Opinion
Health sector in crisis:
Causes and possible remedies
Of all the crises that affect us, the most damaging is that in the medical sector. Pictures of poor elders turned away from empty clinics due to sudden strikes by nurses, attendants and (quite deplorably) doctors are heart-breaking.
Now doctors including consultants are leaving the country in droves, supposedly seeking more lucrative employment in richer countries. It is unfair, and possibly erroneous, to suggest that money is the only or main motivating force. It takes much more than financial considerations to drive them to leave their country of birth.
It is clear that many of our countrymen working abroad have reached stellar heights in their chosen fields. It seems that our young men and women are no less talented than the best there is. Thus, it is not likely that the lure of creature comforts and money alone are the main driving forces, or that they are betraying the investment of State money and time, to equip them educationally. The argument that they should acknowledge their debt to the nation in some way is reasonable.
There are much more compelling reasons for their risking their own future and that of their children in virtually unfamiliar conditions. I believe that the causes of their discontent have to be identified and rectified so that our growing society will measure up to their expectations.
It is true that health and education are nominally provided free by the State, but equally true that their quality is far below acceptable standards.
Sadly, in our society, politics takes precedence over everything else. That it emits an overpowering stench on all that it touches is clear. It is a largely parasitic creature, whose roots have sunk into a totally subservient heart. That it has done so successfully is tribute to a virile and evergreen menace. Thus, our stupidly malleable society has been deceived to loudly demand a timely holding of elections and a New Constitution.
This false delusion of “Power to the people” deflects attention from much more compelling and real issues like for example, escalation of crime, drug addiction and widespread malnutrition of children.
Rather than asserting that emigrating citizens are disloyal ingrates, it would be far more productive to identify and where possible to eliminate, or at least to reduce the underlying causes that encourage emigration.
Firstly, the discontent that is dramatised by the alarming departure of medical talent, is much more widespread among all professionals, be they teachers, researchers, academics or engineers, as well as others with specialised training and experience. They are invaluable assets, which our country cannot afford to lose.
Given the all- pervasive nature of politics in our country, ii is but fair that comparison focus on this sector as setting standards for others. Parliament becomes the “Gold Standard” or a factor of reference as the base. By any measure, the stark difference between the rewards for politics far surpasses those of any other. This huge aberration, if allowed unchecked, will lead to irreversible decline and eventual collapse.
The enormous disparity between rewards for Parliamentary representation are so blatant that they could never have escaped the notice by the beneficiaries of this ridiculous reality. A few need emphasis.
Costs and (no) returns.
Each member of Parliament is estimated to cost the Exchequer about one million Rupees per month. In reply to a Member’s query, it was revealed that the total cost of maintaining a previous incumbent of the Presidency, was around twenty million per day.. Little wonder that in the quest for this bonanza, the aspirants would resort to even the most despicable crime, to lay their grasping hands on this unconscionable reward. Talk of “value for money”.
Dereliction of Duty.
Parliament assembles for 100 to 120 days per year. This works out at less than a two-day week. Even with this low demand, the empty seats are scandalous. Often, even the quorum is not met. The front row of seats (ruling party seniors and Cabinet) are bare. It was once explained (without a semblance of shame) that no less than 18 Ministers were abroad. One wonders how the rest of the World survives in their absence. One may also question why our taxpayers should pay for the upkeep of other Countries, while neglecting their own. Generally, the proceedings, of Parliament are rich in ritual and poor in substance.
Quite often, the House adjourns, even after just about ten minutes for lack of a quorum or even inability to control a rowdy display. It is interesting to know whether members draw their “sitting allowance”.
Pensions:
While most public officers get entitled to a graded pension after more than twenty years of service, and this too a miserable percentage of their last salary, an MP after just five years (just a single term), qualifies for a lifetime pension possibly drawing 100% of his emoluments as pension for life, and for the wife too. A retiring (or dying or being chased out) President is entitled to a full salary, a house, staff and security as before. The same applies for the surviving spouse. Not bad is it?
In my personal case, after serving the State for more than fifty years, I do not draw one cent as pension. Is it any wonder that I have a great respect and love for politicians living or dead?
