Opinion
The scalpel and the sword: A surgeon’s stand against injustice
Injustice does not announce itself with fanfare or arrive with pomp and pageantry. It creeps in quietly, through a misplaced appointment letter, a whispered favour, a scholarship advert rewritten in the shadows. It thrives in systems that reward silence and punish integrity. I did not set out to be a fighter. I set out to be a surgeon. But the scalpel in my hand soon became a sword in my heart.
It began in 1974, barely a year after my internship, fresh from earning my Primary FRCS (Eng) through the Royal College of Surgeons exam held in Colombo. This was pre-PGIM era. I applied for a two-year Registrar post in General Surgery at the General Hospital, Colombo, now named, the National Hospital of Sri Lanka. I was a rightful candidate, qualified and ready. But a colleague, ineligible by regulation, was being considered. He hadn’t completed the mandatory tenure in his current post. What he had, however, was political influence.
I fought back, not with bitterness, but with resolve. Trade union support added weight to my protest. Eventually, both of us were appointed. It was a compromise, yes. But it was also a message: injustice would not go unchallenged.
Three years later, I was appointed one of the three Registrars in Paediatric Surgery at Lady Ridgeway Hospital for Children. Trainer selection was based on seniority, and I was the seniormost. Yet, one colleague, son of a high official to the National State Assembly (NSA) (a powerful civil service position amongst the parliament staff) received his appointment letter a day earlier, on a Sunday.
That single day’s advantage allowed him to secure the trainer of his choice. The manipulation was subtle, but the outcome was irreversible. I protested, but the machinery of influence had already moved on. Dishonesty helps in the short term but it comes around to bite them in the back. (cf. what’s happening at the minute to the family riding on the clouds, allegedly, with people’s tax money, the Rajapaksas) This man didn’t last long in the popular surgical job at LRH.
Senior surgeon literally banished him from the unit for apparently intervening on the wrong side of the chest resulting in a child’s death paving way to my rightful position.
Then came the opportunity to complete my FRCS in the UK. I applied for a Commonwealth scholarship, topping the list due to my second-class, upper division MBBS qualification. (Peradeniya didn’t accord lowers at the time) But a second advert appeared, this time removing the class requirement. The same colleague, again, was favoured. The Director of Health Services played puppet to the Clerk’s puppeteering. I fought fiercely, this time with the backing of the Government Medical Officers’ Association. The scholarship was ultimately withheld from both of us. It went unclaimed.
But the injustice was stopped in its tracks. Mind you I was one of the three joint secretaries of the GMOA and a fierce joint TU battle with AMS joining in, was already on. Government was Sirima and the left coalition. The NSA guy was holding TU leaders to ransom (with a parliamentary privilege issue) for calling Dr.N.M.Perera, Minister of Finance, a Black leg. TU leaders backed out like frightened mice. Result; the Clerk and his son were let off the hook.
After three years of training in England, I returned to Sri Lanka and was posted as a relief surgeon in Ratnapura, the famous gem-rich town with a hospital in need. It was a four-month assignment, set to conclude in December 1981.
Midway, I was asked to vacate the post prematurely and return to Accident Service as Resident Surgeon. Another surgeon, already in a substantive job, had been appointed irregularly to replace me, perhaps for the riches Ratnapura accords. The DHS refused to intervene. I picked up the phone and called the Minister directly. He, in my opinion, was the first and the last gentleman politician, Gamini Jayasuriya. He listened. I stayed. That moment taught me something vital: sometimes, justice requires bypassing the very systems meant to uphold it.
In Kegalle, I was the leading candidate for Consultant Surgeon. Yet again, a re-employed doctor with no seniority was being considered. His way was paved not by merit, but by bribery, through one of the Assistant Directors of Health, who would oblige a transfer just for a bottle of VSOA. I fought hard, at times coming to fisty cuffs too and I won.
In Matara, I faced the tricky situation, a slightly junior colleague and a friend who had seized the morning operating sessions before I got there. The DMO, his friend, a man whose evenings were soaked in alcohol, backed him. I gathered written proof, triggered an inquiry, and saw the DMO transferred. My operating sessions were restored. Friendship intact.
At Karapitiya Teaching Hospital, I was appointed Consultant Surgeon in 1987. Years earlier, I had applied for a Senior Lecturer post in Surgery. The advert was quietly cancelled, likely to shield a professor from scrutiny. He had poor outcomes and perhaps feared intra-unit competition.
