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SLMA President decries failure of govt. to enforce agreements with doctors

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By Rathiindra Kuruwita

The Sri Lankan government has neither attempted to enforce the agreements that doctors enter into before leaving for foreign training nor have they attempted to improve the conditions of doctors in the country and these are the reasons why a large number of health professionals are leaving the country, Sri Lanka Medical Association (SLMA) President Dr. Vinya Ariyaratne said.

The response from the recent governments to warnings and recommendations made by the SLMA has been negative as well, he said.

“There is a lot of impunity for those close to power and for the most part, fact based recommendations have been ignored. This is why I say, the crisis in the health sector is a crisis in governance”.

There are no elections in sight, and the politicians can do whatever they like, Dr. Ariyaratne added.

“People must put more pressure on the government. They must also take more precautions about their health”..

The Sri Lankan state health system, which was an equitable system for decades, is now facing a polycrisis, Dr. Ariyaratne mentioned.

“There were some deficiencies. There were some shortages of doctors and drugs but these were not systemic issues. The system as a whole was working. However, in the last couple of years, due to bad governance, things have fallen apart”.

SLMA said that there is rampant corruption in the state sector and that the Health Ministry is not an outlier. The economic crisis applied more pressure to a system that was already strained by corruption, he said.

“SLMA told Gotabaya, in late 2021, that in six months there will be a severe health crisis. And to streamline the process. We started informing doctors about optimizing available resources and minimizing waste. We did a lot of things to rationalize the system by educating doctors”.

The confidence in the Sri Lankan health sector was built over decades of hard work and has been dismantled in the matter of a few years, he said.

“Once people start losing faith, it’s hard to restore it. To be frank, we are on the verge of collapse. We have to do everything to prevent that from happening”.

Dr. Ariyaratne indicated that the government needs to address the drug shortages and ensure that quality drugs are purchased.

“There are processes and standards in place. This is easy to do if there is a will. We have to also do what we can to stop health staff from migrating. We have to look at pull and push factors. Furthermore, we can address the push factors. Some doctors can manage with what they get, but overall, our doctors need more facilities. Especially doctors who work in the periphery are making great sacrifices. The tax regime is really affecting younger doctors. We have to sympathetically look at what’s driving doctors away”.

The SLMA President said the government must also strictly enforce the bonds that medical professionals have signed when they have gone for overseas training and education. The government has done nothing to enforce these agreements.

“There is a code of ethics adhered to by all WHO member countries on health personnel migration. The recipient countries have to be conscious of the negative impacts on low-income countries where they are taking these doctors. The government is not doing anything to get the support of WHO. The previous government last year encouraged professionals to leave the country, so they would send more dollars. This was a bad decision”.

He said that donors and multilateral organizations are willing to help Sri Lanka and that there really are no resource constraints. The government just has to get its act together.

“Some hospitals are even closing down ICUs because there are no specialists. Even pediatric units are closing down, even at teaching hospitals. In a year or so, we will see avoidable deaths. The government must address these problems immediately”.

In 2022, around 700 doctors left the country, and no one knows how many doctors have left this year. The situation is worsening rapidly, the SLMA head said.



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Ex-SriLankan CEO’s death: Controversy surrounds execution of bail bond

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Kapila Chandrasena

Prof. Prathibha Mahanamahewa has emphasised the need to examine the circumstances under which the court staff executed the bail bond, and the release process, in respect of the late Kapila Chandrasena, former Chief Executive Officer of SriLankan Airlines.

Chandrasena’s body was found in a house at Pedris Road, Colombo 03.

In case of any doubt regarding bail condition/s or any other matter (insufficient surety, identity issues, suspicious documents and unclear order), the Registrar had to get in touch with the relevant Magistrate, Mahanamahewa said.

Mahanamahewa was responding to The Island query regarding the acceptance of two Muslims as sureties. Had they followed the time-tested procedure, court registry/registrar staff would never have accepted sureties as blood relatives of Chandrasena, Mahanamahewa said, alleging a major defect in the execution of the bail bond.

They were arrested by police and remanded by the Colombo Magistrate’s court, till 13 May, pending further investigations.

Colombo Chief Magistrate Asanga S. Bodharagama, on 5 May, granted to Chandrasena cash bail of Rs. 500,000 and three surety bails of Rs. 10 million each. But soon after Chandrasena received bail, the court was told that two of the Rs. 10 million sureties had been produced, after payment of Rs. 15,000 each, were made to those two individuals to act as guarantors.

