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Giving life to days

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UHKDU Palliative Care Services Unit

By Sajitha Prematunge

Fifty six year-old Somalatha was diagnosed with end stage cancer and was already bedridden by the time she was admitted to hospital. With proper care she was able to walk again and was looking forward to making a secure future for her children. But tragedy struck Somalatha’s family again. After her husband suddenly died of a stroke, she was forced to fend for herself. Soon after her condition worsened. Unfortunately Somalatha didn’t live to see her kids receive scholarships with the help of the dedicated University Hospital, Kotelawala Defence University staff, who cared for her.

Although her name is fictitious her predicament is all too real and thousands like her die annually without vital palliative care they are denied just because they couldn’t afford it. It is true that the Sri Lankan healthcare system is one of the best in the world, in that it is almost exclusively free of charge. But no system is infallible. It is patients like Somalatha who have to bear the brunt of its shortcomings, falling through the cracks of the Sri Lankan healthcare system.

In this light, University Hospital, General Sir John Kotelawala Defence University Palliative Care Services Unit, inaugurate on February 3 should be lauded as a timely intervention, although they had been practising palliative care long before. The UHKDU Palliative Care Services Unit was initiated at a time when repeated attempts to establish such services by various institutions had failed.

 

Palliative care

 

“The simple definition of palliative care is to optimise the quality of life of patients and care givers or loved ones, from the moment the patient is diagnosed with a chronic illness. The definition of ‘chronic’ here has wide implications, ranging from terminal cancer, schizophrenia, chronic neurological diseases, motor neuron disease, stroke to multiple fractures. Any of these conditions require palliative care,” said Consultant Oncologist Dr. Sachini Rasnayake.

It is difficult to believe that this personage of slight build heads Palliative Care Services at UHKDU, deftly fielding inquiries of changes to medication, pain management, financial issues and fears of patients, while breaking bad news to patients as gently as possible on an all too regular basis. “The responsibility of the palliative care giver is to uplift lives of the patients physically, psychosocially and spiritually,” said Rasnayake.

 

Goals

 

UHKDU Palliative Care Services was established with four main goals in mind. The first of which was to appoint a palliative care team. Rasnayake said that having so many expert consultants from different fields within the UHKDU was an added advantage. “A number of consultants volunteered to provide their services,” said a grateful Rasnayake. She opined that this team spirit was vital in establishing palliative care services. “A team of consultant anaesthetists volunteered to conduct a pain management clinic,” said Rasnayake, who pointed out that pain management is key priority when dealing with any chronic illness. “A group of physicians volunteered to attend to medical issues of palliative care patients. Onco-surgeons and the surgical team looks into the surgical aspect of palliative care.” For example, a Percutaneous Endoscopic Gastrostomy (PEG) tube is surgically inserted into a patient’s stomach through the abdominal wall for feeding purposes. “This is much more desirable than the nasogastric (NG) tube. An NG, inserted through the nose, past the throat, and into the stomach, is very uncomfortable for the patient.”

The team at UHKDU has performed the procedure on multiple long term paralysed patients and patients with throat cancers. “Long term bedridden patients require catheter care and may suffer from urinary incontinence, accidental or involuntary loss of urine; or faecal incontinence, accidental or involuntary loss of faeces or flatus.” Rasnayake explained that indwelling catheters could cause a host of other problems such as urinary track infections. “Genitourinary (GU) surgeons are tasked with addressing such issues.” Rasnayake appreciated the fact that the few oncologists at KDU were able to volunteer for palliative care despite their heavy workload. “Palliative care at UHKDU has no designated Medical Officers. But with much difficulty we were able to secure one nurse. The whole oncology team along with the pharmacists are all experts at palliative care and are wholeheartedly supportive of this initiative.” The rest of the palliative care team consists of a dedicated group of psychiatrists, psychologists and ENT surgeons.

Their second goal is to conduct ongoing medical education programmes. She explained that the team, including the supporting staff had undergone training. “By 2022 we hope that the whole hospital staff would be trained in palliative care,” said Rasnayake hopefully. “It’s vital that everyone undergoes training, since every service accompanies a component of palliative care.” Rasnayake informed that virtual teaching clips were used to train and online assessments used to ascertain the success of candidates, validated through a certification process. “If there is one thing we learned from the COVID-19 pandemic, it’s how pragmatic and applicable virtual training is. For example training a whole staff at the same time would mean that they would have to expend vital work hours. But with virtual training clips the potential care-givers can learn at their own pace.” UHKDU, Executive Director and Senior Consultant Psychiatrist, Dr Jayan Mendis was the first to identify the crying need for a palliative care facility within the University Hospital. Mendis reiterated the significance of such an initiative, pointing out that the training students receive at the facility will be crucial.

The third goal is to provide palliative care home visits. Rasnayake explained that such a service would be beneficial to bedridden patients who experience financial constraints. “Unfortunately we still don’t have a free a

mbulance service.” Rasnayake said that while serving in Polonnaruwa the Cyril Dharmawardana Foundation provided an ambulance service free of charge, which facilitated Rasnayake’s travel to distant parts of the country so she could provide palliative care services to patients who could not afford to travel. “With home visits we can address issues such as constipation, administer IV drips, train care givers and optimise the condition of the patient’s accommodation, including lighting and ventilation.”

