Opinion
Challenge before Sri Lanka Medical Association
By Dr Upul Wijayawardhana
In this time of moral bankruptcy, on top of an enormous economic crisis, Sri Lanka Medical Association (SLMA) is facing a huge challenge; it has had to restore the honour of and respect for the medical profession. It is obvious that corruption has affected all professions, my long-cherished profession being no exception. The SLMA is the premier medical association in the country and the umbrella organisation that encompasses all medical men and women, whether they be specialists or general practitioners, government servants, employees of other organisations or independent practitioners.
The SLMA, which was established in 1887, as the Ceylon branch of the British Medical Association (BMA), severed connections with the BMA in 1956 as the BMA functions mostly as a trade union. Being a professional body with no trade union functions or affiliations, gives a distinct advantage to the SLMA.
I am confident that SLMA can face this challenge, and I say so for two good reasons. First, this is not the first time the SLMA faced what seemed insurmountable challenges but overcame difficulties by adapting and embracing change. Second reason is the induction of Dr Ananda Wijewickrama as its President. Although Ananda is saddled with another important responsibility as the Chairman of the National Medicines Regulatory Authority and his time as President, SLMA is limited to a year, I am sure Ananda can! I say this with confidence as I can testify, not only to his many abilities but also to his honesty and integrity, having had a very close association with him for two years in Grantham Hospital, during his overseas postgraduate training in the UK.
Perhaps, I have the dubious distinction of being the only president-elect of SLMA not to be inducted to that high office in 1989, as I left Sri Lanka in 1988 having chosen family over SLMA but am left with no guilt as I contributed my fair share for the advancement of SLMA. My close association with the SLMA began in 1974, during another period of great difficulty, perhaps, only marginally second to the present.
In spite of the first JVP insurrection happening during my PG training in the UK, I returned to Sri Lanka in January 1972 and was appointed a Consultant Physician, Badulla Hospital. In June 1973, I accepted the post of Registrar to Dr N J Wallooppillai in the Cardiology Unit, GHC. In appreciation of my contribution to setting up a postgraduate centre at the Badulla Hospital with the support of the Ceylon College of Physicians, Dr E H Mirando proposed my entry to the council of the SLMA.
In 1975, I agreed to be Hony. Assistant Secretary without realising that the post carried the additional responsibility of being the business manager of the Ceylon Medical Journal (CMJ), the oldest surviving medical journal in Australasia, which started life as “the Journal of the Ceylon Branch of the British Medical Association” in 1897. Except for a break from 1893 to 1904, it had been in continuous publication and was the only internationally recognised journal in Sri Lanka.
However, there was a major problem; it was on the verge of collapse due to the vastly reduced revenue caused by the non-availability of advertisements due to restrictions imposed on pharmaceutical companies. To prevent its closure, I made a proposal to the council that we have non-pharmaceutical advertisements; it was carried through, not unanimously though! I rang round my patients and friends and was able to collect sufficient advertisements to tide over. For the first time, CMJ carried advertisements on Datsun cars, etc. but that ensured its survival!
During my period as Assistant Secretary for three years and the Hony. Secretary for another three years, under the stewardship of six Presidents, we faced many more difficulties including dwindling finances. An American company, oraganising tours for American doctors in India, approached me for similar tours in Sri Lanka. They were making use of the liberal tax laws in the US, which allowed the cost of the entire holiday being tax-deductible if doctors took part in a scientific session. Having got council approval, I arranged an evening session of lectures for each group and am thankful to other members of SLMA for voluntary participation. Obviously, they each had to pay a registration fee which, if my memory serves right, was 100USD, which was a very large amount then, which helped the SLMA’s depleted coffers!!
