Connect with us

Features

The story of a poor Medawachchiya youth

Published

on

A healthcare system accessible to all:

by Dr. Indika Weerasinghe

Consultant Orthopaedic Surgeon Vavuniya District General Hospital.

Email : prasinwe@yahoo.com

Twenty-year-old Hashan from Kanadarawa, Medawachchiya was brought to the Accident Service of Vavuniya District General Hospital on the morning of 5thOctober 2020 following a fall from a coconut palm. He landed mostly on his back after falling from a height of 25 feet. The Suwa-Seriya free ambulance arrived at the site in five minutes and brought him to the hospital. Fortunately, there was no damage to his spinal cord, which would have paralysed his legs. But he had an unstable fracture of his spine along with multiple other injuries. His right leg was broken and the ankle dislocated. His left wrist was broken as well. This was a case of major trauma or poly-trauma, which needs multi-disciplinary care by several surgical specialities.

Despite multiple injuries, Hashan was conscious and alert as he has escaped head injury. Needless to say, his parents who were at the bedside, were devastated and in a state of shock. Hashan himself did not realise the gravity of the injury until his X-rays and other imaging was explained to him that morning. All of his fractures needed surgery as soon as he was stable enough for anaesthesia. Hashan’s father had two questions for the orthopaedic team.1) Is it possible to do all the surgeries in Vavuniya hospital? 2) How much is it going to cost him?

The answer to the first question was ‘yes’ and there was relief in his eyes upon hearing that. Transferring Heshan to Jaffna Teaching Hospital or Anuradhapura Teaching Hospital would have meant that family members would have to travel longer distances back and forth to care for Hashan. The answer to the second question was ‘the entire treatment will not cost a cent’. Hashan’s father looked skeptical hearing that as he understood that there will be multiple surgeries including one on the spine.

Two days later, after careful planning, Hashan had surgery to fix his spine. All implants and instruments were available in the hospital. Intra-operative X-ray machine was invaluable to complete the spinal surgery safely. Simultaneously, his right leg and ankle were fixed. His left wrist was not operated on that day to limit surgical stress on his body. Three days later he had his left wrist operated with a plate and screws. On post operative day 2, he was brought upright with a brace and was able to bear weight onto his left leg. After an uneventful recovery in ward 9 of Vavuniya Hospital, Hashan was discharged 10 days later.

Hashan is just another patient out of many thousands of Sri Lankans who receive free healthcare on a yearly basis fromgovernment hospitals around the island. His treatment was not groundbreaking, but what needs to be emphasized here is the cost the government bears through the Ministry of Health, to get people like Hashan back into the workforce after life changing trauma. Its easy to overlook the man-power, medicinal and equipment cost borne by the Ministry of Health to make Sri Lankan citizens like Hashan productive once again and contributing to the development of the country. The three surgeries he had and the hospital stay of two weeks would have cost around two million rupees in private hospital, which would have been much more than over what Hashan’s family would have been able to afford. But thanks to free universal healthcare in Sri Lanka, Hashan is back home today without his father having to sell his house to pay hospital bills.

To appreciate the benefit of free healthcare in Sri Lanka, it is important to compare our healthcare model with other countries. India also has a universal healthcare system but the private sector healthcare is dominant. Most health expenses are paid ‘out of pocket’ of patients and their families. Most people in rural areas does not have access to quality, affordable healthcare.

In the United Kingdom, the National Health Service (NHS) provides free healthcare to its people except for some charges associated with eye tests, dental care and prescriptions. The NHS is funded by the significant contribution tax payers make to the government. (If the annual income of a person in England is between 50,000 to 150,000 pounds, 40% is deducted as tax). It is that significant tax contribution that funds the National Health Service and its ‘free’ healthcare.

Healthcare costs in the United States are astronomically high. medical bills are the number one cause of bankruptcy in United States. This is despite the United States spending 16.9% of its GDP on health (2018).

According to Bloomberg health efficiency index, Hong Kong ranks number one as the most efficient healthcare model in the world. Hong Kong spends around 3% of its GDP on health and its citizens are provided with healthcare plans for a low cost. (Not for zero cost).It is a mixed medical economy with 43 public hospitals and 12 private hospitals.