The fourth goal is to establish a palliative care hospice. “Palliative Care Unit, Karapitiya Teaching Hospital, Onco Sergeon Dr. Krishantha Perera has achieved just this,” said Rasnayake. “There isn’t such a hospital in Colombo.” She explained that a hospice would see to the psychosocial well being of a patient, in a homely environment, providing symptomatic support. Towards achieving their last goal KDU Vice Chancellor Major General Milinda Peiris has announced his agreement to allocate 10 such rooms from the KDU hotel, to extend this facility to short term palliative care patients. “For the first time in Sri Lankan health tourism, UHKDU has introduced the hospital hotel concept,” said Peiris. “Moreover, in an emergency the patient can be transferred to the hospital in less than five minutes.”

Rasnayake informed that a host of other services concerning palliative care is provided in-house by physiotherapists, psychologists and social workers. Providing radiation therapy at the palliative care facility is also in the works. “But to establish such services and facilities we must have the man power and resources,” Rasnayake pointed out. Rasnayake said that manpower, resources and understanding are integral to palliative care, aspects Sri Lanka is lagging behind in, compared to developed countries. “Unfortunately this has not been well communicated to the community. Most don’t know how they can provide such services,” said Rasnayake. She explained that this is the greatest difference between a hospital and a hospice. “At a hospice you can offer your services, clean and wash patients, subject to supervision, and even entertain them. In a hospital there are rules and regulations that prevents this.”

“One doesn’t have to be medically proficient to practise palliative care. Many who’ve had fallen on hard times in their lives later want to help others through such times,” said Oncology Department, Research Assistant, Dr. Sandini Liyanage. Liyanage and her ilk are stuck between a rock and a hard place. “We want to help, but there’s only so much we can do. We can only treat the patient, with chemotherapy or radiotherapy. But a lot more goes on in the patients’ lives. A terminal illness entails a host of psychosocial issues.” For example, Liyanage explained that, from the moment someone is diagnose with stage four cancer, they’ll invariably start to worry about everything from money, treatment to how to educate their children. “They will mentally fall apart.” Liyanage who is volunteering for palliative care service said that the services are available to any patient, although most who currently receive services are oncology patients. “It’s not just about treating the cancer. The families are also devastated. Cancer takes not only lives but a lot of other things from the family the patient leaves behind.”

 

Socio-economic constraints

 

As medical officers of palliative care those like Liyanage are able to build a complete picture about the socio-economic background of a patient by studying their history. She pointed out that most of the patients who require palliative care services are of lower socio-economic backgrounds, who were struggling to make ends meet when the illness in question exacerbated the situation.

“That’s why communication is vital. Palliative care strives to provide a patient-friendly environment,” said nurse Yashmi Kaushalya. Oncology Department nurse, the only such working full time for the Palliative Care unit, Kaushalya is a far cry from the average nurse. With a temperament befitting palliative care, Kaushalya’s calm and measured speech will no doubt assuage her patients. “As nurses we are required to communicate with patients and family members.” Palliative care nurses must be privy to psychological, physical, socio-economic problems of patients. She opined that palliative care is instrumental in caring for patients who have little family backing.

As a nurse new to palliative care, Kaushalya has not broken bad news to a patient’s family yet, for which she would accompany Rasnayake tomorrow. “It can’t be easy breaking bad news,” admitted Kaushalya. “In fact, our services have a lot more to do with caring for patients psychologically than physically,” said Kaushalya. “This is what makes palliative care nurses different from the average nurse.”

“When the patient does not have money to buy drugs, palliative care ends then and there. Although palliative care has been practised for ages, when social and financial capability is curtailed the quality of service drops. This is why social and economical support is vital,” admitted Rasnayake, who had bought drugs for patients out of her own pocket on several occasions. She reiterated that trust and continuous social care services and above all financial support is imperative for maintaining sustainable palliative care.

Rasnayake is positive that money will not be an obstacle for the continuity of the programme. Cancer Care Association founder and Chairman of the National Authority on Tobacco and Alcohol, Dr. Samadhi Rajapaksa provides much needed support, while Indira Caner Trust Director Dr. Lanka Dissanayake and Cancer Society President Anuja Karunaratne have pledged support for the programme. Rasnayake emphasised the significance of establishing a palliative care trust and a governing body to coordinate funds and all stakeholders, to ensure continued support for patients. Rasnayake appreciated the support of senior journalist and former diplomat late Bandula Jayasekara in making the programme a success.

