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Centenary of Sri Lanka Medical Council: To evolve or to revolve?

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The Sri Lanka Medical Council, as the sole regulator of medical professionals in Sri Lanka, has played a vital role in shaping the nature, quality, and character of medical professionals and the medical profession for a century.

The speech made by Justice Yasantha Kodagoda on 5 July 2025 at the Centenary Celebrations of the SLMC, deserves praise and our sincere thanks for its forthrightness. The speech presents to the medical community at large, an invitation and opportunity to look more inwards than outward in its regulatory role for the future. His Lordship’s speech was aptly titled “Strategies for Addressing Malpractices in Healthcare Systems”. This is also the very point that was reiterated by the current registrar of the SLMC who stated, “With a vision for continuous improvements and adaptation, the SLMC is poised to navigate the future of healthcare with the same dedication that has defined its first century.”

We have been told for at least the past decade that there is a new Medical Bill which is with the Ministry of Health which will address the issues raised by the medical professions and health professionals which will enable the dedicated men and women of future SLMCs to perform the duty of the SLMC. In summary, it is to protect the citizens of Sri Lanka from the medical professionals (‘The SLMC is a statutory body established for the purpose of protecting health care seekers by ensuring the maintenance of academic and professional standards, discipline and ethical practice by health professionals who are registered with it’)

As pointed out by Justice Kodagoda, issues pertaining to medical ethics by practicing medical professionals, and the manner in which the SLMC has handled such issues in the recent past in particular, has led to increasing public concern about the SLMC. His Lordship went further and even proposed a mechanism/s to overcome such public concern with a particular reference to ethical issues resulting from the practice of medicine. He quite correctly used words such as ‘neutrality’ and ‘representation’ to a ‘Complaints Secretariat’, which he proposed to be instituted to handle issues on complaints against medical professionals. He even suggested that non-medical professionals should be allowed to serve on such disciplinary panels.

As of now the composition of SLMC Council is exclusively limited to doctors as far as the medical profession is concerned. Thus, whatever process is suggested within this fundamental framework, it will, as of now, ultimately result in Self-regulation of Doctors by Doctors. This is the real question which needs addressing and one hopes that the new Medical Bill, decades in the making, will address the fundamental question of ‘Can the medical profession self-regulate itself or does the composition of the SLMC need fundamental reform to include non-medical personnel on its council to unbiasedly perform its statutory duty of protecting the Sri Lankan citizen from the Sri Lankan medical profession?

The institution on which the SLMC was modeled on, over a century ago is the General Medical Council (GMC) of the United Kingdom which was established in the year1858. Initially its members were elected by the members of the profession and enjoyed widespread confidence from the profession. The 167-year-old GMC has undergone many reforms to serve the public and profession in a more transparent, accountable and responsible manner over the years. With regards to public concern that the GMC was self-regulating itself to the detriment of public trust in it, was addressed in 2013. The General Medical Council (GMC) in the UK was reduced to 12 members from 24 members on January 1, 2013. The Council has 12 members, include 6 medical professionals (registrant members) and 6 non-medical individuals (lay members). The GMC also has an Executive Board that handles daily operations and over 1,000 associates who support its work.

An interesting article appeared in the comments section of the British Medical Journal of 12th November 2022. That opinion piece was titled The GMC (General Medical Council) has been failing for 30 years. The opinion of the authors, Martin Mckee and Scott L. Greer, dealt with matters of transparency pertaining to the regulatory role of the GMC within the profession in the United Kingdom. This opinion piece was brought to the notice of the SLMC by way of an e-mail and regular post on 17th November 2022. The point of discussion which was requested from the SLMC was ‘is the current composition of the Council of the SLMC unbiasedly capable of ‘self-regulation’ of the profession at large?’ and ‘Has/Is the Sri Lanka Medical Council acted/acting in the best interest of the citizens of Sri Lanka or Is it acting in the self-interest of the profession, or more specifically the self-interest of an elected/selected segment of the medical profession?’

With regards to the composition of the SLMC Council, and the Medical Bill of a wider outlook which has been proposed, the SLMC called for submission of proposals by way of a newspaper advertisement on 5th October 2018. The Sri Lanka Medical Association (SLMA) Council at the time submitted a set of proposal to be included in the new Medical Bill to the SLMC on 22nd October 2018 (the deadline for submission was 28th October 2018).

