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SLMC in crisis

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The recent release of the report of a panel of inquiry that probed the affairs of the Sri Lanka Medical Council (SLMC) and the subsequent removal of its President and four members by the Minister of Health has brought to the surface many problems concerning this important statutory body. It is well known that the inquiry was initiated by a complaint made by the office-bearers of a powerful trade union who happen to be members of the council.

Many deficiencies, shortcomings and irregularities in the report itself have been exposed. The impartiality of the inquiring panel has also come into question. It appears that the inquiry, meant to be of a fact-finding nature, had erroneously recommended punitive action.

The confusion in the minds of many regarding the difference between the Sri Lanka Medical Council (SLMC) and the Sri Lanka Medical Association (SLMA) should be clarified at the outset.

The SLMC is a statutory body established, in 1924, on the Medical Ordinance based on the same format as the General Medical Council (GMC) of Great Britain. It is tasked primarily with ensuring the safety of the general public seeking medical treatment from doctors registered by the council. It does so by maintaining the standards of medical education and by supervision and disciplinary control of medical practitioners of all categories. The public are encouraged to bring any complaints, supported by affidavits, regarding the actions of the practitioners to the SLMC. It is illegal to practise allopathic medicine in the country without first getting registered with the SLMC.

The SLMA, on the other hand, is an association of doctors of all categories dealing with academic matters, and bringing doctors updated with advances in medicine for Continued Professional Development (CPD). Its membership is voluntary, not compulsory, and is open to all graduate medical practitioners registered with the SLMC. It plays an advocacy role in various health issues affecting the people, as well as assisting the government in matters of health policy. At present, it is actively involved with the health authorities in attempts to control the Covid pandemic. It promotes ethical practice of medicine.

As already mentioned, the SLMC is based on a Medical Ordinance 96 years old. Naturally, much amendment is necessary to suit the current requirements. Such changes have been formulated and proposed to the Ministers of Health, the ultimate authority, by the SLMC at various times during the past two decades. Unfortunately, no action has been taken in implementing them. This has led to the various allegations levelled against the Council, often for no fault of theirs.

At present, the SLMC is composed of 25 members: the Director General of Health Services (ex-officio), the Deans or their representatives of the nine medical faculties in the country, eight graduate doctors registered in the main section 67 of the Ordinance, elected by vote, one representative each of the dental practitioners and registered medical practitioners and the President and four members nominated by the Minister of Health.

Many controversies have arisen due to this composition. Much criticism has been raised about the way the elections are conducted to select the eight graduate members. The trade unions like the GMOA with a large membership have a near monopoly of getting their members elected to fill these posts. They conduct their campaigns like in national elections, spending vast resources at their disposal, in bringing bus loads of doctors to Colombo for voting and even intimidating opposing contestants. At present, the GMOA President is an elected member of the SLMC along with three other office-bearers of his union. Being a vociferous trade union, the GMOA does its utmost to impose its will on council decisions. On several occasions, they have been reprimanded by the President of the SLMC for disrupting the council proceedings.

The current controversy concerns the five members, including the President nominated by the Minister of Health. Although the Minister is the nominating authority, the Ordinance does not allow her to remove them until five years have lapsed since their appointments. (This situation is similar to that which empowers the President of the country to appoint judges of the apex courts, but he has no authority to remove them.) The recent dismissal of the President and four members is therefore considered illegal.

Reasons given for such action based on an adverse report of the panel of inquiry referred to the above are worth further analysis. As mentioned already, allegations were brought in mainly by the GMOA:

1. Improper conduct of disciplinary inquiries. As a significant number of the accused naturally happen to be GMOA members purely because of their vast membership, there is a conflict of interest if GMOA members in the council are to sit on disciplinary committees. Thus, barring them from sitting on such committees has caused much dissatisfaction among the union members.

2. Delay in conducting the ERPM examination for foreign qualified doctors. This is an ongoing problem. The examination schedule has been disrupted this year due to the Covid related restrictions. Matters have been made worse over the years by different groups of candidates getting court injunctions preventing the holding of examinations for various reasons. The examination branch of the SLMC has been working round the clock, headed by a respected emeritus professor of the Colombo Medical Faculty, with long term experience in conducting medical examinations. The high rate of failure at this examination is due to many reasons. It cannot be blamed on the examination process. The format of the examination has been improved on several occasions over the years. No doubt an ever-increasing number of candidates and a paucity of available examiners cause several logistical problems. Unreasonable calls from the politicians and others to do away with the examination altogether have been resisted effectively so far. In one instance, when the Minister indicated that a crisis situation had arisen due to the high rate of failures, the SLMC pointed out that a graver crisis would arise if poorly trained doctors are allowed to practise medicine!

