Features
Seeing It from the Outside:GALLE DISTRICT (1974 -1976)
Exile III
Around the middle of 1974, while enjoying the serenity of Batticaloa and its distance from Colombo, which kept official visitations at bay, I was asked one day by Neale de Alwis, the deputy minister of home affairs, whether I would like to come to Galle to succeed Victor Unantenne. This was the second time I was going to succeed Victor who was a very firm administrator and who held strong views which in turn caused a fair amount of turbulence within the institutions he controlled.
My immediate response was to say ‘yes’ because although Batticaloa was extremely pleasant with its collection of highly-civilized people to deal with at a social and political level, the fact that my son had two years of his education in the Sinhala stream at St Michael’s College was causing a concern. I knew that Galle was going to be difficult because it has a very vibrant political life with many highly skilled and demanding people.
The political scene was studded with such stars as Neale de Alwis himself from the LSSP; L C de Silva of the LSSP from Ambalangoda; M G Mendis of the CP from Ratgama; Prins Gunasekera, Independent Left from Hambaraduwa; Dahanayake from Galle and two other members from the governing party of the SLFP.
Neale was the deputy minister home affairs and also district political authority (DPA) for Galle district and it was an absolute pleasure to work with this perfect gentleman. Although a Marxist by persuasion, he displayed a most elite quality which bespoke his long and respected lineage. He never made improper requests during my two years in Galle and every proposal I made to him was instantaneously approved.
Understanding Galle through its history
My first impression of the town of Galle in 1974 was that, once upon a time, it must have been a place buzzing with activity. Now, as I took over as its new government agent, it seemed to have lost its dynamism and looked like a medieval town caught in a time warp. The large Dutch Fort, perched on the promontory overlooking the harbour with its forbidding grey ramparts and half filled-up moat symbolized the illusion of unreality. Inside the fort, the narrow houses with their deep rooms and high ceilings, their inner courtyards opening to the sky, the old church and the underground prison cells all added to the sense of one being in another place and age.
The decadence around the fort was matched by the sprawling and unkempt esplanade which at one time, must have been, like the Galle Face green in Colombo, the fashionable walk-about where the elite of the city took the air each evening. The business quarter, with the bus-stand and tea boutiques, bright lights at night time and the uninterrupted, loud radio music presented a distracting contrast to the sombreness of the fort and the images it conjured of the past.
Until 1867 when the Port of Colombo was opened for shipping with the construction of the breakwaters, the wide bay of Galle was the premier harbour of the island. First, with sailing ships and then with the steamships, Galle had flourished as the only safe anchorage in the country. The few mercantile houses which remained bore testimony to the importance of the sea and Galle’s position on the main East-West sea route. It had always had an immense strategic value to the Portuguese, Dutch and British in turn, as the fort and its regular exchange from one conqueror to another testified.
When the steamship replaced sail, Galle continued to be important until the steamers got so large that they encountered difficulties in entering the harbour guarded at its entrance by a reef of low concealed rocks. With the rapid increase of shipping which called at Galle, this became a major problem with several steamers, notably the ‘Malabar’ which carried the mail and passengers, being wrecked on the reef in the 1860s.
However the use of the Port continued well into present times and after an inner harbour was constructed in the 1950s to make berthside docking possible for small vessels carrying bulk food cargoes and clinker for the cement plant, it began to fill a niche as one of the smaller ports of the country appropriate for coastal shipping.
In my time, along with grand plans for expansion into a major port which was the politician’s dream for the renaissance of Galle, we worked on a much less ambitious project of making Galle a regular port of call for the exclusive sailing yachts which the global rich were increasingly using for their round-the-world voyages of high adventure and recreation.
One of the financial attractions of an appointment in Galle for a GA was that there was a wholly undeserved allowance attached for being a deputy collector of customs. In addition, if so inclined, there was always the opportunity of a free dinner with the captain of the ship that had called in that day and any amount of free booze.
The P&O Lines were the main ships that called at Galle in earlier times and the company was responsible, along with the government, for many of the improvements made at the time. They were mainly cargo steamers carrying mail and goods from Europe to the Far East and using Galle as a re-fuelling point. The earlier steamers needed great quantities of coal for a voyage from Aden to Galle and then onwards to Singapore and Hong Kong.
Galle served as a very convenient midway storage point with thousands of tons of coal being made available for the many steamers that called. I read that at one time opium, which was a favoured article of trade, was being carried from Bombay to Hong Kong and that some of the opium was being re-packed for onward shipment from Galle. This gave me the clue to the conundrum as to how and why there had been a `Cheena Kotuwa’ or China Town in a part of the city.
A large group of Chinese labourers had been brought in from mainland China and they had helped in the handling and loading of the bags of opium which had arrived from Bombay on to the steamers which carried them on to China. So, perhaps Galle too had some old and indirect association with the opium wars in China.
Search among the tombstones for a Vice-Consul
My journey back in time, while I was in Galle, received an impetus in a curious way. In 1976, the American ambassador in Colombo, Christopher Van Hollen, was searching for the origins of the American connection with the Island to include in the piece he was writing to honour the bi-centenary of American independence which had taken place in 1778.
I had met Chris on my now more frequent visits to Colombo and he put me the question one day as to whether I could trace the story of a certain John Black who was said to be the first Vice-Consul of the United States on the island. Black had apparently been posted as Vice-Consul to Galle because that was the main port and customs station at the time.