Rasnayake readily admits that Oncology Department Head, Senior Oncologist Dr. Jayantha Balawardhane is the driving force behind the programme. Balawardhane explained that the main objectives of palliative care is to relieve and comfort patients. He pointed out that palliative care can be conducted in the ward, acute care hospital, palliative care unit or hospice, hostel, nursing home, elders home or one’s own home. “Place is immaterial when it comes to palliative care.” Balawardhane emphasized that pain relief is an integral part of palliative care. “Relieving pain is half the battle in palliative care.” Other discomforts such as bedsores, loss of bladder and bowel control adds insult to injury.

 

Psychosocial issues

 

Psychosocial issues such as sense of abandonment, anger, frustration and resentment exacerbate the psychological condition of the patient. “Patients maybe embittered, therefore we must address such psychosocial issues with care,” reiterated Balawardhane. Social abandonment, resulting from stigma, due to myths such as cancer is contagious or associating those undergoing chemo or radiation therapy could adversely affect others, and busy schedules that prevent loved ones from visiting are among the major social issues faced by palliative care patients. “Cosmetic mutilation is also a major issue,” pointed out Balawardhane. Treatment results in hair loss, palloring of skin and weight loss and this contributes to patients becoming social outcasts.

“Palliative care must also respect cultural differences and religious inclinations. For example, one who may believe in reincarnation may attempt to weigh one’s merits and demerits, contemplating on where he or she would be reborn. All this contribute to the suffering of the patient,” said Balawardhane. Quoting from American neurosurgeon, pathologist and writer, Harvey Cushing, Balawardhane said that, “‘A physician is obligated to consider more than a diseased organ, more even than the whole man – he must view the man in his world’, meaning that palliative care is holistic care. Most importantly it should be patient centred, family centred.” Palliative care should be comprehensive, leaving no stone unturned, continuous and proactive, delivered by a coordinated team and subject to regular review.”

The palliative care team consists of nurse, dietician, pharmacist, occupational therapist, paramedical aid, General Practitioner, bereavement support worker, social worker, councillor, domestic care provider and even the funeral director plays a vital role in the team. Palliative care is a support system that facilitates an active lifestyle for as long as medically possible. “This requires a lot of distractions such as games like carom, card or scrabble, listening to music or watching TV.” Palliative care practitioners use their clinical expertise and judgement to anticipate problems and treat them proactively before they manifest. “Integration of psychological, emotional, social and spiritual aspects of care between patient, family and caregivers is imperative to the functioning of the palliative care process,” emphasised Balawardhane.

Palliative care trains the patient to regard dying as a normal process, by improving the quality of life for the remainder, explained Balawardhane. “Quality is subjective, it differs from person to person.” he explained that the care provider must not enforce what he or she assumes as ‘quality’ on the patient and in stead must cater to patient demand. Palliative care promotes a degree of acceptance by the patient and immediate family, regarding the final outcome and assists the patient in the decision-making process that would result in a peaceful and dignified demise. Bereavement support helps loved ones to accept loss and does not abruptly stop with the demise of patient under palliative care. “The objective is to give life to days, whatever the remaining number of days, and not give days to life.”



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Trump tariffs and their effect on world trade and economy with particular reference to Sri Lanka

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President Trump announcing reciprocal tariffs (File picture)

In the early hours of April 2, 2025, President Donald Trump stood before a crowd of supporters and declared it “Liberation Day” for American workers and manufacturers. He signed an order imposing a minimum 10% tariff on all US imports, with significantly higher rates, ranging from 11% to 50%, on goods from 57 specific countries. This dramatic policy shift sent immediate shockwaves through global markets and trade networks, marking a profound escalation of the protectionist agenda that has defined Trump’s economic philosophy since the 1980s.

The implications of these tariffs extend far beyond America’s borders, rippling through the intricate web of global trade relationships that have been carefully constructed over decades of economic integration. While Trump frames these measures as necessary corrections to trade imbalances and vital protections for American industry, the truth is, it’s way more complicated than that. These tariffs aren’t just minor tweaks to trade rules, they could totally upend the way global trade works in the global economic order, disruptions that will be felt most acutely by developing economies that have built their growth strategies around export-oriented industries.

Among these vulnerable economies stands Sri Lanka, still recovering from a devastating economic crisis that led to sovereign default in 2022. With the United States serving as Sri Lanka’s largest export destination, accounting for 23% of its total exports and a whopping 38% of Sri Lanka’s key textile and apparel exports, the sudden imposition of a 44% tariff rate threatens to undermine the country’s fragile economic recovery. Approximately 350,000 Sri Lankan workers are directly employed in the textile industry. These tariffs aren’t some far-off policy, they are an immediate threat to their livelihoods and economic security.

The story of Trump’s tariffs and their impact on Sri Lanka offers a compelling window into the broader tensions and power imbalances that characterise the global trading system. It illustrates how decisions made in Washington can dramatically alter economic trajectories in distant corners of the world, often with little consideration for the human consequences. It also raises profound questions about the sustainability of development models predicated on export dependency and the adequacy of international financial institutions’ approaches to debt sustainability in developing economies.

This article examines the multifaceted implications of Trump’s tariff policies, tracing their evolution from his first administration through to the present day and analysing their projected impacts on global trade flows and economic growth. It then narrows its focus to Sri Lanka, exploring how the country’s unique economic circumstances and trade profile make it particularly vulnerable to these tariff shocks.

