate peasants,’ the report said, ‘are always exploited by Zamindars and used for state labour.’ Rents ate as much as 50% of each crop.Unequal land distribution seemed to hold Nepal back economically and politically. But it was a tricky issue. How much should Bowles push? Would he alienate powerful Nepalis he hoped to win over to the US side?The early 1950s saw new worlds emerge. In the previous five years, three huge earthquakes had shaken South Asia's political landscape: Indian independence from Great Britain (1947), the Chinese communist party's takeover of China (1949), and war in Korea (1950).<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109191116/636beebc4b0ad905ca02ef65jpeg.jpg" alt="" width="300" height="422"><figcaption>The cover of Bowles’ book, Ambassador’s Report, 1954</figcaption></figure>Both Nepal and the US stood at the crossroads. In Nepal, after the Rana regime that had ruled for a century collapsed in 1950, a new coalition government promised democracy and development.The U S had emerged from World War II Asia's most dominant power. The British departed. War between North and South Korea had intensified Cold War competition between the Soviet Union and its communist allies and the United States and its democratic capitalist allies all over Asia, particularly those, like Nepal, near China's borders. ‘The invasion of Tibet by Chinese Communists,’ Bowles wrote in 1952, ‘has catapulted Nepal into the front line of the cold war.”To bolster Nepal, the U S relied upon India’s security umbrella, but also economic development programs. The US gave taxpayer dollars for health and agriculture programs in Nepal for altruistic reasons, but also for geopolitical gain. But would these programs succeed without more equal access to the single most essential resource in Nepal's rural society: land?On one hand, pushing for land reform could be seen as a kind of internal interference, an overreach that smacked of imperialism. Even if in the name of greater equality, what gave the US the authority to judge right and wrong and to decide the path for change? And didn't the US have its own huge problems of inequality?On the other hand, the US was giving hard-earned resources for programs desperately needed in Nepal. Bowles wanted those programs to be effective. It might be convenient to partner with the castes, classes, and genders that ran Nepal, but wouldn't that just reinforce them? Today, especially in the wake of Acemoglu and Robinson's influential 2012 book Why Nations Fail, ideas of ‘inclusive institutions’ and ‘inclusive development’ have become conventional wisdom among development professionals. Wasn't Bowles simply pursuing an early variant of this?In a candid letter from early 1953, Bowles reflected on exactly this dilemma: how much should an outside country like the US press for internal reforms in Nepal. Bowles noted that the year before he had proposed that US foreign aid be denied to any country not making sincere progress at land reform and other internal reforms. He also noted that many diplomats and policymakers strongly disagreed, seeing his proposal as inappropriate internal meddling.In the end, he decided that donor countries must insist upon certain ‘basic reforms’ within recipient countries or else ‘our aid is wasted’. Pressure for reforms should not be dismissed as interference, as he saw it, because development aid would fail without those reforms. To not push for serious reforms would be not just nonsensical but also counterproductive; it would mean ‘wasted’ aid.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109191116/636beebd4b0ad905ca02ef66jpeg.jpg" alt="" width="693" height="847">In the early 1950s, several factors made it easier for Bowles to make these arguments in Nepal. Prominent Nepali Congress leaders like B P Koirala also called for land reform. And it seemed that such efforts would help counter the appeal of Chinese and Soviets calls for resource redistribution. So Bowles wasn't really going far out on a limb.In his 1953 meeting with Tribuvan and his advisers, including some of Nepal's wealthiest men, Bowles pushed hard for land reform. Many American programs in the 1950s, including its flagship program in Chitwan, featured strong land reform programs. In the end, they often failed to deliver much social levelling, but not for lack of trying.American programs in Nepal in the 1950s reflected the reformer hopes of Bowles. <a href="http://archive.nepalitimes.com/article/Nepali-Times-Buzz/how-chitwan-was-opened,4159">Paul Rose</a>, the top US official actually based in Nepal from 1952 to 1958, described U S programs in Nepal as a ‘prescription for revolution’.On 15 December 1960,  Tribhuvan's son Mahendra seized absolute power. For a couple years, the US government continued to push for land reform in Nepal but the push for such reform would not last long. In the early 1960s, people and politics would align in a very different pattern than in the early 1950s.<a href="https://www.nepalitimes.com/here-now/african-americans-in-cold-war-nepal/">Tom Robertson</a>, PhD, is author of  Notes from the Archive: U.S. Ambassador Chester Bowles’s 1953 Letter to King Tribhuvan, about Land Reform and U S Development Programs in Nepal, Studies in Nepali History and Society, December 2020.

