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Vesak: Celebrating the Birth of Wisdom and the Seeds of Peace

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Vesak stands as the most sacred festival in Buddhism, a powerful commemoration of the Buddha’s birth, enlightenment, and Parinirvana. Celebrated on the auspicious full moon of the Vaisakha month, typically falling in May, this festival is a significant occasion for Buddhists worldwide. It invites deep introspection, encouraging the internalization of the Buddha’s core principles, most notably his enduring message of peace and compassion. This message serves as a guiding light for practitioners seeking spiritual awakening and harmonious living.

The true power of Vesak lies in its call to action – the practical application of these profound teachings. The observances and activities of the festival are intentionally designed to cultivate inner peace and extend compassion outwards. From acts of charity and kindness to mindful meditation and engagement with Buddhist scriptures, Vesak empowers individuals to embody non-violence, loving-kindness, and empathy in their everyday lives. It is a time for thoughtful reflection on personal conduct and a renewed commitment to the path of righteousness, fostering a collective vision for a more peaceful and compassionate global community.

Cultivating Inner Harmony

At the heart of the Buddha’s profound wisdom lies the fundamental understanding of suffering and the clear path to its cessation, ultimately leading to enlightenment. This path is not abstract but deeply interwoven with ethical conduct and a specific way of relating to the world. The guiding principles of non-violence (Ahimsa) are crucial, extending beyond physical harm to encompass thoughts and speech. Equally vital are loving-kindness (Metta) and compassion (Karuna), which involve cultivating a genuine wish for the well-being of all beings and an empathetic desire to alleviate their suffering. These interconnected principles form the strong foundation upon which the Buddha’s enduring message of peace rests, offering a practical framework for individual transformation and harmonious coexistence.

In Buddhist teachings, Metta, Karuna, Mudita, and Upekkha are revered as the Four Immeasurable or Brahmaviharas – four boundless qualities to be cultivated through dedicated meditation and practice. Metta embodies loving-kindness, radiating goodwill and a desire for happiness towards all. Karuna signifies compassion, the empathetic understanding of suffering coupled with the wish to relieve it. Mudita is sympathetic joy, the wholesome delight in the happiness and good fortune of others. Upekkha represents equanimity, a balanced and impartial perspective that allows one to remain steady amidst life’s inevitable changes. These four virtues are essential cornerstones of the Buddhist path, fostering inner peace and promoting harmonious relationships within oneself and with the wider world.

Non-Violence (Ahimsa):

The Buddhist principle of Non-Violence, or Ahimsa, extends far beyond a simple injunction against physical harm; it represents a profound ethical stance that permeates every facet of our being – body, speech, and mind. At its core lies a deep respect for the sanctity of all life, recognizing the inherent interconnectedness and intrinsic value of every sentient being, from the smallest insect to the largest animal, including ourselves. This commitment to non-harming necessitates a conscious and continuous effort to refrain from any action that could lead to injury, pain, or death.

Furthermore, Ahimsa delves into the subtle yet powerful realms of verbal communication and our inner thoughts. Words, though seemingly intangible, possess the capacity to wound, demean, and incite hatred, thus violating the spirit of non-violence. Similarly, negative thoughts, such as anger, malice, and resentment, can fester within, poisoning our own minds and potentially manifesting as harmful actions or speech. Therefore, the practice of Ahimsa demands a vigilant awareness of our internal landscape, urging us to cultivate thoughts of peace, goodwill, and understanding.

In the context of Vesak in Sri Lanka, this principle of Ahimsa takes on particular significance. As a time of profound reflection on the Buddha’s teachings, Vesak serves as a potent annual reminder of our ethical responsibilities. The widespread observance of practices like refraining from consuming meat and engaging in acts of kindness towards animals during this period vividly illustrates the commitment to non-violence. The very atmosphere of serenity and goodwill that pervades the country during Vesak underscores the collective aspiration to embody Ahimsa in all aspects of life, fostering a culture of peace that begins within each individual and extends outwards to the community and beyond.

Loving-Kindness (Metta):

The practice of Loving-Kindness, in Buddhism is far more than a passive feeling; it is an active and intentional cultivation of a deep and unwavering wish for the happiness and well-being of all sentient beings without exception. This boundless aspiration transcends the limitations of personal relationships, social circles, or even perceived differences, extending with equanimity towards friends, family, strangers, and even those we might consider difficult or challenging. It is a heartfelt desire for all to be free from suffering and to experience joy, peace, and contentment in their lives.

The cultivation of Metta often involves specific meditative practices designed to nurture this compassionate attitude. During Metta meditation, individuals systematically direct feelings of loving-kindness towards themselves, then gradually expand the circle of their compassion to include loved ones, neutral individuals, those they dislike, and ultimately all beings throughout the universe. This deliberate practice helps to break down the barriers of prejudice and aversion, fostering a profound sense of interconnectedness and empathy. By consciously radiating positive energy and goodwill, practitioners not only cultivate inner peace but also contribute to a more harmonious and compassionate world around them.