3. Inability to maintain minimum standards for entry into foreign medical colleges. It was realized way back in 2011 that some students had gone abroad for medical education without even passing the GCE advanced level examination. These students have returned with their medical degrees. The SLMC could not disqualify them from sitting the ERPM exam, as such retrospective action was deemed illegal. However, corrective action has been taken to establish minimum standards for entry to medical schools. Up to now the courts have rejected applying such criteria without being passed by an Act of Parliament. Various proposals for such action have been ignored or delayed by the political authorities. The provisions were at last passed by an Act of Parliament a few weeks ago. Thus, it is unjustifiable to blame the SLMC for such deficiencies and delays.

The political authorities, over the years, have attempted to interfere with the vital functions performed by the SLMC. Requests for lowering the pass marks at qualifying exams, register foreign medical specialists with substandard qualifications, and recognition of local and foreign private medical colleges with many deficiencies were successfully resisted by the SLMC. In one instance, the lady president was forced to resign when she did not comply, as there was no provision in the ordinance for her removal. So far, the SLMC has been able act honourably due to the non interference by those in authority, guaranteed by the Ordinance.

The present situation where the Minister single-handedly and illegally removed five members, including its President, is bound to have serious repercussions for the future. It is not a question of the suitability or otherwise of the personalities who were removed or those who replaced them. It is the illegal violation of the independence and autonomy of a statutory body. Hence it is essential that this decision is reversed and status quo restored.

Once that is done the amendments to the Medical Ordinance should be framed and implemented without any further delay. Changing the composition of the SLMC, the way the members are selected or elected, and the inclusion of respected non-medical professionals are among the priorities to enable the SLMC to discharge its duties to the general public at large. If the current situation prevails, the SLMC will be a toothless tiger serving the selfish interests of politicians. Ensuring that the medical profession is well regulated maintaining high ethical standards, thus safeguarding the interests of the general public will be the least of their concerns.

 

A Former Member of the SLMC



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Opinion

Sri Lanka’s geopolitical positioning for future prosperity

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Kariyawasam

By Chula Goonasekera
For the LEADS Forum (admin@srilankaleads.com)

Sri Lanka’s future prosperity will depend on how effectively it positions itself within an increasingly complex global environment. At a recent LEADS Forum discussion (https://youtu.be/Bbr3e_qU1Fw), veteran diplomat Prasad Kariyawasam, former Secretary to the Ministry of Foreign Affairs, High Commissioner to India, Ambassador to the United States, Ambassador /Permanent Representative to the UN in New York and Geneva —outlined the strategic choices Sri Lanka must make to secure long term stability and economic advancement. Kariyawasam offered a rare blend of historical perspective, diplomatic experience and practical guidance.

His central message was clear: Sri Lanka must exercise strategic agency—engaging all major partners while safeguarding its national interests.

Foreign Policy as an Extension of National Aspirations

Foreign policy, Kariyawasam emphasised, is inseparable from domestic priorities. As your text notes, “foreign relations often reflect the medium- and long-term aspirations of a country’s people and its leadership.” Governments must therefore craft external relations that reflect the public’s economic and social expectations, avoiding short-term political impulses that undermine long-term national interests.

For a small nation, foreign policy cannot be symbolic or personality driven. It must be purposeful, pragmatic and directed towards the security and prosperity of the people.

A History of Global Connectivity

Sri Lanka’s history demonstrates that the island has never been isolated. From ancient ties with India and Southeast Asia to Arab, Persian and Chinese maritime networks, the island prospered when connected to the wider world. We must realise that “geography creates opportunity, but geography alone does not create prosperity.” Institutions, infrastructure and policy determine whether geographic advantage becomes economic success.

Colombo’s emergence as a cosmopolitan trading hub and Galle’s role as a resupply station for Indian Ocean shipping in colonial times , illustrate how deeply Sri Lanka has been embedded in global commerce for centuries.

Lessons from Asia’s High Performers

Kariyawasam highlighted the experiences of Japan, South Korea, Taiwan, Singapore and Vietnam. Their paths differ, but their success rests on common foundations:

• investment in human capital and infrastructure

• merit based institutions

• integration into global markets

• attraction of investment and technology

• export oriented industries

• strategic engagements with both China and Western economies

The lesson for Sri Lanka is not imitation but continuous adaptation and constructive integration with the global economy.