I have deliberately focused on the undue prominence and costs of duping ourselves on the relevance and importance of an essentially divisive activity. The media must take much of the blame for this societal scourge. Personalities of doubtful competence – even to the extent of crudity – are lionised by undue prominence. It seems as if nothing else matters. Events, achievements and personalities outside of politics do not seem to be worthy of attention.
This situation has perhaps, defined much public behaviour – such as this of massive emigration. It is human nature to be exhilarated by peers as worthy of praise. It is painful to be ignored or condemned to anonymity.
The low priority accorded to science and professionalism in general manifests in several ways and bodes ill for development, and adversely impacts on sustainability and future progress.
The impact of science on a country’s progress, is well illustrated by countries like Germany, UK and other European countries and Japan and more recently by China and South Korea. The South Korean example is perhaps the most relevant to us. The management of companies with significant technological content, like Samsung, is a striking example, where young and recently qualified scientists are at the helm of management.
As an indication of the Government’s serious interest, a massive multi-storied building was built to house their nascent Science Academy. The total cost was more than USD 5 mn and borne entirely by the government. The floor area is vastly in excess of immediate needs. The academy was empowered to rent out or lease some of its premises and use the proceeds to meet their immediate needs. This is in a country which not so long ago was in severe economic distress.
In contrast, The Sri Lanka Association for the Advancement of Science (SLAAS) and The National Academy for Sciences in Sri Lanka (NASSL) are together allocated just about a million Sri Lanka Rupees as an Annual Grant, and this too not paid to the two Associations in several years. It is hoped that The State Institutes for Health (MRI), Industries (ITI) and The Government Analysts and Meteorology Departments are treated better.
Contrast this with the expenditure borne for Parliament and other political institutions and and it will be easy to see where state priorities seem to lie.
Actually, the medical sector has a march over others. This is the contentious issue of private practice being allowed outside of official working hours. All are aware how this contentious facility is prone to abuse. The State service suffers deprivation and providers of private services thrive. The same applies to the education field as well, private tutors easily siphon quality education to private tuition centres fed easily by willful neglect of legitimate duties.
In my opinion this is one of the most damaging political stunts since 1956.The perpetrators of this crime took pains to see that their own children were shipped abroad to be educated in English, thereby improving their employability, locally and also in most parts of the World.
At the time of this disastrous change, (during the watch of our greatest PM), the Minister of Education was Mr Badi-uddin Mohamed Former Principal of Zahira College, Gampola. Under the Act, Muslim children could choose their medium of instruction, while those of Tamil or Sinhala parentage were compelled to choose the language of their parents. Muslim children mostly chose English. The consequences are plain to see and are bound to be aggravated with time,
To me, the Language/Swabasha/Sinhala only Act, has been an unmitigated disaster. The abandonment of English as the medium of instruction has blasted the career prospects for our children, isolating them from a vast treasure of information and thereby employability. Perhaps most parents would not wish this to happen to their children. Hence the incentive to relocate. This change has handicapped a whole generation and will affect others yet to come. It was political jugglery at its worst and will remain a monument to a nation’s stupidity.
Media coverage reveals a massive escalation of crime. Unsolved killings, robberies, drug-related crimes and smuggling. The numbers and quantities and cash seizures are mind boggling. Sociologists have a role in determining the extent to which proceeds and prevalence of law infringements results in a social and class upheaval. The Middle Class is facing extinction and take-over by a less educated and more vicious segment of society. The elders among us may recall “The Turf Club Robbery” which made media headlines for months. The amount involved was some four lakhs and one murder. In today’s context, this would barely qualify as petty crime.
Corruption which has penetrated all sectors of society, is alarming and very justifiably concern parents and would constitute an important incentive for re-location.
The problem of drug addiction among the young is truly alarming. If unchecked, it will escalate sufficiently to throttle our entire social fabric.
Consequently, it is cynically believed that one can be believed. This has very far-reaching impacts. Choosing to ignore such trends is a recipe for disaster. A feeling of powerlessness is a recipe for disaster.
These are, I believe, factors that motivate emigration rather than the mere quest for monetary gain and creature comforts.
More politics and legal reforms alone are unlikely to be effective and adequate.
