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Health sector strikes must not drag on – Nalinda

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Nalinda Jayatissa

Government creating animosity between doctors and others

By Saman Indrajith

The Sri Lankan healthcare system has been allowed to atrophy since 1977 due to a lack of funding, National People’s Power (NPP) stalwart and former MP, Dr. Nalinda Jayatissa said.

He said that the country’s hospital system was established by the British as a necessity for its colonial economy, and by 1948, Sri Lanka had a robust healthcare system. And, until 1977, successive governments were investing about five percent of the GDP in health.

“Things changed dramatically after 1977. Since 1977, governments have washed their hands off of state-funded healthcare, and by 2020, out-of-pocket expenses on healthcare by people was about 60 percent.

“Then the economic crisis happened, and now we see a significant increase in people coming into government hospitals. The government hospitals can’t deal with this influx. There are no medicines, the quality of medicine available is suspect, healthcare professionals are leaving the country, and the equipment is broken.”

Dr. Jayatissa said politicians and bureaucrats are keen on buying expensive machinery but are less interested in maintaining the equipment.

“Most of these machines need to be operated in controlled environments. There should be trained staff, and the machines should be periodically repaired. None of this happens, and the machines break down. This is a serious situation, and the Health Ministry is virtually headless,” he said.

The NPP stalwart added that the government is also deliberately causing friction. It gave the doctors a 35,000 DAT increase, and other unions are up in arms about this.

“We are very concerned about the impact of union action on healthcare. At the end of the day, these strikes affect people. The government is also harassing people on a daily basis. However, the demands of the unions are just.”

He said that health staff are under tremendous stress and they deserve a salary hike, like everyone else in the country.

“We must also wonder if the government wanted to create problems between various staff categories. Now the animosity between doctors and other staffers is at an all-time high. There have been fisticuffs between doctors and other staffers. Unions must also understand the politics behind some maneuvers. We must try to win our demands with minimal impact on people.”

Dr. Jayatissa said that during the economic crisis, many nations offered to help the Sri Lankan healthcare system. Politicians and some senior officials used these opportunities to enrich themselves. What is happening in the health system is the best example of why the country needs a change in political leadership.

“About four years ago, Japan offered to develop angiogram units in five locations after identifying that about 45 percent of people die due to stroke and heart attacks. This was a 28 billion-rupee project, with 27 billion from Japan, to expand angiogram units in Kandy, Kurunegala and Anuradhapura hospitals and establish new units in Badulla, and Trincomalee. The Health Ministry recruited new people, and discussions were ongoing. The Japanese government then unilaterally cancelled the deal because there were allegations that one Minister solicited bribes from a Japanese company. The Minister was not penalized, but the project was halted. How many people were affected by this? Corruption is a main reason why we are not getting help,” he said.

Dr. Jayatissa said there is also a mechanism to predict the amount of medicine the country needs per year. There are also some in-built mechanisms to reduce corruption.

“We have the NMRA, SPC and medical supplies unit. We have three separate units as a way to keep tabs on each other. However, politicians have paralyzed these institutions to help them embezzle. The health ministry purchased a counterfeit human immunoglobulin consignment and paid a corrupt company a billion rupees. We have paid a billion rupees for coloured water. Imagine the level of corruption?” he said.

The former MP added that the Ministry of Health has an institution that was established to regulate private healthcare providers. However, the institution has done very little to ensure private healthcare producers provide a quality service.

“90 percent of resident patients are in government hospitals. However, 50 percent of OPD patients go to the private sector. An NPP government will regulate the private sector and strengthen government hospitals. Then people will choose where they want to go,” he said.



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Prez seeks Harsha’s help to address CC’s concerns over appointment of AG

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Chairman of the Committee on Public Finance (CoPF), MP Dr. Harsha de Silva, told Parliament yesterday that President Anura Kumara Dissanayake had personally telephoned him in response to a letter highlighting the prolonged delay in appointing an Auditor General, a vacancy that has remained unfilled since 07 December.

Addressing the House, Dr. de Silva said the President had contacted him following the letter he sent, in his capacity as CoPF Chairman, regarding the urgent need to appoint the constitutionally mandated head of the National Audit Office. During the conversation, the President had sought his intervention to inform the Constitutional Council (CC) about approving the names already forwarded by the President for consideration.

Dr. de Silva said the President had inquired whether he could convey the matter to the Constitutional Council after their discussion. He stressed that both the President and the CC must act in cooperation and in strict accordance with the Constitution, warning that institutional deadlock should not undermine constitutional governance.

He also raised concerns over the Speaker’s decision to prevent the letter he sent to the President from being shared with members of the Constitutional Council, stating that this had been done without any valid basis. Dr. de Silva subsequently tabled the letter in Parliament.