The other major problem we faced was dwindling attendances at the Annual Scientific Sessions and the falling numbers as well as the quality of papers presented. The SLMA has been having these sessions since 1937, but this too seemed to be grinding to a halt. After a few brain-storming sessions with friends and fellow councillors, especially Dr. Dennis Aloysius and Prof. W. A. S. de Silva, I presented three proposals to the council for energising the Annual Academic Sessions:
1. The establishment of an oration titled SLMA oration and making it the most prestigious oration to be delivered at the inauguration of the sessions and for the lecturer to inaugurate the session, obviating the need for ‘imported’ chief guests.
2. Award of prizes for best presentations in different categories.
3. Charging a registration fee.
Although most council members supported the establishment of the SLMA oration, there were strong objections to the registration fee and doubts expressed about the feasibility of selection for awards. I offered to draw up the procedure of selection for awards and pointed out to the council that human nature being such, if one pays one will attend. With great difficulty, I persuaded the council to introduce the registration fee, on a trial basis. Although I cannot be sure of the year registration fee was introduced, maybe it was 1978, but I am sure the first registration fee was Rs10. Contrary to the views of the majority of the council, but to my great relief, it was a tremendous success, all sessions being well-attended as never before!
The number of awards has increased since and continues to this day. In fact, just before I left Sri Lanka, I set up a fund to award a cardiology prize but I was informed that it could not be named Wijayawardhana Cardiology Prize as I am not dead but it would be awarded as the cardiology prize set up by me but on the few occasions I attended the Anniversary Sessions, when it was awarded no such mention was made. I requested the SLMA council to name it in memory of my parents, two years ago, but have had no response so far. It looks as if SLMA has grown so rapidly since our time and things have got unwieldy.
The inaugural SLMA oration was delivered by the pioneer neurosurgeon Dr Shelton Cabraal in 1979 and I followed next year, detailing how I was able to set up the Permanent Pacing programme in Sri Lanka with the support of Dr N J Wallooppillai.
1982 was a significant year when my great friend Dr Dennis Aloysius was the President and I was handling public relations. Rupavahini has just started broadcasting and M J Perera, Chairman of Rupavahini, requested me to do health education programmes. When I forwadeded this to the council there were objections, initially, but commonsense prevailed a couple of months later and I was able to conduct panel discussions on behalf of SLMA on Rupavahini’s flagship programme Neth Sera produced by Sanath Liyanage.
Manufacturers of Panadol offered to sponsor a radio programme and I was able to conduct Sri Lanka Vaidya Handa, monthly, on SLBC. The reward I got was one of my colleagues reporting to the Sri Lanka Medical Council that I was indulging in advertising! Fortunately, the SLMC accepted my defence that I was doing these programmes on behalf of SLMA.
It was also in 1982, one of our beloved seniors, Prof N D W Lionel, much-respected professor of pharmacology, died suddenly, very prematurely. The outpouring of sympathy of the pharmaceutical trade, which was doing very well by then due to the liberal policies of the JRJ government, was channelled to build an auditorium, which we were badly in need of, in his name. The medical officer of Ceylon Tobacco, who was a council member, offered to get Ceylon Tobacco to fund the auditorium but that offer could not be accepted for obvious reasons!
I have gone into details to show that we can come out of difficult times. I do hope the present council of the SLMA would take steps to re-establish the honour of the profession and that the SLMA would lead the way for other professions to follow, as unless corruption is reduced significantly Sri Lanka has no future.
Going by press reports and communications to the press, most dissatisfaction towards our profession seem to stem from irregularities in private practice, like overprescribing, which is of great importance at this time of severe economic stress. Perhaps, the SLMA can set up an expert committee to look into this as well as other aspects. I am well aware that the SLMA already has a number of committees but this should be a very high-powered committee to produce a rapid response. If a voluntary code of practice is followed, the public is likely to be reassured.
In fact, SLMA should go a step further. With the concurrence of private hospitals, guidelines could be drawn which could avoid many of the malpractices common at present. Irrespective of what the government does, which many do not care for in any case, the SLMA accreditation may be way forward and it is high time SLMA asserted authority.
