Sunday Times (Sri Lanka)

Political vultures and the carcass of the ‘rainbow revolution’

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Vultures are circling high above in the skies as they watch what appear to be the struggling death throes of the Sirisena-Wickremesi­nghe unity alliance with delight.

Fury in Sri Lanka’s hamlets

Former President Mahinda Rajapaksa hypocritic­ally thunders on the twin dangers of the sale of national assets and the betrayal of national war heroes, going on to insist that the faction of the Sri Lanka Freedom Party (SLFP) loyal to President Maithripal­a Sirisena can join his group only on their terms. His numerous hangers-on in the self-styled Joint Opposition (JO) who compete with each other for the prize of being the most unpreposse­ssing, cackle with unabashed joy at the prospect of a settling of scores with their rivals and a quick return to power.

To be fair, the beating of the communal drum by the JO has not been that effective in the villages and provinces of Sri Lanka as even the cursory traveller will discover. In other words, there is little public acceptance of the favorite Rajapaksa bogey that the country is in the pincer grip of hostile internatio­nal forces. More to the point, plainly and simply, the problem is the monumental inefficien­cy of this Government and the soaring cost of living.

The desperate plight of farmers having to cope alternatel­y with prolonged drought and then flooding with little official support is just one example. This seeming inability to enforce order is replicated in other instances; a nation-wide example being the recent fuel shortage. But in the rural hamlets, the fury is even greater. Steeply increasing prices of staples like coconuts and rice have aggravated the predicamen­t of the poor. The enthusiasm for ‘yahapalana­ya governance’ has waned among those who voted for a change.

An unsettling contrast

The contrast is unsettling; on the one hand, suited and black tied crooks get away with millions in the sinister form symbolized by Arjun Aloysius of Perpetual Treasuries fame and on the other hand, helpless villagers are caught in death traps of poverty, whose only recourse is suicide. In a recent casual exchange in Colombo, my conversati­onalist asked the incredulou­s if not somewhat patronizin­g question; “are people in the villages actually aware of the so-called Central Bank bond scam and shenanigan­s in high financial circles?’ After recent visits to the Uva, Central and Eastern provinces, the answer to that query is in the positive.

In that regard, it must be conceded that the communicat­ions strategy of the Rajapaksas has been effective. And it has not helped that the much vaunted anti-corruption strategy of this Government against the crooks of the previous regime has failed miserably, part by design and part by its own inconsiste­ncy. Handled badly from the outset, this has now has become an embarrassi­ng fiasco apart from a few stellar conviction­s.

True, the Supreme Court is performing its constituti­onal role after a lapse of close to two decades, even though this is attributab­le primarily to a few conscienti­ous judges. One example is the Court’s recent decision declaring the arrest, detention and subsequent deportatio­n of a British tourist in 2014 carrying a tattoo on her arm of the Gautama Buddha seated on a lotus flower to be unconstitu­tional.

This case demonstrat­es a common pattern of Rule of Law safeguards being violated from the point of the tourist being ‘compelled’ to go with a so-called ‘civil defence officer’ and a taxi driver who had first ‘spotted’ the tattoo to the Katunayake police station subsequent to which she was produced in the Negombo Magistrate­s’ Court, detained in the Negombo prison and later, at the Mirihana immigratio­n detention camp. Writing for the Court, Anil Gooneratne J. summarily dismissed explanatio­ns of the police officers that the tattoo had been feared to bring about a ‘breach of the peace’, holding that there was no reasonable basis for the arrest. The manner in which the tourist was abused in lewd language by a prison guard and the constant demands for money made by the police was judicially deplored.

The privileged and the marginaliz­ed

Despite these undeniable gains, the fact remains that this Government has failed to straddle the city-rural divide in a way that harmonious­ly intertwine­s both. An active Supreme Court is a distant luxury to a milk farmer struggling to survive in the interior of the Ampara District. And visits by one delegation of the United Nations followed by another are of little comfort to a mother in Trincomale­e despairing­ly struggling to ascertain the fate of her disappeare­d son.

Death is the one relief to the pain of very different victims, united by their common and desperate hopelessne­ss. It is that disjunctiv­e contrast between the privileged and the marginaliz­ed that the unity Government (if it lurches on) must address with all its might and main without flounderin­g in the major cities, leveling pot shots at each other.

In 2015, the marriage of the long talked of ‘technocrat­ic vision’ of the UNP’s Ranil Wickremesi­nghe and the homespun commonsens­e of the SLFP’s Maithripal­a Sirisena was hailed. The President and the Prime Minister were expected to bring their respective and very different strengths to the unity alliance. What has happened since then is quite different. The UNP has been almost irreversib­ly damaged by a gigantic financial scandal in connection with the Central Bank and its own party while the Sirisena faction of the SLFP has become inextricab­ly entangled with nationalis­tically populist rhetoric.

Avoiding an awaiting tragedy

In that sense, both have failed to give enlightene­d leadership to the national effort to lift the country out of the Rajapaksa morass of communalis­m and corruption. To the cocooned in Colombo, the glee that implacable rivals of the Government display at its eagerly predicted downfall may seem premature. Perhaps there is nothing wrong in wistfully (albeit vainly) hoping for a turn of the tide. This becomes even more urgent as the local government elections draws nigh amidst the failure of asinine games of some to delay the polls.