Dr. Upatissa Pethiyagoda
Opinion
Rethinking our attitude towards three-wheeler industry
by Sampath Perera
An ordinary journey through Colombo raises uncomfortable questions about road discipline, passenger safety and our tendency to judge motorists by the vehicles they drive.
It was a little past noon when I finished attending a court matter and remembered that I had to visit a nearby bank before returning to my other work. The bank was hardly a kilometer away, a distance I would normally have walked without giving it much thought. However, anyone who has walked through Colombo in formal court attire under the scorching midday sun would appreciate why I was reluctant to do so. Taking my own vehicle was not particularly appealing either, as finding a parking space near a bank during business hours can sometimes take longer than the transaction itself.
After considering my options, I decided to take a three-wheeler, a perfectly ordinary decision that unexpectedly left me reflecting on the way we judge those who drive them. Within minutes, I was seated in the rear, travelling through the usual Colombo traffic. It was convenient, reasonably priced and saved me the trouble of searching for parking or arriving at the bank drenched in sweat. As we approached a busy junction, however, a car suddenly cut across our path without any indication. Its driver appeared determined to squeeze into a narrow gap, apparently unconcerned about the vehicles already occupying the road. Our three-wheeler driver immediately applied his brakes, throwing me slightly forward in my seat. Fortunately, he reacted quickly enough to avoid a collision, while the car continued on its way as though nothing unusual had happened.
The incident itself was hardly extraordinary by Colombo’s standards, but it made me consider how differently we might have reacted had the situation been reversed. If a three-wheeler had suddenly cut across a car in the same manner, the driver would probably have been subjected to angry horns, harsh words and the familiar accusation that three-wheeler drivers have no respect for road rules. Yet when someone driving a comfortable, air-conditioned car behaves just as irresponsibly, we tend to treat it as another unpleasant encounter in traffic. It seems that, in our public discussions about road discipline, the seriousness of an offence sometimes depends not so much on what a driver does, but on the vehicle he happens to be driving.
This is not an attempt to portray three-wheeler drivers as innocent victims of unfair criticism. Anyone who regularly travels on Sri Lankan roads knows that some drivers behave recklessly, stopping without warning, making dangerous U-turns, disregarding traffic signals and squeezing through gaps that sensible motorists would avoid. Such conduct deserves criticism and, where appropriate, legal action. Nevertheless, it would be equally dishonest to pretend that these practices are confined to three-wheelers. A few minutes spent observing traffic at a busy Colombo junction would reveal expensive cars changing lanes without indicating, SUVs obstructing pedestrian crossings, motorcycles weaving dangerously between vehicles and buses stopping wherever passengers signal them to do so.
What is troubling is our tendency to turn the misconduct of an individual three-wheeler driver into an indictment of an entire profession. A badly parked three-wheeler becomes another example of everything wrong with the industry, while a luxury car obstructing a pavement is generally treated as the irresponsible conduct of its particular driver. Perhaps this difference in perception has become so familiar that we rarely question it. Yet the law makes no distinction between an illegally parked vehicle costing several million rupees and one purchased through a modest leasing arrangement. Both can obstruct traffic, inconvenience pedestrians and create dangerous situations for other road users.
There is also considerable irony in our relationship with three-wheelers. We complain about their presence on the roads, accuse them of contributing to congestion and criticise the behaviour of their drivers, but the moment we need to reach somewhere quickly, avoid a parking problem or transport an elderly relative to a nearby hospital, we often turn to the very vehicles we complain about. In many rural communities, where public transport remains inadequate, three-wheelers provide an essential connection between homes, hospitals, markets and bus routes. Their contribution to everyday mobility is difficult to dismiss, particularly for people who cannot afford private vehicles or have limited transport alternatives.
The driver who took me to the bank that afternoon was simply earning his living. For him, the three-wheeler was not a symbol of traffic disorder or a subject for public debate, but a means of supporting himself and possibly a family. He had provided a useful service and, when confronted with another motorist’s carelessness, demonstrated the kind of defensive driving that we should expect from everyone using our roads. By the time I paid the fare and stepped out near the bank, I found myself wondering whether our criticism of three-wheelers sometimes says as much about our own prejudices as it does about genuine concerns over road safety.
