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
Thoughts for Unduvap Poya
Unduvap Poya, which falls today, has great historical significance for Sri Lanka, as several important events occurred on that day but before looking into these, as the occasion demands, our first thought should be about impermanence. One of the cornerstones of Buddha’s teachings is impermanence and there is no better time to ponder over it than now, as the unfolding events of the unprecedented natural disaster exemplify it. Who would have imagined, even a few days ago, the scenes of total devastation we are witnessing now; vast swathes of the country under floodwaters due to torrential rain, multitudes of earth slips burying alive entire families with their hard-built properties and closing multiple trunk roads bringing the country to a virtual standstill. The best of human kindness is also amply demonstrated as many risk their own lives to help those in distress.
In the struggle of life, we are attached and accumulate many things, wanted and unwanted, including wealth overlooking the fact that all this could disappear in a flash, as happened to an unfortunate few during this calamitous time. Even the survivors, though they are happy that they survived, are left with anxiety, apprehension, and sorrow, all of which is due to attachment. We are attached to things because we fail to realise the importance of impermanence. If we do, we would be less attached and less affected. Realisation of the impermanent nature of everything is the first step towards ultimate detachment.
It was on a day like this that Arahant Bhikkhuni Sanghamitta arrived in Lanka Deepa bringing with her a sapling of the Sri Maha Bodhi tree under which Prince Siddhartha attained Enlightenment. She was sent by her father Emperor Ashoka, at the request of Arahant Mahinda who had arrived earlier and established Buddhism formally under the royal patronage of King Devanampiyatissa. With the very successful establishment of Bhikkhu Sasana, as there was a strong clamour for the establishment of Bhikkhuni Sasana as well, Arahant Mahinda requested his father to send his sister which was agreed to by Emperor Ashoka, though reluctantly as he would be losing two of his children. In fact, both served Lanka Deepa till their death, never returning to the country of their birth. Though Arahant Sanghamitta’s main mission was otherwise, her bringing a sapling of the Bo tree has left an indelible imprint in the annals of our history.
According to chronicles, King Devanampiyatissa planted the Bo sapling in Mahamevnawa Park in Anuradhapura in 288 BCE, which continues to thrive, making it the oldest living human planted tree in the world with a known planting date. It is a treasure that needs to be respected and protected at all costs. However, not so long ago it was nearly destroyed by the idiocy of worshippers who poured milk on the roots. Devotion clouding reality, they overlooked the fact that a tree needs water, not milk!
A monk developed a new practice of Bodhi Puja, which even today attracts droves of devotees and has become a ritual. This would have been the last thing the Buddha wanted! He expressed gratitude by gazing at the tree, which gave him shelter during the most crucial of times, for a week but did not want his followers to go around worshipping similar trees growing all over. Instead of following the path the Buddha laid for us, we seem keen on inventing new rituals to indulge in!
Arahant Sanghamitta achieved her prime objective by establishing the Bhikkhuni Sasana which thrived for nearly 1200 years till it fell into decline with the fall of the Anuradhapura kingdom. Unfortunately, during the Polonnaruwa period that followed the influence of Hinduism over Buddhism increased and some of the Buddhist values like equality of sexes and anti-casteism were lost. Subsequently, even the Bhikkhu Sasana went into decline. Higher ordination for Bhikkhus was re-established in 1753 CE with the visit of Upali Maha Thera from Siam which formed the basis of Siam Maha Nikaya. Upali Maha Thero is also credited with reorganising Kandy Esala Perahera to be the annual Procession of the Temple of Tooth, which was previously centred around the worship of deities, by getting a royal decree: “Henceforth Gods and men are to follow the Buddha”
In 1764 CE, Siyam Nikaya imposed a ‘Govigama and Radala’ exclusivity, disregarding a fundamental tenet of the Buddha, apparently in response to an order from the King! Fortunately, Buddhism was saved from the idiocy of Siyam Nikaya by the formation of Amarapura Nikaya in 1800 CE and Ramanna Nikaya in 1864 CE, higher ordination for both obtained from Burma. None of these Niakya’s showed any interest in the re-establishment of Bhikkhuni Sasana which was left to a band of interested and determined ladies.