Finally, it considers potential mitigation strategies and policy responses that might help Sri Lanka navigate these turbulent waters, offering recommendations for both immediate crisis management and longer-term structural adaptation.

As we embark on this analysis, it is worth remembering that behind the economic statistics and trade figures lie real human lives and communities whose futures hang in the balance. The story of Trump’s tariffs is ultimately not just about trade policy or economic theory but about the distribution of opportunity and hardship in our interconnected global economy.

TRUMP’S TARIFF POLICIES: PAST AND PRESENT

Historical Context of Trump’s Protectionist Views

Donald Trump’s embrace of protectionist trade policies did not begin with his presidency. Since the 1980s, Trump has consistently advocated for import tariffs as a tool to regulate trade and retaliate against foreign nations that he believes have taken advantage of the United States. His economic worldview was shaped during a period when Japan’s rising economic power was perceived as a threat to American manufacturing dominance. In interviews from that era, Trump frequently criticised Japan for “taking advantage” of the United States through what he characterised as unfair trade practices.

This perspective has remained remarkably consistent throughout his business career and into his political life. Trump views international trade not as a mutually beneficial exchange but as a zero-sum competition where one country’s gain must come at another’s expense. This framework fundamentally shapes his approach to tariffs, which he sees not as taxes ultimately paid by American consumers and businesses (as most economists argue) but as penalties paid by foreign countries for their supposed transgressions against American economic interests.

First Term (2017-2021) Tariff Policies

When President Trump took office in January 2017, he quickly began implementing the protectionist agenda he had promised during his campaign. His administration withdrew from the Trans-Pacific Partnership on his third day in office, signalling a dramatic shift away from the multilateral trade liberalisation that had characterised American policy for decades.

The first major tariffs came in January 2018, when Trump imposed duties of 30-50% on imported solar panels and washing machines. While significant, these were merely the opening salvos in what would become a much broader trade offensive. In March 2018, citing national security concerns under Section 232 of the Trade Expansion Act, Trump announced tariffs of 25% on steel and 10% on aluminium imports from most countries. These tariffs initially exempted several allies, including Canada, Mexico, and the European Union, but by June 2018, these exemptions were revoked, straining relationships with America’s closest trading partners.

The most consequential trade action of Trump’s first term, however, was the escalating tariff war with China. Beginning in July 2018, the administration imposed a series of tariffs on Chinese goods, eventually covering approximately $370 billion worth of imports. These measures were justified under Section 301 of the Trade Act, based on allegations of intellectual property theft and forced technology transfer. China responded with retaliatory tariffs on American exports, particularly targeting agricultural products from politically sensitive regions.

By the end of President Trump’s first term, the average US tariff rate had risen from 1.6% to approximately 13.8% on Chinese imports and 3% overall, the highest level of protection since the 1930s. While a “Phase One” trade deal with China in January 2020 paused further escalation, most of the tariffs remained in place, becoming a persistent feature of the international trading landscape.

Current Tariff Policies (2024-2025)

President Trump’s return to the White House in 2025 has brought an even more aggressive approach to tariffs. During his campaign, he promised tariffs of 60% on all Chinese imports, 100% on Mexico, and at least 20% on all other countries. While the actual implementation has not precisely matched these campaign pledges, the scale and scope of the new tariffs have nevertheless been unprecedented in modern American trade policy.

The centrepiece of Trump’s current trade policy was announced on April 2, 2025, dubbed “Liberation Day” by the administration. The executive order imposed a minimum 10% tariff on all US imports, effective April 5, with significantly higher tariffs on imports from 57 specific countries scheduled to take effect on April 9. These country-specific tariffs range from 11% to 50%, with China facing the highest rate at 145% or rather 245%, effectively cutting off most trade between the world’s two largest economies.

The formula for determining these “reciprocal tariffs” remains somewhat opaque, but appears to be based primarily on bilateral trade deficits, with countries running larger surpluses with the United States facing higher tariff rates. This approach reflects Trump’s persistent view that trade deficits represent “losing” in international commerce, a perspective at odds with mainstream economic thinking, which generally views trade balances as the result of broader macroeconomic factors rather than evidence of unfair trade practices.

For Sri Lanka, the formula resulted in a punishing 44% tariff rate, the sixth highest among all targeted countries. This places Sri Lankan exports at a severe competitive disadvantage in the American market, threatening an industry that has been central to the country’s economic development strategy for decades.

The stated objectives of these tariffs include reducing the US trade deficit, revitalising American manufacturing, punishing countries perceived as engaging in unfair trade practices, and generating revenue that Trump has variously suggested could fund infrastructure, childcare subsidies, or even replace income taxes entirely. However, economic analyses from institutions like the World Trade Organisation, the Penn Wharton Budget Model, and numerous independent economists suggest these objectives are unlikely to be achieved, and that the tariffs will instead reduce economic growth both domestically and globally while raising prices for American consumers.

