Peace for the World

Peace for the World
First democratic leader of Justice the Godfather of the Sri Lankan Tamil Struggle: Honourable Samuel James Veluppillai Chelvanayakam

Friday, July 7, 2017

Charlie Gard: Mother says terminally-ill son 'not in pain and suffering'


Charlie Gard has been in intensive care since October
Charlie GardChris Gard and Connie Yates
Chris Gard and Connie YatesCharlie Gard
Connie Yates and Chris Gard raised more than £1.3m for experimental treatment for Charlie

BBC
  • 7 July 2017
  •  
    The mother of terminally-ill Charlie Gard has said he is not in "pain and suffering".
    It comes after a US hospital offered to ship an experimental drug to the UK to help treat him.
    It also offered to admit the 11-month-old if "legal hurdles" can be cleared. Great Ormond Street hospital has said further treatment will not help.
    Charlie's mother Connie Yates told Good Morning Britain on Friday: "We are not bad parents, we are there for him all the time, we are completely devoted to him and he's not in pain and suffering, and I promise everyone I would not sit there and watch my son in pain and suffering, I couldn't do it."
    Ms Yates said the Pope's intervention earlier this week came after she wrote a letter to him.
    She said: "It does give us a hope definitely, because there was no hope left. Charlie was going to die on Friday and, you saw the video we did, we were absolutely devastated.
    "We had no control over it, the way it was done.
    "And then it was going to be on the Monday instead but I think the White House got involved over the weekend and then that changed things."
    Charlie has mitochondrial depletion syndrome, a rare genetic condition which causes progressive muscle weakness.
    Doctors have said he cannot see, hear, move, cry or swallow and that his life support should be switched off because there is no chance of his condition improving.
    Charlie's parents, Ms Yates and Chris Gard, raised £1.3m on a crowdfunding site to pay for experimental nucleoside therapy in the US.
    But they lost a legal battle with the hospital last month after judges at the European Court of Human Rights ruled further treatment would "continue to cause Charlie significant harm".

    Drug shipment

    The US hospital, which cannot be named for legal reasons, said that it would treat the boy with an experimental drug pending approval from government regulators, the Food and Drug Administration (FDA).
    It said it had "agreed to admit and evaluate Charlie, provided that arrangements are made to safely transfer him to our facility, legal hurdles are cleared, and we receive emergency approval from the FDA for an experimental treatment as appropriate".
    It added: "Alternatively, if approved by the FDA, we will arrange shipment of the experimental drug to Great Ormond Street Hospital and advise their medical staff on administering it if they are willing to do so."
    TwitterImage copyrightTWITTER/ @REALDONALDTRUMP
    A US specialist told judges that a "small chance" of a meaningful improvement in Charlie's brain function would be provided by therapy.
    Charlie's parents, from Bedfont, west London, have spent the last days of their son's life with him, after being given more time before his life-support is turned off.
    Last week they said the hospital had denied them their final wish to take their son home to die.

    EXPOSÉ: DG RANGA KALANSURIYA’S LIES AND HALF TRUTHS ON MEDIA REGULATION IN SRI LANKA



    Sri Lanka Brief06/07/2017

    Under pressure from the media to explain his attempts to establish government sponsored media regulation in Sri Lanka, Director General of Government Information Dr. Ranga Kalansooriya has spoken half truths and lies to cover up his plan.

    This is what he says in the government news portal News.lk: ”Only the discussion paper prepared by the Sub-Committee appointed in this regard is available. Eight media organizations had participated in the basic discussions in July last year and set up the above Sub-Committee. The five-member Sub Committee includes Ms. Seetha Ranjani, Upali Arambewela, Dharmasiri Lankapedi, N.M. Ameen and is headed by Wijayananda Jayaweera. All the activities related to this process are being conducted by this subcommittee.”