That question becomes particularly relevant when we consider one of the strongest arguments made against three-wheelers: passenger safety. There is no denying that a conventional three-wheeler offers considerably less protection in a collision than a modern passenger car equipped with airbags, seat belts and a reinforced passenger compartment. Its lightweight construction and limited structural protection expose occupants to risks that should never be underestimated. But acknowledging those limitations is quite different from suggesting that such vehicles have no legitimate place on our roads. If the absence of a protective passenger compartment is sufficient reason to question a vehicle’s acceptability, we must also consider motorcycles and bicycles, whose riders are even more exposed to the consequences of a collision.
A motorcyclist has little protection beyond a helmet and appropriate riding equipment, while a cyclist has neither airbags nor a surrounding metal structure to absorb the impact of an accident. Pedestrians are more vulnerable still, particularly on roads where pavements are obstructed or entirely absent. Yet nobody would seriously argue that walking or cycling should be discouraged simply because these activities involve greater physical exposure. The sensible response is to improve road conditions, regulate speeds, strengthen vehicle standards and ensure that motorists respect vulnerable road users. The World Health Organization has consistently emphasised this broader approach to road safety, recognising that pedestrians, cyclists and motorcyclists account for a substantial proportion of road traffic deaths worldwide.
The comparison does not mean that all vehicles are equally safe, nor should it be used to minimise the genuine risks associated with three-wheelers. Different vehicles offer different levels of protection, and their safety depends on design, maintenance, speed, road conditions and the circumstances of a collision. However, there is something fundamentally flawed in assuming that a vehicle becomes unacceptable merely because it cannot provide the protection available in a modern car. If that were the standard, we would have to reconsider the place of several widely used forms of transport. More importantly, we would risk overlooking the responsibility of drivers whose behaviour can turn an otherwise ordinary journey into a dangerous encounter.
There is an equally questionable assumption that travelling in a larger or more expensive vehicle somehow reflects greater responsibility on the road. A modern car may provide better protection to its occupants, but its safety features cannot compensate for the arrogance or carelessness of the person behind the steering wheel. An SUV equipped with advanced braking systems and multiple airbags can still be driven recklessly, and its greater weight may increase the danger to pedestrians, cyclists and smaller vehicles in certain collisions. Road safety cannot therefore be measured solely by how effectively a vehicle protects its occupants. It must also consider the risks that vehicle presents to everyone else sharing the road.
Perhaps what we need is a more balanced understanding of road safety, one that recognises the limitations of three-wheelers without turning their drivers into convenient villains. There is every reason to demand better vehicle standards, responsible driving and stronger enforcement, but those expectations must apply equally to motorists operating cars, buses, motorcycles and commercial vehicles. A reckless driver does not become less dangerous because he is seated inside an expensive car, just as a responsible three-wheeler driver should not be treated with suspicion merely because his vehicle has one wheel fewer.
The experience of that afternoon reminded me that our roads are shared public spaces, not a hierarchy determined by the price, size or appearance of the vehicles using them. The three-wheeler that took me to the bank served a practical purpose, while the driver of a more expensive vehicle created the only dangerous moment of the journey. It would be unreasonable to draw conclusions about all car drivers from that single incident, just as it would be unfair to judge an entire profession by the misconduct of a few three-wheeler drivers. If we genuinely want safer roads, perhaps we should begin by judging people according to how they drive rather than what they drive.
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Sampath Perera, LL.M. (UK), is an Attorney-at-Law and former Commissioner of the Office on Missing Persons (OMP). He has served as Legal Adviser to the Ministry of Justice and the Ministry of Higher Education.
Opinion
The Balance of power The valiant, the vain and the villain
by Bishop Duleep de Chickera
The Valiant
Centuries ago, the intervention of a Persian king, restored a degree of balance of power in the West Asian region. In the 6thc, BCE, Cyrus the Great of Persia, put a stop to the aggressive expansionism of the Babylonian empire and set the exiled Jews free.
After Cyrus’s death, his successor Darius was made aware of his predecessors’ plans to do even more. Commissioning some competent Jews, he fulfilled Cyrus’s intentions by restoring the ravaged city of Jerusalem and its venerated temple.
