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Sri Lanka Medical Council imbroglio

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I read with much interest the letter of Prof Lalitha Mendis in the Sunday Island of 13th December. The report of a press conference, where respected senior doctors, such as Prof Colvin Goonaratne and Dr Sarath Gamini de Silva, too, opposed, the manner in which a well known person, Prof Harendra de Silva, and some others, had been summarily dismissed by a woman Minister, was also placed in the public domain. It was said that the person who wore the Black Gown, before the Computer era was allowed, while sitting for the finals, was the catalyst to this illegal act.

These doctors who updated us have left an indelible mark in our health sector, having not only served the country but also trained young medical officers.

A trade union, known as the GMOA, was in existence for a long time, headed by responsible men, who did not use that Union for their benefit. They never used the STRIKE weapon, like illiterate workers unions, and sorted out matters that affected them, with dignity and decorum, conducting such negotiations in a civilised manner.

With the passage of time, a mafia assumed control of this union and caused immense hardship to the poorest of the poor, by resorting to strike action, at the drop of a hat, at the behest of politicians. The President of the Union is also a no time limit believer and has opted to remain till kingdom come, as the majority of the members are scared of the mafia, as a healing angel said.

The President of the SLMC then was the much respected Prof Carlo Fonseka, who was adored by his students, and society, too, as a simple versatile personality. Carlo, a rationalist, was an honest man who was content with his wage. In the course of conversation, he said that the present men sadly lacked culture and were unable to act with aplomb, having entered a much sought after profession. When I asked him why the profession lost the regard people had, he said with standardisation, quality dropped. The decision was laudable, however the flood gates opened and men unworthy also got washed in. They were self centred and were incapable to appreciate the high standards the public expected of the healing profession.

While inking my thoughts, it crossed my mind how a loud-mouthed man, at a talk show, was asked what his A-levels results were. He replied, making the moderator and others having a good laugh when he said “MATA MATHAKA NE”. Being senior men, we were sad that the country was not getting the best due to a poor education system. This man is now not seen before microphones and the replacements are no better, attemptIng to show that they are more equipped than qualified Virologists, who should have been in the vanguard of this pandemic.

Your readers will be aware that Carlo was a disappointed man in his later years and waited till his term ended to leave the SLMC. When that day dawned, I was shocked, watching television, how the current President of the GMOA and a few others visited him, and made a desperate plea for him not to leave the SLMC.

They had the gumption to tell him that the GMOA will go on strike if he left. I quote his words to the current President, which was seen by millions on television.

“mama wandinnam mama wenuven strike karanna epa, duppath minissunta karadara karanna epa”. (I will worship you please do not harass the poor patients because of me }

This country is unique in that despite constraints of finance, all governments offer free education, from kindergarten to university, and these men are products of that system. The poorest of the poor contributed for them to be in this noble profession ‘in ties’. It’s a disgrace that they stooped to low levels to gain personal benefits and harassed the patients who stormed our public hospitals; who travelled before dawn to get treatment.

With the change of government, the GMOA made a valiant bid to get their President appointed as the Secretary of the Ministry of Health. The nation salutes President Gotabaya for not appointing him, as he is unworthy of that senior administrative position, and hasten to thank him for appointing the credible respected Radiologist to that position.

The medical profession cannot be controlled by men suitable for a labour union. Having failed to get a grip, it now wants to creep into a legally established forum, the SLMC, that was established to protect PATIENTS’ INTERESTS, not to look after their errant members while also using that institution to harass those who oppose them.

The SLMC, to the best of my knowledge, was established to ensure that patient interests, which were fundamental, had to be protected, while guiding the profession on an ethical path. I do not think those who were responsible dreamt that the medical profession will slide to such abominable levels where the public lost respect. The men in ‘tie with stethoscope’ round the neck, were treated with awe while the seniors who were in lounge suits were venerated.

I do not think those who enacted this legislation, setting out term limits, would have dreamt that our little island will, within 72 years of self-rule, will produce such types who will down tools when politicians blow whistles.

I have watched a video today that has gone viral where the current President of the GMOA had said during Carlo’s time, that the statute does not allow removal of the Chairman of the SLMC.

As a senior citizen, who watched the despicable conduct of politicians, who used foul language, threw the Holy Bible/Quran, used chilli powder on colleagues, attempted to attack the Speaker, damaged public property, etc., we joined the millions and voted for you Mr President. We expected a quick turnaround towards good order and a disciplined legislature, where technocrats would be effective drivers to serve the country.