    A RECIPE FOR IMPUNITY

    The Mahanayake Theras of the Asgiriya, Malwathu and Amarapura Chapters meeting President Maithripala Sirisena at the President’s House in Kandy  yesterday.Buddha Sasana and Justice Minister Wijeyadasa Rajapakshe and  Central Province Chief Minister Sarath Ekanayake look on.  Picture by President’s Media Unit
    WINSTON DE VALLIERE-2017-07-07
    On 13 June the Cabinet of Ministers issued a statement stating that the Government had directed law enforcement authorities and the Attorney General to take immediate action against instigators and perpetrators of violence and hate speech against religious and ethnic groups.
    The nation is holding its breath waiting for that incredible day on which that will come to pass. As one gradually approaches the end of his eighth decade in life, one tends to have stopped being politically naïve. I will become a believer when we get people who do not act on telephone orders from some "Sir", to desist from arresting someone charged with a crime and a Police force whose spokesman does not tell the media that it's not an easy matter to arrest a Buddhist monk.
    The Cabinet statement has clearly said that"We are deeply concerned by the recent incidents of violence targeting places of religious worship, shops and business enterprises, and houses. We denounce in the strongest terms, these acts of violence and hatred, including incidents of hate speech by certain individuals and groups aimed at inciting violence against the different ethnic and religious communities in our country.
    We affirm that hate filled expressions and actions by individuals and groups with vested interests, resulting in demeaning and denigrating, and inciting violence against fellow citizens of various ethnic, religious backgrounds have no place in Sri Lankan society.
    But Prime Minister Ranil Wickremesinghe told Parliament on Wednesday that these attacks on places of religious worship and business houses were mistakenly perceived as acts of ethnic/religious violence.
    How is it that he subscribed to the Cabinet statement and yet says something radically different about it in Parliament?
    It was only a fortnight ago that Justice Minister Wijeyadasa Rajapakshe also denied evidence-backed allegations of attacks on Christian places of worship carried out by hundreds of thugs led by Buddhist monks, allegedly of the BBS.
    Fugitives from justice
    Taken together one begins to wonder whether there is some subtle attempt to trivialize or totally deny blatant; criminal racial/religious violence officially acknowledged by the Cabinet of Ministers that was agreed to at a meeting chaired by the President himself.
    The gaffe by the Police Department in its stance that it's not an easy matter to arrest a monk, who by the way was supposedly given 'safe house' by a Cabinet Minister, was a stupid admission that racial and religious violence can be perpetrated in this country at will and its perpetrators, if in the garb of a monk, being fugitives from justice, can be safely given shelter by a Minister with the express purpose of THWARTING THE PROCESS OF JUSTICE! That sends a clear signal to the victims of ethno-religious violence that the culture of impunity that assailed the nation under the Rajapaksa regime is vibrantly alive and kicking with none other than the arms of Justice and the Law affording such criminals that impunity.
    This entire scenario stinks. Is this a trade off to soft soap the Maha Sangha into yielding to the Government's commitment to user in Constitutional reform aimed at forging reconciliation, peace building and peaceful co-existence, and the rule of law?
    The statement added that "we direct the law enforcement authorities to immediately take all necessary steps in accordance with the law of the land, against instigators and perpetrators of violence and hate speech targeting any religious and ethnic groups in the country. The strictest action must be taken without delay, in accordance with the law, against all persons or groups who act to incite violence, and engage in acts of violence. The law must be applied to all regardless of social status, ethnic or religious background or political affiliations of perpetrators of such acts. We also direct the law enforcement authorities and the Hon. Attorney General to expedite action against those responsible for all atrocities committed, as impunity holds the dangerous possibility of our country receding into conflict".
    And just a day later comes the Prime Minister's statement that the attacks specifically referred to in the Cabinet statement as actions carried out by "instigators and perpetrators of violence and hate speech targeting (any) religious and ethnic groups in the country" are being misconstrued as being such! That's preposterous and runs against the grain of the ethic of Collective Cabinet Responsibility".
    Now then, when the nation's Prime Minister says such a thing it's tantamount to undermining the Cabinet statement. This was followed up at this week's Cabinet meeting at which President Maithripala Sirisena said that "If the Ministry of Law and Order was under me I would teach them in three months how to do their work".
    We are to take it then that the Ministry of Law and Order under which the Police comes functions within the purview of the Prime Minister. These conflicting statements coming in such a sequence will, therefore, be perhaps the reason why the Police did not act on the Court's arrest warrant on BBS leader Ven. Gnanasara Thera, especially when the Asgiriya Prelate had said that one cannot disagree with Ven. Gnanasara's 'ideology'. It is that 'ideology' that was defined by the Cabinet in its statement, as emerging from "instigators and perpetrators of violence and hate speech, targeting religious and ethnic groups in the country".
    The Premier says that the Cabinet's perception is wrong? That the entire country's perception is wrong?
    Maha Sangha
    In that case, it's only a section of the Maha Sangha that agrees with the Prime Minister's assessment. Add to that the Justice Minister's bunkum on attacks on Christian places of worship and what we have on the table is a recipe for impunity.
    This government was voted into power because it offered a package of peace-building and constitutional reform aimed at superimposing the Sinhala-Buddhist majoritarian, supremacist culture with a rather ultra-idealistic, if not outright impossible, Sri Lankikayo ethos. To their credit (and to the President's credit), it must be acknowledged that all players who promoted the common presidential candidature of Maithripala Sirisena did it on a non-majoritarian populist platform, a sort of Pan-Lanka slogan appealing to all ethno-religious groups across the country. That was why the Tamils voted for him en masse and the majority of Muslims followed suit. That was also why the UNP's vote base backed him to the hilt while all right and progressive thinking elements in the SLFP vote base boosted the numbers at the final counting that sent Rajapaksa out of power. But the fact is that the spirit of the mass of voters who fell for Bandaranaike's Sinhala-Buddhist supremacist rhetoric runs through today's society vibrantly and this is what could be a deciding factor when election time comes around.
    Going against the BBS and the Maha Sangha can spell doom for any political leader seeking re-election. Others have wondered aloud whether the government had abandoned its constitutional/political reform agenda and pledges.
    And President Sirisena is committed to that agenda, which is why he had talks with the Chief Prelates of the three nikayas after they issued a statement virtually rubbishing proposals mooted for including in the new Constitution.
    The question arises: Is there suddenly a divergence in opinions at the top of government's leadership today?
    Such things can be dispensable in the subtle political power plays employed by those at the top. What's essential in political reality is whether what one says and does brings strategic political gains or not Sirisena's liable to find himself, adrift should UNP objectives suddenly take a radical turn. The political realist will on the other hand realize that a totally rigid reformist approach to constitutional reform and so-called racial integration are (in the context of Sinhala-Buddhist Supremacist thinking) hare brained idealistic day dreams. The impunity offered Ven. Gnanasara and the statements from the Maha Sangha underscore that opinion. Gauthama Buddha's teachings may not be so easy to fit into a new Constitution! Sirisena's detractors are more aligned, unfortunately, to the world of realpolitik!
    "We must all stand united to strive to eliminate this dangerous affliction of hatred towards each other, and resolve that we will never allow ourselves in the present or in the future, to once again be dragged into conflict as in the past" the Cabinet statement said. But the Premier denies the 'affliction' and hence presents the nation and the government with a conundrum.
    The change in government, now, at a later stage, would appear to have not created any change in the conditions to usher in national unity and peace, nor would there seem to be much 'unity' even in thought and opinion at highest levels in the government.

