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Editorial

A healing touch?

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Although the dust has settled on the matters raised by Dr. A.H. Sheriffdeen’s letter to the President of the College of Surgeons of Sri Lanka (CSSL) and the heat generated by the issue has now cooled, it is worth reflecting on this matter. Emeritus Professor Sheriffdeen has acquired a well deserved reputation as an excellent surgeon and teacher of the highest calibe and it was natural that what he had to say struck a resonant chord among a wide section of society not only because of what he said but also the way he said it. Anybody who read his letter, widely publicized by both the mainstream and social media, would have clearly seen the anguish with what he wrote and empathized with the reality that things were much better in times that are now long past.

Both Dr. Sheriffdeen, in a subsequent letter, and Dr. Jayaindra Fernando, President of CSSL, have expressed dismay about the original letter being publicized the way it was. Fernando has said that the College of Surgeons “were surprised and dismayed” by the publication of what they termed was a “private letter” intended to be read by its members. Sheriffdeen has said that he is appalled that an “internal email” to the President of CSSL had been published as it was. Given the excellent tone and tenor of of what followed, we do not wish to strike a discordant note but want to say in defence of the publication, that the letter did not say it was private and confidential or meant only for the reading of a select audience. Also, at least the mainstream editors (we can’t speak for the social media), would not have seen it as a ‘plant’ – something not common in our line of work. We might add our belief that is was a good thing that a matter as important as this was widely disseminated and provoked extensive discussion among those who matter – both in the medical profession and elsewhere.

The response to the original missive by the paediatric surgeons working at the Lady Ridgeway Children’s Hospital (LRH) deserves the highest commendation by all for the way in which it was worded. This letter was formally released to the press by the President of CSSL and although published elsewhere earlier, is republished in this issue of our newspaper both for the reason that we ran the original story as well as the need for the widest possible dissemination of what for the lack of a better word be styled as the “rejoinder.” The LRH surgeons who called themselves a “Paediatric Surgeon’s Collective” wrote in lighter vein that “it is said in jest that every story has three sides – your side, our side and the truth.” We professional journalists are trained to investigate both sides of what we write in the hope that the truth lies in-between your side and my side and would hopefully be discerned by the readers.

The rejoinder was a model of the best diplomacy which conveyed what the writers had to say with no offense to anybody. It called Prof. Sheriffdeen “one of our beloved and respected teachers” who had striven during his career to impress upon his students the ideals of being a good doctor. They did not try in the slightest way to criticize Sheriffdeen for what he wrote saying “the exasperation of a man who feels betrayed and thwarted is understandable (and) if his impassioned communication…..did help to restore his equilibrium, as he expected, then we will somehow try to take in stride the damage done to our reputation and that of the hospital.” Most letter writers would have socked in the words with which that sentence ended, “even though the events that had taken place are misrepresented.” There was no strident accusation of misrepresentation or any kind of fault finding.

In essence the LRH surgeons made the point that standards of care for any condition is ever-evolving and they are guided by what is appropriate at that point of time. Presently, acute appendicitis in children, does not have to be rushed into the theatre in the night (unlike in Sheriffdeen’s heyday they did not say to their eternal credit). They explained that in the contentious case under discussion, it had been decided to do the appendectomy after fluid resuscitation and antibiotics. It had been planned to operate on the child as the first case the next morning, successful surgery performed and the patient who was fully recovered had been discharged. They agreed that the consultant surgeon does not stay in after normal working hours “but is only a telephone call away.”

All’s well that ends well we are tempted to say with no two-fisted attack on anybody. But there is no escaping the reality that there are great deal of deficiencies in the state healthcare system and that most people in the country have a perception that private healthcare, despite the enormous and in most cases unaffordable cost, is preferable to going to a government hospital. Knowledgeable people know that the finest and most skilled services are present in the state sector. But it is also true that healthcare is today a lucrative business not only for the private hospitals but also for specialist consultants permitted private practice despite being employees of the state health service. We do not think that all these doctors can place their hand their hearts and swear that they put in the necessary hours at their government jobs at the cost of their private practice. There are many who do and perhaps many more that do not. Hopefully the wide discussion of all the issues arising from Prof. Sheriffdeen’s letter will be a healing touch on the country’s healthcare system.



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Editorial

Poor schools on chopping block

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The Opposition asked the government, in Parliament on Friday, whether the latter would go ahead with its plan to close down low-attendance schools, and if so, what would happen to the students in them. The government said the number of students would not be the sole criterion for what it described as ‘school restructuring’, and factors such as population density and transport would also be taken into consideration. Its response smacked of obfuscation.