Opinion
Are we reading the sky wrong?
Rethinking climate prediction, disasters, and plantation economics in Sri Lanka
For decades, Sri Lanka has interpreted climate through a narrow lens. Rainfall totals, sunshine hours, and surface temperatures dominate forecasts, policy briefings, and disaster warnings. These indicators once served an agrarian island reasonably well. But in an era of intensifying extremes—flash floods, sudden landslides, prolonged dry spells within “normal” monsoons—the question can no longer be avoided: are we measuring the climate correctly, or merely measuring what is easiest to observe?
Across the world, climate science has quietly moved beyond a purely local view of weather. Researchers increasingly recognise that Earth’s climate system is not sealed off from the rest of the universe. Solar activity, upper-atmospheric dynamics, ocean–atmosphere coupling, and geomagnetic disturbances all influence how energy moves through the climate system. These forces do not create rain or drought by themselves, but they shape how weather behaves—its timing, intensity, and spatial concentration.
Sri Lanka’s forecasting framework, however, remains largely grounded in twentieth-century assumptions. It asks how much rain will fall, where it will fall, and over how many days. What it rarely asks is whether the rainfall will arrive as steady saturation or violent cloudbursts; whether soils are already at failure thresholds; or whether larger atmospheric energy patterns are priming the region for extremes. As a result, disasters are repeatedly described as “unexpected,” even when the conditions that produced them were slowly assembling.
This blind spot matters because Sri Lanka is unusually sensitive to climate volatility. The island sits at a crossroads of monsoon systems, bordered by the Indian Ocean and shaped by steep central highlands resting on deeply weathered soils. Its landscapes—especially in plantation regions—have been altered over centuries, reducing natural buffers against hydrological shock. In such a setting, small shifts in atmospheric behaviour can trigger outsized consequences. A few hours of intense rain can undo what months of average rainfall statistics suggest is “normal.”
Nowhere are these consequences more visible than in commercial perennial plantation agriculture. Tea, rubber, coconut, and spice crops are not annual ventures; they are long-term biological investments. A tea bush destroyed by a landslide cannot be replaced in a season. A rubber stand weakened by prolonged waterlogging or drought stress may take years to recover, if it recovers at all. Climate shocks therefore ripple through plantation economics long after floodwaters recede or drought declarations end.
From an investment perspective, this volatility directly undermines key financial metrics. Return on Investment (ROI) becomes unstable as yields fluctuate and recovery costs rise. Benefit–Cost Ratios (BCR) deteriorate when expenditures on drainage, replanting, disease control, and labour increase faster than output. Most critically, Internal Rates of Return (IRR) decline as cash flows become irregular and back-loaded, discouraging long-term capital and raising the cost of financing. Plantation agriculture begins to look less like a stable productive sector and more like a high-risk gamble.
The economic consequences do not stop at balance sheets. Plantation systems are labour-intensive by nature, and when financial margins tighten, wage pressure is the first stress point. Living wage commitments become framed as “unaffordable,” workdays are lost during climate disruptions, and productivity-linked wage models collapse under erratic output. In effect, climate misprediction translates into wage instability, quietly eroding livelihoods without ever appearing in meteorological reports.
This is not an argument for abandoning traditional climate indicators. Rainfall and sunshine still matter. But they are no longer sufficient on their own. Climate today is a system, not a statistic. It is shaped by interactions between the Sun, the atmosphere, the oceans, the land, and the ways humans have modified all three. Ignoring these interactions does not make them disappear; it simply shifts their costs onto farmers, workers, investors, and the public purse.
Sri Lanka’s repeated cycle of surprise disasters, post-event compensation, and stalled reform suggests a deeper problem than bad luck. It points to an outdated model of climate intelligence. Until forecasting frameworks expand beyond local rainfall totals to incorporate broader atmospheric and oceanic drivers—and until those insights are translated into agricultural and economic planning—plantation regions will remain exposed, and wage debates will remain disconnected from their true root causes.