As the SLMC is celebrating its Centenary and has stated its desire ‘for continuous improvements and adaptation, to navigate the future of healthcare with the same dedication that has defined its first century’ we reproduce below a few submissions made for the consideration of the SLMC back in 2018 with a particular reference to the Council of the SLMC and the process of appointment to the Council of the SLMC

(A). The composition and the term of office of the SLMC

1. The SLMC shall consist of a total of fifteen (15) members appointed by the Constitutional Council of Sri Lanka.

i. Ten (10) members shall be reputed medical/dental practitioners, who have been registered with the SLMC for a minimum period of 20 years.

ii. Two (02) members shall be Deans from the Faculties of Medicine, who have been registered with the SLMC for a minimum period of 20 years.

iii. Three (03) shall be leading professionals of high repute from education, law, finance or management professions, from the private or public sector, with a minimum period of service of 20 years after obtaining the first professional qualification or degree.

2. The President of the SLMC should be elected by the members of the SLMC at its first meeting.

3. The term of office of the Council shall be three (03) years.

4. Any person can serve in the Council only for a maximum of six years in toto.

(B). The process of appointment to the Council of the SLMC

1. The Registrar of the SLMC shall call for applications from eligible members of the Medical/Dental profession and members of the education, legal, finance or management professions, at least three (03) months before the expiry of the term of office of the SLMC.

2. All applications received shall be forwarded to the Constitutional Council through the Executive President of Democratic Socialist Republic of Sri Lanka.

3. The Constitutional Council shall appoint the members within a period of six (06) weeks from the date of submission of the names to the Constitutional Council by His Excellency the President of Sri Lanka.

4. The Constitutional Council shall ensure that the appointees can discharge their duties free from the influence of politicians and trade unions and can perform their functions without fear or favour.

These are a set of submissions among many the SLMC would have received during the period it sought public opinion for the new Medical Bill. We hope that the SLMC in its centenary year will revisit these proposals carefully and seriously address the issue of self-regulation of the doctors by doctors, and introduce more transparency in guiding the medical profession in Sri Lanka in to the future, keeping in mind its statuary role of ‘protecting health care seekers by ensuring the maintenance of academic and professional standards, discipline and ethical practice by health professionals who are registered with it’

As the SLMC enters its 2nd century, the powers that be at the SLMC and medical profession itself, must reflect objectively on the core statutory function of the SLMC. The outcome of this reflection ought to be finding the most suitable answer to the question (perhaps not the ideal answer) How can the SLMC as a statutory body protect the health seekers by ensuring the maintenance of academic and professional
standards, discipline and ethical practice by health professionals who are registered with it?

In doing so the SLMC must not revolve around what it thinks it is doing well but revolve around selected core issues and evolve in manner to serve the interest of the Sri Lankan public which is it’s statutory bound to do.

By Dr Ruvaiz Haniffa

Past President, Sri Lanka Medical Association (2018)



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Opinion

Ranwala crash: Govt. lays bare its true face

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The NPP government is apparently sinking into a pit dug by the one of its members, ‘Dr’ Asoka Ranwala; perhaps a golden pit (Ran Wala) staying true to his name! Some may accuse me of being unpatriotic by criticising a government facing the uphill task of rebuilding the country after an unprecedented catastrophe. Whilst respecting their sentiment, I cannot help but point out that it is the totally unwarranted actions of the government that is earning much warranted criticism, as well stated in the editorial “Smell of Power” (The Island, 15 December). Cartoonist Jeffrey, in his brilliance, has gone a step further by depicting Asoka Ranwala as a giant tsunami wave rushing to engulf the tiny NPP house in the shore, AKD is trying to protect. (The Island, 18 December).

The fact that Asoka Ranwala is very important to the JVP, for whatever reason, became evident when he was elected the Speaker of Parliament despite his lack of any parliamentary experience. When questions were raised about his doctorate in Parliament, Ranwala fiercely defended his position, ably supported by fellow MPs. When the Opposition kept on piling pressure, producing evidence to the contrary, Ranwala stepped aside, claiming that he had misplaced the certificate but would stage a comeback, once found. A year has passed and he is yet to procure a copy of the certificate, or even a confirmatory letter from the Japanese university!