John Black, I found, was not an American but of Scottish ancestry. However, the US government had chosen him as their man for the Vice-Consulship since he had been obviously well known in the area and had held a high position in the commercial field. The search for John Black led me on a fascinating journey. I first checked the Births and Deaths Registry in the Galle Kachcheri. I found that there indeed was a reference to one John Black who had died at the age of 44 in 1845.
The entry as to the cause of death was cryptic. It said very shortly that John Black `died of a liver complaint’. I had the feeling that Black, bored until the arrival of the next vessel, was not averse to ‘hitting the bottle’! The death register gave no clue as to the life he had led and his family and for this I turned to Nora Roberts, the famed librarian of the Galle Public Library.
Nora was the unmarried daughter of the Roberts family her father was a distinguished Civil Servant of West Indian origin and her mother was a Dutch Burgher from Galle. The family was well-known and well-loved in Galle. Nora was also hard of hearing and this made her job as librarian somewhat problematic. One often had to raise one’s voice quite a lot for Nora to hear and her reply too would be quite loud. All of this loud conversation would take place under a large sign which said `silence .please’.
Finally, Nora put me on to a wonderful book Inscriptions on Tombstones in the Graveyards of Ceylon by J P Lewis. I checked the index of Tombstones which has the names of virtually every person of the Christian faith who had died and been buried on the island. I was elated when I quite easily found the reference to John Black. He was buried, the book said, in 1845 in the graveyard of St Peter’s Church in the Fort of Galle. I was now hot on the trail of John Black.
In the church, yet very visible in 1975, was a large stained glass window which had been gifted to the church by the Black family. The inscription on the stained glass window bore references not only to John but to the extended Black family as well. My search for John Black’s tombstone in the premises of St Peter’s however proved futile.
I continued in my questioning of the older townsfolk until I was told that sometime during the second world war, in about the 1940s, all the graves and tombstone’s inside the Fort had been taken up and put down somewhere else in the town. It did not take me long to find out where. My long search ended one Saturday afternoon when I climbed over a locked, old and shaky gate and actually stood by the very tombstone under which the remains ofJohn Black lay.
I quickly telephoned Chris Van Hollen and he and his wife Elisa, also a career diplomat on her own, came down to Galle in a day or two to have a look and end the search. Soon we had the treasured photograph of John Black’s deeply engraved tombstone in hand with Chris and myself standing proudly on both sides. It made for a story good enough to make an article by Chris in the next Foreign Officer’s Journal and earned a small part in the history of the bi-centenary report. For this effort, which Chris called ‘far beyond the call of duty’, I was duly conferred the title of Honorary Founder Member of the John Black Society. To this day Chris and I remain the only two members of this very exclusive society!
The District Political Authority politicization of the bureaucracy becomes legal
There were some innovations in the provincial administration which were introduced at the time I was in Galle. The process began with the institution of the ‘District Political Authority’ which legitimized the influence exerted by the political authority over the executive arm of the administration. This had been coming for some time but its institution made political control open, accountable and valid.
Tied to this, and in fact supplementing the authority of the District Political Authority was the concept of the ‘decentralized budget’ which was meant to cater to the needs of members of parliament who liked to have under their control a block of funds which could be used by them at their discretion. It was my good fortune to be caught up in the evolution of procedures and rules which would ensure fairness and equity in the way the new institutions and the new system of resource allocation would take root. Neale de Alwis was exceptional in adhering to the spirit of the law as well as in dealing with its form.
1974 land reform
The second wave of land reforms took place in 1974. The first was in 1972 in which large, private land holdings were affected. The maximum extent of land which could be owned by an individual was set at 50 acres. The second dealt with the Company Estates and took place soon after my arrival in Galle. The government agent had a key role to play in the process. My job was to moderate, as far as humanely possible, the exuberance of the supporters of the mainly left members of parliament who wanted to take over everything possible from the plantation owners.
In the Galle district there were a few foreign companies operating and most of the large tea and rubber estates were owned by the locals. Many long-standing families like the Amarasuriyas famous for their wealth, their benevolence and their right-wing politics were seriously affected. It was sad to have some of the older and more feeble members of these elite clans climb slowly up to my office on the second floor of the kachcheri to plead their case for protection of an old home or estate bungalow.
The case of the George Winter’ family from England, who had settled in Baddegama a 100 years earlier, and the efforts of the younger generation to keep the ownership of their beautiful Pilagoda Valley home was particularly poignant.
The government’s land reform programme really broke the power structure of the southern proprietor planters, politically, economically, and socially. No family who could be termed rich, owned land and were influential remained unaffected. They were mostly supporters of the UNP and this party’s base was virtually cut away through land reform.
I too felt the euphoria which was sweeping over the country at the time. On several weekends, accompanying the members of parliament and their supporters as they marched in procession into the exclusive estates which had earlier been strictly private property, to the accompaniment of drums and song, one could not but be taken up by the exhilaration sensed by the workers and villagers who were overnight suddenly made to feel themselves owners of the lands and buildings they had been looking at for generations from outside.
