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Tariq Noman and his son Anas, 20, work in an improvised field hospital set up on the grounds of a mosque in Sana'a, Yemen
Monday, Oct. 10, 2011

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Like many doctors, Tariq Noman dreads the day he sees one of his own sons brought in on a stretcher. These days, that possibility looms large. Eight months ago, Noman left his comfortable post as chief cardiac surgeon at Sana'a's government-run hospital to establish a field hospital at Change Square, the locus of antigovernment protests in Yemen's capital. And while one of his older sons works alongside him, tending to the victims of violent government crackdowns, his youngest, 16-year-old Ahmed, is out on the front lines, leading a peaceful protest that is frequently met with bullets, baton brigades, mortars and even rocket-propelled grenades (RPGs). "Every time I hear news of a clash, I hold my breath," Noman says while making the rounds of his ad hoc hospital, a converted mosque where gurneys and IV drips share space with illuminated Korans and rolled-up prayer rugs. He holds an X-ray up to the light filtering through a stained-glass window, pointing out the ghostly white image of a bullet buried in the flesh of a protester hit by sniper fire. "In the end, I know that my son is no different than this man," he says. "It's difficult, but we should be ready to sacrifice with the rest of the nation if we really want to see change."

Yemen, an impoverished nation on the southwestern edge of the Arabian peninsula, has been embroiled for eight months in a violent standoff that pits the 33-year regime of President Ali Abdullah Saleh and his family against thousands of peaceful protesters like the Nomans and the new Nobel Peace Prize laureate Tawakul Karman, who are calling for real democracy, an end to corruption and better opportunities. The young revolutionaries are backed by a coalition of opposition political parties, tribal clans and a military wing led by a onetime Saleh ally who defected with his troops in March. Noman, who has nothing to do with the clans or politics, says the fight is about the future of the country. "I want for my family a Yemen where merit and education lead the way. Saleh wants a kingdom."

At stake is a nation teetering on the edge of collapse, wracked by separatist rebellions and home to al-Qaeda's most active franchise, one that has demonstrated both the intention and the ability to attack the U.S. As revolutions in Tunisia, Egypt and Libya have successfully toppled those countries' dictators, Saleh has stubbornly held on to power and used increasingly brutal tactics, even as he promises to make concessions to his opponents. Before the protests started, Saleh appeared to be grooming his son Ahmed to take over. He has since renounced that plan, but Ahmed remains the head of Yemen's special forces, the elite Revolutionary Guards. Saleh's nephews and a half brother dominate Yemen's security apparatus, holding top posts in counterterrorism, intelligence, the police and the air force. It's not antidemocratic, says Yahya Saleh, head of general security and President Saleh's nephew, but cultural. "In the Middle East, family relations and tribal relations are playing a part [in politics]," he says. "The President is putting his trust in the right place. This is why the system is standing."

With friends and relatives dominating state-run enterprises, including the government-owned media, such a concentration of power and wealth in the hands of a small elite virtually guarantees that elections are a farce, say opposition members. It also means that even if Saleh were to step down in exchange for immunity, as suggested in a compromise agreement backed by the U.N., his family could still control the levers of power. Saleh, who recently returned to Yemen after four months in Saudi Arabia, where he received medical treatment for wounds sustained in an attempted assassination, has so far refused to implement the agreement, even though he has thrice promised he would. In a recent interview with TIME and the Washington Post, he suggested that he was still waiting for the opposition to concede to his conditions. Many in Yemen speculate that one of the holdups might be the opposition's insistence that members of Saleh's family be removed from their positions as well. The delay in reaching a deal takes Yemenis closer to the precipice of full-blown conflict every day. "We don't wish for civil war," says Yahya Saleh. "They are expanding in the streets. Should we withdraw till they take the capital? Or do we stop them?"

The level of violence is rising in Sana'a and beyond. Tribal militants and the defected army division backing the protestors have attacked pro-government forces around the capital. And Noman, a high-profile doctor who has been vocal with his distaste for the regime, has received numerous threats on his life. Ironically, he and his sons are safe in Change Square, where government forces don't dare enter. But his wife and daughters, who contribute to the movement by cooking some 800 meals a day for hungry protesters, stay at home. "I am worried that if Saleh's guys can't get me, they may go after my wife," says Noman.

Saleh has long sought to characterize his political opposition, which is linked to an Islamist party called Islah, as aligned with the al-Qaeda forces seeking to destabilize Yemen. Islah models itself on the Egyptian Muslim Brotherhood, and opponents of the Yemeni group often call it the Brotherhood. In his interview, Saleh said international pressure to accede to the compromise was tantamount to handing power "to al-Qaeda, which is directly and completely linked to the Muslim Brotherhood." It's a familiar scare tactic for Middle Eastern dictators seeking support for their regimes, but most Yemenis, even liberals like Noman, vociferously deny that Islah is a front for al-Qaeda. "Al-Qaeda is good business for Saleh," Noman says. "The U.S. trains his military to fight al-Qaeda and they send him money and weapons. And then he supports al-Qaeda so that the U.S. keeps sending more money and weapons. It's blackmail."

