Although the dust has settled on the matters raised by Dr. A.H. Sheriffdeen’s letter to the President of the College of Surgeons of Sri Lanka (CSSL) and the heat generated by the issue has now cooled, it is worth reflecting on this matter. Emeritus Professor Sheriffdeen has acquired a well deserved reputation as an excellent surgeon and teacher of the highest calibe and it was natural that what he had to say struck a resonant chord among a wide section of society not only because of what he said but also the way he said it. Anybody who read his letter, widely publicized by both the mainstream and social media, would have clearly seen the anguish with what he wrote and empathized with the reality that things were much better in times that are now long past.
Both Dr. Sheriffdeen, in a subsequent letter, and Dr. Jayaindra Fernando, President of CSSL, have expressed dismay about the original letter being publicized the way it was. Fernando has said that the College of Surgeons “were surprised and dismayed” by the publication of what they termed was a “private letter” intended to be read by its members. Sheriffdeen has said that he is appalled that an “internal email” to the President of CSSL had been published as it was. Given the excellent tone and tenor of of what followed, we do not wish to strike a discordant note but want to say in defence of the publication, that the letter did not say it was private and confidential or meant only for the reading of a select audience. Also, at least the mainstream editors (we can’t speak for the social media), would not have seen it as a ‘plant’ – something not common in our line of work. We might add our belief that is was a good thing that a matter as important as this was widely disseminated and provoked extensive discussion among those who matter – both in the medical profession and elsewhere.
The response to the original missive by the paediatric surgeons working at the Lady Ridgeway Children’s Hospital (LRH) deserves the highest commendation by all for the way in which it was worded. This letter was formally released to the press by the President of CSSL and although published elsewhere earlier, is republished in this issue of our newspaper both for the reason that we ran the original story as well as the need for the widest possible dissemination of what for the lack of a better word be styled as the “rejoinder.” The LRH surgeons who called themselves a “Paediatric Surgeon’s Collective” wrote in lighter vein that “it is said in jest that every story has three sides – your side, our side and the truth.” We professional journalists are trained to investigate both sides of what we write in the hope that the truth lies in-between your side and my side and would hopefully be discerned by the readers.
The rejoinder was a model of the best diplomacy which conveyed what the writers had to say with no offense to anybody. It called Prof. Sheriffdeen “one of our beloved and respected teachers” who had striven during his career to impress upon his students the ideals of being a good doctor. They did not try in the slightest way to criticize Sheriffdeen for what he wrote saying “the exasperation of a man who feels betrayed and thwarted is understandable (and) if his impassioned communication…..did help to restore his equilibrium, as he expected, then we will somehow try to take in stride the damage done to our reputation and that of the hospital.” Most letter writers would have socked in the words with which that sentence ended, “even though the events that had taken place are misrepresented.” There was no strident accusation of misrepresentation or any kind of fault finding.
In essence the LRH surgeons made the point that standards of care for any condition is ever-evolving and they are guided by what is appropriate at that point of time. Presently, acute appendicitis in children, does not have to be rushed into the theatre in the night (unlike in Sheriffdeen’s heyday they did not say to their eternal credit). They explained that in the contentious case under discussion, it had been decided to do the appendectomy after fluid resuscitation and antibiotics. It had been planned to operate on the child as the first case the next morning, successful surgery performed and the patient who was fully recovered had been discharged. They agreed that the consultant surgeon does not stay in after normal working hours “but is only a telephone call away.”
All’s well that ends well we are tempted to say with no two-fisted attack on anybody. But there is no escaping the reality that there are great deal of deficiencies in the state healthcare system and that most people in the country have a perception that private healthcare, despite the enormous and in most cases unaffordable cost, is preferable to going to a government hospital. Knowledgeable people know that the finest and most skilled services are present in the state sector. But it is also true that healthcare is today a lucrative business not only for the private hospitals but also for specialist consultants permitted private practice despite being employees of the state health service. We do not think that all these doctors can place their hand their hearts and swear that they put in the necessary hours at their government jobs at the cost of their private practice. There are many who do and perhaps many more that do not. Hopefully the wide discussion of all the issues arising from Prof. Sheriffdeen’s letter will be a healing touch on the country’s healthcare system.
Wednesday 25th November 2020
The UNP has not yet been able to appoint its National List MP. There are many contenders for the post, but the UNP old guard wants party leader Ranil Wickremesinghe appointed; he, however, seems to be in two minds.