I feel it is in that context we have to look at our free healthcare model which is unique to Sri Lanka. Like in Hong Kong, private sector contribution prevents overburdening of government healthcare delivery. But unlike in India, strong government sector healthcare delivery system reaches into rural areas like Kanadarawa, Medawachchiya where people like Hashan can get quality treatment at government hospitals absolutely free. And unlike in the United States, health costs are not over the roof expensive.

It is true that from time to time, there are shortages of medicines and equipment in government hospitals in Sri Lanka. But they are usually transient. Even for those shortages, there is a system to ‘Local Purchase’these drugs and equipment by using funds allocated to the government hospital.

So, I think it is fair to say that as a developing economy, Sri Lanka is doing its best to look after the health of its people. Therefore, it is the responsibility of all Sri Lankans to protect our universal free healthcare system and improve it further.

Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

Features

SLAF on hazardous wall, Sri Lanka Air Force has sent us the following statement……

Published

on

Sri Lanka Air Force has sent us the following statement in response to an article (That hazardous Ratmalana Wall) published on 21 Jan.

It is with regret that I would like to inform you that the newspaper article titled “That Hazardous Ratmalana Wall” published in The “Island” newspaper of 21 January 2021 contains false information which has not been clarified from the Air Force Director Media nor any other official channel of the Sri Lanka Air Force (SLAF).

It should also be highlighted that the Sri Lanka Air Force does not wish to challenge the freedom of reporting information by journalists. However, news articles of this nature published with the use of unsubstantiated information tarnishes the image of Sri Lanka Air Force.

The newspaper article in concern has caught the attention of the Commander of the Sri Lanka Air Force. As alleged in the article, the Commander has not declared on behalf of the SLAF that there is no objection for the removal of the wall and replacing it with a fence. On the contrary he had in fact stated that a collapsible wall could be put in place of the permanent wall which should have a solid finish obstructing the view from outside due to security reasons.

In addition, to date there has been no incident/accident reported at the Ratmalana Airfield related to the wall along the Galle Road. Further, vehicles such as passenger coach/container etc; travelling on the main road would be taller than the wall in concern and according to the article, the main road would also have to be closed each and every time when an aircraft approaching of taking off from that end of the runway. International runway due to limitations which is also can be considered as hazardous to flight safety, SLAF consider Flight Safety is a paramount important factor as an organization which operates different types of aircraft over the years from this airfield.

It is pertinent to mention the wall in concern was erected by the SLAF before year 2009 with the consent of the Airport and Aviation Sri Lanka (AASL) to address the security concerns at that time and maintained to date. The outer perimeter security of the Colombo International Airport at Ratmalana is being provided by the SLAF free of charge over years. As a measure of gratitude, with the consent of AASL and the approval of the Ministry of Defence (MOD), SLAF authorized to erect hoardings along this wall and to utilize the funds generated for welfare measures of airmen.

Further, publishing of an article which has an author with a fictional name will have serious and adverse effects on the newspaper as well as the goodwill which prevails between SLAF and AASL. The goodwill which prevails between the SLAF and your esteemed Organization will also be adversely effected by articles of this nature. SLAF Directorate of Media always provide accurate and precise information to media institutions which has an impact on general public as well as to other organizations. Undersigned is contactable any time of the day through mobile (0772229270) to clarify ambiguities of SLAF related information.

In conclusion, I would like to express our displeasure regarding the newspaper article in concern and the damage which has been done to the good name of the Sri Lanka Air Force and in particular to the Commander of Air Force.

 

WADC WIJESINGHE

Group Captain

DIRECTOR MEDIA

for COMMANDER OF THE AIR FORCEs

Continue Reading

Features

Dog-eat-dog culture

Published

on

By Rajitha Ratwatte

There is an old joke that goes around regularly about Sri Lankans’ in hell. How absolutely no guards are needed to keep Lankans in hell because they do a very good job of pulling each other down into hell when anyone even looks like they will escape. When you extrapolate that into real life in the Pearl, the examples are plenty. All of us have personal experiences of neighbours, peers, relations and even our bosses “cutting us” as the popular phrase goes. It is mostly those who either realise and watch out for these pitfalls or those who clearly identify a powerful figure to “bum suck” for want of a better word that display pure unadulterated sycophancy to, that “progress” to propagate these trends in the future. This I believe is something that is triggered by the basest of all human emotions, jealousy, and probably egged on by a sense of insecurity as well.