My thoughts and admiration, on the day Bhikkhuni Sasana was originally established, go to these pioneers whose determination knew no bounds. They overcame enormous difficulties and obtained higher ordination from South Korea initially. Fortunately, Ven. Inamaluwe Sri Sumangala Thero, Maha Nayaka of Rangiri Dambulla Chapter of Siyam Maha Nikaya started offering higher ordination to Bhikkhunis in 1998 but state recognition became a sore point. When Venerable Welimada Dhammadinna Bhikkhuni was denied official recognition as a Bhikkhuni on her national identity card she filed action, with the support of Ven. Inamaluwe Sri Sumangala Thero. In a landmark majority judgement delivered on 16 June, the Supreme Court ruled that the fundamental rights of Ven. Dhammadinna were breached and also Bhikkhuni Sasana was re-established in Sri Lanka. As this judgement did not receive wide publicity, I wrote a piece titled “Buddhism, Bhikkhus and Bhikkhunis” (The Island, 10 July 2025) and my wish for this Unduvap Poya is what I stated therein:
“The landmark legal battle won by Bhikkhunis is a victory for common sense more than anything else. I hope it will help Bhikkhuni Sasana flourish in Sri Lanka. The number of devotees inviting Bhikkhunis to religious functions is increasing. May Bhikkhunis receive the recognition they richly deserve.” May there be a rapid return to normalcy from the current tragic situation.”
by Dr Upul Wijayawardhana
Opinion
Royal Over Eighties
The gathering was actually of ‘Over Seventies’ but those of my generation present were mostly of the late eighties.
Even of them I shall mention only those whom I know at least by name. But, first, to those few of my years and older with whom speech was possible.
First among them, in more sense than one, was Nihal Seneviratne, at ninety-one probably the oldest present. There is no truth to the story that his state of crisp well-being is attributable to the consumption of gul-bunis in his school days. It is traceable rather to a life well lived. His practice of regular walks around the house and along the lane on which he lives may have contributed to his erect posture. As also to the total absence of a walking stick, a helper, or any other form of assistance as he walked into the Janaki hotel where this gathering took place.
Referencing the published accounts of his several decades-long service in Parliament as head of its administration, it would be moot to recall that his close friend and fellow lawyer, J E D Gooneratne, teased him in the following terms: “You will be a bloody clerk all your life”. He did join service as Second Assistant to the Clerk to the House and moved up, but the Clerk became the Secretary General. Regardless of such matters of nomenclature, it could be said that Nihal Seneviratne ran the show.
Others present included Dr. Ranjith de Silva, Surgeon, who was our cricket Captain and, to the best of my knowledge, has the distinction of never engaging in private practice.
The range of Dr. K L (Lochana) Gunaratne’s interests and his accomplishments within each are indeed remarkable. I would think that somebody who’d received his initial training at the AA School of Architecture in London would continue to have architecture as the foundation of his likes /dislikes. Such would also provide a road map to other pursuits whether immediately related to that field or not. That is evident in the leadership roles he has played in the National Academy of Sciences and the Institute of Town Planners among others. As I recall he has also addressed issues related to the Panadura Vadaya.
My memories of D L Seneviratne at school were associated with tennis. As happens, D L had launched his gift for writing over three decades ago with a history of tennis in Sri Lanka (1991). That is a game with which my acquaintance is limited to sending a couple of serves past his ear (not ‘tossing the ball across’ as he asked me to) while Jothilingam, long much missed, waited for his team mates to come for practices. It is a game at which my father spent much time both at the Railway sports club and at our home-town club. (By some kind of chance, I recovered just a week ago the ‘Fred de Saram Challenge Cup’ which, on his winning the Singles for the third time, Koo de Saram came over to the Kandana Club to hand over to him for keeps. They played an exhibition match which father won). D L would know whether or not, as I have heard, in an exhibition match in Colombo, Koo defeated Frank Sedgman, who was on his triumphant return home to Oz after he had won the Wimbledon tournament in London.
I had no idea that D L has written any books till my son brought home the one on the early history of Royal under Marsh and Boake, (both long-bearded young men in their twenties).
It includes a rich assortment of photographs of great value to those who are interested in the history of the Anglican segment of Christian missionary activity here in the context of its contribution to secondary school education. Among them is one of the school as it appeared on moving to Thurstan road from Mutwal. It has been extracted from the History of Royal, 1931, done by students (among whom a relative, Palitha Weeraman, had played a significant role).