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America, Nepal and the Royal Coup

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109181144/636be7ae9c7e80680e087817jpeg.jpg" alt="" width="1500" height="1112"/><figcaption>Charge d' Affaires L. Douglas welcomes BP Koirala to the US Embassy inaguration in 1959.</figcaption></figure>On 15 December 1960 (पुस १) exactly 60 years ago, King Mahendra ordered the jailing of Prime Minister BP Koirala and other political figures, many of whom the Nepali people had put in power 18 months earlier in Nepal's first-ever election.Ending a decade of democratic experimentation, Mahendra decided to rule the country directly. After his death in 1972 his son Birendra took power. Many of today's top political leaders cut their political teeth in years of underground opposition to the monarchy.The U S government at the time noted that Mahendra's coup was accomplished ‘with great secrecy and superb organisation’. After 1960, the US slowly shifted its approach in Nepal, embracing the monarchy and moving away from democratic reform.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109181144/636be7b19c7e80680e087818jpeg.jpg" alt="" width="600" height="719">Ten years earlier, the globalisation of the Cold War had forced the US to pay more attention to South Asia. After China turned Communist in 1949 and war broke out on the Korean peninsula in 1950, Asian nations, particularly those near China, became hot spots for Cold War competition between the Soviet Union and China on one hand, and the US led capitalist democracies on the other.During the 1950s, believing economic progress and expanded political freedoms would inoculate Nepal against communist influence, the U S offered aid programs and supported democratic reforms. As part of this vision, Washington promoted health and agriculture programs but also, in part to counter populist Communist Chinese programs, pushed for economic leveling programs such as land reform.In the late 1950s, the US grew increasingly concerned as China and the Soviet Union expanded activities in Nepal. A November 1960 National Security document warned that Nepal had become ‘a particularly vulnerable target’.But the US believed that Nepal's 1959 election had strengthened the country. Nepal, the National Security document noted, ‘currently enjoys greater internal stability than heretofore, following the introduction of popularly-based parliamentary government’.The US also thought highly of B P Koirala. A 1960 memo explained, ‘Koirala is intelligent, forceful, respected by his party, and popular with his people.’ He was ‘basically pro-Western and anti-Communist’ and didn't underestimate the communist threat, showing ‘grave concern’ about it.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109181144/636be7b39c7e80680e087819jpeg.jpg" alt="" width="465" height="578">The US had a less positive view of Mahendra. He was seen as anti-communist and as a ‘stabilising and unifying force’ but seemed less forceful, and less consequential. An internal memo discounted him as ‘a conscientious man of simple tastes and austere habits … rather naive politically and not particularly forceful as a ruler … awkward socially, and indecisive’. It noted he had advanced some reforms but that ‘he is firmly convinced that a strong monarchy is necessary to insure stability’.The last lines of an April 1960 US memo raised the possibility of a royal takeover in Nepal, saying the king was not ‘irrevocably committed’ to representative government. But it discounted the possibility: ‘Such a drastic step is not anticipated.’A week after the coup, on 20 December, 1960, CIA Director Allen Dulles told the National Security Council that the King's ‘strange coup’ owed to two reasons: Koirala was ‘too progressive’ and had too ‘close relations’ with India. He warned of a more ‘archaic form of government’.US Ambassador Henry Stebbins met with Mahendra on 21 December, 1960 and cabled Washington to say that the King professed a strong belief in democracy, which he claimed he himself had brought to Nepal. He said he dismissed the Koirala government and imprisoned its leaders because they were guilty of corruption and of aiding and abetting Communism. In a letter to US President Dwight Eisenhower a couple days later, he also blamed poor administration.Stebbins did not buy it. He wrote: ‘Mahendra is guided less by the issues of corruption and Communism than by a growing fear that his own personal position and prestige were dwindling and that if he did not act soon, it might be too late." Stebbins thought the coup might yield ‘disastrous’ results.President Eisenhower addressed the Nepal coup at a 11 January 1961 meeting, just 10 days before handing over the office to John F Kennedy. He was reminded of ‘intensive Bloc efforts to detach Nepal from India's sphere of influence’. The choice was to support the Nepali Congress or create some kind of accommodation between the NC and the king. The US chose accommodation, pointing to ‘the inevitable chaos which would be exploited by the Communists … and the Nepali Congress’ presumed inability to establish a viable government’.But this didn't mean giving the king full legitimacy. As a later document put it, for a short time after the coup, the US maintained ‘correct relations’ with Mahendra but didn't openly back him ‘for fear of alienating the exiled NCP (Nepali Congress Party)’.Things began to shift a year later, by early 1962, even before the dramatic events of later that year on the Sino-Indian border. ‘State is considering a new emphasis in our Nepal policy,’ reported a February memo. Department officials ‘now believe the King will probably stay in power despite the recent sharp increase in NCP-sponsored dissident activity’. They showed new concern the King would turn to the Communist bloc. ‘State feels now may be the time to move closer to him, lest he look increasingly to the Bloc for support.’Democratic values seemed less a concern than power politics. ‘Our chief problem is to keep Nepal from becoming too dependent on Bloc aid, especially from Red China, and to preserve her strong economic ties with India. In the past, we’ve tuned our policy to New Delhi’s.’At first, though, coming round to support the King did not mean the abandoning US efforts at democratic reform within Nepal. Instead, the US hoped Mahendra could be the source of reform. Mahendra, it said, ‘is probably making almost as much progress with economic and social reform as the NCP did’. He appeared to embrace land reform as well.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109181144/636be7b59c7e80680e08781ajpeg.jpg" alt="" width="500" height="379">Everything changed in the fall of 1962 when China and India came to blows over disputed Himalayan territory. Catching the Indians flat footed, Chinese incursions spurred a reversal of India's hardline stance toward Mahendra. India abandoned support of Koirala and the Nepali Congress dissidents, and moved to win back Mahendra's favour. The U S lost leverage in Nepal, and land reform lost momentum.Mahendra continued to back भुमी सुधार land reform, but only outwardly. By March 1963, an American Ford Foundation official had noticed a new ‘spirit of complacency’ in Kathmandu on the issue. He wrote: ‘The desire to move ahead with the measures of unquestioned importance for the welfare of Nepal, so evident in September is hard to find now.’A sea change in Nepal politics had occurred. Observers began to see the 1950s as a restoration, not a revolution. The monarchy had returned to full power, not the people. The US, once a strong voice for democracy in Nepal, now supported the king and gave up on programs such as land reform.America's Reform Push in 1950s NepalVisiting Kathmandu in 1953, US Ambassador to India and Nepal Chester Bowles confronted a tricky issue: As an outsider working in a starkly hierarchical society, how much should you work with the existing power structure and how much to push for change?Nepal's land ownership patterns, some of the most unequal in Asia, spurred Bowles to ponder this question. He had come to Nepal to meet with Nepal's King Tribhuvan to discuss land reform. How hard should the U S push?Many foreigners in Nepal do not see the country's harsh hierarchies. Or they see parts, such as class and gender divisions, but miss more unfamiliar caste and ethnic divisions. I still remember my disappointment visiting Dang a few years ago after the end of the Maoist war, and learning that, of the many foreign volunteers working in the district, all of whom lived with local families, not one lived with a Tharu or Dalit family.But Bowles had an unusual background, and the early 1950s were a special moment. He had emerged from a progressive tradition, connected to the Great Depression of the 1930s, that had emphasised structural poverty and social reform. And because of family relations, he possessed a much deeper understanding of America's history of racial discrimination than many white Americans. In the 1950s, he pioneered opportunities <a href="https://www.nepalitimes.com/here-now/african-americans-in-cold-war-nepal/">for African Americans as diplomats</a>, including in Nepal.In February 1953 Bowles <a href="https://archive.nepalitimes.com/article/nation/land-reform-in-cold-war-Nepal,4192">travelled from New Delhi to Kathmandu</a> to meet with Nepali government officials, including King Tribhuvan, to discuss new American development programs for Nepal. In the previous year the US had started mineral surveys, agriculture, and health programs. But most of all Bowles wanted to discuss land reform.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109181144/636be7b79c7e80680e08781bjpeg.jpg" alt="" width="640" height="357"><figcaption> </figcaption></figure>Few Asian countries had starker disparities in land ownership than Nepal. A UN report as far back as 1952 highlighted that fully one-fourth of Nepal's cultivable land was tax-free birta and that the jamindar landlord class held most of the other land. ‘The illiterate peasants,’ the report said, ‘are always exploited by Zamindars and used for state labour.’ Rents ate as much as 50% of each crop.Unequal land distribution seemed to hold Nepal back economically and politically. But it was a tricky issue. How much should Bowles push? Would he alienate powerful Nepalis he hoped to win over to the US side?The early 1950s saw new worlds emerge. In the previous five years, three huge earthquakes had shaken South Asia's political landscape: Indian independence from Great Britain (1947), the Chinese communist party's takeover of China (1949), and war in Korea (1950).<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109181144/636be7b89c7e80680e08781cjpeg.jpg" alt="" width="300" height="422"><figcaption> </figcaption></figure>Both Nepal and the US stood at the crossroads. In Nepal, after the Rana regime that had ruled for a century collapsed in 1950, a new coalition government promised democracy and development.The U S had emerged from World War II Asia's most dominant power. The British departed. War between North and South Korea had intensified Cold War competition between the Soviet Union and its communist allies and the United States and its democratic capitalist allies all over Asia, particularly those, like Nepal, near China's borders. ‘The invasion of Tibet by Chinese Communists,’ Bowles wrote in 1952, ‘has catapulted Nepal into the front line of the cold war.”To bolster Nepal, the U S relied upon India’s security umbrella, but also economic development programs. The US gave taxpayer dollars for health and agriculture programs in Nepal for altruistic reasons, but also for geopolitical gain. But would these programs succeed without more equal access to the single most essential resource in Nepal's rural society: land?On one hand, pushing for land reform could be seen as a kind of internal interference, an overreach that smacked of imperialism. Even if in the name of greater equality, what gave the US the authority to judge right and wrong and to decide the path for change? And didn't the US have its own huge problems of inequality?On the other hand, the US was giving hard-earned resources for programs desperately needed in Nepal. Bowles wanted those programs to be effective. It might be convenient to partner with the castes, classes, and genders that ran Nepal, but wouldn't that just reinforce them? Today, especially in the wake of Acemoglu and Robinson's influential 2012 book Why Nations Fail, ideas of ‘inclusive institutions’ and ‘inclusive development’ have become conventional wisdom among development professionals. Wasn't Bowles simply pursuing an early variant of this?In a candid letter from early 1953, Bowles reflected on exactly this dilemma: how much should an outside country like the US press for internal reforms in Nepal. Bowles noted that the year before he had proposed that US foreign aid be denied to any country not making sincere progress at land reform and other internal reforms. He also noted that many diplomats and policymakers strongly disagreed, seeing his proposal as inappropriate internal meddling.In the end, he decided that donor countries must insist upon certain ‘basic reforms’ within recipient countries or else ‘our aid is wasted’. Pressure for reforms should not be dismissed as interference, as he saw it, because development aid would fail without those reforms. To not push for serious reforms would be not just nonsensical but also counterproductive; it would mean ‘wasted’ aid.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109181144/636be7b99c7e80680e08781djpeg.jpg" alt="" width="693" height="847">In the early 1950s, several factors made it easier for Bowles to make these arguments in Nepal. Prominent Nepali Congress leaders like B P Koirala also called for land reform. And it seemed that such efforts would help counter the appeal of Chinese and Soviets calls for resource redistribution. So Bowles wasn't really going far out on a limb.In his 1953 meeting with Tribuvan and his advisers, including some of Nepal's wealthiest men, Bowles pushed hard for land reform. Many American programs in the 1950s, including its flagship program in Chitwan, featured strong land reform programs. In the end, they often failed to deliver much social levelling, but not for lack of trying.American programs in Nepal in the 1950s reflected the reformer hopes of Bowles. <a href="http://archive.nepalitimes.com/article/Nepali-Times-Buzz/how-chitwan-was-opened,4159">Paul Rose</a>, the top US official actually based in Nepal from 1952 to 1958, described U S programs in Nepal as a ‘prescription for revolution’.On 15 December 1960,  Tribhuvan's son Mahendra seized absolute power. For a couple years, the US government continued to push for land reform in Nepal but the push for such reform would not last long. In the early 1960s, people and politics would align in a very different pattern than in the early 1950s.<a href="https://www.nepalitimes.com/here-now/african-americans-in-cold-war-nepal/">Tom Robertson</a>, PhD, is author of  Notes from the Archive: U.S. Ambassador Chester Bowles’s 1953 Letter to King Tribhuvan, about Land Reform and U S Development Programs in Nepal, Studies in Nepali History and Society, December 2020.

