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WHY ARE DOCTORS LOSING THEIR RESPECT?

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SOUTH ASIA

By Dr Shershah Syed

(Illustration by Samiah Bilal)

Doctors and patients have a life-long relationship. People need doctors when they become sick. Doctors treat them till they get better or they die, depending on the severity of the illness, complications of their ailment, or in the case of failure of treatment and intervention. In the majority of cases, patients and their families are always thankful to doctors and their medical teams.

The medical profession enjoys this unique relationship where you get paid for services and at the same time are treated like a god or goddess. After treatment, patients often like to have a long-term relationship with doctors and expect that their doctor would join them on their happy or tragic occasions. Hence, doctors and family physicians, in particular, enjoy a special and respectable status in the community. I know many doctors whose names are very popular in the community and many of their patients have named their children after these doctors.

Despite the need and necessity of doctors in the community, there have been some situations where the general public has been not too pleased with those in the medical profession, particularly doctors. These are situations when we come across news of doctors being verbally abused, becoming victims of violence, and their clinics being attacked and doctors even being tortured and killed by patients or patients’ families.

Unfortunately, during the current Covid-19 crisis, this type of situation seems to be getting worse. Patients and the public seem to have lost their traditional confidence and trust in doctors. Rumours are rife that doctors are killing patients, wrongly diagnosing Covid-19 and even selling human organs to make money.

However, this kind of a situation doesn’t happen overnight. Doctors have lost their respect and status in the community because of their own actions and deeds. They have chosen to and worked hard to destroy the respect of their profession, and their esteem, in the hearts and mind of people.

With a rise in the number of reported incidences of medical practitioners being abused and physically attacked by patients and their families, it is time for, doctors to look inward.

It happened gradually and steadily when doctors became more interested in wealth, power and fame. To achieve these goals, they compromised their professional duties, and, perhaps, did not act with sympathy and empathy when it was required of them to do so.

Some doctors became involved in taking commissions, a practice in which a doctor expects a commission after referring a patient to a surgeon or physician. There are surgeons and physicians who charge hefty fees from patients in a country where almost 50 percent of the people are living below the poverty line. Doctors also demand commission from medical stores, pathology laboratories and diagnostic centres, particularly those with CT scan and MRI facilities. That doctors stoop that low to make money is neither acceptable nor permissible.

The moral and ethical integrity of physicians has deteriorated in the last few decades. In medical colleges, professor, who work as part-time faculty, hardly have time to teach and train medical students as they are extremely busy in their private practice. Among their patients and paramedics in hospitals, they are known as butchers — for extorting high medical fees for consultations and surgeries.

We are producing technician-dependent surgeons and physicians who are guided by pharmaceutical-industry representatives who are partners in medical crime. There are enough examples of physicians who prescribe multiple types of antibiotics with different kind of vitamins and painkillers to patients. It would be very embarrassing for the profession to reproduce these prescriptions here. These prescriptions of multiple drug therapy have no scientific basis, nor pharmacological justification, and doctors, who make such prescription are nothing but glorified quacks with postgraduate diplomas and appointments as faculty members at public or private medical colleges. They are only prescribing unnecessary medicines for the benefit of some unethical pharmaceutical corporate agendas.

In a system where people think that the more medicine a doctor prescribes, the better he is, the ignorance and illiteracy of the public remains a blessing for this kind of clinical practice. In fact, this is worse than quackery, as quacks at least are not expensive and they spend time to talk to patients kindly and answer every query patiently, whereas these doctors have no time for patients’ questions.

In many hospitals, renowned surgeons cannot operate as they have no skills and neither do they know how to deal with complications in surgical procedures. Behind the flashy glass walls of the operation theatre, they have experienced operation-theatre technicians in their team to perform surgeries on their behalf. At some stage, when patients learn about this, they lose their confidence and trust for these surgeons and hospitals, and it is definitely a violation of trust.