    All religion convention leaders underline the need of a constitution that would contribute to national harmony and reconciliation


    LEN logo(Lanka-e-News- 06.July.2017, 11.30PM) Following a request made to the  speaker of parliament to permit a group of representatives of the All Religions Convention  to hold discussions with parliament party leaders ,  the latter and the speaker met with the group of leaders of All religions convention  yesterday (05) in the evening  at the parliamentary committee hall No.1.
    At the meeting , the representatives of All religions Convention  made a request to give them also  an opportunity to express their opinions pertaining to the main issues which have cropped up in the country currently. The representatives discussed  the importance of accommodating their views and the  need to give some official recognition to the All religion convention . The importance of creating an  understanding jointly between  the political authority and  the religious leaders as regards national peace and reconciliation was also a theme of discussion at length . The all religions convention  leaders  acknowledged   the vital need of the new constitution aimed at building  national peace and reconciliation.
    The determined efforts of speaker Karu Jayasuriya to improve  discipline within the  parliamentary chamber , was lauded by the religious leaders who participated in the meeting. 
    The religious leaders expressed their  immense appreciation over  the immediate response shown by the speaker and the party leaders with a view to hold discussions.
    The speaker further said , since all the  parliamentary parties  have given their blessings for the code of ethics in the pipeline for the parliamentarians , that will see the light of day before long.