After a violent reaction in financial markets, the administration announced a 90-day pause on the higher country-specific tariffs for all nations, except China. However, the baseline 10% tariff remains in effect, and the threat of the higher tariffs continues to create significant uncertainty in global markets. This uncertainty itself acts as a drag on economic activity, as businesses delay investment decisions and reconsider supply chain arrangements in anticipation of potential future trade disruptions.

GLOBAL ECONOMIC IMPACT OF TRUMP TARIFFS

The imposition of sweeping tariffs by the Trump administration has sent ripples throughout the global economy, with international organisations, economic research institutions, and financial markets all signalling significant concerns about their far-reaching consequences. What began as a unilateral policy decision by the United States threatens to fundamentally alter global trade patterns, disrupt supply chains, and potentially trigger a broader economic slowdown that could affect billions of people worldwide.

WTO Projections on Global Trade Contraction

The World Trade Organisation (WTO), the primary international body overseeing global trade rules, has issued stark warnings about the impact of Trump’s tariffs. In its latest assessment of the global trading system, the WTO dramatically revised its trade growth projections for 2025. Prior to the tariff announcements, the organisation had forecast a healthy 2.7% expansion in global trade for the year. Following Trump’s “Liberation Day” declaration, it now projects a 0.2% contraction, a negative swing of nearly three percentage points.

This contraction in trade is expected to have direct consequences for global economic growth as well. The WTO has downgraded its global GDP growth forecast from 2.8% to a more anaemic 2.2%. While this may seem like a modest reduction, in absolute terms, it represents hundreds of billions of dollars in lost economic activity and potentially millions of foregone jobs worldwide.

Of particular concern to the WTO is the potential “decoupling” of the world’s two largest economies. Ngozi Okonjo-Iweala, the WTO’s director general, has expressed specific alarm about this phenomenon, noting that trade between the United States and China is expected to plunge by 81-91% without exemptions for tech products, such as smartphones. Such a dramatic reduction in bilateral trade between these economic giants would be “tantamount to a decoupling of the two economies” with “far-reaching consequences” for global prosperity and stability.

The WTO has also modelled more severe scenarios that could materialise if the currently paused “reciprocal tariffs” are reimposed after their 90-day hiatus. In such a case, the organisation projects a steeper 0.8% decline in global goods trade. Should this be accompanied by a surge in “trade policy uncertainty” worldwide, as other countries adjust their own policies in response, the WTO suggests an even more severe 1.5% contraction in trade could occur, with global GDP growth potentially falling to just 1.7%, a level that would place many countries perilously close to recession.

by Ali Sabry

(To be continued)

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Features

The Broken Promise of Lankan Cinema: Asoka and Swarna’s Thrilling Melodrama – Part I

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A scene in Rani

“‘Dr. Ranee Sridharan,’ you say. ‘Nice to see you again.’The woman in the white sari places a thumb in her ledger book, adjusts her spectacles and smiles up at you. ‘You may call me Ranee. Helping you is what I am assigned to do,’ she says. ‘You have seven moons. And you have already waisted one.’” The Seven Moons of Maali Almeida by Shehan Karunatilaka (London: Sort of Books, 2022. p84)

The very first Sinhala film Broken Promise (1947), produced in a studio in South India, was a plucky endeavour on the part of the multi-ethnic group who powered it. Directed by B.A.W. Jayamanne, it introduced the classically trained Tamil singer and stage actress in the Minerva Theatre Company, Daisy Rasamma Daniels, as Rukmani Devi, (who was the only real star of the Lankan cinema at the height of its mass popularity), to an avid cinephile audience of Ceylon who had grown up enjoying Hindi, Tamil and Hollywood films. The producer of the film, S. M. Nayagam, an Indian of Tamil ethnicity, skilfully negotiated the production of the first Lankan film in Sinhala in his South Indian film studio in Madurai because Ceylon had neither the film infrastructure nor the technical know-how to do so. A Tamil singer/actress and a Sinhala director were the Ceylonese ‘capital’, both of whom had to learn on the run, the craft of filmmaking.

Rukmani Devi and Swarna Mallawarachchi

There is a rather strange parallel between the Tamil Rukmani Devi, playing Sinhala women throughout her entire career with impeccable professionalism, great devotion and love, and the Sinhala Swarna Mallawarachchi, playing a Tamil woman for the first time, in Rani, but quite late in her career. In terms of their careers as independent, self-made film actors these are, undoubtedly, professional achievements of cultural significance for our multi-ethnic, highly stratified, Island nation with its 28-year war. But Rukmani Devi’s career began with the very inception of Lankan cinema when she was quite young and ended all too soon, when she was no longer young enough to play lead roles. However, she continued to earn a living singing at live carnival variety shows, until her tragic death in her 50s.