I worked independently from the university units, and through persistent effort, compelled them to sign an honorary contract binding them to DHS regulations. It was a small but significant victory for accountability.
Later, I confronted a corrupt hospital director in the same hospital, financially dishonest, biased, and unpopular. When he harassed a junior doctor (for doing the right thing), a strike ensued.
I led a group that collected written evidence of his misconduct and presented the case to the inquiry panel. He was transferred to an uncongenial post, a merciful alternative to dismissal. The director who succeeded him told me long after I left Karapitiya, “Dr. Janapriya, being able to work with you (and Dr. Hendalage MS FRCS, Orthopaedic Surgeon) became a qualification for one to clinch a job at DHS interviews”
These were not isolated incidents. They were part of a pattern, a system where influence often trumped integrity, and silence was rewarded. I refused to be silent.
Each battle left its mark. Not just on my career, but on my conscience. I began to see that the fight for justice could not be confined to hospital corridors. It needed a broader arena. That is why I am now, in the pursuit of the black cloak, not as a departure from medicine, but as its extension. I aim to advocate for patients wronged by negligence, for professionals side-lined by corruption, and for citizens whose rights are trampled.
The scalpel taught me precision. The law will demand conviction. I am ready for both. I have the licence for one and am striving for the other at the minute.
Injustice must be confronted, not mollycoddled, not rationalised, and never nurtured. I have fought it with words, with evidence, and with unwavering resolve. Once getting charge sheeted pn vain too. And I will continue to fight because justice, like healing, begins with intervention.
Dr. M. M. Janapriya ✍️
Opinion
Nilanthi Jayasinghe – An Appreciation
It was with shock that I realized that the article in the Sunday Island of April 5 about the winsome graduate gazing serenely at her surroundings was, in fact, an obituary about Nilanthi Jayasinghe, a former colleague who I had held in high esteem. I had lost touch with Nilanthi since my retirement and this news that she had passed away, saddened me deeply
I knew and had worked with Nilanthi – Mrs Jayasinghe as we used to call her – at the Open University of Sri Lanka in the 1990s. As Director, Operations, she was a figure that we as heads of academic departments, relied on; a central bastion of the complex structure that underpinned academic activities at Sri Lanka’s major distance education provider. Few people realize what it takes to provide distance education in an environment not geared to this form of teaching/learning – the volume of Information that has to be created, printed and delivered; the variety of timetables that have to be scheduled; the massive amount of continuous assessment assignments and tests that have to be prepared and sent out; the organization of a multitude of face-to face teaching sessions; the complex scheduling of examinations and tests – all this needed to be attended to for a student population of more than 20,000 and for 23 centres of study dotted across Sri Lanka.
It was an unenviable task but Nilanthi Jayasinghe with her flair for organization, handled it all with aplomb and a deep sense of commitment. If there were delays and inconclusive action on our part, she never reprimanded but would work with us to sort things out. Her work as Director, Operations brought her into contact with staff across the spectrum-from the Vice-Chancellor to the apprentice in the Open University’s Printing Press. Nilanthi treated everyone with dignity and as a result, was respected by all at the university. She was sensitive, kind-hearted, a good friend who would readily share problems and help to solve them. The year NIlanthi retired, I was out of the island. When I came back to the Open University, I felt bereft without the steadfast support of her stalwart presence .
The article in the ‘Sunday Island’ describes her life after retirement, looking after family members and enjoying the presence of a granddaughter.
After a lifetime of commitment to others, Nilanthi Jayasinghe truly deserved this happiness.
May she be blessed with peace.
Ryhana Raheem
Professor Emeritus
Open University of Sri Lanka.
Opinion
James Selvanathan Mather
James Mather (Selvan to all of us) who passed away recently at the age of 95 was one of the leading Chartered Accountants in the country. He was the senior partner of Ernst and Young for long years, and the mentor for a generation of chartered accountants. He was confidante and adviser to many of the leading businessmen of his time. His career spanned over six decades. A man who never sought the limelight, he was very influential in Ceylon/Sri Lanka’s business world.