Many doctors own hospitals built on amenity plots given by the government on extremely cheap rates. The majority of these hospitals are ruthless business centres, charging enormous amounts of fees and providing substandard services. Often, patients and their relatives are lied to and no internal audit system exists, simply so that unethical medical practices can be easily and smoothly carried out.

In the past few decades, many private hospital owners have established medical colleges without fulfilling the basic criteria of the Pakistan Medical and Dental Council (PMDC) and, hence, these medical colleges are producing doctors who are good for nothing. These doctors are glorified MBBS quacks, with minimal knowledge and skills. They have no ethical considerations and hence believe it is their right to make money because they have themselves paid enormous tuition fees to study at these medical colleges.

A large number of doctors do not hesitate to travel and stay in five-star hotels at the expense of pharmaceutical companies. Many pharmaceutical companies bribe doctors, on a personal basis to boost the sales of their medicine. Unfortunately, people are unable to differentiate between good, ethical doctors and bad, unethical and criminal, medical practitioners.

Many MBBS doctors have joined the civil services, politics and the electronic media as TV anchors. It’s very unfortunate that ‘qualified’ MBBS doctors are serving as members of the bureaucracy in ministries of industry, agriculture, excise, taxation, police, etc. They use the title of doctor with their name. The majority of them conduct themselves in the same manner as the average, traditional, unhelpful government official.

No doctor who has gone into politics has created a good impression by being caring of humanity. They behave in the same fashion as other politicians in the country, who serve their political masters and work against the interests of the masses. They get involved in corruption as do their non-medical counterparts. The education and training in medical colleges has failed to make them good doctors or good people, and neither has the hospital environment inculcated empathy in them. When they studied in medical colleges and worked in government hospitals, they must have had first-hand experience of the common man’s misery and the degradation of poor people. But when they decide to become politicians, they acquire attributes of lying, misconduct, nepotism, incompetence as well as a bad reputation, despite the title of doctor prefixed to their names.

As television anchors, these doctors fail to produce shows with substance. Instead they often promote ignorance, intolerance, religious fanaticism and non-scientific thinking. In media, they have the opportunity to help unfortunate patients needing a voice for their cause, but they fail to highlight the plight of dying pregnant women, the misery of poor diabetic patients who have no place in our healthcare system, or of the masses with chronic diseases who are exploited by qualified doctors and quacks. These doctor-anchors also become a part of the corrupt system of exploitation.

Recently, a doctor became a victim of the callousness of her fellow doctors. A female physician in Hyderabad died in her third pregnancy because of the failure of her obstetrician and an unhelpful healthcare system. Another competent general surgeon in Lahore died because of the callous attitude of surgeons.

Meanwhile, hundreds of doctors and health workers, on duty to save the lives of Covid-19 patients, are dying by getting infected in hospitals, but their services are not recognised.

The medical profession should review the practice of medicine and the unethical conduct of doctors. Every doctor should question his or her practice and try to understand why people have begun to hate doctors and why they have lost respect for health providers.

When PMDC and institutes, such as the College of Physicians and Surgeons, are least bothered about these issues, like-minded doctors must show that they will not be a part of this silent conspiracy.

(The writer is the former Secretary General of the Pakistan Medical Association)



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Why ‘Southasianness’ should continue to matter for the ‘SAARC Eight’

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Ambassador Ravinatha Aryasinha (at centre of top table), other dignitaries and the RCSS team at the formalization of the SAU-RCSS agreement.

At a time when Sri Lanka’s foreign policy is coming under intense scrutiny by some local sections it is only right that impartial and independent commentators shed some clarity on what fundamental foreign policy directions Sri Lanka ought to take. The extremely fluid and complex nature of current international politics renders such an understanding crucially important.

Given its vulnerabilities in a number of spheres Sri Lanka has no choice but to persist in broadly following the path of Non-alignment. That is, it should be ‘a friend of all and an enemy of none’, to the extent possible. However, it does not follow that in the process it could compromise what is seen as its national interest.