There was an unmistakable sense of victory for the `have-nots’ in the air, which lasted for some months. Sadly, this enthusiasm evaporated when the villagers soon realized that their particular need for land and employment and the substantial change in their lifestyles, was not going to be met in the way they had expected. Some crumbs dropped from the new tables of the public corporations with political appointees and boards who began to take the place of the earlier plantation owners; but actual repossession of land by the poor was tardy and infrequent.
The young Chandrika Bandaranaike, daughter of the prime minister, freshly returned from the Sorbonne where she had spent some years doing post-graduate research and then worked at the Land Reform Commission, was a welcome change to the usual crop of official visitors. My residence was the last on the hill, high on Dickson Road with a majestic view over the fort and the harbour in the distance.
Chandrika symbolized the spirit of the age as she rode into my home one morning, sharing the front seat with the driver and cleaner in an ancient lorry transporting some needed equipment for the cooperatives, from Colombo. She was totally involved in the on-going transformation of the old social order.
Annual flooding of the Gin Ganga and the Chinese bund
The flooding of the Gin ganga which runs through Galle from the Sinharaja mountains in the north to Gintota in the south, gravely affected the lives of the thousands of people living on its banks. Each year around August, the floods would occur and requests for assistance from persons marooned by the rising flood waters and by farmers whose fields were inundated for weeks would pour into the kachcheri.
During my first year at Galle, work on the construction of flood bunds on both sides of the Gin ganga river was being started with assistance from the People’s Republic of China. Dealing with the ambassador, his staff and the many technical officers who came in from China, was an interesting and pleasant experience.
The philosophy behind the project which all affected welcomed, was part of the Chinese history of flood protection which China was very familiar with in its work on the Hwang-ho and Yang-si-kiang rivers in the middle of China which periodically burst their banks and caused great damage. I was reminded of the interesting sayings of the Chinese philosophers who had said, as retold by our Geography teacher at St Thomas’,
“Dig deep the bars
keep low the bunds.”
The work we were doing on the Gin ganga was very reminiscent of what the ancient Chinese had been telling their peasants. The Gin ganga had been the lifeline of the Galle district before the road system was laid. Towns such as Nagoda, Baddegama and Hiniduma up in the hills, had become important settlements as a result of the commerce and transport up and down the Gin ganga.
The older families, whom I met on circuit in the countryside would talk about the days of the padda boats which were towed up the river along the tow paths on its western bank. I was surprised to find the old established Christian Churches at Baddegama and Hiniduma where there was even a replica of the Stations of the Cross, the religious markers of the Christian faith, in an essentially Buddhist district.
The temples too were as old if not older, and the resident monks Ganegama Sarankara Thero of Baddegama, Neluwe Gunananda Thero of Hiniduma and Akuratiya Amarawansa of Nagoda, erudite and scholarly. Although a district where Buddhists were greatly the majority, the followers of the two religions had over time made a remarkable accommodation to each others needs and religious harmony generally prevailed.
Further up from Hiniduma was Nelluwa and Lankagama which were virtually part of the Sinharaja reserve. On a visit there, the home of the finest kitul-treacle and jaggery in the country, some difficult terrain had to be negotiated. There were at least nine rather long edandas to cross. It was nerve wracking attempting to walk across this in single file with only a shaky railing to hold on to and keep you from falling, perhaps 25 feet down, into the little streams which gurgled merrily below.
In Lankagama I was confronted by the need for an access road at least if only to bring down the sick and the injured. Accidents were frequent with the fall of the kitul tappers and one young man I met had been rendered immobile for months having fallen from a tree while tapping trees in the jungle. The kitul trees were collectively owned by an elaborate system of usage which had been developed by the villagers themselves over time.
Sirimavo came for the opening of the Chinese Gin ganga project on completion in July 1974. I had given notice of my final retirement at that time and one of the reasons had been ostensibly my inability to work in the Sinhala language. I had, however, to give the vote of thanks in Sinhala at the celebrity opening. I made reference to a folk song current in the area which spoke of the havoc that had been caused to the people of Gangodapattu by the wilful antics of the Gin ganga in spate. The Sinhala verse went as follows:-
Gintota nandage duwaru hinda
Gangodapattuwa wana sen ne
(The entirety of Gangodapattuwe is being destroyed
By the wilful antics of the daughters of the aunt of Gintota)
Sirimavo was impressed enough by my vote of thanks to say to some of her members of parliament present at the opening that she couldn’t understand why my appeal to retire, on grounds of my inability to work in the official language, had been approved by the authorities.
Features
Social justice in suspense: Sri Lanka’s welfare legacy in an era of austerity
by Prof. M.W. Amarasiri de Silva
The evolution of Sri Lanka’s social policy framework represents one of the most compelling, paradoxical, and debated case studies in the global political economy of development. Often celebrated as an exceptional model among developing nations, Sri Lanka achieved human development indicators, such as high adult literacy, elevated life expectancy, and low infant mortality, that rivaled those of industrialised Western societies, despite maintaining a low-to-middle per capita income. This distinct trajectory was fundamentally sculpted by the establishment of an extensive welfare state, characterised by universal healthcare, free education, and pervasive food subsidies.
However, the long-term impact of this historical welfarism on present-day Sri Lanka presents a complex matrix of social triumph, economic vulnerability, and systemic crisis. To fully comprehend how the historical welfare state has shaped contemporary Sri Lanka, one must trace the institutional genesis of these policies through the critical frameworks provided by eminent social theorists, notably Ralph Peiris in his analysis of Asian development styles and Laksiri Jayasuriya in his landmark work on Sri Lanka’s experience of social development directed toward equity and justice.