We sincerely hope you will not allow a legally established regulatory body to get into wrong hands. No sane person will want the GMOA to creep in to administer a regulatory body designed to protect our interests, as such a wrong move will make the port workers to seek a man from their unions to be the Chairman of the Port Authority, and other institutions, too, justifiably would demand similar recognition.

I wish you a better Year 2021 at the levers of power now in abundance.

SENIOR CITIZEN



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Opinion

Sri Lanka’s new govt., Indo-Pacific debt trap, and struggle for the 21st Century – Part 2

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By Shiran Illanperuma

(First part of this article appeared in

The Island yesterday (13 Jan.)

Sri Lanka in the International Sovereign Bond Debt-Trap

Sri Lanka was the original poster child for the myth of the Chinese debt-trap, which has now been thoroughly debunked by both local and foreign experts. The truth is that the cause for Sri Lanka’s indebtedness can be traced back to the colonial structure of its plantation economy, which has only been augmented through additional dependencies on tourism, remittances, and low-value added manufacturing. Despite attempts by nationalist and left-leaning governments, Sri Lanka has failed to achieve food and energy self-sufficiency, or to set in motion a self-expanding process of industrialisation.

The end of Sri Lanka’s Civil war in 2009 coincided with the Global Financial Crisis (GFC) and the Great Recession. Sri Lanka was relatively insulated from economic downturn as the end of the war brought about a honeymoon period as tourism and property speculation boomed. The Obama administration’s bailing out of the banks through Quantitative Easing unleashed a wave of speculative investments to the Global South, including countries like Sri Lanka. Meanwhile, China’s going out in the wake of the GFC allowed the Sri Lankan government to engage in further fiscal expansion through an ambitious program of infrastructure development, focusing on roads, ports, energy, and not just a few white elephants. However, these shortcomings in the mobilisation of Chinese development finance are more attributable to Colombo’s lack of vision and coherent industrial policy, than any malice on the part of China. As Chinese envoys have often emphasised, all projects were undertaken at the request of the Sri Lankan government, and shortcomings have usually been due to the lack of domestic capacity to manage projects efficiently.

As a lower-middle income country, Sri Lanka found itself increasingly locked out of concessionary finance from multilateral organisations, and so began turning towards private lenders. The country launched its first International Sovereign Bond (ISB) in 2007. However, it is the rightward shift in policy following the change of government in 2015 that completely transformed Sri Lanka’s debt profile, as the government binged on over USD 10 billion worth of ISBs. Therefore, on the eve of Sri Lanka’s default in 2022, only 13.67% of external debt was owed to China. By contrast, 42.43% of external debt was to private bondholders, like Blackrock and Ashmore. To make matters worse, this private debt was of much higher interest rates than bilateral debt from China, accounting for over 70% of interest payments in 2021.

When the COVID-19 pandemic hit, the vulnerabilities of Sri Lanka’s economic structure became painfully apparent. The lack of foreign exchange inflows due to the collapse of tourism and remittances, combined with inflation caused by global supply chain crunches and commodity price booms, brought the economy to its knees. Following the ouster of President Gotabaya Rajapaksa in 2022, the governor of the Central Bank of Sri Lanka announced a ‘pre-emptive default’ on external debt. In the months that followed, the interim President Ranil Wickremesinghe used the chaos to enforce a dizzying array of shock therapy style reforms, unthinkable under conditions of normality. These included:

* Austerity. Withdrawals of fuel subsidies and cost reflective pricing of energy. This contributed to plunging thousands into poverty and off the electricity grid.

* Domestic debt restructuring. A restructuring of domestic debt that singled out the pension funds of the working class while allowing domestic capitalists, bankers, and bondholders to walk away scot-free.

* Central Bank independence. Legislating Central Bank independence, which would prevent the Central Bank of Sri Lanka from purchasing government debt. Concretely, this means that the government is significantly restrained from countercyclical spending in the event of an external shock. Additionally, it could weaken the government’s ability to control interest rates. The act severs monetary sovereignty as it forces the country to rely exclusively on private lenders for financing.

* External debt restructuring. An external debt restructuring agreement negotiated with the mediation of the IMF has been described by local critics as a sell-out. The agreement includes swapping existing bonds for newer bonds, some of them being novel financial instruments.

* Macro-linked bonds – These are bonds, whose interest rates will be linked to Sri Lanka’s economic performance. As GDP growth rates increase, so too do the interest payments. In effect, Sri Lanka must pay its creditors more for growing faster.