The latter point needs stressing against the backdrop of the criticisms the Sri Lankan government has been attracting from some quarters over what is made out to be some opaqueness in security and defence cooperation agreements it has entered into with India. It remains advisable for the Sri Lankan government to enter into pacts of this nature with India, but the government is obliged to disclose the contents of these agreements to the Sri Lankan people without undue delay in consideration of the uncompromisable sovereign rights of a people in a democracy.

However, there is no denying that the government should make it a central foreign policy premise to always work in cooperation with India. A consideration of what it cost Sri Lanka in the past to be in a disharmonious relationship with India and how such policy missteps worked against Sri Lanka’s best interests ought to dictate to Sri Lanka the advisability of maintaining uninterrupted cordial ties with India. Moreover, common sense ought to drive home to a country the costs of being at loggerheads with one’s closest neighbour who has also proved a ‘ready friend in deed.’

That said, it is the bounden duty of Sri Lanka’s diplomatic community or establishment to ensure that such cooperation does not degenerate into a policy of subservience towards India. That is, finesse and farsightedness in local diplomacy become prime requirements.

While India’s geographical location and physical size, besides her other strengths, contribute towards her centrality in regional and world affairs, her neighbours would be thinking and acting far-sightedly if they not only focus on India and her legitimate interests but also ensure continuous friction-free intra-South Asian relations. That is, for them collective South Asian well being should be of fundamental importance.

Much more than for India perhaps, such harmonious ties are of inestimable importance to India’s neigbours who are up against multiple vulnerabilities which are to a great extent regionally rooted. The latter could never, that is, afford to take their minds off the region’s collective development prospects.

The above are some of the reasons why it could prove highly counter-productive and self-defeating for the ‘South Asian Eight’ to render dormant and ineffective the historic SAARC organization. Rather than ‘dead’ SAARC has been allowed to drift into the ‘Limbo of Forgotten Things.’

The growing inter-dependence of the ‘SAARC Eight’ ought to impress on the collectivity the need to step-up regional cooperation in multiple areas which impinge on its members’ legitimate interests. For instance, the youth-led ‘Cockroach’ revolts, first in India and subsequently outside, should convince South Asia that it is continuing to be plagued in a major way by poverty and equity-linked issues. That is, West-inspired, largely market economics-dictated ways to see an end to poverty are simply not working completely.

Likewise climate-related questions are ravaging South Asia in unimaginable ways; Nepal being just one case in point. The rationale for regional cooperation remains valid and undefeated. It is time for revived and stepped-up SAARC cooperation. That is, the solutions to the region’s development dilemmas need to be found in mainly the region.

This amounts to making a case for a continued sense of ‘Southasianness’ among the SAARC countries. That is the conviction should be firm that they know their developmental challenges best and that answers to these issues must be primarily evolved by the grouping itself in cooperation with concerned sections.

From the above viewpoints the Regional Centre for Strategic Studies (RCSS), Colombo did very well to tie-up with the South Asian University (SAU), India, to increase public awareness on the developmental problems affecting South Asia and for initiating a number collaborative measures that aim at ameliorating them. The relevant agreement was formalized in early September at the RCSS. The sealing of the pact took place under the aegis of SAU President Prof. K.K. Aggarwal and RCSS Executive Director Ambassador Ravinatha Aryasinha.

A press release issued by the organizations said the collaboration aims ‘to foster research networks, partnerships and collaborations for transformative change across South Asia.’ It also mentioned that the partnership marked the first agreement to be signed by SAU with an independent think tank in Sri Lanka.

Among other things, pacts such as the above are bold moves in the direction of fostering a spirit of intellectual independence in those areas of the South facing some of the stiffest developmental challenges. Rather than ‘import’ solutions to these challenges from outside the region, the SAU-RCSS initiative aims at fostering fresh approaches to evolving solutions to problems that are uniquely South Asian.

It is hoped that the SAU and RCSS initiative while leading a to a greater degree of Southern intellectual independence in the area of development thinking would also help in kick-starting the SAARC process all over again in a major way.

What ought to lend fresh urgency to the latter undertakings are fast-breaking current developments in international politics. It ought to be perceived by the most underdeveloped regions of the South that going forward their well being would matter least or not at all to the major powers of both East and West.