Foundation of welfare state
The structural foundation of Sri Lanka’s welfare state was not a post-colonial luxury, but rather a late-colonial construct deeply interwoven with the dynamics of democratization and constitutional reform. As Laksiri Jayasuriya meticulously argues in his historical and theoretical explorations of Sri Lankan social policy, the trajectory of the country’s social development was rooted in the state-building exercises of the late British colonial era. The introduction of universal adult suffrage under the Donoughmore Constitution of 1931 served as a pivotal catalyst. By enfranchising the local population decades before formal independence in 1948, the colonial state altered the political elite’s incentives.
Politicians were suddenly forced to seek electoral legitimacy from a vast, rural, and economically disadvantaged populace. This constitutional shift institutionalised what Jayasuriya terms a culture of ‘welfare politics,’ where competitive electoral democracy became intrinsically linked to the provision of social goods.
During the period spanning from the 1930s to the 1950s, the state laid down the three pillars of its social safety net: free state-provided healthcare, free universal education from primary to university levels (championed by C.W.W. Kannangara), and a heavily subsidised food rationing scheme, most notably the rice ‘polu’ (haal polla) system. In the popular Sri Lankan vernacular and historical memory, these restrictive barriers and checkpoints became closely associated with the rationing culture surrounding the rice distribution and cooperatives where state-allocated rice rations were obtained via coupon books.
Jayasuriya highlights that these measures were conceived not merely as safety nets for the destitute, but as fundamental rights of social citizenship modeled partly on the egalitarian principles of the British post-war welfare state yet adapted to a post-colonial environment seeking equity and social justice. This social democratic commitment was maintained across alternating political regimes, creating a broad cross-party consensus that state-funded welfare was an untouchable social contract between the state and its citizens.
Policy trajectory in perspective
To place this unique policy trajectory in a broader comparative perspective, Ralph Peiris’s conceptualisation of ‘Asian Development Styles’ offers a critical lens. Peiris examined how different Asian nations navigated the tensions between Western models of modernisation, economic growth, and indigenous social structures. Many East Asian economies—such as South Korea, Taiwan, and Singapore—adopted a development style centered on ‘growth-first’ imperatives, state-directed capitalism, and the deferral of widespread social expenditure until after rapid industrialisation was achieved. In contrast, Sri Lanka pioneered a distinct ‘social-led’ development style within South Asia. Peiris observed that Sri Lanka’s development style prioritized human capability, social redistribution, and basic needs over raw capital accumulation. This style reflected a socio-cultural ethos that viewed social harmony, equity, and state paternalism as integral to governance, resisting the purely utilitarian or market-driven metrics of economic progress.
The immediate consequences of Sri Lanka’s socio-centric development style were undeniably positive in terms of human wellbeing. By the late 20th century, Sri Lanka had achieved a physical quality of life index that far surpassed its South Asian neighbors. Maternal and infant mortality rates dropped precipitously due to widespread access to free public health facilities and midwife networks. Universal education fostered a highly literate electorate, dramatically closed the gender gap in basic and secondary education, and enabled significant upward social mobility for marginalized caste and rural communities. Jayasuriya emphasizes that this commitment to equity and justice transformed the social fabric, democratising access to public life and cultivating a politically conscious citizenry that viewed education and healthcare as non-negotiable entitlements.
However, the enduring legacy of this historical welfare state is dual-edged, carrying deep-seated economic contradictions that directly contributed to present-day Sri Lanka’s socio-economic landscape. The central paradox of the Sri Lankan welfare state lay in the disconnect between social expansion and economic productivity. While the state committed huge fractions of its national budget to social consumption, it failed to build a resilient, diversified industrial export base capable of generating the revenue necessary to sustain these expenditures over generations. The primary revenue source funding the early welfare state was the taxation of the colonial-era plantation export economy—primarily tea, rubber, and coconut. As global commodity prices fluctuated and deteriorating terms of trade eroded plantation revenues in the post-independence decades, the state faced severe fiscal deficits.
Macroeconomic imbalances
The fiscal strain of maintaining universal subsidies led to severe macroeconomic imbalances by the 1970s. The state attempted to manage these pressures through import-substitution policies, strict price controls, and state monopolies, culminating in the closed economy of 1970–1977. While this period sought to preserve the egalitarian principles articulated in Jayasuriya’s analysis of social justice, it resulted in severe shortages of essential goods, economic stagnation, and rising unemployment among the newly educated youth. The inability of the economy to absorb the expanding class of literate, ambitious young citizens created a structural mismatch between educational output and employment opportunities.
This socio-economic disjunction erupted into violent political crises. The educated yet economically disenfranchised rural youth became the primary base for insurgencies, such as the Janatha Vimukthi Peramuna (JVP) uprisings in 1971 and 1987–1989. Concurrently, the failure to extend equitable socio-economic and political opportunities to the Tamil minority—compounded by language policies that prioritized the Sinhala majority in public sector employment—fueled ethnic marginalization, eventually escalating into a devastating nearly three-decade-long civil war. Thus, as both Jayasuriya and Peiris observe in their respective analyses, while the welfare state was designed to promote social cohesion and equity, its economic unviability and politicization contributed to social frustration and structural conflicts when the economy failed to fulfill the aspirations created by universal social programs.