* Governance-linked bonds – These bonds tie the interest rate to the government’s implementation of anti-corruption legislation. There is a reasonable concern that this amounts to a kind of blackmail on a sovereign government to adjust its administrative structure according to the whims of international finance capital.

The Rise of the NPP

The NPP coalition includes 21 civil society organisations including trade unions. However, the prime mover within the party is undoubtedly the JVP. The JVP was established by Rohana Wijeweera in 1965, largely through the youth wing of the Ceylon Communist Party (Maoist), which in turn was the result of a 1964 split in the undivided Communist Party of Ceylon that mirrored the tragic Sino-Soviet split.

The JVP was targeted, and its ranks were decimated twice. First, following an attempted youth insurrection in 1971, and again during another insurrection from 1987-1989. The latter resulted in the assassination of Wijeweera along with the entirety of the party’s politburo, except for Somawansa Amarasinghe. Building the party from scratch, Amarasinghe went on to lead the party on the path of reform and was instrumental in taking JVP into electoral politics. During Amarasinghe’s leadership, the JVP dabbled in electoral coalitions, first supporting the SLFP’s Chandrika Bandaranaike Kumaratunga in 1994, then SLFP’s Mahinda Rajapaksa in 2005, and finally joining the UNP in supporting former Army Commander Sarath Fonseka’s bid for Presidency in 2010.

It was in 2014 that the next big shift came, as AKD was made the new leader of the JVP. He has attempted to chart a more independent and centrist path for the party, rejecting coalitions with established political parties and personalities. Following the JVP’s 7th National Congress, the party released a document which proposed a national policy framework for a ‘modernised and industrialised Sri Lanka’. In 2019, the National People’s Power was launched, with the JVP at its core. The broader coalition of NPP helped open JVP’s doors to the middle-class that traditionally was wary of the Party’s radical history. This included professionals, academics, artists, public intellectuals, and even traders and business owners.

The NPP’s success lies in this ability to overcome the JVP’s previous sectarianism and incorporate a broader coalitions of class forces, while at the same time remaining independent of established political parties. For the most part, NPP’s recent electoral campaign avoided a frontal assault that identified the enemy as capitalism, imperialism, or even neoliberalism. Rather, the NPP chose to focus on the vaguer category of corruption, which struck a chord among large portions of the middle-class who felt that the immediate cause of their plight was bad governance. The NPP was able to locate elements of the petty bourgeois that did not have direct access to state power through the established patronage networks of the main parties. This combined with a generational shift in politics helped the JVP construct the NPP as its own ‘civil society’ front. The hunger of this young petty bourgeois to reproduce itself as a class constitutes the strength and weakness of the NPP.

On the election campaign trail, the NPP faced much scrutiny from both the rightist and leftist elements which honed on its lack of an articulate economic plan or strategy. While the NPP platform is explicit about its intention to retain and strengthen public ownership of energy, finance, healthcare and education, questions regarding policy specifics were often dodged with the promise that life would improve with the eradication of corruption. That said, the NPP’s main economic promise was to establish a ‘production-based economy’ that prioritises farmers, fishers and Small and Medium Enterprises (SMEs). Furthermore, the NPP pledged to renegotiate the debt restructuring agreement with the IMF and bondholders in order to ease the tax burden on the people, to establish a development bank, and initiate an expansive science and technology policy to modernise the economy. Concretising these disparate promises into a viable developmental program continues to be the main challenged for the NPP.

One of the most remarkable features of the NPP’s political campaign was its mobilisation of women. This was conducted not in any paternalistic manner but by women party cadres themselves. Rural party meetings often featured women speaking to women, about the specific ways in which economic hardships affected women. This, combined with the party’s sympathies towards people’s economic plights and their sharp vitriol against the perceived corruption of establishment politicians, helped drive an emotive bottom-up campaign. Women in these meetings took the message home, influencing their children, who would go on to popularise the party’s platform on social media platforms, including Tik Tok. In Sri Lanka, where labour force participation for women (FLFPR) is extremely low, 29.6%, they are particularly sensitive to price swings in essential commodities. Meanwhile, the women who work do so predominantly in the public sector, or in export-oriented sectors such as plantations and export processing. This makes political conscious women extremely sensitive to economic shocks, and a powerful political resource once organised.

Struggle for the 21st Century

Sri Lanka’s dilemma is a striking example of the close link between neoliberal debt bondage and subordination to the interests of US-led militarism. In other words, the struggle for sovereignty and development requires a political, economic and even military strategy. In the past, various administrations in Sri Lanka have attempted compromise, thinking that concessions in one area would enable advances in others. The reality is that there is little possibility for negotiation with an increasingly irrational imperialism bent on maintaining US preponderance of power.