For example at the time of writing the foremost among US and Chinese political leaders are meeting in the US in what is made out to be a historic coming together of sorts to address issues of common concern. It is highly unlikely that the parties would be addressing the economic preoccupations of the least developed countries. The same goes for other states that matter from the East and West.

Essentially, the US and China would be looking at ways of strengthening business ties that matter majorly for them. The South and its issues would prove to be of peripheral interest, if at all they happen to matter to the protagonists. Such developments ought to be fresh reminders to the South and their collaborative organizations that there is no escaping self-help and joint solidarity.

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Is Sri Lanka prepared for global literacy crisis?

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by Prof. M.W. Amarasiri de Silva

Adult literacy has for a long time been one of Sri Lanka’s greatest sources of pride, serving as a social indicator that has set the country apart from several of its neighbours in the region. For many years Sri Lanka has been recognised for keeping its literacy rates at a level like those of middle-income countries and even some high-income ones, even though it has faced economic difficulties and political instability. However, since new global research has now shown an unexpected and concerning decline in adult literacy in several high-income countries, it is important to consider what this means for Sri Lanka.

The phenomenon described by Jishnu Das, Yash Dhuldhoya and Ethan Sager, the unexplained fall in functional literacy among adults in wealthy nations. calls for a more thorough examination of the nature of literacy, the pressures exerted by the modern information environment, and the vulnerabilities that Sri Lanka might encounter as it moves towards a more digital, ageing and complex society. Even though Sri Lanka’s basic literacy rates remain high and steady, the global trend acts as a warning that literacy is not a fixed accomplishment but a dynamic capability which must be continually fostered, safeguarded and adapted to changing circumstances.

Decline in functional literacy

The drop in literacy rate in high-income countries is not due to people losing the ability to read or write in the ordinary way. On the contrary, it reflects a decline in functional literacy, which is the capacity to deal with, understand, and apply information in real-life situations. This kind of literacy involves following instructions, comprehending official documents, using digital interfaces, interpreting medical information, and making sense of complicated texts that demand continuous attention.

Researchers stress that the decline cannot be attributed merely to disruptions caused by COVID-19 or the increasing use of smartphones; instead, there is going on something more fundamental: a weakening of the cognitive and informational bases that adults need to function properly in modern society. In countries such as the United States, the percentage of adults regarded as functionally illiterate has increased significantly, indicating that even highly educated societies are having difficulty in keeping up the skills required to handle ever more complex streams of information.

Sri Lanka immune?

At first sight, Sri Lanka seems to be immune from this trend. The country’s adult literacy rate is still above 92 per cent and youth literacy is even higher. According to the 2024 Census, literacy rates exceed 97 per cent among people aged ten and over, with nearly equal levels between the sexes. These figures show the continued strength of Sri Lanka’s system of free education, a system which in the past has guaranteed widespread access to school and has produced generation after generation of citizens who could read and write at a basic level.

There has also been a steady improvement in educational attainment, with an increasing number of adults finishing secondary education and a larger proportion going on to tertiary institutions. Unlike the mysterious drops observed in rich countries, Sri Lanka’s literacy figures demonstrate stability and even a slight improvement.

However, although the surface appearance is reassuring, an even more complicated reality exists. The literacy figures for Sri Lanka only record basic literacy, that is, the ability to read and write simple sentences, and they do not include measures of functional literacy. It is impossible to tell from these statistics whether adults can interpret a bank statement, understand a medical prescription, use an online government portal, or critically assess information that is spreading on social media. As is shown by the global trend, having a high level of basic literacy does not ensure a strong degree of functional literacy. On the contrary, functional literacy can fall even if basic literacy stays the same. This difference is important for Sri Lanka, particularly since the country is currently experiencing rapid digitalization, demographic ageing, and social change.