But Asoka Handagama’s Rani arrives in the era of digital cinema when the mass audience for cinema had diminished greatly, given the easy access online. Also, the Sinhala cinema as an Industry, such as it was, with production, distribution and exhibition of films in cinemas across the country, at scale, and the film-culture that sustained it for several decades does not exist any longer. It’s mostly only Hollywood blockbusters and a handful of films that draw an audience to a theatre. Scandal and controversy play well to draw folk into a cinema sometimes and a brilliant actor can also do this. The example of Australian actress Cate Blanchett becoming a Hollywood star, in Tar (2023), comes to mind. Now most Hollywood films go straight to Netflix and other streaming services with a short theatrical season. And Indian independent cinema and TV series do get on to Netflix with their high production values, unique genre traditions, star systems and a large diaspora for films in several Indian languages – Tamil, Hindi, Telugu.

Swarna’s over 50-year acting career, now in her 70s, has had a very rare boost going by the controversial public reception of the film and its related box office success. However, that this success is the result of having played a remarkable Lankan Tamil woman, a professional, appears not to be of much interest to the many Sinhala critics I have read or heard online. Apart, of course, from a mention in passing that Manorani Sarvanamuttu was a doctor with a patrician, Tamil, Anglophone ancestry, her Tamil ethnicity does not figure centrally in the discussions of the film and of Swarna’s performance itself. In fact, apart from the adulation of her performance as Rani, I have not found as yet any substantive intellectual discussion of her choice of a style of acting and of its aesthetic quality and indeed the politics it implies. As an actress with a highly distinguished filmography, beginning with Siri Gunasinghe’s Sath Samudura (66), with major auteurs of Lankan cinema, this is indeed a strange omission.

In this piece I am particularly interested to explore Swarna and Asoka’s choice of ‘a Melodramatic Style’ of acting, to represent Dr Manorani Saravanamuttu as Rani. She who was a Tamil, Christian, professional woman who, after her son’s assassination, chose to become a public figure, leading a movement of largely Southern, Sinhala-Buddhist women in ‘The Mothers’ Front’ demanding justice for their ‘disappeared’ loved ones during a period of terror in the country.

Tear-Gas Cinema People

I am also thinking of the 2022 ‘Aragalaya/Porattam/Struggle-generation’ in particular, who would have a keen interest in Rani for political and ethical reasons and more specifically all those brilliant protestors who joyfully constructed the ‘Tear Gass Cinema’ in the heart of Galle Face, which was torn down by thugs instigated by Mahinda Rajapaksa himself who appears in Rani as an aspiring politician who cunningly uses the Mothers’ Front to power his political future. As cinephiles, they would no doubt be also interested in the film’s aesthetics, its realpolitik, gender politics and psycho-sexual violence, in an era of all-pervasive terror.

Manorani’s Tamil Ethnicity

Manorani’s Tamil ethnicity and its implications will be at the forefront of my inquiry, especially because her Tamil identity appears to be central to Swarna’s own fascination with her and desire to perform the role of Manorani as the bereaved mother of an assassinated charismatic son. ‘Fascination’ and ‘desire’ are dynamic, complex, psychic energies, vital for all creative actors who take on ‘difficult’ roles, especially female ones, in theatre and film. Consider the generations of distinguished Western actors who have played roles, such Lady Macbeth (Shakespeare’s Macbeth) or Medea (Euripides’ Medea) who killed her children to avenge her husband for abandoning her or Clytemnestra (Aeschylus’ Oresteian Trilogy) who killed her husband Agamemnon to avenge his killing of their daughter Iphigenia in the Classical Greek tragedy. These are not characters one can like, but an actor who incarnates them must find something fascinating in them, to the point of obsession even, so as to inhabit them night after night in the theatre credibly, in all their capacity, as the case might be, for passion and profound violence.

Perhaps not incidentally, Manorani Sarvanamuttu did play the role of Clytemnestra at the British Council with Richard de Zoysa, her own son playing either the role of Aegisthus, her lover or her son Orestes who is duty bound, fated, to kill her because she killed his father the king. I saw this production of The Libation Bearers (the second play of the Trilogy), but can’t remember the exact year, perhaps 1988 nor the role Richard played but do remember Manorani’s powerfully statuesque presence, her poise and minimalist gestures, performed in an open corridor with high pillars, facing the audience seated on chairs arranged on a very English lawn modulated by a setting tropical sun. The texture of her voice was soft but strong, the timbre rich, I recall. She didn’t need to shout to project her voice, though it was an open-air show. She was an experienced amateur actor working with the playwright and director Lucien de Zoysa, who she married and had Richard with.

Modulating a Gift: A Female Actor’s Voice

But now that I have heard, while researching this piece, Manorani’s speaking voice (not her theatrical poetic voice as Clytemnestra the regicide) on a documentary film made after Richard’s death, I do think that hers was a singular ‘Ceylonese’ voice. That ‘Ceylon’ ceased existing once upon a time, except in memory, a memory popping up by chance on hearing a voice, that most fragile of memory traces with the power to make palpable, time lost.