Janasaviya, Samurdhi and Aswesuma
A profound structural turning point occurred in 1977, when Sri Lanka became the first country in South Asia to abandon import-substitution and embrace neoliberal market-oriented economic reforms. The advent of the ‘Open Economy’ signaled a major shift in the state’s social policy regime. As Jayasuriya notes in his critique of the post-1977 retreat from the welfare state, universal welfare policies were systematically dismantled or reconfigured into targeted, means-tested poverty alleviation programs. The universal food subsidy was replaced by food stamp programs and later by targeted cash transfer schemes such as Janasaviya and Samurdhi, and eventually Aswesuma.
This transition from universal social citizenship to targeted safety nets marked a fundamental redefinition of the social contract. While the 1977 open market policies stimulated economic growth, foreign investment, and infrastructure development, they also led to rising income inequality, regional disparities, and the commercialization of public goods. The state’s fiscal commitment to public education and health gradually eroded as a percentage of GDP, leading to a dual-track system.
Underfunded state healthcare and education systems remained free but suffered from resource constraints, overcrowding, and quality decline, while a burgeoning private sector in health and tuition-based education emerged to cater to the affluent. Jayasuriya argues that this marketization of social services undermined the egalitarian ideals of social justice that had historically anchored the nation’s social policy.
The contemporary manifestation of this historical trajectory became starkly apparent during the unprecedented economic crisis that engulfed Sri Lanka in 2022 and its continuing aftermath. The crisis—characterized by sovereign debt default, hyperinflation, severe foreign exchange shortages, and acute shortages of fuel, medicines, and food—exposed the fragile structural foundations of the country’s political economy. The roots of this crisis are inextricably linked to the unresolved tension between public expectations built by historical welfarism and modern neoliberal fiscal mismanagement.
Welfare and populism
Over recent decades, successive governments continued to rely on populism to secure electoral victory, promising subsidies, tax cuts, and public sector employment without building a sustainable tax base or correcting structural economic deficits. When the state faced catastrophic revenue declines following ill-advised tax cuts in 2019, combined with the shock of the COVID-19 pandemic and debt-driven infrastructure spending, the fiscal apparatus collapsed. The resulting austerity measures, mandated under International Monetary Fund (IMF) stabilization programs, forced sharp reductions in energy subsidies, increased indirect taxation, and deep spending cuts that severely hit vulnerable populations.
In present-day Sri Lanka, the legacy of the welfare state manifests as both a vital buffer and a site of intense political contestation. On one hand, the historical infrastructure of universal health and basic education has prevented an even more catastrophic loss of human life during the peak of the recent economic collapse. The enduring social capital, public health institutions, and high literacy rates provided a baseline of societal resilience that assisted communities in coping with immense economic shock. The persistent popular memory of social entitlement has also fueled widespread civic mobilization, as demonstrated by the Aragalaya mass protest movement in 2022, which demanded accountability, social justice, and an end to political corruption—echoing the deeply ingrained political culture of democratic accountability that Jayasuriya identified as a byproduct of early welfarism.
Challenge of restructuring social policy
Contemporary Sri Lanka faces the immense challenge of restructuring its social policy framework in an era of stringent fiscal constraint. The rollback of state subsidies and the rising cost of living have pushed millions of citizens below the poverty line, threatening to reverse decades of hard-won human development gains. Malnutrition rates among children have spiked, access to essential imported life-saving medicines has been compromised, and the real value of state pensions and social assistance has been severely eroded by inflation. The targeted social safety nets, such as the Aswesuma welfare scheme introduced to replace Samurdhi, have faced significant administrative challenges, exclusion errors, and public resistance, reflecting the ongoing difficulty of transitioning from universal rights-based social protection to targeted relief mechanisms in a deeply distressed economy.
Furthermore, the contemporary economic crisis has intensified a major ‘brain drain,’ as highly educated medical professionals, engineers, university lecturers, and skilled workers migrate abroad in large numbers. This mass emigration directly exposes the present-day crisis of Sri Lanka’s historical social model: the state continues to invest significant public resources into providing free secondary and tertiary education, but the domestic economy fails to offer economic stability and professional opportunities to retain this human capital. Consequently, the social returns on the state’s educational investment are increasingly captured by developed nations, leaving domestic public institutions further depleted.
In evaluating the contemporary impact of Sri Lanka’s social policy through the theoretical insights of Ralph Peiris and Laksiri Jayasuriya, it becomes evident that Sri Lanka’s history is neither a pure success story nor an absolute policy failure. Ralph Peiris’s emphasis on Asian development styles reminds us that development cannot be reduced merely to economic output metrics; the deliberate choice to prioritize human capabilities and social equity established an enduring standard for human welfare in the global South. However, as Jayasuriya’s critical analysis reveals, a welfare state cannot exist in an economic vacuum. The failure to integrate social policy with a productive, sustainable, and equitable economic strategy created structural vulnerabilities that ultimately undermined the very social justice the state sought to achieve.