India: Sri Lanka’s Closest Major Partner

India’s transformation into a global economic power presents Sri Lanka with both opportunity and responsibility. India is already Sri Lanka’s largest source of tourists and a major investor. Kariyawasam states, “The larger question is how effectively Sri Lanka can participate in and benefit from India’s growth.”

A partnership should encompass modern, more open pathways for trade, investment, logistics, energy, technology, digital services, education and professional mobility—And asymmetry between the two economies must be handled with maturity and foresight, seeking special and differential treatment .

China and Other Global Partners

China remains a significant economic partner. Sri Lanka must avoid viewing this relationship through a zero sum lens. The goal should be productive and transparent engagement, ensuring better terms of trade and meaningful technology transfer.

Equally Important relations must be nurtured with the United States, European Union, United Kingdom, Japan, Australia, ASEAN and the Gulf.

All these relationships can be vibrant partnerships that does not lead towards , dependency but mutually beneficial pragmatic arrangements .

A Fragmenting International System

Global geopolitics is becoming more volatile. Trade tensions, wars, sanctions, supply chain disruptions, climate change and technological competition increasingly shape national security. We must realise, “foreign policy cannot be separated from economic policy.”

Sri Lanka’s recent economic crisis demonstrated the importance of international confidence, access to finance and resilient supply chains. Energy security, food security, cybersecurity and digital infrastructure are now core elements of national strategy.

Strategic Agency: The Guiding Principle

Sri Lanka must avoid becoming an arena for great power competition. Strategic agency means making decisions based on national interest, expanding Sri Lanka’s choices, not restricting them.

India is essential. China is important. The United States, Europe, Japan, Australia, ASEAN and the Gulf are important. The objective is a web of partnerships that strengthens resilience and autonomy.

Sri Lanka’s Strategic Assets

1. Location: Sri Lanka’s geography is a long standing advantage. Ports such as Colombo, Hambantota, Trincomalee and Galle can become specialised hubs—if connected to logistics, manufacturing, services and exports.

2. Digital Connectivity: Submarine cables, data centres, cloud services and cybersecurity are now as important as physical geography. Sri Lanka can turn its location into both a maritime and digital advantage.

3. Tourism and Natural Heritage: The focus should shift from tourist numbers to value creation—wellness, heritage, ecotourism, cruise tourism, education and MICE tourism.

4. Human Resources and Demographics: High literacy is no longer enough. Skills in technology, engineering, AI, logistics and advanced manufacturing are essential, especially with an ageing population.

5. Migrant Workforce: Migrant workers are a strategic asset, not merely a source of remittances. Bilateral labour agreements, skills recognition and diaspora engagement should be central to foreign policy.

Requirements for Sustained Prosperity

Sri Lanka’s future depends on:

• peace and security

• access to international markets

• productive investment

• a skilled, productive workforce

• modernised agriculture

• higher value tourism

• demographic preparedness

• climate resilience

• strong, predictable institutions

Please note that “foreign policy can open doors. Domestic institutions determine whether we can walk through them.”

The Role of the State

Sri Lanka does not need a larger state—only a more capable one. Policy continuity, professional institutions, predictable regulation and reduced corruption are essential. Geography does not change; long-term national interests do not change. Intentional relationships built over decades should not be reinvented with each election cycle.

Building Trust Internationally

Trust is a strategic asset. Sri Lanka must be known as a country that honours commitments and maintains predictable policies. This is vital not only for diplomacy but also for investment and long term partnerships.

Avoiding Zero Sum Geopolitics

Sri Lanka does not need to choose between India and China, or between Asia and the West. The task is to identify what each relationship can contribute to national development while protecting sovereignty and freedom of decision making.

Sri Lanka’s geography is an inheritance, but prosperity is not guaranteed. The world is changing rapidly—great-power competition, technological disruption, and climate vulnerability demand a foreign policy that is pragmatic, adaptive, and anchored in national interest.

Sri Lanka must build partnerships without dependencies, maintain strategic agency without isolation, and integrate with the global economy while strengthening domestic capacity.