Former Minister Arjuna Ranatunga has said the country will gain if Wickremesinghe enters Parliament via the National List because the latter will be able to help the government save the economy. The immediate task before Wickremesinghe is to save the party and not anything else. Charity, they say, begins at home. Nevertheless, the fact remains that Wickremesinghe is an experienced politician, and, therefore, better qualified than anyone else to represent the UNP in Parliament.
Even if Ranil were to be brought back to Parliament as the Opposition Leader, he would not be able to influence the government’s economic policy. The current regime, intoxicated with power, is obdurate and impervious to reason; and not even Sakra will be able to knock any sense into its grandees who are full of themselves.
The Opposition, however, may benefit if Ranil returns to Parliament, for it is short of good debaters to take on the government. The Opposition is apparently all at sea; it could have scored heavily in the ongoing parliamentary debate on Budget 2021, which has some gaping holes, which need to be highlighted. Most of its MPs have been barking up the wrong tree; it is doubtful whether they have even read and understood the budget properly. They, save one or two, confine their remarks to generalities instead of addressing specifics, and the vital aspects of the budget have, therefore, gone unaddressed. What really matters in parliamentary debates is not the numerical strength of a party, but the quality of arguments its members put forth. How legends like Sarath Muttetuwegama held out against the mighty JRJ government, which had a five-sixths majority in Parliament, comes to mind.
Is Ranil capable of helping the government save the economy, as Ranatunga has claimed? If so, why couldn’t he straighten up the economy when he was the Prime Minister and de facto head of state? If he had developed the economy in keeping with his pre-2015 promises, the UNP would not have been in the current predicament. The blame for the failure of the yahapalana government cannot be laid entirely at the feet of former President Maithripala Sirisena.
True, Sirisena, as the President, sought to settle political scores with the UNP and threw a monkey wrench in the works towards the latter part of the yahapalana government, but the UNP had time from January 2015 to mid-2018, to develop the economy. Instead of doing so, it got embroiled in various frauds such as the Treasury bond scams, which led to its undoing.
All politicians look capable when they are in the Opposition. They tell governments what to do and how to do it, but when given mandates to govern the country, they fail miserably. The leaders of the current dispensation, during their Opposition days, ridiculed the yahapalana government for its failure to tackle the country’s burning problems, which are legion, and undertook to magic them away immediately after capturing power. People gave them three huge mandates at the local government, presidential and parliamentary elections in 2018, 2019 and 2020 respectively. They are now ensconced in power, living high on the hog, but the country’s problems are far from over. They cannot even ensure that the gazettes they put out at a rate are implemented. It looks as if we had another NATO (No-Action-Talk-Only) government.
Governance in this country has been a process of self-proclaimed messiahs becoming failures and vice versa. Regrettably, people have had to replace one set of failed messiahs with another, hoping for deliverance. Madness has been defined as doing the same thing over and over again, expecting a different result.
Govt. gazettes and Jothi’s cassettes
Tuesday 24th November, 2020
The present government has so far published more gazettes than the total number of cassettes released by H. R. Jothipala (Jothi) during his lifetime, as someone has rightly said, but most of them have not had the desired impact, at all. The recent one stipulating maximum retail prices (MRPs) for some varieties of rice is a case in point. Trade Minister Baundula Gunawardena has recently told the media, in Dambulla, that the consumer should exercise patience and wait until the commencement of the next harvesting season to reap the full benefits of the gazette at issue. Been there, done that, Citizen Perera may say, gnashing his teeth. Many harvesting seasons and gazettes announcing MRPs have come and gone, but he has never had rice at the prices determined by governments. He knows he is in for a big disappointment once again. The reason? The government is too impotent to enforce the MRPs, and the powerful rice millers who control the rice market always have the last laugh.
Minister Gunawardena has said the present administration, unlike its predecessors, does not intend to import rice and distribute it at lower prices as it feels for the paddy farmer. The government must not import rice at this juncture. If it does, it will play straight into the hands of unscrupulous rice millers who want it to do just that. The present shortfall in the supply of rice is due to market manipulations and nothing else. The Millers’ Mafia, creates a shortage of rice and drives governments to import rice ahead of harvesting seasons, thereby causing prices to drop, so that they can buy paddy at lower prices. After collecting paddy for cheap and storing it in their silos, they release some of their old stocks to the market, making the public stop consuming imported rice, which does not suit their palates. Thereafter, they jack up prices slowly, and the imported rice remains in government warehouses to be sold as animal feed in the end. This is the name of the game, and we have written extensively about the strategy adopted by the Millers’ Mafia, but the powers that be do not care to do anything about it because the wealthy millers have political connections and are known to bankroll election campaigns.