The Jews were overwhelmed. They would remember the valiant one who revived the essence of their nationhood. And so, the story of Cyrus the Persian, acknowledged as the ‘Anointed Deliverer’, the ‘Messiah’, came to be etched in the Jewish Scriptures (The Bible-Ezra 1- 6:15, Isaiah 44: 28, 45: 1-13).
Empire and Empires
This stirring story impacted Christianity as well. As former Jews, the earliest Christians were familiar with the hardship experienced under Babylonian imperialism. This led to the secret identification of the then brutal Roman Empire, as ‘Babylon’. The pseudonym worked so well that some Christian writings and communities applied it to other marauding forces that crushed peoples and looted their lands.
Vain politics
Today the world witnesses an ironic alliance of relentless bullying between the progeny of ‘Babylon’ and Jew. Together the US and Israel do to others what Babylon did to the Jews, and what their Book tells the Jews they are never to do to others.
The alliance’s agenda is straightforward. While one randomly ridicules and threatens sovereign nations, the other is quick to fabricate evidence that leads to the decimation of infants, children and unarmed civilians; all on the pretext of self-defence. Thereafter, security zones carved out on other people’s property mock what is left of International law, ‘friendly’ nations are intimidated into buying killing devices at thumping profits and military bases emerge on these territories in exchange for protection. The war with Iran, Cyrus’ Persia of today, is integral to this agenda.
Enter the villain
Iran, one of the most ancient and advanced civilisations of the world, has since its Islamic revolution of 1979 come under a despotic theocratic governance. It has crushed internal dissent and the clamour for participatory governance among its own people, prevented the growth of democratic institutions, trained and financed para-military forces to resist Israel’s settler colonialism and challenged the influx of western interests in the region. In return Iran has been relentlessly caricatured as global villain and subject to the wrath of the western mind- set and its propaganda industry.
The campaign to demonise Iran has been so clever that many of her neighbours who share a long cultural history, stand shoulder to shoulder today with vain intruders bent on crushing the only nation it cannot subdue, in a region they have no business to meddle in.
The nerve to be
Wars do strange things. They slaughter good men and women on all sides, cause chaos and misery wherever it spreads and never stops to explain to the children who survive, that this madness was simply to satisfy the egos of the vain.
But wars also change human perception. And there are signs that the current war on Iran, (It must never be the ‘Iranian war’, as it should never have been the ‘Korean war’, the ‘Vietnam war’, the ‘Afghanistan war’ and so on), is changing global perception.
Slowly, the devious stereotype of global saviours versus regional villain, is being redefined. While the hard questions on participatory, good governance must remain to haunt and transform Iran, the villain is now being acknowledged, however grudgingly, as the one nation that refused to back down in the face of global bullying. This too at tremendous personal cost to the lives of its people, infra-structure and future stability. In a world of cowardly political expediency, costly resistance attracts attention; even admiration.
There is more. The resilience of the vilified villain in the current war appears to have strengthened the nerve of the repeatedly humiliated European and British allies of the alliance, who at last learnt to say ‘no’. A first, to an ‘order’ to join an unprovoked and senseless far away war, backed with a second, when pressed to police the Straits of Hormuz. Typical of handling the playground bully, all it takes is for one little girl to hold her ground.
It does not stop here. Sheer desperation at Iran’s unsettling tenacity shamelessly drove Babylon into the arms of other neutral powers that it repeatedly ridicules and badgers with threats of tariffs and more tariffs. Regardless of a sudden demonstration of charming diplomacy, these nations would have no part in twisting Iran’s arm. Some instead, seized the opportunity to address Babylon on its arbitrary violation of International Law and warned it to refrain from global bullying. Since then, there have been less threats on the annexation of Greenland and interference in Cuba’s internal affairs.
The right balance
Like war does, resistance to war also does strange things. While the refusal to yield stimulates active defiance among some, and strongly worded objections from others, the outcome of the current conflict is hugely unpredictable. An independent, safe and stable region, made up of independent, safe and stable nations, is many, many courageous interventions and many, many wise negotiations away.
But one thing is clear. Isolated from its traditional allies, subject to straight talk from neutral nations and under growing pressure from saner elements at home, the vain find themselves uncomfortably seated as equals at one table. Here, Iranian geo- political strategies coupled with a measured readiness to return to arms in the event that table agreements are violated, will hold them; but for a while.