Last week, Dr. de Silva formally urged President Dissanayake to immediately fill the Auditor General’s post, warning that the continued vacancy was disrupting key constitutional functions. In his letter, dated 22 December, he pointed out that the absence of an Auditor General undermines Articles 148 and 154 of the Constitution, which vest Parliament with control over public finance.

He said that the vacancy has severely hampered the work of oversight bodies such as the Committee on Public Accounts (COPA) and the Committee on Public Enterprises (COPE), particularly at a time when the country is grappling with a major flood disaster.

As Chair of the Committee responsible for overseeing the National Audit Office, Dr. de Silva stressed that a swift appointment was essential to safeguard transparency, accountability and financial oversight.

In a separate public statement, he warned that Sri Lanka was operating without its constitutionally mandated Chief Auditor at a critical juncture. In a six-point appeal to the President, Dr. de Silva emphasised that an Auditor General must be appointed urgently in the context of ongoing disaster response and reconstruction efforts.

“Given the large number of transactions taking place now with Cyclone Ditwah reconstruction and the yet-to-be-legally-established Rebuilding Sri Lanka Fund, an Auditor General must be appointed urgently,” he said in a post on X.

By Saman Indrajith

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Govt. exploring possibility of converting EPF benefits into private sector pensions

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The NPP government was exploring the feasibility of introducing a regular pension, or annuity scheme, for Employees’ Provident Fund (EPF) contributors, Deputy Minister of Labour Mahinda Jayasinghe told Parliament yesterday.

Responding to a question raised by NPP Kalutara District MP Oshani Umanga in the House, Jayasinghe said the government was examining whether EPF benefits, which are currently paid as a lump sum at retirement, could instead be converted into a system that provides regular payments throughout a retiree’s lifetime.

“We are looking at whether it is possible to provide a pension,” Jayasinghe said, stressing that there was no immediate plan to abolish the existing lump-sum payment. “But we are paying greater attention to whether a regular payment can be provided throughout their retired life.”

Jayasinghe noted that the EPF was established as a social security mechanism for private sector employees after retirement and warned that receiving the entire fund in a single installment could place retirees at financial risk, particularly as life expectancy increases.

He also cautioned that interim withdrawals from the EPF undermined its long-term sustainability. “Even the interim payments that are given from time to time undermine the ability to give security at the time of retirement,” he said, distinguishing the EPF from the Employees’ Trust Fund, which provides more frequent interim benefits.

Addressing concerns over early withdrawals, the Deputy Minister explained that contributors have been allowed to withdraw up to 30 percent of their EPF balance since 2015, with a further 20 percent permitted after 10 years, subject to specific conditions and documentary proof.

Of 744 applications received for such withdrawals, 702 had been approved, he said.

The proposed shift towards an annuity-based system comes amid broader concerns over Sri Lanka’s ageing population and pressures on retirement financing. While state sector employees receive pensions funded by taxpayers, including EPF contributors, the EPF itself has been facing growing strain as it is also used to finance budget deficits.

Jayasinghe said the government’s focus was to formulate a mechanism that would ensure long-term income security for private sector employees, placing them on a footing closer to a pension scheme rather than a one-time retirement payout.

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Sajith accuses govt. of exacerbating people’s suffering to please IMF

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Opposition Leader Sajith Premadasa yesterday strongly criticised proposals to increase electricity tariffs, warning that the move would deepen the hardships faced by the public already reeling from disasters and rising fuel costs.

Premadasa, who is also the leader of the SJB, told Parliament that the government was considering an electricity price hike at a time when people were struggling to recover from recent crises, while coping with higher fuel prices. He accused the administration of acting contrary to its own election pledges and the expectations of suffering people.

Making a special statement, the Opposition Leader recalled that the government had come to power promising to reduce electricity bills by 30 percent, within three years, by shifting from fuel-based power generation to cheaper renewable sources, such as solar, wind and hydropower. Instead, he said, those commitments had been abandoned.

Premadasa pointed out that the CEB has sought approval from the Public Utilities Commission of Sri Lanka (PUCSL) for an 11.57 per cent tariff increase for the first quarter of 2026 to cover its losses. He questioned whether the government had assessed the impact of such an increase on low- and middle-income households, as well as state institutions.

He also asked why the government had failed to honour its promise to cut electricity tariffs by one-third through a transparent pricing mechanism.

The Opposition Leader further criticised the limited time allocated for public consultations on the proposed new energy policy, saying it was unfair and should be extended, particularly given the prevailing national crises.

Premadasa warned that the removal of competitive tariff structures for industries would be unjust to large-scale consumers using more than five million units of electricity, and called for comparative reports before any subsidies are withdrawn.

He added that despite earlier assurances to reduce electricity bills by 33 percent, the government has once again increased fuel prices, even as global fuel prices decline, continuing, what he described as, a pattern of broken election promises.

Accusing the government of being constrained by International Monetary Fund (IMF) conditions, Premadasa said the simultaneous increases in fuel and electricity prices were exacerbating the economic burden on the public.

By Saman Indrajith

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