Tom Robertson

On Tuesday, leader of the monarchist RPP once again gathered on Kathmandu’s streets to deliver fiery speeches, but this time there was no arson and looting and no need for riot police to fire live rounds or tear gas.
RPP leaders demanded the release of their members including vice-president Rabindra Mishra and MP Dhawal Shamsher Rana were arrested during the violent <a href="https://nepalitimes.com/news/republicans-and-royalists-on-nepal-s-streets">28 March protests at Tinkune </a>which left two dead. 
They denounced the current leadership of the main parties, demanding the <a href="https://nepalitimes.com/editorial/nepal-party-reincarnating-hindu-monarchy">restitution of Nepal as a Hindu kingdom</a>. They also said the government was responsible for the fatalities on 28 March because it provoked its rally with a tear gas attack even before it started.
It has now been revealed that the police fired at least 100 live rounds from high powered assault rifles at the crowd. Twenty-one of the 120 injured received bullet wounds, and most of them were bystanders and people trying to reach home. 
Tuesday protest on the Ring Road in Balkhu was much more subdued, and comparatively fewer RPP supporters showed up. The arson and vandalism in the previous protest appears to have cost some support for <a href="https://nepalitimes.com/news/the-ghost-of-monarchy-returns-to-haunt-nepal">former king Gyanendra </a>especially for the anointment of medical tycoon and bank defaulter <a href="https://nepalitimes.com/news/street-politics">Durga Prasai </a>as ‘commander’ of the Tinkune rally.
Some monarchists acknowledge Gyanendra’s mistakes when was king 2001-2008, but say he has had a lot of time to reflect on his shortcomings and seems more disciplined and committed. His supporters have tried to build on nostalgia among some Nepalis for<a href="https://nepalitimes.com/news/why-invest-in-nepal"> domestic stability </a>and international respect that <a href="https://nepalitimes.com/here-now/if-birendra-was-alive-nepal-could-still-be-a-monarchy">the monarchy</a> commanded. 
“Nepalis were promised better service delivery, opportunities for the underserved, as well as better, more honest use of state resources, but the <a href="https://archive.nepalitimes.com/news.php?id=16992">people in leadership </a>have not been able to deliver on their commitments,” says RPP leader Prakash Chandra Lohani. “The gap between their rhetoric and reality has widened, the people feel betrayed, and the respect Nepali people had previously had for them has changed to revulsion.” 
Indeed, many commentators have warned the three main parties and their <a href="https://nepalitimes.com/editorial/politics-as-usual">serial prime ministers</a> who have ruled Nepal for much of the past 30 years should address rising public anger with them, and see the writing on the wall.
‘<a href="https://nepalitimes.com/news/nepal-government-changes-again">The UML, NC and Maoists</a> must introspect about their conduct,” warns Gunaraj Luitel, editor of Nagarik, in an op-ed this week. ‘These leaders for life may save themselves from simmering public anger, but they will not be able to save the system. The monarchist wave can only be dispelled when citizens are assured of <a href="https://nepalitimes.com/here-now/nepal-s-local-election-gives-power-back-to-people">better governance</a> through <a href="https://nepalitimes.com/latest/real-world-training-for-youth-leaders">younger leaders</a>, and reforms.’ 
Rifts between radical royals who are gunning for a return to <a href="https://nepalitimes.com/here-now/mob-movement-and-mayhem">Panchayat-style absolutism </a>and moderate monarchists who favour a constitutional king have also weakened the movement somewhat. The split between the RPP and RPP-Nepal cost the royalists numbers in Parliament in 2022, and both parties denounced the violence last month, albeit shifting the blame on the government.
The irony is that the same royalists who want to scrap the republican Constitution had formed electoral alliances with the UML during the 2022 elections. RPP-Nepal chair Kamal Thapa contested the 2022 election with the UML. Thapa has not taken part in the last two rallies, saying he will only be a part of a movement under a national flag, and not a RPP party banner.
For his part, the RPP’s Rajendra Lingden is said to be hesitant to censure some of his party’s more radical royalists for fear of fissure within his ranks, despite his aversion to Durga Prasai’s role. 
Analysts have questioned why <a href="https://nepalitimes.com/news/old-is-still-gold-in-nepali-politics">supporters of the monarchy </a>have decided to reestablish an institution that would not ultimately have executive decision-making power. There are doubts about whether authoritarian-minded Gyanendra will be satisfied being a <a href="https://archive.nepalitimes.com/news.php?id=13957">ceremonial king</a>. 
Read also: <a href="https://nepalitimes.com/news/nepal-s-deja-vu-on-black-friday">Nepal’s déjà vu on Black Friday</a>, Sonia Awale
"The Nepali people will not accept <a href="https://nepalitimes.com/here-now/forgotten-woman-who-sheltered-communist-activists">an absolute monarchy </a>at this point of time, and both the public as well as <a href="https://archive.nepalitimes.com/news.php?id=8371">king Gyanendra</a> are fully aware that there is no other possibility beyond a constitutional monarchy," asserts the RPP’s Lohani. “The traditional monarchy’s institutional capacity might have been enough to meet the needs of feudal Nepal, but an absolute monarchy is impossible both in concept and practice in the context of <a href="https://archive.nepalitimes.com/regular-columns/Economic-Class/waiting-for-an-industrial-revolution,784">modern day Nepal</a>.”