“We cannot change where Sri Lanka is. We can, however, determine what Sri Lanka becomes because of where it is”

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Opinion

A tariff deal with the US? Make haste slowly

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by Gomi Senadhira

Sri Lanka’s former ambassador to the United States Mahinda Samarasinghe is back in Sri Lanka lobbying for speedier finalisation of a new tariff deal with the United States. According to news reports, delivering the keynote address at the Sri Lanka Institute of Directors’ Annual Meeting last week, he stated, “I have recommended very strongly to the government that we need to conclude the agreement so that we can lock in the very favourable tariff rate that Sri Lanka has got up to now“.

I do not understand why the former ambassador is urging the government to expedite the finalisation of a new tariff deal or what is “the very favourable tariff rate” he refers to in his speech. However, given the ongoing terrible tariff turbulence in the United States and the fragile economic situation in Sri Lanka, I believe, this is not the right time to rush into finalising any trade agreement with the United States. I am also of the opinion that at this juncture Sri Lanka should maintain strategic patience and explore all available options.

Lessons from the countries that rushed for trade deals

To better comprehend this, let’s look at experiences of the countries that rushed to conclude tariff deals with the United States after President Donald Trump declared his “reciprocal tariffs” under the International Emergency Economic Powers Act (IEEPA) in April 2025. As Samarasinghe stated in his keynote, “The bottom line on all these negotiations was that every country that finally agreed to sign the agreement had to give either complete duty-free access for American exports into those markets, or near complete duty-free access.” In exchange for these tariff concessions and other market access commitments these countries managed to get the newly introduced country specific “reciprocal tariffs” reduced.

However, in February 2026, the Supreme Court of the United States (SCOTUS) struck down these “reciprocal tariffs” under the IEEPA. With that, the market access gains these countries received in exchange for complete duty-free access for American exports into their markets evaporated under U.S. domestic law. By moving too fast to conclude bilateral tariff agreements with the United States these countries are now bound to strict obligations whereas the benefits they bargained from the U.S. administration are not worth the paper those were written on.

Sri Lanka’s experience

In April 2025, President Trump declared his “reciprocal tariffs” and labelled Sri Lanka as the worst offender, imposing one of the highest additional duties at 44%. Since then, Ambassador Samarasinghe and other negotiators have managed to negotiate this down to 20%. I do not know what the deal was through which Sri Lanka managed to reduce the 44% tariff to 20% or what we gave in return for this “concession.” However, what we received in return has absolutely no value after the decision by the SCOTUS.

Current state of US tariffs

After the decision by SCOTUS, the U.S. administration introduced a temporary 10% additional tariff on all countries for 150 days. At the end of that period, this 10% tariff was replaced by a new “forced labor tariff ” of 10% to 12.5% on all trading partners under Section 301 of U.S. trade law. Twenty-five U.S. states and several small businesses have already filed lawsuits against these tariffs in U.S. courts. This new “forced labour tariff ” on Sri Lanka was first fixed at 12.5%. Later, after President Anura Kumara Dissanayake issued a gazette notice prohibiting the importation of goods produced using forced labour, it was reduced to 10%. That means Sri Lanka has already made a substantial commitment to receive this “tariff concession,” and I presume our negotiators understand the implications of this commitment.

Make haste slowly

After President Trump imposed 44% “reciprocal tariffs” on Sri Lanka, through an article published in The Island on 25th April 2026 (), I urged the government to engage immediately with the US administration on these tariffs. However, I also emphasised that the best way to move forward was to make haste slowly.

Two millennia ago, Augustus Caesar, the first emperor of Rome, frequently used the phrase, “make haste slowly”, because he detested rashness and haste in his military commanders. It was the recurring guiding maxim that he emphasised throughout his 40-year imperial rule. After 2000 years, this classical oxymoron remains a definitive golden rule for professional trade negotiators. More importantly it is the exact blueprint required when navigating turbulence in trade negotiations with the Trump administration.

The endgame – The most dangerous moment in trade negotiation

Samarasinghe has also stated the agreement is 90% complete. Any experienced trade negotiator should know that the final 10% contains high-stakes provisions and is the most dangerous moment in a trade negotiation. A single misplaced comma or ambiguous product description in a tariff schedule can cost millions through unintended loopholes. Rushing this last stretch to secure a deal can permanently expose Sri Lanka to sudden shifts in American trade policy, heavy compliance costs, or strict enforcement under Section 301 regarding supply-chain labour standards. Hence, this is the time for strategic patience.