President Anura Kumara Dissanayake, speaking in Parliament, in July 2025, said 98 state-run schools were without new admissions. Pointing out that about 15% schools had fewer than 50 students each, and about two-thirds of schools had fewer than 100 students each, the President said a strategy to overcome the problem might necessitate the permanent closure of some of those seats of learning. According to teachers’ trade unions and organisations dedicated to protecting universal free education, most of these low-enrolment schools are situated in rural areas. The predicament of these schools is usually attributed to several factors such as the development of public transport, which has enhanced students’ mobility and lessened their dependence on rural schools which are in a state of neglect.

The Ceylon Teachers Union (CTU) has accused the government of trying to close down low-enrolment schools across the country, and redeploy teachers currently working in them to fill vacancies elsewhere. There are 10,146 state-run schools in Sri Lanka. Of them 9,750 are under Provincial Councils and 396 are national schools. About 800 rural schools have already been closed down during the past several decades, and it is feared that many more will face the same fate in the near future.

One of the pithy slogans the JVP coined during its second armed uprising in the late 1980s was ‘Kolombata kiri, gamata kekiri’ (‘milk for Colombo and melon for the village’), which highlighted the glaring urban bias in the allocation of state resources for development. Those who voted the JVP-led NPP into power, expected underprivileged schools to be developed as a national priority. But all signs are that they will be left with neither ‘milk’ nor ‘melon’.

Previous governments, which the JVP/NPP has condemned as a curse, bore the cost of operating low-enrolment schools. True, they also closed down some low-attendance schools but did not plunge head first into doing so. What one gathers from the statements made by the JVP/NPP heavyweights, including President Dissanayake, is that the government is planning to go full throttle on the school closure project.

Closing down low-attendance schools may make economic sense for the NPP and the Bretton Woods Twins, but that is bound to lead to serious social issues. The government has offered to provide the students in schools earmarked for closure with transport to other schools. This offer is based on the assumption that transport is the sole factor that has prevented them from attending urban schools. There are other reasons why they have had to stay in the underprivileged schools.

Prudence demands that the JVP-led NPP government refrain from rushing to close down the low-enrolment schools and explore ways and means of making them attractive to more students who cannot attend urban schools for reasons other than transport issues. Otherwise, there might be an increase in the school dropout rate in the rural sector. President Dissanayake, in his aforesaid speech, informed Parliament that the school dropout figures had risen from 16,673 in 2019 to 20,759 in 2022, before plateauing at 20,755 in 2024. Everything possible must be done to bring the dropout rate down in the shortest possible time. A steep school dropout rate is far more than a mere statistic; it is a symptom of systemic social issues.

The state has a strong justification for bearing the cost of operating low-attendance schools, for such expenditure helps reduce dropouts, promote educational equity, prevent social problems and build human capital. The government must handle this sensitive issue with great care and ensure that the poor students will have at least ‘melon’.

It is said that he who opens a school door, closes a prison. Ironically, questions happened to be raised in Parliament about the closure of underprivileged schools soon after the government’s declaration that it would spend Rs. 4.36 billion to construct a new prison in Kandy.

 

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Editorial

When docs down stethoscopes

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Saturday 24th Junuary, 2026

Doctors launched a 48-hour token strike yesterday in protest against what they have described as the government’s failure to implement a six-point agreement reached between the Government Medical Officers’ Association (GMOA) and the Ministry of Health. They are demanding that their allowances be increased and a separate service minute be introduced for the state sector doctors, among other things. The government has claimed that the doctors’ demands are unreasonable, and the strike did not cripple the state health institutions. It is sounding just like its predecessors.

The government is either misinformed or believing in its own propaganda lies. Doctors’ strikes always have a crippling impact on the state-run hospitals and cause unbearable suffering to patients who are dependent on free healthcare. The government should stop making false claims, and face reality.

Ideally, doctors should not strike at the expense of the sick, but there arise situations where they are compelled to flex their trade unions muscles to jolt governments into heeding their grievances. The incumbent government led by the JVP, which used strikes as part of its strategy to capture state power, has failed to be different from the previous administrations which mismanaged labour issues and provoked workers into trade union action, causing much inconvenience to the public. State workers and their trade unions backed the JVP-led NPP to the hilt, enabling its meteoric rise to power, and after winning the 2024 general election, the NPP declared that there would be no need for strikes thereafter because the new government would resolve all trade union disputes amicably without leaving any room for work stoppages. That pledge has gone unfulfilled.