Socio-economic contradiction
This socio-economic contradiction has entered a critical new phase under the administration of President Anura Kumara Dissanayake and the National People’s Power (NPP) government, which assumed office with an explicit mandate focused on systemic corruption reform and equitable development. Facing the stringent structural constraints of post-default economic management, the administration has adopted a pragmatic, hybrid economic framework designed to reconcile Sri Lanka’s historic social protection legacy with strict international fiscal discipline. Rather than abandoning structural reforms, the government maintains continuity with the Extended Fund Facility agreement managed alongside the International Monetary Fund (IMF), adhering to primary budget surplus targets and progressive revenue-mobilisation goals. However, it attempts to reorient macroeconomic priorities away from elite-driven financialization toward a state-regulated, productive market economy centered on public sector transparency, digitalization, anti-corruption legislation, and the revitalisation of local agriculture and manufacturing.
Policy of rebalancing
This policy rebalancing directly reflects the enduring relevance of Peiris’s ‘Asian development style’ framework, as the state seeks to build export competitiveness while retaining public oversight of basic social safeguards. Yet, as Jayasuriya cautioned in his critiques of targeted safety nets, managing fiscal austerity within a political culture historically accustomed to universal state entitlement poses severe domestic challenges. High living costs, continuous pressure on public sector wages, structural poverty, and the persistent outflow of skilled human capital leave narrow margins for error. Contemporary Sri Lanka’s economic policy thus represents an ongoing attempt to construct a viable, modern economic model—one that generates sustained productivity and debt sustainability while preserving the foundational democratic imperative of equity and social justice that has defined the nation’s post-colonial identity.
Features
Cholesterol lowering statins: Scope for use widens
by Dr Upul Wijayawardhana
In my medical practice of just under 57 years, divided almost equally between Sri Lanka and the UK, I have been fortunate enough to meet some remarkable patients who demonstrated indomitable fortitude. Not that there were no nasties, but, fortunately, they were extremely rare. Now well into my retirement, I can still vividly remember some remarkable cases as if they happened yesterday. One of them well illustrates what happens when prescription warnings are ignored; that can result in drug interactions producing nasty, sometimes lethal, side effects.
A man in his sixties was admitted under my care to Grantham Hospital with progressively increasing muscle pain and weakness, being almost bedbound by the time of admission. It was pretty obvious that there was extensive damage to muscles which was confirmed by huge elevation of markers of muscle damage. A careful history, one of the vital steps needed for diagnosis, revealed that he was on long-term statin therapy following a heart attack and his GP has recently prescribed an antifungal agent for an infection in the groin. This was before the computerised prescription era and is not likely to have happened now, as a red-alert would be displayed as antifungals are known to produce severe interactions with statins. Both drugs were stopped, and with supportive therapy, he recovered fast and walked out of the ward two weeks later. He was started on a different statin later with no problems.
Would this experience make me join the vast numbers of YouTubers who are harping on the dangers of statins? Definitely not. I say so because the benefits of statins far outweigh the rare side-effects. All drugs have side effects and, in some trials, placebos producing more side effects than the active drug itself! Drugs need to be prescribed by those with education and experience whilst prescribers need to be updated regularly. Statins, perhaps, are the most widely used class of drugs and the scope for use is widening with the reporting of new clinical trials, two significant trials being presented at the European Society of Cardiology Congress held last month in Munich.
It was known for a long time that elevated levels of cholesterol in blood leads to damage of arterial walls (atherosclerosis) which manifests as cardiovascular disease including heart attacks, cerebrovascular disease including strokes and peripheral vascular disease. Various attempts at lowering cholesterol effectively by diets, drugs and surgery were largely unsuccessful till statins were discovered and it was soon realised that cholesterol synthesis by the body is more important than ingestion of cholesterol rich foods and saturated fats. Statins inhibit cholesterol synthesis in the body and the first statin released for therapeutic use was Lovastatin in 1987, but wide use of statins started only after the release of results of the landmark 4S trial in 1994.
The Scandinavian Simvastatin Survival Study (4S) was a multicentre, randomised, double blind, placebo controlled clinical trial which used Simvastatin, the second statin released for use a year later in 1988. 4444 patients, who previously had a heart attack or were having angina with moderately elevated levels of cholesterol, in spite of rigorous dieting, were recruited from 94 centres in Scandinavia. After follow-up of 5.4 years, compared to the placebo group, it was shown that the group treated with Simvastatin showed lowering of LDL cholesterol (Bad Cholesterol whereas HDL cholesterol is protective) by 35% and, more importantly, lowering of death rate by 30%. A follow-up study of 10 years showed continuing benefits. More trials and more statins followed.
Though Simvastatin had widespread use initially, the more powerful Atorvastatin, launched in 1997, overtook producing more dramatic results in subsequent clinical trials. Till the introduction of monoclonal antibodies (mAbs), laboratory produced proteins that mimic the immune system and capable of targeting antigens in cells or pathogens (which can be identified as the drug names end with ‘mab’) Atorvastatin was the highest grossing drug of all time, in spite of prices dropping sharply. There had been a proliferation on mAbs as many are used in a number of cancers and auto-immune diseases, earning more money as they continue to be expensive.
I remember a meeting I attended, just after the results of the 4S trial was released, where fears were expressed whether the NHS would go bankrupt if all eligible patients were prescribed Simvastatin. Widespread use has brough prices tumbling down, a tablet of Atorvastatin now costing in UK only 3p!