As D L shows, (in contra-distinction to the Catholic schools) the CMS had engaged in a largely secular practice. Royal remained so through our time – when one could walk into the examination room and answer questions framed to test one’s knowledge of Christianity, Buddhism, Hinduism and Islam; a knowledge derived mostly from the lectures delivered by an Old Boy at general assembly on Friday plus readings from the Dhammapada, the Bhagavad Gita, the St. John’s version of the Bible or the Koran recited by a student at senior assembly on Tuesday / Thursday.
D L’s history of Royal College had followed in 2006.
His writing is so rich in detail, so precise in formulation, that I would consider this brief note a simple prompt towards a publisher bringing out new editions at different levels of cost.
It was also a pleasure to meet Senaka Amarasinghe, as yet flaunting his Emperor profile, and among the principal organisers of this event.
The encounter with I S de Silva, distinguished attorney, who was on Galle road close to Janaki lane, where I lived then was indeed welcome. As was that with Upali Mendis, who carried out cataract surgery on my mother oh so long ago when he was head of the Eye Hospital. His older brother, L P, was probably the most gifted student in chemistry in our time.
Most serendipitous perhaps was meeting a son of one of our most popular teachers from the 1950s, – Connor Rajaratnam. His cons were a caution.
by Gamini Seneviratne
Opinion
“Regulatory Impact Assessment – Not a bureaucratic formality but essentially an advocacy tool for smarter governance”: A response
Having meticulously read and re-read the above article published in the opinion page of The Island on the 27 Nov, I hasten to make a critical review on the far-reaching proposal made by the co-authors, namely Professor Theekshana Suraweera, Chairman of the Sri Lanka Standards Institution and Dr. Prabath.C.Abeysiriwardana, Director of Ministry of Science and Technology
The aforesaid article provides a timely and compelling critique of Sri Lanka’s long-standing gaps in evidence-based policymaking and argues persuasively for the institutional adoption of Regulatory Impact Assessment (RIA). In a context where policy missteps have led to severe economic and social consequences, the article functions as an essential wake-up call—highlighting RIA not as a bureaucratic formality but as a foundational tool for smarter governance.
One of the article’s strongest contributions is its clear explanation of how regulatory processes currently function in Sri Lanka: legislation is drafted with narrow legal scrutiny focused mainly on constitutional compliance, with little or no structured assessment of economic, social, cultural, or environmental impacts. The author strengthens this argument with well-chosen examples—the sudden ban on chemical fertilizer imports and the consequences of the 1956 Official Language Act—demonstrating how untested regulation can have far-reaching negative outcomes. These cases effectively illustrate the dangers of ad hoc policymaking and underscore the need for a formal review mechanism.
The article also succeeds in demystifying RIA by outlining its core steps—problem definition, option analysis, impact assessment, stakeholder consultation, and post-implementation review. This breakdown makes it clear that RIA is not merely a Western ideal but a practical, structured, and replicable process that could greatly improve policymaking in Sri Lanka. The references to international best practices (such as the role of OIRA in the United States) lend credibility and global context, showing that RIA is not experimental but an established standard in advanced governance systems.
However, the article could have further strengthened its critique by addressing the political economy of reform: the structural incentives, institutional resistance, and political culture that have historically obstructed such tools in Sri Lanka. While the challenges of data availability, quantification, and political pressure are briefly mentioned, a deeper analysis of why evidence-based policymaking has not taken root—and how to overcome these systemic barriers—would have offered greater practical value.
Another potential enhancement would be the inclusion of local micro-level examples where smaller-scale regulations backfired due to insufficient appraisal. This would help illustrate that the problem is not limited to headline-making policy failures but affects governance at every level.
Despite these minor limitations, the article is highly effective as an advocacy piece. It makes a strong case that RIA could transform Sri Lanka’s regulatory landscape by institutionalizing foresight, transparency, and accountability. Its emphasis on aligning RIA with ongoing national initiatives—particularly the strengthening of the National Quality Infrastructure—demonstrates both pragmatism and strategic vision.
At a time, when Chairmen of statutory bodies appointed by the NPP government play a passive voice, the candid opinion expressed by the CEO of SLSI on the necessity of a Regulatory Impact Assessment is an important and insightful contribution. It highlights a critical missing link in Sri Lanka’s policy environment and provides a clear call to action. If widely circulated and taken seriously by policymakers, academics, and civil society, it could indeed become the eye-opener needed to push Sri Lanka toward more rational, responsible, and future-ready governance.
J. A. A. S. Ranasinghe,
Productivity Specialty and Management Consultant
(rathula49@gmail.com)
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