One would expect that in a nation of devout Buddhists such reprehensible behaviour would be addressed and controlled. Alas it is not to be and looks like it never will be.

It is rather disconcerting to observe that this behaviour is ‘going strong’ among the Lankan community in this the land of the “long White Cloud” as well. The more I live here and mix with the community, the more I hear about people who try to start new projects or give fruition to new and possibly brilliant schemes who have been stymied by fellow citizens born in the Pearl. They indulge in the anonymous letter method (that dates back from time immemorial) made even easier by using false identities, and “one-off” e mail addresses on the web. They inform all government authorities of what they believe are attempts to break the law of their adopted country. If there are bilateral trade agreements, they diligently contact the other parties and try to cast aspersions on the people concerned. They even inform the management of any company that these people with the new ideas may be working at, that their employee may be breaking a sub clause in his contract and thinking of doing some other business while working for them. All triggered by a wonderful sense of self-righteousness from people who don’t think twice about breaking the law when it concerns their own affairs!

As a result, those who have had a measure of success, guard their positions very carefully and a few who have tried to include other Lankans in their operations have learned hard lessons from those who stole their trade secrets and started rival businesses on their own. I daresay this happens in other communities too, but among the Chinese and Indian communities that form similar minorities in Aotearoa, there are official networks formed to help new immigrants. There are schemes and methods in place to help their people do business, especially in the field of imports, to try and reach some sort of equilibrium with regard to the balance of trade between Aotearoa and their home countries. Sri Lanka imports so much milk from New Zealand but almost nothing of our spices, gems and jewellery, tourism products or even our tea that used to have a much larger share of the market, are imported.

In these desperate economic times, shouldn’t the government be looking at ways to improve our export trade? There are so many pockets and communities of Lankans in so many different countries who are doing well enough to be able to afford some luxuries from their home countries but have to pay exorbitant prices or do without. A recent import of ‘sweet meats’ for Sinhala New Year saw such a massive offtake that great plans for expansion were disrupted by Covid-19, before the Lankan rivals could put paid to it. Although such plans were in place!

Something that is rather obvious to those observing the antics in the Pearl from outside is that there seems to be no plan. Innovative thinking, especially in the field of ‘non-traditional’ exports does not exist. We have all seen how fickle tourism is. Using our fertile soil and the artistic skills of our people to build a reputation for quality exports has been totally neglected in recent times. I daresay the relevant ministries and export bodies exist, but it is a well-known fact that they simply serve as JOBS for political catchers, who do nothing except enjoy a foreign junket or two every year on account of the taxpayer.

That brilliant marketing idea of the Ceylon Tea Centers was so far ahead of its time that no one really understood it. We had the best retail locations in some of the greatest cities in Europe and the UK and were building up a great reputation for serving quality tea and promoting our cuisine. It should have been expanded to handle handicraft products on the lines of Laksala and even spices. Of course, promoting our culture, hospitality and tourism would have followed. There are two ways to handle a crisis. We can either put up our shutters and slide deeper and deeper into the mire of debt and economic ruin, or take some bold steps, make innovative investments and take a gamble on products and ideas that are endemic to our country.

 

Even if the latter method fails the end result couldn’t be much worse! Go down fighting I say! Rather than ask expatriates to come back and try to work in a totally corrupt and politician dominated society, approach expatriates with ideas in other countries and back them to promote those ideas if they show real economic benefits to our land. Not everything will work but even a 5% success rate is better than nothing at all.

It is also acknowledged that RANIL has been reappointed as leader of the UNP. Now then, what does this mean? Is it that the Uncle-Nephew party has stuck to tradition or does it mean that at least some people have realized that an experienced politician with world recognition and a certain amount of credibility in the first world, is useful to have around? Search your minds all you critics who blamed absolutely everything on Ranil. Have a dispassionate look at the Muppets in parliament and think for yourself what sort of account they would give of themselves on the world stage. After you do this, place Ranil on the world stage next to those morons and realize for yourself the DIFFERENCE!