    Following a number of new measures taken during the past half year , the Sri Lankan parliament has become a model of Asia , the speaker pointed out , while adding steps will be taken to  expeditiously  present the proposals specially made by the all religious  convention   to the president and Prime Minister . 
    The representatives  of respective parties in parliament  , opposition leader R. Sampanthan ,  minister of justice and Buddha Sasana Dr. Wijedasa Rajapakse , minister of foreign affairs Ravi Karunanayake , minister of urban planning  and water supply Rauff Hakeem , minister in charge of national dialogue Mano Ganeshan , deputy speaker Thilanga Sumathipala, Douglas Devananda M.P. , and M.A. Sumenthiran M.P. took part in the discussions.

    Buddhist representatives of the convention  at the discussion were : Most  Ven. Dr. Iththepane Dhammalankara mahanayake, Most Ven. Dr. Bellanwila Wimalaratne anunayakeThera ,  Ven. Neethiyawala Palitha Nanayakkara nayake Thera , Ven. Nagoda Amarawansa nayakeThera ,Ven. Kollupitiye Mahinda Sangharakitha nayake Thera , Ven. Banagala Upatissanayake Thera, Ven. Dr. Walpola Wimalagnana Thera , Ven . Horawala Dhammajothi nayakeThera ,Ven. Kihimbiye Vijitha nayake Thera and Ven. Rukmale Dhammakithi nayakeThera.
    The Catholic  representatives  were Rev. archbishop  Oswald Gomez , Father Clitus Chandrasiri Perera , Father Mervyn Fernando , Father Placidus De Silva , Father Maxwell Silva , Shamil Perera ,Shirley Tissera and Andrew Samaratunge.
    The Christian representatives were : Father W.P. Ebenezer Joseph , Father Noel Fernando  and Father Premasiri Fernando.
    The Muslim (Islam) representatives were : S.M. Inam Bawa Moulavi , Fazeel Farook  and Shaik Thassim.
    The Hindu representative was : K.V.K. Kurukkal Sivarasa 
    ---------------------------
    by     (2017-07-07 01:27:15)

    A reappraisal of evidence and claims

    The Mahanayake Theras of the Asgiriya, Malwathu and Amarapura Chapters meeting President Maithripala Sirisena at the President’s House in Kandy  yesterday.Buddha Sasana and Justice Minister Wijeyadasa Rajapakshe and  Central Province Chief Minister Sarath Ekanayake look on.  Picture by President’s Media Unit
    by G. H. Peiris- 

    (Continued from yesterday)
    In the turbulent aftermath of the riot there were interventions by a conglomerate of political bigwigs – among them, Rauf Hakeem, SLMC leader and Minister of Justice; A. H. M. Fowzie, Minister of Urban Development; Rishard Bathiyutheen, Minister of Industry and Commerce, Faizer Musthapha, Minister of Investment Promotion; Basheer Segu Dawood, Minister of Productivity Promotion; M.L.A.M. Hisbullah, Deputy Minister of Economic Development (all of the central government during the much maligned Rajapaksa regime); Alavi Maulana (Governor of the Western Province); and A.J.M. Muzammil, the Mayor of Colombo. This last set of information is especially meant for the edification of those who would follow our friend John Holt in the search for the truth about the 'plight' of Muslims in Sri Lanka and Myanmar from comparative perspectives.
    (e) BBS’s Anti-Halal Campaign
    I don’t interfere with law enforcement: Sagala