Major risk factor

A major risk factor is the move towards digital information environments. In high-income countries, researchers believe that the prevalence of smartphones and short-form digital content may be diminishing people’s ability to engage in deep reading. Nowadays, individuals take in information in short, rapid segments by scrolling through social media feeds, quickly reading headlines, and viewing short videos. Such behaviour decreases the opportunity for sustained reading, which is necessary for keeping comprehension, critical thinking, and the capacity to deal with complex information intact.

Sri Lanka is going through a comparable change. There has been a sharp increase in the number of people using smartphones, and social media sites have become the main sources of news, leisure, and communication. Although there are many advantages to having digital access, it also results in a situation where superficial reading becomes the standard approach and could therefore lead to a decline in functional literacy over time.

Demographic ageing as challenge

A further challenge that is coming up is demographic ageing. Sri Lanka is rapidly moving towards becoming an ageing society, with an increasing number of older people who might experience cognitive decline, have less exposure to new information, and enjoy few opportunities for further learning. In high-income countries, ageing populations have led to a fall in functional literacy since older individuals have had difficulty adapting to digital systems and complicated bureaucratic procedures.

The older generation in Sri Lanka, many whom were educated many decades ago under different curriculum standards, could end up becoming increasingly vulnerable in a world in which essential services, such as banking and healthcare, are being moved online. If appropriate support is not provided, the country may witness a growing gap between basic literacy and functional literacy among older adults.

In Sri Lanka, the way in which administration and the workplace are organised has in the past placed greater trust in personal communication and on basic forms of documentation. What in high-income countries would require complex reading is instead carried out through face-to-face contact in Sri Lanka. Nevertheless, this situation is now changing. Government services are becoming available online, banks are introducing digital systems, and in workplaces there is an increasing need for employees to use electronic systems. Since these changes are happening at a faster rate, the demand for functional literacy will increase. Should adults not be able to meet these new demands, Sri Lanka might start to see the kind of decline in literacy that has been seen in other places.

Misinformation and disinformation

Another worry is the spread of misinformation and disinformation. In Sri Lanka, there has already been the quick dissemination of false information via social media, with this having an impact on public health, politics, and social cohesion. Since functional literacy is essential for allowing people to assess sources, doubt the claims made, and tell the difference between reliable information and falsehoods, a lack of functional literacy causes societies to be more open to manipulation, polarisation, and confusion.

The fact that there has been a global drop in functional literacy at the same time as misinformation has increased points to a dangerous feedback cycle: when literacy is low people become more prone to misinformation, and the misinformation in turn damages their ability to think critically about information. Given that the country has a high level of social media use and a lack of digital literacy training, Sri Lanka should take this risk seriously.

Even though there are these risks, Sri Lanka has several advantages which can assist in avoiding a drop in functional literacy. The country’s system of basic education is still strong, showing high enrolment figures and good results in basic literacy.

Families in Sri Lanka still place a great deal of importance on education and reading is still a respected cultural activity. Furthermore, because of its relatively small size and the fact that it has a centralized form of government, it is more efficient than in bigger countries to carry out nationwide literacy campaigns. These strengths offer a firm basis for developing new strategies for protecting and improving functional literacy.

Literacy a process

It should be realised by Sri Lanka that attaining literacy is not a single accomplishment achieved in childhood. In the modern world, literacy must be a skill that is constantly put into practice, kept up to date and adapted to changing circumstances. The fact that adult literacy is declining worldwide shows that even in wealthy countries with well-developed education systems deterioration can occur if adults are not supported in keeping their cognitive and informational abilities. Sri Lanka cannot afford to be careless.

It is necessary for the country to invest in adult education, in programmes concerning digital literacy and in the development of cognitive skills for all age groups. It also needs to establish ways of measuring functional literacy rather than just basic literacy so that policymakers can detect emerging weaknesses and act in advance.

A vital measure is to increase the opportunities for adult learning. Although Sri Lanka has effective literacy programmes based in schools, the country’s infrastructure for adult education is limited. Community centres, libraries, universities, and vocational institutes should take on a more significant role by providing courses, workshops, and reading programmes which are tailored for adults. The programmes should place an emphasis not just on reading and writing but also on digital navigation, critical thinking, and information processing. Adults should be given the chance to practise the skills that are necessary for them to function effectively in a rapidly changing world.