 

fromoutsidethepearl@gmail.com

Continue Reading

Features

Lenin comes to town (again)

Published

on

By Gwynne Dyer

When Russian opposition leader Alexei Navalny returned to Moscow on Sunday after convalescing in Germany from an attempted poisoning by the FSB domestic spy agency, the regime-friendly media loyally failed to mention his arrival. With one striking exception: Vremya, the flagship news show of Russian state television.

Presumably, somebody there was hoping to win favour with the Kremlin, because they briefly mentioned Navalny three-quarters of the way through Sunday’s two-hour programme. In fact, they compared Navalny’s trip home to Vladimir Lenin’s famous return to Russia in 1917, and suggested that he was as great a danger to Russia as Lenin had been.

As every Russian knows, the Germans plucked Lenin from exile in Switzerland in the middle of the First World War. He was sent across Germany in a ‘sealed train’ (so he wouldn’t spread the infection of Communism there) to St. Petersburg, then in the throes of Russia’s first democratic revolution – and he did just what the Germans had hoped he would.

Lenin overthrew the fumbling democratic ‘Provisional Government’ in a military coup, took Russia out of the First World War – and launched a 73-year totalitarian Communist regime that cost at least 20 million Russian lives in purges, famines and lesser acts of repression. Is Navalny really that great a danger?

The ambitious presenter at Vremya probably won’t get the job he wanted, because President Vladimir Putin really won’t have liked seeing his noisiest critic compared in stature to Lenin, a genuine world-historical figure. Putin himself never mentions Navalny’s name at all.

Russians cannot even put a name to the system they live under, as the poor Vremya presenter’s confusion illustrates. It’s certainly not a democracy, although there are regular elections. It’s definitely not Communist, although most of the regime’s senior figures were Communists before they discovered a better route to power and wealth.

It’s not a monarchy, although Putin has been in power for twenty years and is surrounded by a court of extremely rich allies and cronies. And ‘kleptocracy’ is just a pejorative term used mostly by foreigners, although Navalny does habitually refer to Putin and his cronies as “crooks and thieves”.

In fact, Putin’s regime is not a system at all. Its only ideology is a traditional Russian nationalism that is lightweight compared to blood-and-soil religious and racist movements like Trump’s in the United States and Modi’s in India. It’s a purely personal regime, and it is very unlikely to survive his dethronement or demise.

Putin has been in power for twenty years, and he has just changed the constitution with a referendum that lets him stay in power until 2036. But that seems unlikely, partly because he is already 68 and partly because the younger generation of Russians is getting restless and bored.

Navalny is a brave man who has gone home voluntarily to face a spell in Putin’s jails. (He missed two parole appointments for a suspended sentence on trumped-up embezzlement charges because he was in Germany recovering from the FSB assassination attempt.) But his role in Russian politics so far had been more gadfly than revolutionary.

His supporters do their homework and make clever, witty videos detailing the scandalous financial abuses of the regime (the latest is a virtual tour of Putin’s new $1 billion seaside palace on the Black Sea near Novorossiysk), but he is probably not the man who will finally take Putin down. What he is doing to great effect is mobilising the tech-savvy young.

Since 2018 the average age of protesters at anti-Putin demos, mostly linked to Navalny one way or another, has dropped by a decade, and their boldness has risen in proportion. Moreover, their attitude to the regime now verges on contempt. Rightly so: consider, for example, the last two assassination attempts by regime operatives.

In 2018, the GRU, the Russian military intelligence agency, sent two agents to England to kill defector Sergei Skripov and his daughter Yulia. The agents made two trips to Salisbury because they couldn’t find the right house, they were tracked by CCTV every step of the way, and in the end, they left too little novichok (nerve poison) on the doorknob to kill the targets.

Equally crude and bumbling was the FSB’s attack on Navalny in Tomsk, where the novichok was put on his underpants. Once again, the target survived, and afterwards the investigative site Bellingcat was able to trace FSB agents tracking Navalny on forty flights over several years before the murder was attempted.

Neither agency is fit for 21st-century service, nor is the regime they both serve. Russians have put up with it for a long time because they were exhausted and shamed by the wild political banditry of the 1990s, but Putin’s credit for having put an end to that has been exhausted. He may still be in power for years, but this is a regime on the skids.

Continue Reading

Trending