The government would have us believe that it refrains from importing rice because it wants to protect the interests of the local farming community. It has also stopped turmeric imports for the same reason, we are told. If so, will it explain why it slashed the import levy on big onions, recently, bringing down their prices while onions were being harvested here? Local onion cultivators are in tears as their produce fetches low prices, as a result. Was the government move aimed at helping its cronies engaged in onion imports?
If Minister Gunawardena or any other government grandee, bellowing pro-people rhetoric, is desirous of making rice available at reasonable prices, he ought to take steps to stop the big-time millers from hoarding paddy and manipulating the market; the Consumer Affairs Authority must be given clear orders and a free hand to conduct raids to prevent hoarding. Paddy farmers find themselves in a debt trap, as we argued in a previous comment, citing research findings. They have to sell their produce at very low prices to the millers who give them loans for cultivation purposes. They are also exploited by other loan sharks such as micro finance companies. The state banks must take the lead in liberating these hapless cultivators from the clutches of usurers. Many small rice mills have gone belly up, unable to compete with the stony-hearted buccaneers in the garb of rich millers. They should be given a financial leg-up urgently, and the Paddy Marketing Board developed as a national priority.
The government, which is not short of politicians who wrap themselves in the flag, ought to listen to all stakeholders, especially those fighting for the rights of the farming community, and work out a strategy to protect the interests of consumers and farmers.
Who handled Zahran?
Monday 23rd November 2020
Investigations are still being conducted to ascertain whose lapses helped the National Thowheed Jamaath (NTJ) carry out the Eastern Sunday terror attacks with ease. All indications are that they will go on until the cows come home. What we have witnessed all these months is a shameful blame game. Some politicians, former defence officials and police officers have been trying to absolve themselves of criminal culpability for failure to prevent the Easter Sunday carnage though they had been warned of possible terror strikes, days, if not weeks, in advance. They were as thick as thieves during the early days of the yahapalana rule, but they have now fallen out and are accusing one another. All those who failed to prevent the terrorist attacks, despite intelligence warnings, must be prosecuted. But that alone will not help ensure national security, for it is believed that Zahran Hashim, who led the NTJ and died in a suicide bomb attack, was not the real mastermind of the carnage. A prerequisite for ensuring national security is to find out who handled Zahran.
Former SDIG Ravi Seneviratne, who was in charge of the CID, has told the Presidential Commission of Inquiry (PCoI), probing the Easter Sunday attacks that the person who got Zahran to launch the suicide attacks has to be traced if threats to national security are to be neutralised effectively. He, however, is not alone in arguing that Zahran had a handler.
Testifying before the PCoI, intelligence bigwigs who were in service at the time of the Easter Sunday attacks, have said the NTJ was planning a second wave of attacks. In July 2020, a senior intelligence officer, whose identity was not divulged, said the NTJ had planned to attack the Kandy Dalada Perahera, in 2019. No less a person than former Director of State Intelligence Service, SDID Nilantha Jayawardena, has told the PCoI that the real mastermind of the Easter Sunday bombings was not Zahran, but his mentor, Naufer Moulavi, who has been living in Qatar for several years and is known to have various foreign links.
One may argue that the police as well as state intelligence officials, having failed to prevent the Easter Sunday attacks, are now trying to have the public believe that they succeeded in thwarting a second wave of terror, which would have been far worse than the first one. But if their claim that Zahran had planned a second wave of attacks is true, then the question is why he opted to die in the first wave. If he had been the real mastermind of the Easter Sunday attacks, he would not have blown himself up in the first wave of bombings because he would not have been unaware that his death would render his outfit rudderless and too demoralised to carry out attacks ever again. He had seen that following Prabhakaran’s death, the LTTE suicide cadres who survived the war did not carry out any attacks.
SLMC leader and former Minister of Justice Rauf Hakeem has told the PCoI that the mastermind of the Easter Sunday attacks was a different group that wanted to destabilise the country, and they achieved their objective. Insisting that Zahran and the NTJ had been used as pawns by that group, he said he would name the outfit, in camera. In fact, he is reported to have done so. The public has a right to know what that group is.
One can only hope that a separate probe will be launched to find out who handled Zahran and whether there was a foreign hand in the attacks, as claimed in some quarters. Whoever handled Zahran, the fact remains that all those who had links to the NTJ, which carried out the terror attacks, must be brought to justice. Unfortunately, dirty politics has taken precedence over the legal process; under the incumbent government, which came to power, promising tough action against the backers of the NTJ, some suspects are receiving kid-glove treatment despite incriminating evidence against them.
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