The bail application had been submitted by Rienzie Arsecularatne, PC, appearing on behalf of Kapila Chandrasena, when the case was earlier taken up, on 28 April.

Police also arrested an elderly person who arranged for the two persons who hadn’t even seen Chandrasena, even once, to offer themselves as sureties.

As soon as the police revealed the fraudulent manner Chandrasena obtained bail, Chief Magistrate Bodharagama issued an order to arrest and produce him before the court. This order was issued consequent to a request made by the Commission to Investigate Allegations of Bribery or Corruption (CIABOC), on the grounds that the defendant had violated bail conditions. The CIABOC wanted Chandrasena held pending the conclusion of the case.

Sources familiar with the execution of bail bond said that the moment the suspects had submitted their National Identity Cards and letters from Grama Sevakas, the court registry/registrar staff should have rejected them. In a such high-profile case, the failure on the part of the lawyers, representing Chandrasena, to check the gsureties’ relationship with Chandrasena, was another glaring shortcoming, sources said, pointing out that after having submitted bail application on 28 April, the defence team should have come prepared to put forward genuine guarantors.

The Island contacted the Bar Association of Sri Lanka for comment on the manner in which the court staff had handled bail for Chandrasena, but there was no response.

Sri Lanka’s former Ambassador to Moscow, accredited to Kiev, Udayanga Weeratunga, said that a thorough investigation should be conducted to ascertain facts about the execution of the bail bond. Asked whether he had been in touch with Chandrasena, Weeratunga said that he spent his first day at Welikada with Chandrasena and Ranjan Ramanayake in one cell. “That happened on 14 February, 2020. I was arrested when I returned to the country, from the UAE, and produced before the then Magistrate Ranga Dissanayake, the incumbent Director General of CIABOC,” Weeratunga said.

Weeratunga said that a couple of months after the change of government in 2024, the US State Department imposed a travel ban on him and Chandrasena and their families over what the US termed as significant corruption.

Weeratunga said that altogether the US designated 14 persons and, of them, two were Sri Lankan, who happened to be him and Chandrasena, accused of corruption in respect of acquisition of MiG 27s from Ukraine and the Airbus deal, during President Mahinda Rajapaksa’s tenure as the President.

SLPP sources said that Chandrasena’s demise shouldn’t prevent proper investigation on his affidavit that claimed pressure brought on him to name Mahinda Rajapaksa as a recipient of the Airbus bribe.

By Shamindra Ferdinando

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Law applies to all, regardless of power or influence – Prez

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President Anura

President Anura Kumara Dissanayake emphasised yesterday (12) that the law would be enforced equally and no one was allowed to be above the law.

Addressing the Matale District Coordinating Committee meeting, at the Matale District Secretariat, President Dissanayake said, “Do not be afraid to work, but be afraid to engage in irregularities. Everyone must first be subject to the law and secondly, must fear the law. This applies to everyone, from the President down to the Grama Niladhari.”

“If we are to usher in a new era, we must submit to the rule of law. No one can be above it, he said, adding that previous Presidents had even violated the Constitution with impunity.

The President said that if there were any instances of selective law enforcement, they should be brought to his attention for action. Everyone was required to cooperate, if called upon to make statements in an investigation, he said.

By S.K. Samaranayake

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Sri Lanka and Belarus to sign several MoUs

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Minister of Foreign Affairs, Foreign Employment and Tourism, Vijitha Herath, is on an official visit to Belarus, from yesterday to Friday (15), on the invitation of the Foreign Minister of the Republic of Belarus, Maxim Ryzhenkov.

The text of the Foreign Ministry release: “This visit will mark a milestone in the bilateral partnership as the two countries commemorated the 25th Anniversary of the establishment of Diplomatic Relations last year.

During his visit to Minsk, Minister Herath will call on Belarus President Alexander Lukashenko and will hold bilateral discussions with the Minister of Foreign Affairs of Belarus. Minister Herath is also scheduled to meet the Belarus Ministers of Education and Health. Several MoUs and agreements across sectors are envisaged to be signed with the Republic of Belarus during the visit.

In Minsk, Minister Herath will address a business and tourism roundtable, organised by the National Export Centre of Belarus. He is also scheduled to meet Sri Lankan students studying in Belarus.”

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