The future of Sri Lanka’s plantations, and the dignity of the workforce that sustains them, depends on a simple shift in perspective: from measuring weather, to understanding systems. Climate is no longer just what falls from the sky. It is what moves through the universe, settles into soils, shapes returns on investment, and ultimately determines whether growth is shared or fragile.
The Way Forward
Sustaining plantation agriculture under today’s climate volatility demands an urgent policy reset. The government must mandate real-world investment appraisals—NPV, IRR, and BCR—through crop research institutes, replacing outdated historical assumptions with current climate, cost, and risk realities. Satellite-based, farm-specific real-time weather stations should be rapidly deployed across plantation regions and integrated with a central server at the Department of Meteorology, enabling precision forecasting, early warnings, and estate-level decision support. Globally proven-to-fail monocropping systems must be phased out through a time-bound transition, replacing them with diversified, mixed-root systems that combine deep-rooted and shallow-rooted species, improving soil structure, water buffering, slope stability, and resilience against prolonged droughts and extreme rainfall.
In parallel, a national plantation insurance framework, linked to green and climate-finance institutions and regulated by the Insurance Regulatory Commission, is essential to protect small and medium perennial growers from systemic climate risk. A Virtual Plantation Bank must be operationalized without delay to finance climate-resilient plantation designs, agroforestry transitions, and productivity gains aligned with national yield targets. The state should set minimum yield and profit benchmarks per hectare, formally recognize 10–50 acre growers as Proprietary Planters, and enable scale through long-term (up to 99-year) leases where state lands are sub-leased to proven operators. Finally, achieving a 4% GDP contribution from plantations requires making modern HRM practices mandatory across the sector, replacing outdated labour systems with people-centric, productivity-linked models that attract, retain, and fairly reward a skilled workforce—because sustainable competitive advantage begins with the right people.
by Dammike Kobbekaduwe
(www.vivonta.lk & www.planters.lk ✍️
Opinion
Disasters do not destroy nations; the refusal to change does
Sri Lanka has endured both kinds of catastrophe that a nation can face, those caused by nature and those created by human hands. A thirty-year civil war tore apart the social fabric, deepening mistrust between communities and leaving lasting psychological wounds, particularly among those who lived through displacement, loss, and fear. The 2004 tsunami, by contrast, arrived without warning, erasing entire coastal communities within minutes and reminding us of our vulnerability to forces beyond human control.
These two disasters posed the same question in different forms: did we learn, and did we change? After the war ended, did we invest seriously in repairing relationships between Sinhalese and Tamil communities, or did we equate peace with silence and infrastructure alone? Were collective efforts made to heal trauma and restore dignity, or were psychological wounds left to be carried privately, generation after generation? After the tsunami, did we fundamentally rethink how and where we build, how we plan settlements, and how we prepare for future risks, or did we rebuild quickly, gratefully, and then forget?
Years later, as Sri Lanka confronts economic collapse and climate-driven disasters, the uncomfortable truth emerges. we survived these catastrophes, but we did not allow them to transform us. Survival became the goal; change was postponed.
History offers rare moments when societies stand at a crossroads, able either to restore what was lost or to reimagine what could be built on stronger foundations. One such moment occurred in Lisbon in 1755. On 1 November 1755, Lisbon-one of the most prosperous cities in the world, was almost completely erased. A massive earthquake, estimated between magnitude 8.5 and 9.0, was followed by a tsunami and raging fires. Churches collapsed during Mass, tens of thousands died, and the royal court was left stunned. Clergy quickly declared the catastrophe a punishment from God, urging repentance rather than reconstruction.