    Favoritism In Family Quotes
    2017-07-07
    Law enforcement authorities had been delegated full authority to act independently without any political interference, Law and Order Minister Sagala Ratnayake said yesterday.
    “I have delegated full authority to law enforcement authorities independently. I do not interfere,” he said.
    Responding a question at a news briefing held at Temple Trees yesterday he said he had dutifully done his part as the Minister of Law and Order.
    He said there was nothing for him to hide to the media and his self-respect was more valuable than anything.
    “I was brought up as law abiding citizen and I will not break the law,” he said.
    “Ministers are appointed by the President after a discussion with the Prime Minister. Now I am a Minister sworn into before the President.
    “Even if I had been I assigned to any other Ministry, I will do my best,” the Minister said.
    “I was not after Ministerial posts. But people elected me as their representative to Parliament. I will do my role as a Minister with responsibility,” he said.
    “I have delegated full authority to law enforcement authorities act independently. I do not interfere,” he said. (Chaturanga Pradeep)

    SRI LANKA: A Diary of a frequent visitor


    AHRC Logo

    Article by Basil Fernando-July 7, 2017

    I arrived at the Katunayake Airport and there was my friend whose car I usually use in my visits. On our way from the airport into the roads a conversation immediately started and of course my first concern was to note how my friend was doing in his business – which is taking tourists around in his car. Usually cheerful and very positive character my friend response this time was not as cheerful as in the past. It was in 2015 that he purchased a hybrid car with the view to embark on “tourism business” as he calls it.. The car had already been ordered but soon before he could pay the final price, there was an imposition of a tax which added a few hundred thousand rupees more to the value of the car. That notwithstanding, in his early two years had a lot of work, in fact his main problem was to find some free time for his young family. However this time the tone was different. He said for several weeks he was without work, although this is the beginning of what he calls the tourism season. And he said that he knows several persons who embarked on the tourism business with some investments and now some of them have sold their vehicles as the loss is higher than one they could expect to gain. That was a sign of people who hopefully embarked on new business now giving up such hopes and even selling their own vehicles so as not get into a greater debt. This is the first news that I heard on my arrival. My friend himself has been going to some agencies with the view to find ways to migrate to some country, such as Australia or Canada because he felt that the coming times are not good. At least for his family’s sake, such an alternative seemed to him to be better . Of course, if it comes to that the way to do it is to invest some money towards it and the way to do that is to sell his car with which he began his business and then embark on a new stage of life.

    The next day, I accompanied a friend to meet a bank manager in his office in a suburb very close to Colombo. The manger was a man of about 50 years, and this being rather a bigger branch of the bank, he would be someone of seniority within his bank. Soon the conversation got into how the life is in the country and he told a story about what is happening to small businesses.

    He said the biggest problem is direct and indirect taxation and everything is taxed and that the tax was unpredictable, The result is that nobody who is really aware of the situation what would happen after embarking on any small business because all the costs associated with taxation is a factor that really discourages private initiative.

    The taxing into almost many items include also, double taxing. For example if you buy dhal which is common commodity which people consume here as you purchase it from the shop it is taxed. But then if a shop keeper buys he pays that tax, and then ones he cooks this and sells in the shop and sells it as a meal then that is also taxed. There is a tax to be paid by the shop keeper the second time when he sells the dhal which he has cooked for which he has already paid a tax in the beginning. This he said is unusual. Everywhere, what you hear is that, you simply cannot beat the inflation and the increase of prices and the lowering of the value of money. This has led to, increase various forms of corruption in unimaginable ways. It is kind of “a wisdom” that people have acquired as a way of beating all types of burdens that are imposed on them is to make some more money by ways of methods which would otherwise have been considered criminal. One of the results of this he said is that people who are very willing to pay their taxes, in a normal way, are not under these circumstances willing to reveal their actual assets, because if all those are taxed, in very unscrupulous ways, then it will be very difficult for them to survive. So the idea of hiding your assets has become kind of a second thought for anybody who is having some means and this is not considered any kind of anti-social or despicable behaviours as it would have been thought in a more developed country where the rule of law is respected. He said out of that kind of practice arise some other practices, for example, auditors who know the actual assets of a person, will quietly inform the income tax assessors known to them, so that the income tax assessor will make a very big assessment and send it to this person. Then he will approach the auditor again and ask, well, how to deal with these problems. The auditor gladly takes over the problem and says that it could be negotiated with the assessors and he manages to get down the amount to much less. But of course the assessor has to be paid for this. In fact what happens is the assessor and the auditor shares what that man gives, in order to get his tax reduced. The kind of shrewd intellect that develops in order to circumvent inflation and other problems is the kind of an idea that this is legitimate and that this is the way a prudent person should act . This has has created a new psychology that would be hard to beat. Anyway, there are no attempts to beat it so there is not going to be much problem on that scope. That type of story was explained in quite detail in by this bank manager.