The fact that AKD did not ask Ranwala to give up his parliamentary seat, a decision he may well be regretting now following recent events, shows that either AKD is not a strong leader who can be trusted to translate his words to action or that Ranwala is too important to be got rid of. In fact, AKD should have put his foot down, as it was revealed that Ranwala was a hypocrite, even if not a liar. Ranwala led the campaign to dismantle the private medical school set up by Dr Neville Fernando, which was earning foreign exchange for the country by recruiting foreign students, in addition to saving the outflow of funds for educating Sri Lankan medical graduates abroad. He headed the organisation of parents of state medical students, claiming that they would be adversely affected, and some of the photographs of the protests he led refer to him as Professor Ranwala! Whilst leading the battle against private medical education, Ranwala claims to have obtained his PhD from a private university in Japan. Is this not the height of hypocrisy?

The recent road traffic accident he was involved in would have been inconsequential had Ranwala been decent enough to leave his parliamentary seat or, at least, being humble enough to offer an apology for his exaggerated academic qualifications. After all, he is not the only person to have been caught in the act of embellishing a CV. As far as the road traffic accident is concerned, too, it may not be his entire responsibility. Considering the chaotic traffic, in and around Colombo, coupled with awful driving standards dictated by lack of patience and consideration, it is a surprise that more accidents do not happen in Sri Lanka. Following the accident, may be to exonerate from the first count, a campaign was launched by NPP supporters stating that a man should be judged on his achievements, not qualifications, further implying that he does not have the certificate because he got it in a different name!

What went wrong was not the accident, but the way it was handled. Onlookers claim that Ranwala was smelling of alcohol but there is no proof yet. He could have admitted it even if he had taken any alcohol, which many do and continue to drive in Sri Lanka. After all, the Secretary to the Ministry overseeing the Police was able to get the charge dropped after causing multiple accidents while driving under the influence of liquor! He, with another former police officer, sensing the way the wind was blowing formed a retired police collective to support the NPP and were adequately rewarded by being given top jobs, despite a cloud hanging over them of neglect of duty during the Easter Sunday attacks. This naïve political act brought the integrity of the police into question. The way the police behaved after Ranwala’s accident confirmed the fears in the minds of right-thinking Sri Lankans.

In the euphoria of the success of a party promising a new dawn, unfortunately, many political commentators kept silent but it is becoming pretty obvious that most are awaking to the reality of a false dawn. It could not have come at a worse time for the NPP: in spite of the initial failures to act on the warnings regarding the devastating effects of Ditwah, the government was making good progress in sorting problems out, when Ranwala met with an accident.

The excuses given by the police for not doing a breathalyser test, or blood alcohol levels, promptly, are simply pathetic. Half-life of alcohol is around 4-5 hours and unless Ranwala was dead drunk, it is extremely unlikely any significant amounts of alcohol would be detected in a blood sample taken after 24 hours. Maybe the knowledge of this that made government Spokesmen to claim boldly that proper action would be taken irrespective of the position held. Now that the Government Analyst has not found any alcohol in the blood, no action is needed! Instead, the government seems to have got the IGP to investigate the police. Would any police officers suffer for doing a favour to the government? That is the million-dollar question!

Unfortunately, all this woke up a sleeping giant; a problem that the government hoped would be solved by the passage of time. If the government is hoping that the dishonesty of one of its prominent members would be forgotten with the passage of time, it will be in for a rude shock. When questioned by journalists repeated, the Cabinet spokesman had to say action would be taken if the claim of the doctorate was false. However, he added that the party has not decided what that action would be! What about the promise to rid Parliament of crooks?

It is now clear that the NPP government is not any different from the predecessors and that Sri Lankan voters are forced to contend with yet another false dawn!

by Dr Upul Wijayawardhana ✍️

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Ceylon pot tea: redefining value, sustainability and future of global tea

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The international tea industry is experiencing one of the most difficult periods in its history. Producers worldwide are caught in a paradox: tea must be made “cheaper than water” to stay competitive, yet this very race to the bottom erodes profitability, weakens supply chains, and drives away the most talented professionals whose expertise is essential for innovation. At the heart of this crisis lies the structure of commodity tea pricing. Although the auction system has served the world for over a century, it has clear limitations. It rewards volume rather than innovation, penalises differentiation, and leaves little room for value-added product development.

Sri Lanka, one of the world’s finest tea origins, feels this pressure more intensely than most. The industry’s traditional reliance on auctions prevents it from accessing the full premium that its authentic climate, terroir, and craftsmanship deserve. The solution is not to dismantle auctions—because they maintain transparency and global trust—but to evolve beyond them. For tea to thrive again, Ceylon Tea must enter the product market, where brand value, wellness benefits, and consumer experience define price—not weight.