Importance of digital literacy programmes

It is just as important to have digital literacy programmes. Since an increasing number of services are being offered online, adults need to learn how to use digital tools with confidence and in a safe manner. This involves knowing how to fill out online forms, moving around on government websites, using banking apps, and being able to spot misinformation. The digital literacy courses available should be accessible, affordable, and adapted to different age groups, especially older adults who might feel put off by technology. Schools can also contribute by incorporating digital literacy into their curriculum so that future generations acquire good functional literacy skills from an early age.

Sri Lanka should also investigate introducing policies which promote cognitive health among older people. Since cognitive decline can lead to a deterioration of functional literacy, it becomes more difficult for older individuals to deal with information. It is possible to help keep cognitive function by setting up programmes that promote reading, social interaction, physical activity, and continued learning. During regular medical visits, healthcare professionals should include cognitive assessments so that any problems affecting literacy-related skills can be picked up early.

Sri Lanka needs to create tools for measuring functional literacy, since the figures available on basic literacy give an incomplete account of the country’s capabilities. By using assessments of functional literacy like those employed in high-income countries, Sri Lanka would be able to monitor how well its adults can apply their literacy skills in real-life situations.

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From Colombo to Vegas: Sri Lankan talent shines at WCOPA

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Chris with Sachini Ayendra, the very first contestant who represented Sri Lanka at WCOPA 2015 / Bronze winner at WCOPA 2026 Natharie Wickramasinghe with her parents

The World Championships of Performing Arts (WCOPA) is known globally as the Olympics of performing arts, but Sri Lankans came to know of it more closely when Natharie Wickramasinghe, representing Team Sri Lanka at WCOPA 2026, in Las Vegas, earned a Bronze Medal in the Ethnic/Folklore Dance category.

Behind Sri Lanka’s WCOPA journey is Sri Lanka-born Chris Rajendra, who migrated to the United States in 2007, and deserves special congratulations.

Passionate about discovering and promoting talent, Chris has been actively involved in the pageant and performing arts, industry since 2002.

A major milestone came in 2015, when he introduced WCOPA, to Sri Lanka, for the first time, creating an international platform for Sri Lankan performers.

Sachini Ayendra became the very first candidate to represent Sri Lanka at WCOPA, in 2015, marking the beginning of Team Sri Lanka’s journey.

Chris served as National Director for Team Sri Lanka from 2015 to 2018, and has returned to the role for the 2026–2027 term, continuing his commitment to identifying, developing and promoting Sri Lankan talent internationally.

His involvement in pageantry and performing arts includes:

Recruiter, Miss Nevada United States – 2014

Chris Rajendra: National Director – WCOPA Team  Sri Lanka

Manager, Miss Colombia Las Vegas – 2013 to 2017

Director for the West Coast and International Divisions of Ms. Latina International and Ms. International World – 2017

National Director for Team Sri Lanka – WCOPA, 2015–2018 and 2026–2027

Co-National Director for Team USA – WCOPA 2026

In the USA, Chris began his career in retail before transitioning into insurance and financial services, where he built extensive experience in sales, marketing, leadership and business development.

He owned and operated a brokerage, affiliated with multiple insurance companies, and later served as Marketing Director with Transamerica and World Financial Group.

As his business expanded across Las Vegas and California, he continued to hone his expertise in sales, marketing and client relations. He now works as a Sales Executive at Hilton Grand Vacations.

Looking ahead, Chris will shortly launch the application process for Team Sri Lanka 2027, giving talented Sri Lankan performers another opportunity to represent the country on the world stage.

The 2027 World Championships of Performing Arts will take place in Las Vegas, USA, in July or August 2027.

Through his work in both the corporate and performing arts worlds, Chris Rajendra continues to combine leadership, networking and talent development — creating opportunities for Sri Lankan performers to showcase their abilities on a global platform.

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