    That afternoon I had a telephone call from a friend who I had known as a graduate specialising in economics in the university days, and who later was a teacher of economics for a long time and who was an advisor to some agencies. When I asked him about the situation he said one of the things that he is completely missing nowadays, except for one or two exceptions, are people who write about matters relating to economics in the newspapers, journals or anywhere else. For example when I raised the issue that I was told by the Bank manager, about the effect of the taxation system on the economy of the country he said, he has not seen anybody writing on that issue although he is a very keen student and also a publisher who runs a magazine . He cannot find people to be interested in writing on these things. His idea was that the country still survives, because of the savings that come from the poor women who work in the Middle East, and also the poor women who work in the free trade zones and also the poor women who work in the estate sector. Hardly any kind of production takes place even items that earlier brought profit to the country. Even items like coconut and rubber, are not doing well at all. At the bottom of it is the dying of initiatives, kind of entrepreneurships, in order to make things happen, and to use business as a way of improving their income as well as doing something for the country – that has completely gone missing. He simply was at a loss, to find what has become of this economy, he said.

    TO BE CONTINUED…

    CB suspends activities of Perpetual Treasuries for six months

    CB suspends activities of Perpetual Treasuries for six monthsarjuna
    AMJOR PLAYERS

    Jul 06, 2017

    The Monetary Board had suspended Perpetual Treasuries Limited (PTL) from carrying on business and other activities as a Primary Dealer for six months with effect from today, the Central Bank said in a statement.

    It said that the SLCB had decided to suspend the activities of the said firm acting in terms of the Regulations made under the Registered Stocks and Securities Ordinance and the Local Treasury Bills Ordinance.
    “The Central Bank will take necessary measures to ensure that this regulatory action does not have a disruptive impact on the market,” the statement said.
    The CB said that action would also be taken to facilitate the handling of the interests of the customers and counterparties of PTL in an orderly manner.
    The Monetary Board had suspended Perpetual Treasuries Limited (PTL) from carrying on business and other activities as a Primary Dealer for six months with effect from today, the Central Bank said in a statement. It said that the SLCB had decided to suspend the activities of the said firm acting in terms of the Regulations made under the Registered Stocks and Securities Ordinance and the Local Treasury Bills Ordinance.
    “The Central Bank will take necessary measures to ensure that this regulatory action does not have a disruptive impact on the market,” the statement said. The CB said that action would also be taken to facilitate the handling of the interests of the customers and counterparties of PTL in an orderly manner.


    So what have our intellectuals done?



    2017-07-07

    I firmly believe that our intellectuals have taken us, the ordinary man, woman, and child on the street, away from reality. They tend to obfuscate, to dissipate the truth in a horde of profundities that read into something without getting anything out. The same can be said of every other field that has succumbed to these intellectuals: the law, science, philosophy, even religion. Without letting this prejudice my stance for or against them, let me come out with it: I don’t claim to know half of what the experts do. This isn’t a harangue against them, rather an attempt at finding out how our intellectual discourse has, and has not, helped us out as a country.