One man refused to accept paralysis as destiny. Sebastião José de Carvalho e Melo, later known as the Marquês de Pombal, responded with cold clarity. His famous instruction, “Bury the dead and feed the living,” was not heartless; it was revolutionary. While others searched for divine meaning, Pombal focused on human responsibility. Relief efforts were organised immediately, disease was prevented, and plans for rebuilding began almost at once.
Pombal did not seek to restore medieval Lisbon. He saw its narrow streets and crumbling buildings as symbols of an outdated order. Under his leadership, Lisbon was rebuilt with wide avenues, rational urban planning, and some of the world’s earliest earthquake-resistant architecture. Moreover, his vision extended far beyond stone and mortar. He reformed trade, reduced dependence on colonial wealth, encouraged local industries, modernised education, and challenged the long-standing dominance of aristocracy and the Church. Lisbon became a living expression of Enlightenment values, reason, science, and progress.
Back in Sri Lanka, this failure is no longer a matter of opinion. it is documented evidence. An initial assessment by the United Nations Development Programme (UNDP) following Cyclone Ditwah revealed that more than half of those affected by flooding were already living in households facing multiple vulnerabilities before the cyclone struck, including unstable incomes, high debt, and limited capacity to cope with disasters (UNDP, 2025). The disaster did not create poverty; it magnified it. Physical damage was only the visible layer. Beneath it lay deep social and economic fragility, ensuring that for many communities, recovery would be slow, uneven, and uncertain.
The world today offers Sri Lanka another lesson Lisbon understood centuries ago: risk is systemic, and resilience cannot be improvised, it must be planned. Modern climate science shows that weather systems are deeply interconnected; rising ocean temperatures, changing wind patterns, and global emissions influence extreme weather far beyond their points of origin. Floods, landslides, and cyclones affecting Sri Lanka are no longer isolated events, but part of a broader climatic shift. Rebuilding without adapting construction methods, land-use planning, and infrastructure to these realities is not resilience, it is denial. In this context, resilience also depends on Sri Lanka’s willingness to learn from other countries, adopt proven technologies, and collaborate across borders, recognising that effective solutions to global risks cannot be developed in isolation.
A deeper problem is how we respond to disasters: we often explain destruction without seriously asking why it happened or how it could have been prevented. Time and again, devastation is framed through religion, fate, karma, or divine will. While faith can bring comfort in moments of loss, it cannot replace responsibility, foresight, or reform. After major disasters, public attention often focuses on stories of isolated religious statues or buildings that remain undamaged, interpreted as signs of protection or blessing, while far less attention is paid to understanding environmental exposure, construction quality, and settlement planning, the factors that determine survival. Similarly, when a single house survives a landslide, it is often described as a miracle rather than an opportunity to study soil conditions, building practices, and land-use decisions. While such interpretations may provide emotional reassurance, they risk obscuring the scientific understanding needed to reduce future loss.
The lesson from Lisbon is clear: rebuilding a nation requires the courage to question tradition, the discipline to act rationally, and leadership willing to choose long-term progress over short-term comfort. Until Sri Lanka learns to rebuild not only roads and buildings, but relationships, institutions, and ways of thinking, we will remain a country trapped in recovery, never truly reborn.
by Darshika Thejani Bulathwatta
Psychologist and Researcher
Opinion
A wise Christmas
Important events in the Christian calendar are to be regurlarly reviewed if they are to impact on the lives of people and communities. This is certainly true of Christmas.
Community integrity
Years ago a modest rural community did exactly this, urging a pre-Christmas probe of the events around Jesus’ birth. From the outset, the wisemen aroused curiosity. Who were these visitors? Were they Jews? No. were they Christians? Of course not. As they probed the text, the representative character of those around the baby, became starkly clear. Apart from family, the local shepherds and the stabled animals, the only others present that first Christmas, were sages from distant religious cultures.
With time, the celebration of Christmas saw a sharp reversal. The church claimed exclusive ownership of an inclusive gift and deftly excluded ‘outsiders’ from full participation.