New year revolutions

Besides multiple <a href="https://nepalitimes.com/news/republicans-and-royalists-on-nepal-s-streets">street demonstrations </a>that gridlocked Kathmandu’s traffic for the past weeks, public discourse in Nepal has also been dominated by dangerously <a href="https://nepalitimes.com/here-now/air-pollution-is-more-dangerous-than-smoking">high air pollution levels</a>. Caused mostly by hundreds of <a href="https://nepalitimes.com/news/wildfire-season-starts-early-in-nepal">forest fires </a>raging across the country, the smoke contains suspended soot particles that harms <a href="https://nepalitimes.com/opinion/playing-with-poison">human health</a>. Thursday’s rain have cleared the air somewhat, and many people will soon forget how bad the air quality was. But the time to address the roots of next summer’s fire season is now.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250411060440_d1a119716a9031aadfdd611d299348d436842d376a03e664b8d773957a237524.jpg" data-media-id="editor_4" data-image-id="20250411060440_d1a119716a9031aadfdd611d299348d436842d376a03e664b8d773957a237524" data-rendition-name="original" width="502" height="540" loading="lazy" alt="Wildfires"> <figcaption>EXTINGUISHED: Forest fires raging all over Nepal in the week after 3 March (above) reduced air quality, creating a public health hazard in Kathmandu and across the country. Each red dot is a fire detected by infrared sensors on the NASA Fire Information for Resource Management System (FIRMS) satellite. But the rain on Thursday doused most of the fires (below) with more rain forecast over the weekend.</figcaption> </figure>  The reason everyone was talking about air pollution was because the<a href="https://nepalitimes.com/banner/nepal-is-going-up-in-smoke"> smoke from wildfires</a> was visible. But much more toxic are the invisible and odourless <a href="https://nepalitimes.com/news/nepal-doubles-its-carbon-footprint">gases from vehicular and industrial emissions </a>which have always been there. The theme of World Health Day on 7 April this week was ‘Healthy Beginnings, Hopeful Futures’ dedicated to <a href="https://nepalitimes.com/opinion/comment/saving-more-mothers-and-babies">preventing maternal and newborn deaths</a>. It is estimated that in Nepal, 30% of neonatal mortality can be blamed on air pollution. But that is only part of the story. Harmful as fine particulate matter is to human health, carbon monoxide, nitrogen dioxide, ground-level ozone and other gases in vehicular emissions are more hazardous to health. While the concentration of suspended particulate matter tinier than 1.5 microns (PM2.5) is closely monitored, these toxic gases are invisible, not measured much, and the public is not aware about the dangers they pose. Surface ozone is produced by the interaction of various gases found when <a href="https://nepalitimes.com/news/fossil-fuels-poison-air">burning fossil fuels</a>. Besides being poisonous, ground level ozone contributes up to 0.23°C to <a href="https://nepalitimes.com/here-now/nepal-s-mountains-are-melting">global warming</a> because it is also a greenhouse gas. A new policy brief by the Clean Air Fund titled The Case for Action on Tropospheric Ozone blames surface ozone for a half a million premature deaths every year, 54.8% of which are in South Asia. Ozone also stunts plant growth and reduces crop yields by 26% globally, and 11% loss in <a href="https://nepalitimes.com/news/economic-benefits-of-saving-the-ecology">forest productivity</a>, the report adds.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250411060456_aa02a923f8b27544ae54d0220162678f5bbb5eeb8fc3c466173c22c49b3e9a85.jpg" data-media-id="editor_11" data-image-id="20250411060456_aa02a923f8b27544ae54d0220162678f5bbb5eeb8fc3c466173c22c49b3e9a85" data-rendition-name="original" width="998" height="724" loading="lazy" alt="Gas Chambers"> </figure>  Read also: <a href="https://nepalitimes.com/here-now/bad-air-and-polluted-politics">Bad air and polluted politics</a>, Sonia Awale Ground-level ozone is not emitted directly into the air like other gases, but is formed when oxides of nitrogen (NOx), carbon monoxide (CO) and volatile organic compounds (VOCs) released from automobile tailpipes or industry smokestacks react chemically with each other in the presence of sunlight. The main source of carbon monoxide in Kathmandu Valley are its 1.2 million two-wheelers. “Usually the concentration of carbon monoxide is 200-500 parts per billion (ppb), this has increased up to 3,000 in Kathmandu. Meanwhile, ground-level ozone has gone from 70-80 ppb to 150 ppb,” says Ravi Sahu, regional air quality specialist with the Kathmandu-based International Centre for Integrated Mountain Development (ICIMOD).&nbsp; Sahu says <a href="https://nepalitimes.com/news/no-smoke-without-fire-p7vb9dcj">rampant forest fires of the past weeks</a> have also added to carbon monoxide and ozone in the air, not just the fine particles that make up the visible smoke. He adds, “There isn’t much awareness about <a href="https://nepalitimes.com/banner/poisoning-the-air-we-breathe">ground-level ozone and carbon monoxide</a>, we need to urgently look into it.” A distinction must be made between good and bad ozone. Stratospheric ozone protects living beings from harmful ultraviolet (UV) radiation from the sun.&nbsp; Tropospheric ozone can again be separated into two types: ozone in the free atmosphere which is a greenhouse gas much more potent than carbon dioxide, and ground-level ozone which has adverse impacts on health and agriculture. ‘Cutting tropospheric ozone presents a unique challenge as it requires smart and fast action across multiple greenhouse gases and air pollutants, as well as multiple economic sectors,’ notes the Clean Air Fund's policy briefing. ‘It is a growing and neglected problem that needs an integrated approach on both a local and global level to tackle climate change and air pollution together.’ Dying young There was a time when Nepal made it to international news bulletins only if there were fatalities on Mt Everest. Now, Kathmandu’s bad air frequently makes headlines all over the world. This past week, the concentration of PM2.5 that harms human health was up to 40 times the WHO recommended guideline — adding to the poisonous gases already present from vehicle emissions. The Department of Environment says 40% of the pollution in the past weeks was from wildfires sparked by nearly 6 months without substantial rain over central Nepal. Most of the rest is from vehicular and industrial emissions from Kathmandu itself and across the southern border. NASA’s Fire Information and Resource Management System (FIRMS) which issues daily maps of fires, showed hundreds of blazes raging across Nepal on Wednesday, mainly in Chitwan, Parsa and along the East-West Highway.&nbsp; “If we look at the figures for the last few years, it is clear that wildfires have become the biggest source of air pollution, they are seasonal but have overtaken vehicular emissions,” says urban planner and environmentalist Bhushan Tuladhar. “Forest fires, stubble burning, and open burning of garbage are the bigger problems now. Nepal, India, Bangladesh, and Pakistan are at risk every year, we shouldn’t further delay in finding solutions,” warned air quality expert Bhupendra Das during an event on air pollution organised on 7 March by the Nepal Forum of Environmental Journalists (NEFEJ).&nbsp; Indeed, studies have shown that in winter 60% of the air pollution over Kathmandu is transboundary from the south, and in November it is compounded by smoke from crop residue burning by farmers in India and Pakistan blown in by prevailing winds. Forest fires are a regular pre-monsoon occurrence in Nepal, often intentionally set by farmers and herders to stimulate new grass growth for livestock. Winter rains have failed for eight of the past ten years, and this means the fires often spread out of control. The other reason for the increase in wildfires is the doubling of forest fires to 46% of the country’s area in the past 25 years. But this has happened simultaneously with outmigration, with some mountain districts losing 30% of their population between 2011-2021. With less pressure on forests for fodder and firewood, the undergrowth of community forests is loaded with dry fuel just waiting for a spark. The bowl-shaped topography of Kathmandu, Pokhara and other valleys further concentrates pollutants as they are trapped by surrounding mountains. But a year with a high number of wildfires is usually followed by a year or two with fewer incidents. For example: there were 6,537 fires in 2021 but the following year the number was down to 1,528. There were 5,216 fires last year, this year the number has already reached 1,800, and the trend is likely to be broken. Heavy rains forecast for the coming days are expected to douse some of the fires and clean up the air. But the damage has been done: Kathmandu residents of all age groups this week crowded clinics and hospitals with burning eyes, itchy throats, difficulty breathing, headaches, and dizziness. But in the longer term, soot particles that are tiny enough to jump the blood-air divide in lung capillaries do not just cause Chronic Obstructive Pulmonary Disease (COPD), asthma, but also cancers, heart attacks, strokes, birth defects and other chronic diseases. The latest Air Quality Life Index (AQLI) report by the University of Chicago shows that the annual concentration of PM2.5 in Kathmandu’s air rose from 17.87µg/m3 in 1998 to 31.33µg/m3 in 2022. Air pollution has got worse by 75% in Kathmandu in 25 years. During this time, air pollution has reduced the average life expectancy of Kathmandu’s residents by 3.5 years. According to the Health Effects Institute in Boston, dirty air is among the biggest public health concerns in Nepal killing over 42,100 a year. The adverse impact of high levels of air pollution is not limited to public health, it is seriously affecting tourism. Operators in Pokhara this week said that there were many negative online posts by visitors unable to see the famous panorama of Machapuchre and the Annapurnas even from Sarangkot. Aviation is also affected, as planes have to circle sometimes for hours burning a lot of fuel because of runway visibility being below minima at Kathmandu airport. The higher fuel cost is just passed down to customers, making air tickets in and out of Kathmandu some of the highest in the world. Kathmandu, with a population of four million, has not implemented a concrete policy to curb toxic air despite having formulated various action plans and repeated commitments by the government to protect the environment and control air pollution. The Department of Environment’s 2017 Air Quality Management Action Plan for Kathmandu put forward a policy to reduce air pollution caused by vehicles which was approved by the Cabinet, but has yet to be put to practice. The action included the immediate implementation of the Euro 5 emission standard to reduce pollution emitted by vehicles. However, Nepal has not even been able to implement Euro 4 standards so far. India, meanwhile, has already moved forward with the implementation of the Euro 6 standards. Says Ravi Sahu: “Air pollution in Nepal is not just about air pollution, it has ties to tourism, aviation, the economy so we must be prepared for annual conditions like forest fires, and this requires urgent interdisciplinary collaboration.” &nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250411050452_821d09e283d8a590f1369bfb71b9b7fc6d950726e0651ea86c6488d04deb1742.jpg" data-media-id="editor_15" data-image-id="20250411050452_821d09e283d8a590f1369bfb71b9b7fc6d950726e0651ea86c6488d04deb1742" data-rendition-name="original" width="839" height="784" loading="lazy" alt="Silent Killers"> </figure>  &nbsp;