    On Medical Education In Sri Lanka

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    Dr. Romanie Fernando
    The admission criteria for medical education should be at least 2B and C. At present UGC minimum qualification adopted in 2011 for medicine 2C S. Before 2011 it was 3S.
    Implement a merit based admission criteria for state universities (75% merit, 25% marginalised district quota system) or 100% merit. At present 40% merit, 55% district quota, 5% marginalized districts (since 1970, prior to 1970 admission to universities 100% merit)1. For the past 45 years this non merit base admission had caused lead to the problem we face today. This happened nearly 30 years ago and many young lives were lost. Have we learned lessons from the history?
    Addition to A/L results an aptitude test, plus added marks for exceptional talents in sports or arts or music or innovation skills should be considered. These aptitude tests should test the Emotional quotient (EQ) and Spiritual quotient (SQ). EQ and SQ are higher order thinking than intelligent quotient (IQ)2.
    An independent accreditation council to accredit all universities (public and private) should be established. Every 2 -3 years, compulsory accreditation to be done and standards checked. All state and private higher education (HE) institutions should be accredited and standards maintained. At present many private HE institutes and some state HE institutions do not obtain accreditation from a national or an international accreditation council.
    If a non-state medical school is to be established it should be a non-profit making trust. Private- public partnership for non state medical schools with hospitals similar to Sri Jayewardenepura Teaching Hospital (SJTH) will be a feasible option. This will open the door for a majority of Sri Lankan citizens with an affordable health care. Since the inception of SJTH more than 30 years ago there had been no other private-public partnered hospital in the country.
    Before establishing a non-state medical school, the medical ordinance should be amended to include the criteria for recognition by SLMC and expected standards of a non-state medical school. This should be similar to any state medical faculty.
    National policy for education should be formulated for the primary, secondary and tertiary education.  This should have been done 25 years ago soon after 87-89 students unrest.
    Problems I see in Sri Lankan medical education at present:
    * Many students with higher marks from Colombo, Kandy and Gampaha unable to obtain medicine due to district quota. Also from above districts dental, Vetenary science Z score is higher than some district’s medical entry cut off.
    * Having more than 1000 Foreign qualified graduates unable to pass ERPM. I see two main issues for the failure rate to be so high when the exams and the examiners are in par with Final MBBS.
    a) Minimum entry criteria of 2Cs S (2011) before that 3 S given by UGC.
    b) Sub-standard overseas universities approved by SLMC without supervision.
    * Also within state universities there are many students failing to qualify at exams, who are wasting years in the university. Maximum number of attempts are given at an exam, failing which a student is asked to leave the study course. The facts on failures can be easily obtained from each faculty. The reasons for failure of medical students are mostly the admission criteria, in few cases the language barrier and social or health issues.

    Read More

    Assurance of service quality with reference to medical education
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    Friday, 7 July 2017

    The SAITM controversy has foregrounded two issues of broader significance. The first is whether university education is amenable to economic analysis. The second is whether the problem of quality (also described as a problem of ensuring standards) can only be solved through Government supply.

    Is university education a service industry?

    Many who make their living in the sector feel it is demeaning to treat university education as an industry. Theirs is a noble calling which cannot be equated to the activities of plumbers and beauticians, they believe.

    But the evidence suggests otherwise. Large amounts of money are involved, both as capital expenditure and operating expenditure. Trade unions, even those representing those engaged in noble callings, exist. They go on strike, occasionally. Even if not in Sri Lanka, universities raise revenues from multiple sources and suffer budgetary emergencies when they cannot raise enough. One can buy shares in medical establishments which also house persons engaged in noble callings.

    That services are given away for no payment does not exclude them from the scope of economic analysis. All that is different is that the buyers are subsidised by tax payers, in Sri Lanka and other countries that offer “free” education, and partially by taxpayers and philanthropists, in other countries. Google and Facebook also give away services. But no claims are made that their activities fall outside the scope of economic analysis as a result.

    A right and/or a commodity

    Another variant of the outside-economics argument is the positioning of university education within the realm of rights. This leads to the claim that economics does not apply, i.e., that it should enjoy unconstrained funding.

    The Universal Declaration of Human Rights (1948) and the United Nations Convention on the Rights of the Child (1989) define rights pertaining to education. The right to basic education is defined as the proponents claim. But that is not the case for tertiary education:

    Everyone has the right to education. Education shall be free, at least in the elementary and fundamental stages. Elementary education shall be compulsory. Technical and professional education shall be made generally available and higher education shall be equally accessible to all on the basis of merit.

    The reason is that the public benefits of basic education are very high, whereas private benefits outweigh public benefits in tertiary education.