The auspicious occasion of Vesak in Sri Lanka provides a particularly potent time for the intensification of Metta practice. The very spirit of Vesak, commemorating the birth, enlightenment, and passing of the Buddha – a being who embodied boundless compassion – naturally inspires Buddhists to deepen their cultivation of loving-kindness. The collective focus on spiritual growth and meritorious deeds during Vesak creates a supportive environment for engaging in Metta meditation and extending heartfelt wishes for the happiness and well-being of all, reinforcing the fundamental Buddhist understanding of our shared existence and the importance of universal benevolence.

Compassion (Karuna):

Compassion in Buddhist philosophy is not merely a passive acknowledgement of the suffering of others; it is an active and deeply felt empathy that penetrates to the core of one’s being, igniting a powerful and unwavering desire to alleviate that pain. It stems from the profound understanding of our shared human condition, recognizing that all beings are subject to the vicissitudes of life and the inherent presence of suffering. This empathetic resonance creates an intrinsic motivation to reach out and offer solace, support, and practical assistance to those who are experiencing hardship, whether physical, emotional, or mental.

The cultivation of Karuna involves developing the capacity to truly feel what others are feeling, to step into their shoes and understand their struggles from their perspective. This requires a willingness to open our hearts to the pain of the world, rather than shielding ourselves from it. Through practices such as mindfulness and empathetic reflection, we can gradually dismantle the barriers that separate us from others and cultivate a more profound sense of interconnectedness. This growing empathy naturally blossoms into compassionate action, driven by the sincere wish to reduce suffering and promote well-being.

The sacred festival of Vesak in Sri Lanka serves as a powerful catalyst for the expression of Karuna. The commemoration of the Buddha, who embodied ultimate compassion throughout his life, inspires countless acts of kindness and generosity. The tradition of Dansalas, offering free food and refreshment to all, exemplifies this spirit of selfless giving rooted in compassion. Similarly, increased efforts to care for the sick, offer support to the vulnerable, and extend kindness to all beings encountered during Vesak demonstrate the tangible manifestation of Karuna. The very atmosphere of goodwill and generosity that permeates Sri Lanka during Vesak underscores the deep-seated value placed on compassionate action and its integral role in both individual spiritual growth and the creation of a more humane society.

Sympathetic or altruistic joy (Mudita):

Mudita stands as a radiant and transformative quality within the Buddhist framework, specifically as one of the four Brahma-viharas, the immeasurable virtues. It is the sincere and unadulterated joy we experience when witnessing the happiness, success, or good fortune of others. Unlike selfish joy, which is contingent on our own gain, Mudita blossoms purely from appreciating the positive experiences of those around us, be they family, friends, acquaintances, or even strangers. It acts as a potent antidote to the corrosive emotions of envy and jealousy, which can cloud our minds and hinder harmonious relationships.

The cultivation of Mudita involves actively training our minds to recognize and appreciate the positive qualities and achievements of others. This practice requires a conscious shift in perspective, moving away from a mindset of comparison and competition towards one of genuine appreciation and celebration. By focusing on the merits and well-being of others, we not only diminish negative emotions within ourselves but also foster a sense of interconnectedness and shared humanity. When we genuinely rejoice in the happiness of others, we contribute to a more positive and supportive social environment, strengthening bonds and fostering a collective sense of joy and shared prosperity.

During Vesak in Sri Lanka, the spirit of Mudita finds a particularly fertile ground. The numerous acts of generosity, the shared religious observances, and the overall atmosphere of goodwill create an environment where celebrating the positive aspects of community and individual lives is naturally amplified. Witnessing the joy of others participating in meritorious deeds, the beauty of the Vesak illuminations enjoyed by all, and the spirit of selfless giving through Dansalas all contribute to a collective experience of Mudita. This shared joy strengthens the social fabric and reinforces the Buddhist values of empathy and interconnectedness, making the Vesak celebrations in Sri Lanka a vibrant expression of sympathetic joy in action.

Equanimity or even-mindedness (Upekkha):

It is a profound and essential Brahma-vihara that cultivates a state of mental equilibrium and impartial observation amidst the ever-changing tides of life. It is not indifference or apathy, but rather a deeply cultivated wisdom that allows us to remain balanced and undisturbed by the inevitable dualities we encounter – the ebb and flow of praise and blame, gain and loss, joy and sorrow. This mental steadiness arises from the understanding of the impermanent nature of all phenomena and the interconnectedness of cause and effect. By developing Upekkha, we learn to observe situations with clarity and objectivity, free from the distorting influences of attachment to positive experiences and aversion to negative ones.

The practice of Upekkha involves training the mind to recognize the transient nature of all things and to release the tendency to cling or resist. It is about cultivating a spacious awareness that allows experiences to arise and pass without creating undue emotional turbulence. This balanced perspective enables us to respond to life’s challenges with greater wisdom and compassion. Instead of being swept away by emotional reactions, we can act with clarity, understanding the complexities of situations and responding in ways that promote well-being for ourselves and others. Upekkha fosters a sense of inner peace that is not dependent on external circumstances, providing a stable foundation for navigating the inevitable ups and downs of existence.