Selvan Mather was born in 1930 to a well-known Christian family in Jaffna. His father, Rev. James Mather was Head of the Methodist Church in Ceylon. Selvan was educated at Trinity College Kandy, and he had a life-long connection with the school. He entered the University of Ceylon in the late 1940s, at a time when Ivor Jennings was Vice-Chancellor.
He read economics and passed out with an honours degree. For short periods he was in the Department of Income Tax and with the newly established Central Bank of Ceylon. The Central Bank facilitated him to go to England to qualify as a chartered accountant. His two referees, when seeking admission to an accountancy firm in the U.K. were M.D.H. Jayawardena, then Minister of Finance and the Auditor General of Ceylon, L.A. Weerasinghe. Being a chartered accountant was a rare event those days.
On his return from England, his career was with Ernst and Young where he became senior partner. He was close advisor and confidante to many of the leading businessmen. He was admitted to its Hall of Fame by the Institute of Chartered Accountants.
To strike a personal note, I got to know him 50 years ago when he applied for a fellowship given by the Asian Productivity Organisation (APO) in Tokyo. I was in the Ministry of Planning and Economic Affairs at the time, and the Ministry was handling APO affairs in Colombo. He told me later that he enjoyed his time in Tokyo. From that time, we kept up a friendship with him and Nelun, which lasted 50 years.
My wife, Rukmal, and I lived in Windsor England, for about 25 years. During that time, Nelun and Selvan were regular visitors to England. I remember taking him for long walks in Windsor Great Park, and on the grounds of Eton College which were nearby. We went on long car tours in England covering the Cotswolds, the Peak districts and the Potteries. I remember celebrating Selvan’s 70th birthday in London at a Greek restaurant, along with his great friends, Nihal and Doreen Vitarana. Memories remain, although Selvan is no more.
In the last decades of his life we saw Nelun and him often. A few of us, Manik de Silva, Nihal and Srima Seneviratne and a few others met regulsrly for lunch. We will all miss Selvan who was mine of his life and times very much.
Selvan leaves his wife Nelun and three children and their husbands – Rohan, Shyamala and Indi, and Rehana and Akram. It was a close-knit family and they will miss him.
Leelananda De Silva.
Opinion
War with Iran and unravelling of the global order – II
Broader Strategic Consequences
One of the most significant strategic consequences of the war is the accelerated erosion of U.S. political and moral hegemony. This is not a sudden phenomenon precipitated solely by the present conflict; rather, the war has served to illuminate an already evolving global reality—that the era of uncontested U.S. dominance is in decline. The resurgence of Donald Trump and the reassertion of his “America First” doctrine reflect deep-seated domestic economic and political challenges within the United States. These internal pressures have, in turn, shaped a more unilateral and inward-looking foreign policy posture, further constraining Washington’s capacity to exercise global leadership.
Moreover, the conduct of the war has significantly undermined the political and moral authority of the United States. Perceived violations of international humanitarian law, coupled with the selective application of international norms, have weakened the credibility of U.S. advocacy for a “rules-based international order.” Such inconsistencies have reinforced perceptions of double standards, particularly among states in the Global South. Skepticism toward Western normative leadership is expected to deepen, contributing to the gradual fragmentation of the international system. In this broader context, the ongoing crisis can be seen as symptomatic of a more fundamental transformation: the progressive waning of a global order historically anchored in U.S. hegemony and the emergence of a more contested and pluralistic international landscape.
The regional implications of the crisis are likely to be profound, particularly given the centrality of the Persian Gulf to the global political economy. As a critical hub of energy production and maritime trade, instability in this region carries systemic consequences that extend far beyond its immediate geography. Whatever may be the outcome, whether through the decisive weakening of Iran or the inability of external powers to dismantle its leadership and strategic capabilities, the post-conflict regional order will differ markedly from its pre-war configuration. In this evolving context, traditional power hierarchies, alliance structures, and deterrence dynamics are likely to undergo significant recalibration.