But the Biblical version of the ‘wise outsiders’ remained. It affirmed that the birth of Jesus inspired the wise to initiate a meeting space for diverse religious cultures, notwithstanding the long and ardous journey such initiatives entail. Far from exclusion, Jesus’ birth narratives, announced the real presence of the ‘outsider’ when the ‘Word became Flesh’.
The wise recognise the gift of life as an invitation to integrate sincere explanations of life; true religion. Religion gone bad, stalls these values and distorts history.
There is more to the visit of these sages.
Empire- When Jesus was born, Palestine was forcefully occcupied by the Roman empire. Then as now, empire did not take kindly to other persons or forces that promised dignity and well being. So, when rumours of a coming Kingdom of truth, justice and peace, associated with the new born baby reached the local empire agent, a self appointed king; he had to deliver. Information on the wherabouts of the baby would be diplomatically gleaned from the visiting sages.
But the sages did not only read the stars. They also read the signs of the times. Unlike the local religious authorities who cultivated dubious relations with a brutal regime hated by the people, the wise outsiders by-pass the waiting king.
The boycott of empire; refusal to co-operate with those who take what it wills, eliminate those it dislikes and dare those bullied to retaliate, is characteristic of the wise.
Gifts of the earth
A largely unanswered question has to do with the gifts offered by the wise. What happened to these gifts of the earth? Silent records allow context and reason to speak.
News of impending threats to the most vulnerable in the family received the urgent attention of his anxious parent-carers. Then as it is now, chances of survival under oppressive regimes, lay beyond borders. As if by anticipation, resources for the journey for asylum in neighbouring Egypt, had been provided by the wise. The parent-carers quietly out smart empire and save the saviour to be.
Wise carers consider the gifts of the earth as resources for life; its protection and nourishment. But, when plundered and hoarded, resources for all, become ‘wealth’ for a few; a condition that attempts to own the seas and the stars.
Wise choices
A wise christmas requires that the sages be brought into the centre of the discourse. This is how it was meant to be. These visitors did not turn up by chance. They were sent by the wisdom of the ages to highlight wise choices.
At the centre, the sages facilitate a preview of the prophetic wisdom of the man the baby becomes.The choice to appropriate this prophetic wisdom has ever since summed up Christmas for those unable to remain neutral when neighbour and nature are violated.
Wise carers
The wisdom of the sages also throws light on the life of our nation, hard pressed by the dual crises of debt repayment and post cyclonic reconstruction. In such unrelenting circumstances, those in civil governance take on an additional role as national carers.
The most humane priority of the national carer is to ensure the protection and dignity of the most vulnerable among us, immersed in crisis before the crises. Better opportunities, monitored and sustained through conversations are to gradually enhance the humanity of these equal citizens.
Nations in economic crises are nevertheless compelled to turn to global organisations like the IMF for direction and reconstruction. Since most who have been there, seldom stand on their own feet, wise national carers may not approach the negotiating table, uncritically. The suspicion, that such organisations eventually ‘grow’ ailing nations into feeder forces for empire economics, is not unfounded.
The recent cyclone gave us a nasty taste of these realities. Repeatedly declared a natural disaster, this is not the whole truth. Empire economics which indiscriminately vandalise our earth, had already set the stage for the ravage of our land and the loss of loved ones and possessions. As always, those affected first and most, were the least among us.
Unless we learn to manouvre our dealings for recovery wisely; mindful of our responsibilities by those relegated to the margins as well as the relentles violence and greed of empire, we are likely to end up drafted collaborators of the relentless havoc against neighbour and nature.
If on the other hand the recent and previous disasters are properly assessed by competent persons, reconstruction will be seen as yet another opportunity for stabilising content and integrated life styles for all Lankans, in some harmony with what is left of our dangerously threatened eco-system. We might then even stand up to empire and its wily agents, present everywhere. Who knows?
With peace and blessings to all!
Bishop Duleep de Chickera
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