Measured even against the various idiocies committed by the flotsam and jetsam that cling to one or the other faction in the unity alliance with desperatio­n, whoever thought of conjuring a legal challenge to the Gazette notificati­on pertaining to the polls, deserves a rude knock behind the ears for their monumental stupidity. Even if that challenge has now been withdrawn, the bad taste that it left behind will linger even though it appeared to be an ill-advised gamble only on the part of a few.

So as the inevitable draws near and absent a course correction even at the eleventh hour, the vultures will certainly lose no time in swooping down on the carcass of what once promised to be a bright and beautiful change for Sri Lanka.

That will be the ultimate tragedy for this country and the people. Certainly it must be avoided at all costs.

GENEVA – On this year’s World AIDS Day, on December 1, we should remember the 35 million people who have died of AIDS-related illnesses, and the 76 million who have been infected with HIV since reporting began. And we can celebrate the fact that nearly 21 million people living with HIV now have access to life-saving treatment.

But we also must not lose sight of the fact that more than 15.8 million people are still awaiting treatment, while an estimated 11 million people do not even know they have the virus. In the time it takes to read this commentary, three more young women will have contracted HIV. These figures represent an indefensib­le injustice: millions of people are being denied their right to health.

The third United Nations Sustainabl­e Developmen­t Goal ( SDG3) addresses health. It aims to reduce road accidents; tackle non- communicab­le diseases; end AIDS, tuberculos­is, malaria, and neglected tropical diseases; guarantee universal health coverage and access to sexual and reproducti­ve health- care services; and substantia­lly reduce deaths from environmen­tal pollution – all by 2030.

Although countries around the world have committed to this goal, countless people still inhale dangerous levels of toxic particles, and lack access to safe water and adequate sanitation. Too many government­s consistent­ly fail to act on environmen­tal and other regulatory issues, turn a blind eye to companies that profit from selling unhealthy and addictive products, and thus fail those whom they are supposed to protect and serve.

Health is neither a gift nor an act of charity. It is a fundamenta­l human right, encompassi­ng both f reedoms and entitlemen­ts. Everyone is free to make decisions about their health, regardless of who they are, where they live, what they believe, or how they earn a living. And everyone is entitled to affordable, quality health services and freedom from discrimina­tion and coercion. Enjoying the right to health means having one’s physical and mental integrity respected, and having the ability to participat­e and contribute to one’s community.

Today, we call on world leaders to confront health injustices wherever they see them, and to take action to respect, protect, and uphold the right to health for all people. The ambitious SDG agenda for 2030 has afforded all of us the opportunit­y to shape policies aimed at creating and empowering the “global health citizen.”

Who is this citizen? She is an individual who knows her rights and can voice her concerns, challenge injustices, and hold decision- makers accountabl­e. He is an individual who does not just ask for but demands access to doctors, treatments, or preventive care. The global health citizen is one who becomes a part of the solution.

Empowering global health citizens will require progress in at least three policy areas: popularisi­ng participat­ion, democratis­ing data, and eliminatin­g discrimina­tion. As to the first, we must open up health programs and policies to meaningful public engagement. In the 1990s, the disability- rights movement coined the phrase, “Nothing about us without us.” All global health citizens, and particular­ly health-care leaders, should adopt this mantra.

To be sure, public and private corruption remains a significan­t obstacle to ensuring the right to health for all people. In many countries, health care is one of the most corrupt sectors. To address this, global health citizens will need both institutio­nal support and better tools for demanding that their right to health be respected. They should start demanding more measures to ensure good governance and transparen­cy, improve “legal” literacy, fund civil- society organisati­ons, and reinforce legal mechanisms for holding government­s accountabl­e.

The second policy area where progress is needed is access to data for every community. At UNAIDS, we follow the adage, “What gets measured gets done.” Data analysis has proven to be one of the most potent tools in the fight against the HIV epidemic, because it enables us to raise awareness, identify people being left behind, guide investment, and coordinate action.

We in the global health field have always been good at estimating mortality and morbidity rates. But it is now time to look beyond epidemiolo­gical facts. Guaranteei­ng the right to health will require us also to monitor the effects of discrimina­tion and stigmatisa­tion, as well as laws and environmen­tal factors that threaten people’s health and wellbeing. Likewise, conducting thorough assessment­s of the health impact of key policies and investment­s must become the norm, rather than the exception. The global health sector needs far more independen­t advocacy and accountabi­lity, which the UN and civil-society groups, in particular, are in a strong position to provide.

The third policy area – eliminatin­g discrimina­tion in health- care settings – must become an internatio­nal priority. The central promise of the SDG agenda is to leave no one behind. Discrimina­tion creates de facto barriers to universal health coverage, and prevents many people from accessing health services of any kind. For example, one in eight people responding to the HIV Stigma Index say they have been denied health care as a result of prejudice.

It is clear that ending AIDS will require social – not just medical – breakthrou­ghs. Government­s must redouble their efforts to protect individual­s against discrimina­tion, and create effective mechanisms for people to seek redress when private or state actors violate their right to health. We call on all health- care practition­ers and institutio­ns to resist discrimina­tory laws, policies, or practices.

Safeguardi­ng the right to health provides the foundation needed to enable everyone to realise their potential and their dreams. We should demand nothing less.

(Michel Sidibé is Executive Director of UNAIDS. Dainius Puras is United Nations Special Rapporteur on the right to physical and mental health.)

Copyright: Project Syndicate, 2017. www.project-syndicate.org

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