The fact is that the NPP governs under conditions favourable to the right. This is to say that the NPP inherits a state that is deeply in debt to Western finance capital, with a military that has been gradually encroached by the US through use of carrot and stick. Moreover, the networks of knowledge production and distribution in Sri Lanka remain downstream of monopoly capital. The JVP itself has only been able to climb into power by moderating rather than dialling up its past socialist and anti-imperialist rhetoric, meaning it does not necessarily have a popular mandate to carry out a revolutionary break from the status quo. Yet even the moderate mandate of the NPP, to improve social welfare and establish a production-based economy, cannot but bring them into confrontation with an imperialism which seeks to stymie the development of the productive forces.

To borrow from the US State Department’s own choice of words, Sri Lanka today stands at the ‘epicentre’ of the struggle for the 21st century. It is a struggle between peaceful development and militarised underdevelopment. Between productive investment for the benefit of the working majority, or debt bondage for the benefit of a ruling minority. While the country appears hemmed in on all sides, entangled in US imperialism both militarily and financially, it would be too simplistic and nihilistic to suggest that there are no alternatives. This struggle for sovereignty and development is today being waged across the darker nations, from the Bolivarian countries in Latin America, to the Sahel region in Africa, and by the Palestinians in West Asia. The struggle of the Sri Lankan people too, will play its role in defining the trajectory of this century.

(This essay was produced by Tricontinental: Institute for Social Research as part of its monthly series Tricontinental Interventions: Conjunctural Analysis from Asia.)

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Tribute to late Commander (MCD) Shanthi Kumar Bahar, RWP Sri Lanka Navy

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Lieutenant (MCD) Shanthi Kumar Bahar receiving the President’s Cup for Practical Pistol Firing from the then First Lady Elina Jayewardene in 1984

by Admiral Ravindra
C Wijegunaratne(Retired from Sri Lanka Navy)
Former Chief of Defence Staff and Commander of the Sri Lanka NavyThe Former Sri Lanka’s High Commissioner to Pakistan
(The 60th Anniversary of Sri Lanka Navy Diving and Salvage Unit falls on 11th January 2025. The writer commanded it in 1987.) 

A distinguished old boy of Trinity College, Kandy, who excelled both in studies and sports, young Shanthi Bahar joined the Sri Lanka Navy to 3rd Intake of Cadets in 1974. Then, he was 19 years old. He became a UK qualified Explosive Ordnance Disposal (EOD) underwater expert and Mine Clearance Diver (MCD) besides being a crack marksman, both rifle and pistol and winner of the first President’s Cup in Practical Pistol firing meet in 1984. The late President J. R Jayewardene, whose son, Ravi who introduced Practical Pistol Firing Sport to Sri Lanka, was so impressed with Shanthi’s ability and presented him with a .45 Colt Gold Cup Pistol as a gift. It is now on display at our Olympic standard Navy firing range at Welisara. In addition, he was a Navy Coloursman in Sailing and Rowing, who took part in International Sailing Regattas. His knowledge on jungle warfare and small arms was considered exceptional. He was an avid reader. There was no Internet and he used to order Jungle Warfare and gun manuals and magazines through his mother in Hawaii, USA.

 All junior officers, especially trainees like me at the time were afraid of him. However, after I worked under him onboard the Light House Relief Vessel Pradeepa, and after taking part in Basses Lighthouse relief work, he had a lot of faith in me. When we anchored our ship at Uda Potthana bay, we would take a Gemini craft and go to the Yala National Park (Yala block 2). I used to follow him in this jungle terrain. I became his follower at a very junior level. He had noticed my love for the fishing rod and guns, and started teaching me about guns and jungle warfare. I am yet to see a marksman holding a six- battery torch with one hand,.22 caliber rifle with the other, aim and fire at night. Such was Lt. Bahar’s marksmanship! To develop such skills, you require very strong upper body strength and agility. Anyway, he was a Mine Clearance Diver, trained in the UK with huge lung capacity and very strong arms. His breathing was controlled to near perfection when he fired the weapon. This hand-eye coordination of Lt Bahar came with hard work and training. He would never miss his target. When in action against an enemy in close quarters he believed more in accuracy of his repeater shotgun on his right hand than the US manufactured 5.56mm M-16 Carbine slung on his shoulder. With MCD and EOD knowledge, he made his own IEDs (Improvised Explosive Devices).