Sri Lanka’s Unique Comparative Advantage

Sri Lanka possesses both competitive and comparative advantage unmatched by any other tea-producing nation. One of the least-discussed scientific advantages is its low gravitational pull, enabling the tea plant to circulate nutrients differently and produce a uniquely delicate, flavour-rich leaf. This natural phenomenon, combined with diverse microclimates, gives Sri Lankan tea extraordinary antioxidant density, rich polyphenols, and a full sensory profile representative of the land and its people.

However, this advantage is undermined by weaknesses in basic agronomy. Most estates do not use soil augers, and soil sampling is often inconsistent or unscientific. This leads to overuse of artificial fertilizer, underinvestment in regenerative practices, and weak soil organic matter (SOM). Without scientific soil management, even a world-class tea origin can lose its competitive edge. Encouragingly, discussions are already underway with the Assistant Indian High Commissioner in Kandy to explore sourcing 3,000 scientifically engineered soil augers for Sri Lanka’s perennial agriculture sector—a transformative step toward soil intelligence and sustainable input management.

Improving SOM, moderating fertilizer misuse, and systematically diagnosing soil nutrient deficiencies represent true sustainability—not cosmetic commitments. Plantation agriculture, which supports over one million Sri Lankan livelihoods, depends on this shift.

The Real Economic Challenge: Price per Kilogram

The most urgent sustainability problem is not climate change or labour cost—it is the low price per kilogram Sri Lanka receives for its tea. Nearly 20% of the tea leaf becomes “refuse tea”, a stigmatized fraction that still contains antioxidants and valuable nutrients but fetches a low price at auctions. The system inherently undervalues almost a fifth of the raw material.

A rational solution is to market the entire tea leaf without discrimination, transforming every component—tender leaf, mature leaf, fiber, and fines—into a premium product with a minimum retail value of USD 15 per kilogram. Achieving this requires product innovation, not further cost reduction.

Ceylon Pot Tea: A Transformative Opportunity

Ceylon Pot Tea emerges as a comprehensive solution capable of addressing long-standing structural issues in Sri Lanka’s tea industry. Unlike traditional tea grades, Pot Tea compresses the entire fired dhool into a high-value cube, similar to the global success of soup cubes. Every part of the leaf is represented, unlocking maximum biochemical utilisation and offering consumers a fuller taste profile with richer aroma, deeper colour, and higher antioxidant content.

Pot Tea is perfectly aligned with the health and wellness market, one of the fastest-growing global consumer segments. As an Herbal Medicinal Beverage (HMB), it captures the complete phytonutritional matrix of the tea leaf, including polyphenols, catechins, and climate-influenced compounds unique to Ceylon. The product also offers storytelling power: every cube reflects the terroir, the gentle fingers that plucked the leaf, and the mystical nature of tea grown in a land with unusually low gravitational intensity.

Already, international partners—particularly in Russia—and domestic innovators have expressed enthusiasm. Pot Tea aligns closely with the policy direction set by the Hon. Samantha Vidyarathne and the NPP Government, especially the national goal of achieving 400 million Kgs of national annual production per year by unlocking new value chains and premium product categories.

Why Immediate Government Intervention Is Necessary

For Sri Lanka to fully benefit from Ceylon Pot Tea and other modernized value chains, the government must urgently introduce:

1. Minimum Yield Benchmarks per hectare (3-year targets) for all perennial crops, informed by scientific investment appraisals.

2. A classification shift from “plantations” to land-based investment enterprises, recognising the capital-intensive, long-term nature of tea cultivation.

3. Incentives for soil testing, soil auger adoption, and SOM improvement programs.

4. Support for value-added tea manufacturing and export diversification.

These steps would create an enabling environment for Pot Tea to scale rapidly and position Sri Lanka as the world’s leading innovator in tea-based wellness products.

Way Forward: Positioning Ceylon Pot Tea for Global Leadership

The path ahead requires a coordinated national and industry-level effort. Sri Lanka must shift from simply producing tea to designing tea experiences. Ceylon Pot Tea can lead this transformation if:

1. Branding and Certification Are Strengthened

CCT (Ceylon Certified Tea) standards must be universally adopted to guarantee purity, origin authenticity, and ethical production practices.

2. Research, Soil Science & Agronomy Are Modernized

With scientific soil audits, optimized fertigation, and regenerative agriculture, Sri Lanka can unlock higher yields and stronger biochemical profiles in its leaf.

3. A Global Wellness Narrative Is Created

Position Pot Tea as a nutritional, therapeutic, anti-aging, and calming beverage suited for the modern lifestyle.