(The writer can be reached at senadhiragomi@gmail.com)

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Opinion

Buddhist law and constitutional amendments

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Upon reading the article titled “Prof. Pieris says Buddha Dhamma recognized as source of law under Constitution” (Island, September 12, 2026), the classical Sinhala idiom “Yanne Koheda? Malle Pol” immediately comes to mind. The expression, translating literally to answering “I have coconuts in my bag” when asked “Where are you going?”, underscores a complete disconnect in logic. Because it is uncertain whether the article accurately represents the professor’s precise words, the following critique addresses the contents of the report rather than the speaker himself.

The central premise of the report concerns a statement delivered by the Chief Justice regarding a petition filed against the 22nd Amendment to the Constitution. According to the report, the Chief Justice’s observation that the determination would be made strictly on the basis of established law rather than Buddhist teachings was characterised as a “cavalier dismissal” of the Buddha Dhamma. This assertion carries a host of unexamined assumptions. Had the writer specified precisely which tenets of the Buddha Dhamma were violated, a direct legal or philosophical evaluation could take place. However, no specific Buddhist tenet or law was identified as having been transgressed, and for good reason: no such statutory legal framework exists within the Buddha’s teachings.

To understand the flaw in this argument, one must examine the constitutional context alongside the canonical meaning of the terms involved. Article 9 of the 1978 Constitution of Sri Lanka mandates that the Republic shall give Buddhism the foremost place and that it shall be the duty of the State to protect and foster the Buddha Sasana, while guaranteeing the fundamental rights of all religions under Articles 10 and 14(1)(e).

While “Buddhism” and “Buddha Dhamma” are frequently used as interchangeable terms in casual dialogue, they represent distinct concepts. “Buddhism” is an umbrella term coined by 19th-century Western scholars to classify the global institutionalised religion, incorporating its diverse sects, cultural traditions, rituals, and socio-political histories. Conversely, Sasana is the ancient term designating the structural framework established by the Buddha to preserve and transmit his teachings, comprising the monastic order (Sangha) and its supporting institutions.

In classical Theravada commentarial literature, the Sasana operates as a functional three-tiered structure. It encompasses Pariyatti Sasana, the preservation and study of sacred texts; Paṭipatti Sasana, the practical execution of the doctrine through ethical conduct and meditation; and Paṭivedha Sasana, the direct experiential realization of ultimate truth, or enlightenment. This structural breakdown raises fundamental questions about state capacity. While a state can readily support Pariyatti Sasana through academic institutions, textual preservation, and educational funding, it cannot legislate or enforce Paṭipatti or Paṭivedha. Practical engagement and spiritual realisation are inherently internal, first-person experiences. Expecting the state to codify or guarantee enlightenment is a conceptual impossibility.

Furthermore, the Buddha Dhamma refers specifically to the unconditioned truths of existence and the teachings imparted to realize them, including the Four Noble Truths, the Eightfold Path, and Dependent Origination. As the late Venerable Professor Kotagama Wachissara Thera observed, there is no rigid ideologue or “ism” in the core Dhamma. The teachings do not constitute a system of divine commandments or a legal statute enforced through reward and punishment. Rather, Buddhist ethics function as self-directed guidelines for psychological clarity and moral inquiry. Even the Vinaya Pitaka, which contains explicit rules of conduct, functions as an internal monastic code rather than a civil or criminal law intended for the laity.

Throughout the Pali Canon, guidance regarding governance focuses on the moral character of leadership and the social duties of statecraft rather than rigid legal codification. In discourses such as the Cakkavatti Sihanada Sutta (DN 26), the Buddha observes that social instability and crime cannot be eliminated solely through punitive measures, emphasising instead that states must provide economic opportunities, fair wages, and resource distribution to maintain societal balance. Crucially, in the Maha Parinibbana Sutta (DN 16), the Buddha explicitly highlights the importance of respecting established laws and traditions rather than enacting arbitrary regulations.

The natural laws articulated in the Dhamma, such as the law of cause and effect or the three characteristics of existence, govern all phenomena universally, regardless of legal statutes or personal belief. They are not human laws to be applied or suspended by a court of law. Therefore, characterizing the Chief Justice’s adherence to constitutional jurisprudence over religious doctrine as a “cavalier dismissal” lacks logical and textual foundation. Framing the judiciary’s adherence to legal precedent as an attack on the Dhamma distracts from fundamental constitutional principles and risks misguiding the public for political ends.

Geewananda
Gunawardana,
Ph.D.

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