Rukmani Devi is the only actor in the Lankan cinema of the early period who had a deep, textured, resonant voice with perfect pitch that perhaps reached the famous two octave range in singing, as Elvis Presley famously possessed. A star of the Hindi cinema once said that with that voice, had Rukmani Devi been an Indian she would have had quite a different career and that she did have an ‘operatic voice’, that is to say one with considerable power, range and texture which she was able to modulate to create feelings that we Lankans still respond to hearing her songs. The problem was that the dialogue written for her in the popular genre films was melodramatic in the extreme, formulaic, often laughable, and the delivery also similarly stilted. Her singing created and sustained the intensity of the films despite the slight lyrics. Radio, records and cassettes spread her voice and also Mohidin Baig’s, right across the country. She spoke an ‘accent-less’ Sinhala, without a trace of her Tamil mother tongue inflecting it.

The Aging Female Actor

It’s a fact well known that when female film-actors pass their youth, their roles diminish rapidly. But in striking contrast, male actors do go on acting until they are quite old and even have romantic scenarios written for them with young women old enough to be their granddaughters. Feminist film theorists have written about this stuff and brilliant leading female Hollywood stars have spoken out about this and taken productive action, on occasion, to rectify it. There simply are no film roles for female actors when they reach maturity of age, experience and technical skill, unlike in theatre, unless playing the role of an ‘aging actress’ of 50 refusing to accept career death so soon, as in All About Eve with Bette Davis.

Kadaima, the recent film Swarna performed in, directed by a surgeon on leave, Dr. Naomal Perera, was promoted as sequel to Vasantha Obeysekera’s classic Dadayama. Kadaima appears to have fizzled out trying a feeble pun on Dadayama with typical melodramatic plot contrivances of coincidences. But in Dadayama Swarna created an unforgettably powerful performance directly related, it should be emphasised, to Vasantha’s brilliant direction, script based on a notorious crime and complex editing of sound and image. Like Sumithra Peiris, Vasantha was also trained in filmmaking in France. After Dadayama’s success in 1983, the chance to perform a challenging role so late in her career, linked to yet another ‘true crime’, would have been an irresistible opportunity for Swarna as a mature and highly experienced award-winning actor.

An analysis of her style of performance follows, in relation to the Rani script and direction because they are integrally linked.

But at first, I want to create a historically informed, intellectual framework irrespective of whether I like the film or not. By ‘history,’ I mean Lankan film history, a history of film acting within the context of the history of political violence, especially the political terror of 1987-1990 and its aftermath during the civil war years. I do so because Rani has created what the Australian Cultural Studies scholar Meaghan Morris has theorised as ‘a Mass-Media Event’.

“An event is a complex interaction between commerce and ‘soul’; or, to speak more correctly, between film text, the institution of cinema and the unpredictable crowd-actions that endow mass-cultural events with their moment of legitimacy, and so modify mass-culture”.

The crowded discourse on Rani in the South is noteworthy, and appears to be unprecedented. This fact alone warrants a considered analysis beyond simply stating our individual likes and dislikes of the film, defending the film or criticising it. As a scholar working within the field of Cinema Studies, one is ethically bound to explore and analyse such ‘Media Events’ rationally and imaginatively, making clear one’s theoretical and other assumptions. In doing so, others may engage with the terms of my argument without being abusive. In such work, aesthetic and ethical values are not, in the final analysis, separable categories even as one is cognisant of the monetary value of films at this scale of production and the importance of box office revenue and the advertising machine that powers it. Often, in the history of cinema, these values have been in conflict with each other but as an ‘industrial art’, its very condition of possibility. I am drawn to filmmakers who burn so much time and energy to capture on film a few moments of intensity, intimate vitality that enriches life … all life, that propels us to think the unthinkable. This is why cinema matters, this is why the history of cinema has many, too many, martyrs. (To be continued)

by Laleen Jayamanne

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Towards a new international order: India, Sri Lanka and the new cold war

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Modi and Jinping (file photo)

Will a peaceful and sustainable multipolar world be born when the rising economic weight of emerging economies is matched with rising geopolitical weight, as argued by renowned economist Jeffrey Sachs in his recent Other News article?

There is no question that, as the US-led world order collapses, a new multipolar world that can foster peace and sustainable development is urgently needed. BRICS (Brazil, Russia, India, China, South Africa) was established to promote the interests of emerging economies by challenging the economic institutions dominated by the West and the supremacy of the US dollar in international trade. Asia alone constitutes around 50% of the world’s GDP today. China is expected to become the world’s leading economy and India, the world’s third largest economy by 2030.

But does economic growth alone reflect improvement in the quality of life of the vast majority of people? And should it continue to be the central criteria for a “new international order”?

Unfortunately, BRICS appears to be replicating the same patterns of domination and subordination in its relations with smaller nations that characterize traditional imperial powers. Whether the world is unipolar or multipolar, the continuation of a dominant global economic and financial system based on competitive technological and capitalist growth and environmental, social and cultural destruction will fundamentally not change the world and the disastrous trajectory we are on.

Despite many progressives investing hope in the emerging multipolarity, there is a deep systemic bias that fails to recognise that the emerging economies are pursuing the same economic model as the West. This means we will continue to live in a world that prioritises unregulated transnational corporate growth and profit over environmental sustainability and social justice. China Communications Construction Company and the Adani Group are just two examples of controversial Chinese and Indian conglomerates reflecting this destructive continuity.