Though the initial trials were for secondary prevention, reduce recurrence after the disease has manifested, subsequent trial were aimed at primary prevention, preventing or delaying disease occurrence in those with high risk factors. These too showed significant benefits and the scope for use of statins continue to expand. Two significant trials were presented at the ESC congress.
The first was the STAREE study, which enrolled 5000 persons, over the age of 70 in Australia, with no history of cardiovascular disease, diabetes or dementia and half got Atorvastatin 40mg daily, the other half getting a placebo. Results showed a significant 30% reduction of a composite end point of death from cardiovascular causes, nonfatal myocardial infarction, stroke or coronary revascularization. Interestingly, incidence of serious adverse effects was similar in both groups being 2.6%. There was no significant reduction of death rate by itself. Perhaps, this is explained by most deaths being due to non-cardiac causes in this age group.
The second was a Danish observational study, where researchers assessed whether early initiation of statins after the diagnosis of type 2 diabetes was associated with a lower risk of dementia. Over 10 years, early statin initiation was associated with a 15% lower relative risk of dementia than no statin treatment, while late initiation was associated with a 10% lower risk. Though they studied the records of 132,585 patients, as this is an observational study, not a double blinded clinical trial, results are not as convincing and may have to be reaffirmed by further studies.
How will the results of these two trials affect clinical practice?
To act on the results of these trials is not difficult in the UK. Those over 80 years are already offered a statin and it would not be difficult for GPs to extend use to those over 70. Most diabetics, unless relatively young, are likely to be on a statin already, as they are categorised as high risk. There are no cost implications to patients as diabetics and those over 65 years get all their drugs free from NHS.
Unfortunately, things are likely to be very different in Sri Lanka. Diabetes is rampant and dementia is on the rise. As life expectancy is increasing and those over 70 being an ever-increasing group. Diabetics may be able to get a statin from government hospitals. However, there is no provision for free supply of statins for over 70 group, as this is for primary prevention. With exponentially increasing cost of living, retirees may find it difficult to afford a statin.
Ideally, Atorvastatin 40mg daily, the dose used in the trials, should be taken though one can argue that other statins may be effective as benefits are likely to be a group effect. As many trials used the 40mg dose, Pfizer decided to price 10mg, 20mg and 40mg Atorvastatin tablets the same, but this is unlikely in Sri Lanka, what is available being generics; Atorvastatin went out of patent protection in 2011. If 40mg tablets are significantly more expensive, perhaps, a lower dose could be considered as the average body size of Sri Lankans is smaller than that of Australians.
It can be argued that even a small dose is better than taking no statin at all. Maybe there is a good opportunity for our scientists, perhaps together with their Indian counterparts to do clinical trials to establish appropriate doses of statins and other drugs, rather than follow Western guidelines. Until then, it may be sensible to give anyone over 70 years an affordable dose, with some patient education on adverse effects could be minimized.
Statins are a valuable tool for the prevention of vascular disease. They not only reduce deaths but also improve quality of life by preventing debilitating illnesses. Like any drug they too have adverse effects and should be used under proper medical supervision. Worst thing to do is to listen to fear-mongers!
Features
‘Mortal Causes’ Tales of Mystery and Suspense 20
Tales of Mystery and Suspense 20
by Prof. Rajiva Wijesinha
After the elegance of Agatha Christie and Hercule Poirot, I revert to one of the least elegant detectives I have looked at. The first John Rebus novel by Ian Rankin I discussed here was Set in Darkness, though I think I failed to mention the title. That does not really matter for Rankin’s titles seem a bit interchangeable. Certainly, the title of the book I will explore today, Mortal Causes, could apply to most Rebus adventures.
But this too was a gripping tale, and also dealt with what used to be a disturbing social issue in the last quarter of the last century, namely violent clashes between Catholics and Protestants, which had their roots in the age-old question of Northern Ireland and its place in the United Kingdom. The root problem there was the influx, when Ireland was comprehensively taken over by the English, of Protestants from Scotland, who were so entrenched in the north of Ireland, the area known as Ulster, that they stopped Britain from granting independence to the whole of Ireland.
Ulster remained a part of the United Kingdom, but over the years the Catholics there, supported by the Irish Republican Army, the IRA, agitated for union with the Republic of Ireland. This was bitterly resented by the Protestants, and emotions ran high, as I found when I tried to bring together Catholic and Protestant friends when I was at Oxford.
The sixties saw the overthrow of three Prime Ministers of Northern Ireland, each succeeding one being more committed to the Protestants than his predecessor, for there was a preponderance of Protestant constituencies. But the Catholic numbers were proportionately increasing, and the IRA of course got support from the Irish Republic, with the border being porous and impossible to patrol. This led to vicious reprisals by British troops, and it was their failure to address excesses over the years that made clear their infinite hypocrisy in criticizing Sri Lanka for excesses during the civil war, demanding inquiries while signally failing to address the massacres of Catholics in Northern Ireland.
Mortal Causes
deals with the repercussions of this rivalry in Scotland, where the latent animosity between Catholics and Protestants was exacerbated by events in Ulster. Obviously Scottish groups were keen to help their fellow religionists, and the book is based on how money was collected and guns smuggled in to Ulster. But typically, Rankin also looks at how the proliferation of guns led to the strengthening of gangs, who engaged in extortion, with on occasion Catholic and Protestant guns maintaining a truce so that they could each exploit their own catchment areas.
