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Yad Sarah: A Free Loan Empire

A look at the volunteer organization that revolutionized the health services of modern Israel

a chapter from Reb Yaakov and Varda Branfman's new book
The Hidden World: Challenge, Adventure, and Pleasure in Giving
published by the Kest-Lebowitz Jewish Heritage and Roots Library, Jerusalem, 1999
reprinted here with permission of the author and publisher

Like most people in Jerusalem, we were familiar with Yad Sarah and had borrowed items such as crutches and a vaporizer in past years. But we didn’t realize the extent of Yad Sarah’s services until our elderly mother became seriously ill. When she became bedridden, we were faced with the choice of either a nursing home or keeping her at home with some outside help.

Even though our mother’s wishes were to remain at home, there would have been no choice if it had not been for Yad Sarah. How could we obtain the expensive equipment that helped to maintain her at home - the hospital bed, air mattress, intravenous feeding equipment, etc.? When we turned to Yad Sarah, they even gave us the option of borrowing a motorized chaise lounge to help her sit up when not in her bed.

Now she could spend this precious time at home with us despite the protests of doctors and nurses who said that it couldn’t be done. There are many scientific studies that show how reliable home-care is preferable to hospitalization for the patient’s well being and state of mind, but without a free loan service like Yad Sarah, such an option would only be theoretical.

Yad Sarah is perhaps the biggest free loan service in the world. It loans out 350,000 pieces of medical equipment a year and has six thousand people registered as volunteer workers. These numbers are growing daily as Yad Sarah continually adds to its seventy-five branches all over Israel.

Almost everyone in Jerusalem is introduced to Yad Sarah at some point in their daily lives, whether they need an electric nursing pump for a nursing mother, a vaporizer, crutches for a broken leg, or transport for an elderly parent in a specially equipped van. It seems that nearly every wheelchair that one sees has the now familiar Yad Sarah logo painted on its side.

At their office in downtown Jerusalem, we were amazed to learn about the range of services that Yad Sarah offers. In addition to their free loaning of medical equipment, they install emergency beepers in the homes of the elderly, run laundry services for the incontinent who are being cared for at home, operate day-care centers for the handicapped, and even teach the home-bound how to operate a computer and care for their plants.

Delegations have been coming from foreign countries to study how Yad Sarah works and to see if it can be duplicated. The Federal Employment and Guidance Center in New York has formed a partnership with Yad Sarah to establish a similar organization in the United States. It’s hard to believe that this empire of free loaning was started by one man who needed the use of an electric inhalator for his child.

Uri Lupolianski was that man, and his home-based free loan began over twenty years ago when he started lending out the inhalator as soon as he no longer needed it. It had been difficult to purchase on his salary as a mathematics teacher, but he had no choice, and he wanted to help other people who might find themselves in a similar bind.

When people saw that he was loaning out equipment, he began to receive donations of other medical items that he kept stored in his house. The free loaning operation moved to a small storeroom in his building when it outgrew his apartment, and eventually he received the use of a wooden shed on the grounds of the Bikur Cholim Hospital.

Uri had to expand his free loan operation constantly to meet the need for wheelchairs, hospital beds, and other home care items. The Israel Railways donated an old railway car to house some of the equipment, and other storerooms were found in various locations around Jerusalem. His organization got a big boost when Uri’s father gave him the money he received from Germany for reparations in the war. Uri’s grandmother Sarah had perished in the Holocaust, and that’s why Uri named his free loan Yad Sarah.

The growth of Yad Sarah and its tremendous success have been breathtaking. The list of Yad Sarah’s services is constantly growing as new and innovative ideas are put into practice by its staff that is largely volunteer. Even their accountants and lawyers are volunteers. The wheelchairs and other medical equipment are maintained and repaired by volunteers. Yad Sarah helps so many people that they want to find ways to help in return.

Yad Sarah’s budget of nearly seven million dollars is entirely raised by contributions. The organization saves the Israeli economy around two hundred and fifty million dollars a year in hospitalization and long-term care costs. What started as a one-man free loan service has generated a revolution in home care.

When our mother needed to be temporarily admitted to the hospital for certain medical procedures that could not be done at home, Yad Sarah transported her in a specially equipped van, and it was Yad Sarah that brought her home. The young volunteer who drove the van and accompanied her to the hospital room was extremely attentive, seeing that her comfort and safety were at a maximum.

Another volunteer whom we were never privileged to meet had a significant impact on our decision to keep our mother at home. During our phone conversations, she shared with us her valuable experience with the situation we were facing, and she gave us the encouragement that we needed in order to feel confident that we had made the right decision.

In speaking to her, we had the feeling that it was not just a matter of “our” mother’s comfort and well being. It was as if this woman on the other end of the phone, Shoshi, was also a member of our family.

One delegation that studied Yad Sarah arrived at the conclusion that such a gigantic volunteer organization could only work in a place like Jerusalem, which is like one big extended family. Normally, cities as big as Jerusalem tend towards anonymity, and it is not unusual when residents of the same apartment building hardly know each other.

Jerusalem is an exception. Here, a person’s needs are not just his own private affair, but they become the concern of everyone in his orbit. The suffering of one individual is felt by everyone; that’s how Yad Sarah got started, and that’s why it has had such a tremendous impact. It has to do with hearts that are open and can still feel how someone else hurts. Yad Sarah’s phenomenal success might stem from the nature of its home base - Jerusalem - which is more heart than city.

©2000 Darche Noam