Opinion may be divided on the striking doctors’ demands, but if the government has agreed to grant them, it must fulfil its pledge or have another round of negotiations and arrive at a compromise formula. It will be a mistake for the government to play a game of chicken with the GMOA or try to intimidate doctors with the help of its propaganda hitmen and front activists who stage protests against strikers, posing as patients and concerned citizens and calling for action to crush trade union struggles. Such tactics are counterproductive.

The warring doctors must also be flexible. Although the government, in its wisdom, has boasted that the state coffers are overflowing and it is free from pecuniary woes due to its proper economic management and its successful battle against corruption, the economic situation is not that rosy. Recent natural disasters have taken a heavy toll on the economy, and rebuilding and relief programmes will cost a great deal of state funds. So, the GMOA should factor in this harsh reality and act accordingly for the sake of the ordinary people who cannot afford to pay for healthcare. It is the interests of the public that must prevail.

The GMOA has threatened to stage a continuous strike unless the government grants its demands without delay. If the history of health sector strikes is anything to go by, the doctors are very likely to carry out their threat. The government should stop letting the grass grow under its feet and bring the GMOA to the negotiating table, and have a serious discussion. An assurance from President Anura Kumara Dissanayake himself that the government’s promises to the doctors will not go unfulfilled may help defuse tension and prevent a crippling health sector strike. A confrontational approach is bound to aggravate the situation.

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Editorial

A tale of two AGs and dirty politics

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Friday 23rd January, 2026

The JVP-led NPP government has delayed the appointment of one AG—Auditor General—and is in overdrive to oust the other AG—Attorney General. Determined to parachute a ruling party crony into the post of Auditor General, allegedly in a bid to cover up corrupt deals on its watch, the government is believed to be biding its time until the reconstitution of the Constitutional Council to achieve its goal. The JVP/NPP is unashamedly using its propaganda brigade to carry out malicious social media attacks on Attorney General Parinda Ranasinghe Jr., PC, and having public protests held against him in a bid to hound him out of office.

It is said that a bad workman blames his tools. Similarly, an incompetent government quarrels with vital state institutions and public officials when it finds itself in trouble or fails to deliver. Inefficient, arrogant politicians also launch witch-hunts against key state officials who have the courage to stand up to political pressure, fiercely defend their independence and carry out their duties and functions without fear or favour. This, we have witnessed during successive governments. It is no surprise that the JVP-led forces are all out to oust AG Ranasinghe.

Not that the Attorney General’s Department has been truly independent and blameless; it has its fair share of servile officials who pander to the whims and fancies of ruling party politicians. This newspaper has been critical of the manner in which the AG’s Department handled some cases and helped open escape routes for politicians in power and their cronies. There is a huge backlog of cases due to inordinate delays on the part of the AG’s Department. These institutional deficiencies have been there for decades, and the incumbent AG alone cannot be blamed for them. There is a pressing need to straighten up the AG’s Department, which is in need of restructuring. Devolution is among the proposed solutions.

Government supporters have been holding protests, making unsubstantiated allegations against AG Ranasinghe and calling for his ouster. The tendency to hold kangaroo trials is in the JVP’s DNA. The JVP acted as the prosecutor, judge, jury and executioner in the late 1980s; it gunned down quite a few professionals including University Vice Chancellors and the heads of some other state institutions during its reign of terror. Now, it has apparently shifted from assassinations to character assassination, which can be a fate worse than death for most people. It used death-dealing sparrow units to eliminate its targets in the past. Today, it deploys its propaganda brigade to destroy its opponents politically.

If anyone believes that the AG is at fault, he or she can invoke the jurisdiction of either the Appeal Court or the Supreme Court to seek redress. If the government has irrefutable evidence to prove its supporters’ allegations against AG Ranasinghe, then Parliament can remove him after a probe. Dirty social media attacks and protests are certainly not the way.

In 2012-13, the JVP rightly defended the then Chief Justice Dr. Shirani Bandaranayake, when the Mahinda Rajapaksa government targeted her for political reasons and launched a vilification campaign against her before wrongfully impeaching her. Now, the JVP-led NPP government stands accused of trying to get rid of the state prosecutor.

The ongoing propaganda campaign against the AG could also be part of a strategy to paint a black picture of the AG’s Department, turn public opinion against it and prepare the ground for setting up the proposed Independent Prosecutor’s Office.

When the present-day government leaders promised ‘a system change’ during their election campaigns in 2024, it was thought that they were planning to change the systems for the better, but now one wonders whether they are bent on changing the existing systems for the worse by politicising them more.

The Bar Association of Sri Lanka deserves praise for having taken up the cudgels for beleaguered AG Ranasinghe. Let all right-thinking Sri Lankans, particularly the state sector professionals, be urged to follow suit.

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