4. Export Market Activation Begins Immediately

Pilot shipments, influencer partnerships, and cross-border digital campaigns should begin with Russia, the Middle East, Japan, and premium EU markets.

5. Producers Are Incentivised to Convert Dhools to Cubes

This ensures minimal waste, improved margins, and equitable value distribution across the supply chain.

Conclusion: A New Dawn for Ceylon Tea

Ceylon Pot Tea offers Sri Lanka a rare chance to pivot from a commodity-driven past to a premium, wellness-oriented, high-margin future. It aligns economic sustainability with environmental responsibility. It empowers estate communities with modern agronomy. And most importantly, it transforms every gram of the tea leaf into value—finally rewarding the land, the planter, and the plucker.

If implemented with vision and urgency, Ceylon Pot Tea will not only revitalise an industry under immense pressure but also secure Sri Lanka’s place as the world’s most innovative and scientifically grounded tea nation.

By. Dammike Kobbekaduwe

(www.vivonta.lk & www.planters.lk) ✍️

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Opinion

Lakshman Balasuriya – simply a top-class human being

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It is with deep sorrow that I share the passing of one of my dearests and most trusted friends of many years, Lakshman Balasuriya. He left us on Sunday morning, and with him went a part of my own life. The emptiness he leaves behind is immense, and I struggle to find words that can carry its weight.

Lakshman was not simply a friend. He was a brother to me. We shared a bond built on mutual respect, quiet understanding, and unwavering trust. These things are rare in life, and for that reason they are precious beyond measure. I try to remind myself that I was privileged to spend the final hours of his life with him, but even that thought cannot soften the ache of his sudden and significant absence.

Not too long ago, our families were on holiday together. Lakshman and Janine returned to Sri Lanka early. The rest of the holiday felt a bit empty without Lakshman’s daily presence. I cannot fathom how different life itself will be from now on.

He was gentle and a giant in every sense of the word. A deeply civilized man, refined in taste, gracious in manner, and extraordinarily humble. His humility was second to none, and yet it was never a weakness. It was strength, expressed through kindness, warmth, and dignity. He carried himself with quiet class and had a way of making everyone around him feel at ease.

Lakshman had a very dry, almost deadpan, sense of humor. It was the kind of humor that would catch you off guard, delivered with too straight a face to be certain he was joking, but it could lighten the darkest of conversations. He had a disdain for negativity of any kind. He preferred to look forward, to see possibilities rather than obstacles.

He was exceptionally meticulous and had a particular gift for identifying talent. Once he hired someone, he made sure they were cared for in unimaginable ways. He provided every resource needed for success, and then, with complete trust, granted them independence and autonomy. His staff were not simply employees to him. They were family. He took immense pride in them, and his forward-thinking optimism created an environment of extraordinary positivity and a passion to deliver results and do the right thing.

Lakshman was also a proud family man. He spoke often, and with great pride, about his children, grandchildren, nephews, and nieces. His joy in their achievements was boundless. He was a proud father, grandfather, and uncle, and his devotion to his family reflected the same loyalty he extended to his colleagues and friends.

Whether it was family, staff, or anyone he deemed deserving, Lakshman stood by them unconditionally in times of crisis. He would not let go until victory was secured. That was his way. He was a uniquely kind soul through and through.

Our bond was close. Whenever I arrived in Sri Lanka, it became an unspoken ritual that we would meet at least twice. The first would be on the day of my arrival, and then again on the day I left. It was our custom, and one I cherished deeply. We met regularly, and we spoke almost daily. He was simply a top-class human being. We were friends. We were brothers. His passing has devastated me.

Today I understood fully the true meaning of the phrase ‘priyehi vippaogo dukkho’ — (ප්‍රියෙහි විප්පයෝගෝ දුක්ඛෝපෝ) ‘separation from those who are beloved is sorrowful.’

My thoughts and prayers are with Janine, Amanthi, and Keshav during this time of profound loss. Lakshman leaves behind indelible memories, as well as a legacy of decency, loyalty, and quiet strength. All of us who were fortunate to know him will hold that legacy close to our hearts.

If Lakshman’s life could leave us with just one lesson, that lesson would be this. True greatness is not measured in titles or possessions, but in the way one treats others: with humility, with loyalty, with kindness that does not falter in times of crisis. Lakshman showed us that to stand by someone, to believe in them, and to lift them up when they falter, is the highest of callings, and it was a calling he never failed to honour.

Rest well, my dear friend.

Krishantha Prasad Cooray

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