 I am extremely grateful to him for what he taught me because these skills and knowledge stood me in good stead while I was training the Special Boat Squadron (SBS – Naval Commando Unit) in November 1993.

 Lt Commander Shanthi Bahar died during a small group operation in Ichchantivu, Muttur on 15 Jan. 1986. He led a 10-man team to target EROS local terrorist leadership and terrorist safe house in Muttur/Ichchantivu sector. All 10 in his team were junior sailors trained by him personally for months. The Divers of SLN helped him to travel from the Naval Base Trincomalee to Muttur in their Diving Unit Dinghy boat and silently landed them near the target area at night. They eliminated eight terrorists (including their leader), but Lt Commander Bahar and his Muslim informant died in an enemy grenade attack. We lost a great naval officer.

 The most senior man among those brave 10 junior sailors, Naval Patrolman (then) KG Samaratunga took over command following the demise of Lt Commander Bahar, regrouped the men and returned to R/V point of Diving Unit boat, carrying the body of Lt Commander Bahar. Later, Samaratunga said with tears welling up in his eyes, “Sir, I did exactly what Bahar Sir had asked me to. He said that if he died, I had to take over the Command and take the boys back to safety.” Samaratunga rose up to Master Chief Petty Officer later and was my Master-at-Arms while I was commanding the SBS in 1993. He gained his commission in 1999 and retired as a Lieutenant. He is now engaged in organic farming in Pannala. Great sailors! Unsung heroes!

 Lt Commander Bahar was promoted to rank of Commander posthumously and awarded the Rana Wickrama Medal for individual bravery in the face of enemy action.

 I salute my guru!

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More about Dr. Anton (Kara) Jayasuriya

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Dr. Jayasuriya

Dr Upul Wijewardhana has recently written an article referring Dr Anton Jayasuriya as an ‘imposter/pretender”. Although Anton (Kara) Jayasuriya and I graduated in 1954, he was technically my senior by one year, (since the MBBS took one year longer than the BSc (Special).

Jayasuriya was a legend in his time, and his wit and diabolical skill, made him a deft demolisher of the staid and reserved image of the typical doctor.

I remember him “boasting” that he was the only person who had been “struck off the list” of medical professionals three times, no less. (I cannot vouch for the accuracy of this assertion), but again, either way it was Trade Mark “Kara.”

In those days, the “Block Social” was a key event on the university calendar. It marked the movement of students from the basic training in anatomy and physiology into the rarified world of ward rounds, hospitals and operating theaters,

The key attraction was the ‘Block Concert’, where brief skits of wit and wry humour dominated. In today’s jargon, they would be “Adults Only” stuff. They were clever, witty and topical.

It was reported that the major Script Writer, Producer and Director was the talented “Kara”.

At the time, the buzz words among the Medico’s were

“Complementary or Alternative Medicine.” Apparently, President JRJ was an ardent supporter of the idea. It did not take long for Dr “Kara” to tap this enthusiasm to set up “The International Institute of Complementary Medicine” with “Lord, Pandit, Professor, Doctor, Sir Anton Jayasuriya as Vice Chancellor.” (as he called himself as the author of a very readable book titled “The Sweet Success of Diabetes Control”)

In a fuller rendering of his Academic excellence, follow over 25 lines, these include MBBS (Cey) BSc (Tor), D Phys Med, RCP (Lond) RCS (Eng), M AC F (Sri Lanka) PhD, F Ac F (India), DLitt, DSc (Peking) And a Diploma in Acupuncture (Peking).

This attracted a large number of young hopefuls along with large amounts of dollars, to support a lavish lifestyle, complete with Rolls Royce cars, etc.

The number of “graduands and doctors” were many, including a few spectacularly unworthy ones. When I inquired about that from the late Prof. Carlo Fonseka, his simple answer was that there was such a rush for Ph. D (Honoris Causa) that the best way to cope with it was to award one to a least deserving and most despicable scoundrel available to deter the more deserving ones who would recoil from being placed in such company. It apparently worked.

But there was a flipside. A large number of Italians who had spent a fortune to become “doctors,” were aggrieved by being refused jobs because the awarding institute was not a recognised one. They looked to our Embassy in Rome for help. Nothing could be done, other than to seek the advice of our University Grants Commission, which, as expected, replied that these qualifications had no validity, as the body concerned was not one accredited to award such degrees,

Dr. Wijewardhana was perhaps right in referring to this bold and talented entrepreneur as a “Pretender”. Nevertheless, ‘Kara’ was an amusing and engaging one, who “beat the system”!

Dr.  Upatissa  Pethiyagoda

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