What is invisible is more dangerous

82 in २०८२

Here in the mountains of far-western Nepal, the biggest threat to life and limb is gravity. Women collecting fodder fall from trees, boys grazing goats fall off cliffs, heavily loaded tractors plunge from dirt roads carved out of steep slopes. There is nothing to be done about those who die on the spot. But for the severely wounded there is only one hospital: Bayalpata. And it is there that <a href="https://www.youtube.com/watch?v=CJzWlnYd0ZM&amp;t=8s" target="_blank">orthopaedic surgeon Mandeep Pathak</a> is the last hope for many wounded people. Pathak, 42, is too modest to tell us how many lives he has saved over the past 10 years he has worked at Bayalpata. But hospital records show he has performed more than 4,000 operations in the past decade, many of them so patients did not suffer permanent physical disabilities. Pathak also did 800 major life-saving surgeries in that time. “I treat patients with injuries, but I wish I could also treat poverty,” Pathak says, emerging from Bayalpata’s surgical theatre one recent afternoon. <div class="embed-block"><iframe width="700" height="415" src="https://www.youtube.com/embed/CJzWlnYd0ZM?si=s_rkbU4YDaw87gqH" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen></iframe></div> Sudurpaschim Province in Nepal’s far-west is far away from everything: from Kathmandu, from adequate medical care, from food security, and far from the reach of government services. It has suffered state neglect for centuries, its men mainly migrating to India for seasonal work to families who depend on subsistence agriculture. Pathak remembers the searing sadness he felt when a patient once told him, “Doctor, I sold the last of my rice to pay to come here, please give me a medicine that I can take on an empty stomach.” Pathak was born in Kathmandu, and after getting his MBBS from Kathmandu University, he got an MD from The Philippines. At a time when many Nepali doctors and staff nurses were emigrating, Pathak did not just return to Kathmandu but decided to go to one of the remotest districts in Nepal to serve those most in need. The hospital was established in 2009 in the village of Bayalpata, and has been managed by the non-profit <a href="https://www.nyayahealthnepal.org/" target="_blank">Nyaya Health Nepal (NHN)</a> as a public-private partnership treating 100,000 patients a year for no fees at all. NHN is now preparing to hand over the running of the hospital to the Sudurpaschim provincial government so its <a href="https://nepalitimes.com/banner/this-is-how-to-upgrade-nepals-rural-health" target="_blank">model of hospital management</a> can be replicated.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250414130456_b59dabd4604a24426a55fe91c0e5866b5029858bdb4c4028c331557aeb5408ae.jpg" data-media-id="editor_4" data-image-id="20250414130456_b59dabd4604a24426a55fe91c0e5866b5029858bdb4c4028c331557aeb5408ae" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Bayalpata hospital"> <figcaption>Bayalpata hospital in Achham.</figcaption> </figure>  People from not just Achham but surrounding districts, and from as far away as Humla, bring patients to Bayalpata, sometimes walking for days. Some with complicated pregnancies are brought in stretchers, young children with broken arms walk into the emergency, and sometimes there are mass casualties when a tractor or bus falls off a road. And Pathak is always there with his team performing triage, and doing orthopaedic surgeries that would be difficult even in Kathmandu. Recently, his team did a hip replacement at <a href="https://nepalitimes.com/banner/state-of-the-art-rural-hospital" target="_blank">Bayalpata Hospital</a>. Mild mannered, modest, soft-spoken, hard-working, professional are the words families of patients who have been treated at <a href="https://nepalitimes.com/here-now/nepal-s-rural-lifeline" target="_blank">Bayalpata Hospital </a>use to describe Mandeep Pathak. But the surgeon is too busy to let all this get to this head.&nbsp; Asked why he does not emigrate like his peers or get a lucrative position at a private hospital in Kathmandu, Pathak answers simply, without a trace of self-importance, “I do not think I could get the satisfaction or sense of fulfilment anywhere else.” When travelling to attend medical congresses overseas or visit family in Kathmandu, Bayalpata has other doctors to take care of patients, but many wait patiently till Pathak returns for their consultation or surgery.&nbsp; When he returns from seminars abroad after learning the latest skills, Pathak’s suitcases are not full of clothes or presents, but titanium bone implants, external fixation rods, or intramedullary nails to be used in <a href="https://nepalitimes.com/news/altruistic-healthcare-models-in-nepal" target="_blank">surgeries at Bayalpata</a>.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025041414040_5356278472c1eb2b9e4af1d593d6234cc8dc5e5161a8c614197c01abefadbd80.jpg" data-media-id="editor_8" data-image-id="2025041414040_5356278472c1eb2b9e4af1d593d6234cc8dc5e5161a8c614197c01abefadbd80" data-rendition-name="original" width="2048" height="1368" loading="lazy" alt="surgery"> </figure>  Before Bayalpata Hospital was established, most people suffering broken bones had to travel down to Dhangadi or Nepalganj for treatment. No more. Although Pathak’s specialisation is orthopaedic oncology, he is mostly treating fractures and rejoining broken bones.&nbsp; Now as Bayalpata’s Hospital Director, Pathak also has administrative and fundraising duties. He has to take the 10-hour ride down to Dhangadi often to meet various Sudurpaschim ministries to release the hospital’s budget — that is sometimes more difficult than the most complicated surgery. Recently, he had to cancel an appointment with the Chief Minister to rush back to Bayalpata because there was a patient who needed emergency surgery. “I told myself, let me save this patient first, then I will try to save the hospital,” he recalls.&nbsp; Once, when he had to be away for a month on emergency surgery training in the US, the family of a 90-year-old woman who had dislocated her hip after falling from a staircase was waiting for him to return. Her son told Pathak: “Doctor, either put her out of her suffering, or cure her.” Pathak told him it was too dangerous to operate at her age, but the son said his mother was in so much pain it was worth the risk. The operation was touch-and-go, but it was successful. The woman who had been brought in on a stretcher, walked out of the hospital three days after the operation.&nbsp; A few months later, a 27-year-old woman was brought into the ER bleeding profusely from an arm mangled by a thresher machine. Even in that state, she was breastfeeding her baby. Pathak welled up seeing this display of selfless motherhood, as he wheeled her into surgery. She needed three operations, but now has full use of her hand. <div class="embed-block"><iframe width="700" height="415" src="https://www.youtube.com/embed/xJdxLD0hBqo?si=mOpM2R_DsYL88Lfg" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen></iframe></div> It is the sense of achievement from such recovery that keeps Mandeep Pathak here in this isolated village in the middle of nowhere. Bayalpata Hospital has not just saved lives, it also saves families from poverty because they do not have to take sick relatives to expensive city hospitals.&nbsp; In January, a woman was brought to Bayalpata with both hands broken. She said she had taken a fall, but Pathak did not believe her. When alone in the surgery, she finally admitted that her husband had beaten her.&nbsp; It was her husband who had brought her to hospital for treatment, but she refused to file a police report. Pathak quietly put both her arms in casts, thinking about the poverty, patriarchy and injustice in society that he is unable to treat.

cia

America, Nepal and the Royal Coup

America, Nepal and the Royal Coup

New year revolutions

What is invisible is more dangerous

82 in २०८२

The healer of far-western Nepal