Saleh said he is firmly committed to combatting al-Qaeda, but the protests have distracted his government's attention from the growing threat. Even though al-Qaeda suffered a significant blow when missiles from a U.S. Predator drone killed the group's prominent propagandist Anwar al-Awlaki, a Yemeni American living in Yemen's ungoverned tribal areas, the terrorism organization's Yemeni affiliate is still strong. Just a few days prior to the attack, another al-Qaeda-linked group that had taken over a major southern town chopped off the hands of two men charged with stealing. If Saleh were truly concerned about the al-Qaeda threat, argues Noman, he would send troops to the south of the country instead of deploying them to battle peaceful protesters in Change Square and in other demonstrations throughout the country.

On Sept. 18, Noman's makeshift hospital at the square was a scene of unprecedented carnage. On that day protesters surged beyond their usual boundaries, provoking a pro-government military barrage of machine-gun fire, sniper bullets and RPGs. At least 56 people were killed in the deadliest crackdown the protest had seen; in the ensuing week, scores more bodies flooded the hospital, victims of ongoing urban fighting that ended only with Saleh's return on the 23rd. More recently, the days have been marked by a wary calm as the opposing sides watch the course of Gulf Cooperation Council–brokered negotiations between opposition leaders and Saleh. In case the violence flares again, volunteer doctors and medical students have prepared trolleys of new IV drips, bandages, sterilized scalpels and sutures. The floors have been freshly swabbed and reek of harsh disinfectants.

Noman's 20-year-old son Anas tends to patients wounded in early conflagrations, changing bandages and checking stitches. With his carefully sculpted goatee, jeans and Kangol cap, he looks like he would be more at home with the revolutionaries composing antiregime hip-hop than in the clinic. But the fourth-year medical student says the revolution needs doctors just as much as it needs slogans. Having worked at his father's side during operations for the past three years, he is no stranger to blood and gore. Still, the extent of the violence has taken its toll. He is haunted by the memory of a life he didn't save: a TV cameraman who had been shot in the head. As a doctor, he finds quiet days a relief. But as a revolutionary, he admits that he is conflicted. "The youth are not happy when the protests are quiet," he says. "It means that the revolution will go more slowly. When we see dead people, we feel that the whole world will support us."

The Saleh regime accuses its tribal and military opponents of exploiting the protesters' willingness to martyr themselves. "They push [the protesters] to be killed. They push them into a situation where they know that they will be killed so they can sell the blood to the media," Yahya Saleh says. He maintains that neither his security forces nor the Republican Guard are responsible for any of the deaths, a statement directly contravened by eyewitness reports and human-rights monitors.

That said, the revolution has attracted some pretty odious backers. For decades, General Ali Mohsen al-Ahmar, who defected with his army division in support of the protest movement, was President Saleh's principal enforcer. A U.S. embassy cable leaked by WikiLeaks before his defection describes him as the "second most powerful man in Yemen" and a closet Islamist with ties to terrorists, extremists, arms dealers and smugglers. Were he to become President, he "would be unwelcome to the U.S. and others in the international community." Hamid al-Ahmar and his brother Sadiq, head of one of Yemen's most powerful tribes, were important Saleh allies as well (both Saleh and Mohsen belong to the Ahmar tribe) and are infamous for their rapacious corruption. They too are now on the side of the opposition. The protesters say the support of these powerful men is too valuable to turn down. "General Mohsen was the right-hand man of Saleh, so it meant a lot when he joined us," says Anas Noman. "He sacrificed for us. If we find out afterward that he is corrupt, we will put him in jail. But for the moment, we appreciate support from wherever it comes." The opposition may indeed include opportunists who have historically shown no more interest in democracy than Saleh, but accusations that the revolution has been hijacked deflect attention away from the fact that the revolution started as a national, popular uprising against the regime. Elsewhere in the country, far removed from the protection of the al-Ahmars and Mohsen's troops, demonstrators are taking on the regime in their own peaceful protests. And the government crackdown has been just as hard as it is in Sana'a.

In a daily ritual that has come to define Yemen's popular uprising, young men line up by the thousands behind an imaginary starting line at the edge of Change Square. They link arms and chant for the fall of the regime, and then, at some inaudible signal, they charge, armed with little more than ceremonial daggers and sun-shielding umbrellas, down the road toward the armed government soldiers standing at the street that marks the limits of permissible protest. Most of the time, the group veers away at the last minute, a taunting demonstration of defiance. But every once in a while a signal is given, the routine breaks and the young men surge over the invisible red line and into mortal danger. It is on days like that that Tariq Noman holds his breath. Ahmed, his youngest son, makes it a point to be out front. Unlike his father or his brothers, who have other skills to dedicate to the revolution, he has only his thin, adolescent body. "I want to be a martyr," he says. "If this is the price of dignity for our nation, then I am willing to pay it."

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  • Aryn Baker / Sana'a
  • The troubles of the country can be told through three families: the President's, the al-Ahmar tribe and the day-to-day trials of a doctor and his sons
Photo: Yuri Kozyrev / NOOR for TIME