Is India, as Professor Sachs says, providing “skillful diplomacy” and “superb leadership” in international affairs? Look, for example, at India’s advancing vision of “Greater India,” Akhand Bharat (Undivided India) and behaviour towards its neighboring countries. Are these not strikingly similar to US strategies of hegemonic interference?

While India promotes its trade and infrastructure projects as enhancing regional security and welfare, experiences in Nepal demonstrate how Indian trade blockades and electricity grid integration with India have made Nepal dependent on and subordinate to India in meeting its basic energy and consumer needs. Similarly, Bangladesh’s electricity agreement with the Adani Group has created a situation allowing Adani to discontinue power supply to Bangladeshi consumers.

Since the fall of the Sheikh Hasina regime, there have been widespread demands to cancel the deal with Adani, which is seen as unequal and harmful to Bangladesh. Similarly, recent agreements made with Sri Lanka would expand India’s “energy colonialism” and overall political, economic and cultural dominance threatening Sri Lanka’s national security, sovereignty and identity.

During Indian Prime Minister Narendra Modi’s visit to Sri Lanka, April 4-6, 2025, according to reports in the Indian media, some seven to ten agreements were signed to strengthen ties in defence, electricity grid interconnection, multi-product petroleum pipeline, digital transformation and pharmacopoeial practices between the two countries. The agreements have been signed using Sri Lankan Presidential power without debate or approval of the Sri Lankan Parliament. The secrecy surrounding the agreements is such that both the Sri Lankan public and media still do not know how many pacts were made, their full contents and whether the documents signed are legally binding agreements or simply “Memoranda of Understanding” (MOUs), which can be revoked.

The new five-year Indo-Lanka Defense Cooperation Agreement is meant to ensure that Sri Lankan territory will not be used in any manner that could threaten India’s national security interests and it formally guarantees that Sri Lanka does not allow any third power to use its soil against India. While India has framed the pact as part of its broader “Neighborhood First” policy and “Vision MAHASAGAR (Great Ocean)” to check the growing influence of China in the Indian Ocean region, it has raised much concern and debate in Sri Lanka.

As a member of the Quadrilateral Security Dialogue (QUAD)—a strategic alliance against Chinese expansion that includes the United States, Australia and Japan—India participates in extensive QUAD military exercises like the Malabar exercises in the Indian Ocean. In 2016, the United States designated India as a Major Defense Partner and in 2024, Senator Marco Rubio, current US Secretary of State, introduced a bill in the US Congress to grant India a status similar to NATO countries. In February 2025, during a visit to the USA by Modi, India and the US entered into a 10-year defence partnership to transfer technology, expand co-production of arms, and strengthen military interoperability.

Does this sound like the start of a new model of geopolitics and economics?

Sri Lankan analysts are also pointing out that with the signing of the defense agreement with India, “there is a very real danger of Sri Lanka being dragged into the Quad through the back door as a subordinate of India.” They point out that Sri Lanka could be made a victim in the US-led Indo-Pacific Strategy compromising its long-held non-aligned status and close relationship with China, a major investor, trade partner and supporter of Sri Lanka in international forums.

The USA and its QUAD partner India, as well as China and other powerful countries, want control over Sri Lanka, due to its strategic location in the maritime trade routes of the Indian Ocean. But Sri Lanka, which is not currently engaged in any conflict with an external actor, has no need to sign any defence agreements. The defence MOU with India represents further militarisation of the Indian Ocean as well as a violation of the 1971 UN Declaration of the Indian Ocean as a Zone of Peace and the principles of non-alignment—which both India and Sri Lanka have supported in the past.

Professor Sachs—who attended the Rising Bharat Conference, April 8-9, 2025 in New Delhi—has called for India to be given a seat as a permanent member in the UN Security Council gushing that “no other country mentioned as a candidate …comes close to India’s credentials for a seat.” But would this truly represent a move towards a “New International Order,” or would it simply be a mutation of the existing paradigm of domination and subordination and geopolitical weight being equated with economic weight, i.e., “might is right”?

Instead, the birth of a multipolar world requires the right of countries—especially small countries like India’s neighbours—to remain non-aligned amidst the worsening geopolitical polarisation of the new Cold War.

What we see today is not the emergence of a truly multipolar and just international order but continued imperialist expansion with local collaboration prioritising short-term profit and self-interest over collective welfare, leading to environmental and social destruction. Breaking free from this exploitative world order requires fundamentally reimagining global economic and social systems to uphold harmony and equality. It calls on people everywhere to stand up for their rights, speak up and uplift each other.

In this global transformation, India, China and the newly emergent economies have significant roles to play. As nations that have endured centuries of Western imperial domination, their mission should be to lead the global struggle for demilitarisation and the creation of an ecological and equitable human civilization rather than dragging smaller countries into a new Cold War.

by Dr. Asoka Bandarage

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