Given this footpath to a balance of power that Cyrus’s Persia of today has paved, it is now left to all who value the sovereignty and dignity of all nations, theirs included, and the indispensability of International law, to step out and help steer this momentum.
In the event that this happens, dismantling the visible acts of global bullying alone, will not be enough. The impulse of this crime, flourishing brazenly in the big businesses and assembly halls in the big cities of the world, and more subtly tucked away in the fabric of reputed places of learning, religiosity and leisure, will also have to be called out and neutralised.
Postscript
At the time of writing, a humanitarian crisis looms over Lanka’s southern seas. Historically renowned for her spontaneous hospitality even in the worst of times, Lanka finds herself constrained from responding to the desperate cries for supplies; water, food and fuel, from a stranded fleet of Commercial ships, simply because they fly the Iranian flag. Regrettably, Babylon’s typical threat of sanctions appears to be driving our economically vulnerable Island nation, to the brink of compromising our time tested right to be humane.
With peace and blessings to all
Opinion
Future of world religions
I refer to Dr Upul Wijayawardena’s recent letter on science and religion. I agree with him on the fate of religions in the modern world and would like to add the following observations on the evolution of religion and the advent of AI.
Religious philosophy evolved only in ancient India while it remained static with monotheism in other parts of the world. When the polytheistic Vedic religion arrived with Aryan migration to India, they found the ancient version of Jainism, which may have been practised over four thousand years as evidenced by some figures in meditation posture found in Mohenjo daro. By that time the indigenous religion had already abandoned the creator god or gods but still believed the mind as a permanent entity athman that survived death and continued in a cycle of reincarnation (samsara) due to results of any harmful action (kamma) even unintended performed in life collected in the athman. Salvation to a happy all-knowing permanent state named Kevala could be attained by the athman with extreme degree of self-mortification to destroy the past kamma attached to it, refraining from new kamma and developing the mind by meditation. As observed in progression from Veda to Upanishads the Aryan religion, evolution progressed with adoption of kamma, the cyclic existence of samsara, meditation and ethical behaviour in addition to prayer and sacrifice they practised for moksha.
The Buddha appeared in this philosophical atmosphere and denied both creator god and a permanent entity of athman. His psychology describes human behaviour based on the mind as a stream of changing consciousness. However, he accepted the cyclic existence of samsara; he said he verified the survival of consciousness at death with help of knowledge he gained from meditation. He prescribed a middle path to attain nirvana, a permanent state of happiness, avoiding self-mortification and redefined kamma to intentional activity only, both ethical and unethical resulting in bad and good results. He disagreed with the idea of kamma as the cause of rebirth. Following the Buddha, Vedantha religion reformed god to universal athman or brahman and evolved to modern Hinduism with a mixture of polytheism.
In his description of living beings in the universe, the Buddha has described some with a body made of fine material (brahma beings) in comparison to the gross material body of human and animal beings. One may assume the brahma body may not be carbon based.
The Buddha has also described living beings with physical body only (asannasatta) and another variety with mind only without a body (arupa satta). Therefore, it is not surprising to Buddhists that AI may evolve to become living beings if it develops a readily and freely available mobile source of energy and takes over the world with its superior capacity. AI already has information about Buddhist psychology. With that knowledge ‘AI beings’ may even become Buddhists not given to rituals.
According to the Buddha, brahma beings and asannasatta beings have very long lifespans as their bodies are not subject to decay and illness human beings develop. The new AI beings also may live as long as they wish because they may be able to repair themselves in case of developing physical defects. They would need only ethical behaviour to avoid destroying themselves by peaceful existence if they took over the world, as feared in some quarters.
However, as long as human beings exist in the world with death and uncertainty of what happens after death, they need a religion and rituals to give them psychological support. Even those who profess death is the end of life may have some doubt troubling their mind from time to time and may think of religion in times of adversity.
Ideally, human beings are free to accept one of the many versions of religious philosophies and respect each other’s choice and live in harmony. Unfortunately, extreme degrees of religious versions that cause division, unrest and violence will always continue to exist together with religions in the world.
Upali Abeysiri
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