In the context of Vesak in Sri Lanka, the cultivation of Upekkha encourages a serene acceptance of the cyclical nature of life and the interconnectedness of all beings. As individuals engage in acts of generosity, religious observances, and community gatherings, Upekkha promotes harmonious interactions by fostering a sense of impartiality and understanding towards the diverse experiences and perspectives within the community. It reminds individuals to approach both joyful celebrations and moments of reflection with a balanced mind, recognizing the impermanent nature of all things. This cultivated equanimity contributes to a more peaceful and resilient community, where individuals can navigate the complexities of life with grace and understanding, embodying the Buddha’s teachings on inner peace and harmonious coexistence.

The official recognition of Vesak as an international day by the United Nations underscores the global significance of the Buddhist tradition and its profound impact on the spiritual landscape of humanity. This acknowledgement highlights the universal values inherent in Buddhist teachings, particularly its consistent emphasis on the cultivation of inner peace, the practice of tolerance towards all, and the development of mutual understanding among diverse peoples. By formally recognizing Vesak, the UN acknowledges the enduring relevance of these principles in addressing contemporary global challenges and fostering a more harmonious and compassionate world community.

In Sri Lanka, this international recognition of Vesak resonates deeply, reinforcing the nation’s long-standing reverence for this sacred festival. As a country where Buddhist philosophy has significantly shaped cultural norms and societal values, the UN’s declaration serves as a powerful affirmation of the wisdom embedded within these traditions. It further encourages the continued practice and propagation of the Buddha’s teachings on peace, tolerance, and understanding, not only within Sri Lanka but also as a valuable contribution to the global pursuit of harmony and well-being. The celebrations during Vesak in Sri Lanka thus take on an added layer of significance, aligning local observances with a globally acknowledged message of peace and goodwill.

Vesak Celebrations in Sri Lanka and the Message of Peace

In Sri Lanka, where Buddhism is deeply ingrained in the cultural fabric, Vesak is observed with immense fervour and profound devotion, transforming the entire nation into a vibrant expression of Buddhist principles. The multifaceted celebrations intricately weave together religious observances, artistic expressions, and acts of communal generosity, all vividly reflecting the core message of peace. From the ubiquitous and radiant Vesak lanterns illuminating the night sky to the elaborate pandals depicting Jataka tales and the selfless offerings of Dansalas providing sustenance to all, every aspect of the Sri Lankan Vesak celebrations underscores the values of compassion, non-violence, and harmonious coexistence championed by the Buddha.

As Vesak dawns across Sri Lanka, the entire landscape transforms into a breathtaking spectacle of light and colour. Countless vibrant lanterns, known as Vesak Kudu, adorn homes, streets, and public spaces, casting a warm and inviting glow. Alongside these, intricately crafted illuminated displays, the Thorana and pandals, stand tall, narrating captivating stories from the life of the Buddha and the Jataka tales. These visually stunning decorations not only create an atmosphere of profound joy and serenity but also serve as a powerful visual reminder of the Buddha’s teachings, fostering a palpable sense of peace and unity that permeates communities throughout the island.

During this sacred time, devout Buddhists in Sri Lanka make their way to temples, their hearts filled with devotion and reverence. They participate in special religious services, offering fragrant flowers and the soft glow of oil lamps as tokens of their faith. Many also undertake the observance of the Eight Precepts, known as Ata Sil, dedicating themselves to heightened ethical conduct for the day. Within the temple walls, respected monks deliver insightful sermons, eloquently expounding on the core tenets of the Buddha’s teachings, with a particular emphasis on the principles of peace, non-violence, and boundless compassion, guiding devotees on their spiritual path.

As Vesak dawns across Sri Lanka, the entire nation undergoes a breathtaking transformation, adorned with a vibrant tapestry of light and colour. Countless handmade lanterns, known as Vesak Kudu, illuminate homes, streets, and public spaces, casting a warm and inviting glow that symbolizes the dispelling of darkness and the light of wisdom. Towering alongside these are the intricately crafted illuminated displays, the Thorana or pandals, which vividly depict scenes from the life of the Buddha and the engaging narratives of the Jataka tales. These visually stunning decorations not only create an atmosphere of profound joy and serenity that permeates the air but also serve as a powerful and accessible way to share the teachings of the Buddha, fostering a palpable sense of peace and community spirit throughout the island.

A unique and deeply cherished aspect of Vesak celebrations in Sri Lanka is the widespread tradition of “Dansal” – temporary roadside stalls erected by individuals and communities to offer free food, drinks, and refreshments to everyone, regardless of their background or beliefs. This selfless act of giving, freely offered without expectation of return, beautifully embodies the core Buddhist principle of Dana, or generosity. The Dansal not only provide sustenance and comfort to countless people but also serve as a powerful manifestation of compassion and a tangible expression of goodwill, fostering a strong sense of sharing, community spirit, and interconnectedness across the nation.

Ven. Wijitapure Wimalaratana
Emeritus Professor in Economics, University of Colombo



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Features

Social justice in suspense: Sri Lanka’s welfare legacy in an era of austerity

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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.

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Cholesterol lowering statins: Scope for use widens

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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!

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‘Mortal Causes’ Tales of Mystery and Suspense 20

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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.

Ian Rankin

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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