    If university education is a right, should it be provided free of charge to all 1.5 million of young people in the 20-24 year cohort at least, not just to the 4% admitted at present to Government universities? It is unlikely that even the 6% of GDP demanded by the university teachers’ trade union could support such an assurance. It costs more to train a medical graduate than an arts graduate. How are decisions about who gets to be a doctor and who gets to be a clerk to be made in the context of justiciable political rights?

    A strict application of a rights framework appears impractical. But there is a looser and more realistic way of applying a rights framework. This is to use rights in a metaphorical way. One of the best known examples is Italy’s right to employment, guaranteed by the Constitution, but unenforceable. It may be illustrated in relation to how governments assure a “right” to electricity.

    The Government undertakes to make electricity available to all households, but not free of charge. For the most part, the charges are set to cover costs. The Government may provide targeted subsidies to make the service affordable for defined groups. Or it can choose to make up the losses of providing the service at a loss through an untargeted subsidy. Some groups, such as farmers in India, may even be provided electricity free of charge. But none of this takes away from the fact that electricity is a commodity that is supplied subject to normal economic principles.

    Quality of service and mode of supply

    02How does one know that the doctor cutting open one’s abdomen has the required competence? It is difficult for the patient to be able to make an informed assessment about what could be a matter of life and death. In many cases, the doctor is the one describing the problem in addition to providing the solution. Are these unique to the practice of medicine? Do they require state-monopoly supply?

    The competence of an airline pilot is a matter of life and death to passengers. It is difficult for each passenger to make this determination prior to boarding a flight. This problem is solved by the use of credentials and by the use of an enforcement agency such as the Civil Aviation Authority of Sri Lanka.

    A modern automobile is a complex mechanism. In most instances, the owner can only describe a symptom. It is the service professional who describes the problem and provides the solution. The customer has difficulty assessing the competence of the service provider. The information asymmetry is as pronounced as in the practice of medicine. It is addressed not by a powerful regulatory body, but by the combination of competition and brand names. The customer has choices in a competitive market. The choice is based on reputation, anchored on brand name. If the service is unsatisfactory the customer will go to a competitor. As more customers become dissatisfied, the brand will lose value.

    Thus it can be seen that there are different solutions to the problem of quality under conditions of imperfect information as are common in service industries. None of them require state-monopoly supply and taxpayer funding as claimed by the opponents of private medical education.

    Quality of service and competition 

    As shown by the example of automobile service above, the burden on the regulatory agency is much less when competition exists. Given the difficulties of implementing effective regulation, it is best to shift as much of the burden as possible through competition to the customers themselves. Quality of service in telecom was atrocious before competition was introduced. It improved after competitors entered the fray and gave customers choice, but it was not good enough. The regulator had to intervene.

    However, sample surveys of micro and small enterprises owned by those in socio-economic classification groups C, D and E (i.e., not wealthy) by LIRNEasia in 2013 in Colombo and urban locations in Wayamba showed that the quality of service offered by the telecom operators was far superior to that offered by the monopoly electricity distribution companies. Those who were not satisfied with how their complaints had been addressed were 93% in the case of electricity and 7% in telecom.

    This not to say competition is adequate by itself in all cases. Albert Hirschman postulated that poor service quality may be found even in the presence of competition. The mechanism that is supposed to raise service quality in a competitive environment is the loss of customers. As customers exit supplier A because of poor quality, supplier A is supposed to feel the pain in the form of reduced revenues and loss of profit. But if, for some reason, the level of quality offered by each of the competitive suppliers is more or less the same, supplier A will not feel the pain.

    Unhappy with the quality of service offered by supplier A, some customers defect to supplier B. Supplier B’s quality is also poor. A certain number of B’s customers will defect at the same time. Not knowing that the quality levels are similar, those defecting from B will go to A, C, and other competitors. Similar forms of “churn” occur at all suppliers. Supplier A loses customers, but also gains customers. The net effect is that none of the suppliers lose significant numbers of customers and therefor will not feel any pain. The signals that would cause service improvements will not be received.

    So while competition is always helpful, it cannot in all instances carry the full weight of solving the problem. When the condition of more or less similar levels of quality among suppliers exists along with imperfect information about service quality, extra-market interventions are required. Competition, and the options it gives customers, is still superior to monopoly. It’s just that it cannot do the job all by itself.