A microcosm of what went on was seen in a youth club in a seedy housing estate in Edinburgh, to which a Catholic priest Rebus was friendly with sent a youngster who was supposed to bring the communities together. Though this resulted in a truce, it was in essence an arrangement that allowed both Catholics and Protestants to deal in intimidation of their different communities in the area. And the club was dominated by the protestants, led by a youth called David Soutar, who is endemically violent, and takes against Rebus on his very first visit, after he had promised Father Leary to look into the situation.
The youth club turned out of course to be connected with the murder that set off the investigation, though this only became clear because of Rebus’ painstaking investigation of that crime. It was a brutal killing, in an underground section of the city, usually only to be seen by arrangement with the city council. The bodies were discovered by some youngsters, one of whom had purloined a key from his great uncle who was one of the custodians, who provides important information in the course of the investigation to make up for that lapse.
Before that Rebus had realized something bigger was behind the gruesome murder, for while part of the team at his own station he was asked by a Chief Inspector with the Scottish Crime Squad, Kilpatrick, to work also with his team. He had come to the site of the crime with an Inspector from London, Abernethy, who went back almost immediately to London. And though Abernethy mentioned the possibility of the killing being because of drugs, Rebus stuck to his view that it was terrorism related.
The body was soon enough identified, that of a youngster who lived with a couple called Murdock and Millie, and had Protestant insignia on his walls. And painstakingly Rebus established connections with diehard Protestants, one of whom, called Bothwell now which was his parental name, had edited a magazine while stationed in the Orkneys but now ran a dance club in Edinburgh. And he also deduced that SaS tattooed on the arm of the dead body stood for Sword and Shield, an extreme Protestant organization to which it transpired that David Soutar also belonged.
Alarmingly, it turned out that the dead Billy was the illegitimate son of Rebus’ old antagonist Ger Cafferty, who was now serving time in prison. But when he hears that his son had been murdered, he escapes, and makes it clear, through several contacts with Rebus, that he expects the killers to be found, and that he will take revenge on them.
Rebus and Inspector Smylie from the Crime Squad have to fly to Ulster to collect information which the police there refuse to transmit, and find nothing special though they confirm the existence of an extreme group called Sword and Shield, and that it has branches in America. And it seems that one of its leaders in Ulster has just gone to Scotland, while the Americans confirm that another leader will be flying to England and then to Edinburgh. Rebus asked Kilbride to tail the latter, and he says he will set two of his officers, who have no affection for Rebus, on to him.
When Rebus and Smylie get back from Ulster, Rebus is taken aside by one of these officers who says that Smylie’s brother Calumn, who was also part of the Crime Squad, and had been working undercover on arms shipments, has been murdered. This makes it clear that the arms smuggling is the key to the deaths, and also that there has been a leak from the Crime Squad.
And then Millie, who had taken a disk which Billie had hidden in his wall and fled, is also found killed. She had sought shelter with a friend who worked at Bothwell’s club, and the friend had told Bothwell about this, which was doubtless why she had been killed.
When the American organizer of Sword and Shield comes to Edinburgh Rebus manoeuvers a meeting with him, though not without rousing his suspicions. But the reports he receives from Kilpatrick of the surveillance say that he has just been doing touristy things.
The book is set during the Edinburgh Festival, and the police have been getting several calls to say a bomb will go off at its height. And Rebus now realized that this is precisely what Soutar is planning to do, having creamed off some of the weaponry, including explosives, that he had been collecting for transmission to Ulster.
These were stored in a facility provided for him by a friend whose father ran the group, but knew nothing about what Soutar was planning. The son, terrified by what he had been involved in and what the police knew, took Rebus to the warehouse which was where, DNA tests of the floor revealed, Calumn had been killed. And when Rebus and Abernethy, whom he had called up from London, confront Bothwell, it seems he too did not know of Soutar’s little sideshow, though it was also clear that he had known of Millie’s death, as well as Billy’s.
Her murderers had got the compact disk but her flatmate, though he had destroyed the backup, had looked at it before and that was how Rebus found out about the warehouse that Soutar had used. But then he goes with Abernethy to the warehouse in which the Crime Office had kept the weapons they had found, and they both confront Kilbride there and tell him that they know he too had been a member of SaS – the granduncle having shared his research with Rebus – and had passed on parts of what was confiscated to Soutar, since he was in a position to change the invoices.
But he too evidently did not know what Soutar was planning, and when Rebus goes to the youth club it is to find that Soutar had nearly killed him, and had then set off for the festival. There is great drama then as Rebus tries to stop him setting off whatever bomb he has and, though he is nearly killed, as happens in so many Rankin books at the end, Abernethy shoots Soutar dead.
Then however, when Rebus goes to the dance club for what he thinks of as final business, he finds it on fire. Bothwell has been killed. But he finds the American inside and pulls him out. When he goes further and finds the man from Ulster in a chair, tied up so he would burn, he tries to free him and then is again nearly killed, though this time he is rescued by Cafferty – who tells him it was not to save him that he had come in but to make sure he did not save the other man, the American having slunk away after Rebus had taken him outside the burning building.
The American is apprehended when he was trying to leave the country. But Kilbride is smothered in his hospital bed when he was recovering, so Cafferty’s vengeance for his son was almost complete.
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