A key lesson underscored by the war is the deep interconnectivity of the contemporary global economic order. In an era of highly integrated production networks and supply chains, disruptions in a single strategic node can generate cascading effects across the global system. As such, regional conflicts increasingly assume global significance. The structural realities of globalisation make it difficult to contain economic and strategic shocks within regional boundaries, as impacts rapidly transmit through trade, energy, and financial networks. In this context, peace and stability are no longer purely regional concerns but global public goods, essential to the functioning and resilience of the international system
The conflict highlights the emergence of a new paradigm of warfare shaped by the integration of artificial intelligence, cyber capabilities, and unmanned systems. The extensive use of unmanned combat aerial vehicles (UCAVs)—a trend previously demonstrated in the Russia–Ukraine War—has been further validated in this theatre. However, unlike the Ukraine conflict, where Western powers have provided sustained military, technological, and financial backing, the present confrontation reflects a more direct asymmetry between a dominant global hegemon and a Global South state. Iran’s deployment of drone swarms and AI-enabled targeting systems illustrates that key elements of Fourth Industrial Revolution (4IR) warfare are no longer confined to technologically advanced Western states. These capabilities are increasingly accessible to Global South actors, lowering barriers to entry and significantly enhancing their capacity to wage effective asymmetric warfare. In this evolving context, technological diffusion is reshaping the strategic landscape, challenging traditional military hierarchies and altering the balance between conventional superiority and innovative, cost-effective combat strategies.
The war further exposed and deepened the weakening of global governance institutions, particularly the United Nations. Many of these institutions were established in 1945, reflecting the balance of power and geopolitical realities of the immediate post-Second World War era. However, the profound transformations in the international system since then have rendered aspects of this institutional architecture increasingly outdated and less effective.
The war has underscored the urgent need for comprehensive international governance reforms to ensure that international institutions remain credible, representative, and capable of addressing contemporary security challenges. The perceived ineffectiveness of UN human rights mechanisms in responding to violations of international humanitarian law—particularly in contexts such as the West Bank and the Gaza Strip, and more recently in Iran—has amplified calls for institutional renewal or the development of alternative frameworks for maintaining international peace and security. Moreover, the selective enforcement of international law and the persistent paralysis in conflict resolution mechanisms risk accelerating the fragmentation of global norms. If sustained, this trajectory would signal not merely the weakening but the possible demise of the so-called liberal international order, accelerating the erosion of both the legitimacy and the effective authority of existing multilateral institutions, and deepening the crisis of global governance.
Historically, major wars have often served as harbingers of new eras in international politics, marking painful yet decisive transitions from one order to another. Periods of systemic decline are typically accompanied by instability, uncertainty, and profound disruption; yet, it is through such crises that the contours of an emerging order begin to take shape. The present conflict appears to reflect such a moment of transition, where the strains within the existing global system are becoming increasingly visible.
Notably, key European powers are exhibiting a gradual shift away from exclusive reliance on the U.S. security umbrella, seeking instead a more autonomous and assertive role in global affairs. At the same time, the war is likely to create strategic space for China to expand its influence. As the United States becomes more deeply entangled militarily and politically, China may consolidate its position as a stabilising economic actor and an alternative strategic partner. This could be reflected in intensified energy diplomacy, expanded infrastructure investments, and a more proactive role in regional conflict management, advancing Beijing’s long-term objective of reshaping global governance structures.
However, this transition does not imply a simple replacement of Pax Americana with Pax Sinica. Rather, the emerging global order is likely to be more diffuse, pluralistic, and multilateral in character. In this sense, the ongoing transformation aligns with broader narratives of an “Asian Century,” in which power is redistributed across multiple centers rather than concentrated in a single hegemon. The war, therefore, may ultimately be understood not merely as a geopolitical crisis, but as a defining inflection point in the reconfiguration of the global order.
Conclusion: A New Era on the Horizon
History shows that major wars often signal the birth of new eras—painful, disruptive, yet transformative. The present conflict is no exception. It has exposed the vulnerabilities of the existing world order, challenged U.S. dominance, and revealed the limits of established global governance.
European powers are beginning to chart a more independent course, reducing reliance on the U.S. security umbrella, while China is poised to expand its influence as an economic stabiliser and strategic partner. Through energy diplomacy, infrastructure investments, and active engagement in regional conflicts, Beijing is quietly shaping the contours of a more multipolar world. Yet this is not the rise of Pax Sinica replacing Pax Americana. The emerging order is likely to be multilateral, fluid, and competitive—a world in which multiple powers, old and new, share the stage. The war, in all its turbulence, may therefore mark the dawn of a genuinely new global era, one where uncertainty coexists with opportunity, and where the next chapter of international politics is being written before our eyes.
by Gamini Keerawella
(First part of this article appeared yesterday (08 April)
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