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Wednesday, 29 June 2011

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‘Stocking’ doctors vs private pharmacies

We hear these days that the Health Ministry is planning to take stern action against errant private pharmacy owners with heavy fines and imprisonment. It is a welcome move. But, what about the “Stocking Doctors”? (this term never existed until recently) who run a mini and mega pharmacies in an unethical manner inside their private practising clinics manned and dispensed by their spouse, brothers, sisters or unqualified persons. Are there any qualified pharmacists available in their pharmacies? At one instance, a spouse of the doctor dispensed Vit E Soft Gelatin Capsules ½ Cap per day when the prescribed 400 Mg Vit E was not available in her pharmacy. The bewildered patient clarified with the private pharmacy how to break this capsule into two.

It is alleged that some private pharmacies sell drugs without prescriptions. We have to investigate why are they selling and in what context. They are forced to engage in this practice as they do not receive any prescriptions except for a few drugs from the prescribers since the prescribers have lately turned into stocking doctors. Even if they prescribe, it is in a small piece of paper scribbled without any details. They prescribe what they have in their pharmacy shelves.

Prescription is not according to the ailment but according to the drugs available in their pharmacy. It is also alleged that private pharmacies are selling expensive drugs while drugs at cheap prices are available. No one notices that PP doctors most of the time prescribe expensive drugs while cheap brands are available and unfortunately no mechanism is there to stop them doing so. Certain doctors have “commitments” towards certain drug manufacturers/ distributors. It is a spectacular scene to watch that the Gps on night duty running in between their PP and hospital.

The latest trend emerging is even more alarming. Some male nurses, radiographers and X-ray technicians attached to state hospitals are running “channelling centres” close to hospitals where they too sell and dispense drugs prescribed by visiting consultants and specialists. Some opticians are selling ophthalmic preparations. Sounds strange? It is a common phenomena now and in this context whom does the private pharmacies sell their drugs to? Some private pharmacies survive on selling groceries and cosmetics and not on selling drugs.

The situation is more prevalent in suburbs than cities. Hence, it is unfair to target and ambush private pharmacies like criminals. There is no society or union to protect the interest of the private pharmacies.

It is time that whoever, irrespective of private pharmacy owners or doctors or paramedics who violate the law, to be brought to book and bring an end to the menace where some doctors and paramedics are becoming Mudalalees before the endemic becomes epidemic. It goes without saying that there are many doctors with high esteem maintain their status quo and perform within the parameters drawn. Only a few bad apples spoil the rest.

Alfred G Turner


Bus fare worries

I urge the authorities entrusted with the revision of bus fare to take into consideration the following facts.

If the initial bus fare is increased further, the illegal halting of buses in between the bus halts will increase considerably. As it is with the initial fare at Rs 6.00 when a bus stops outside a halt to pick up a commuter, the resultant loss of foreign exchange is three US dollars from every vehicle that slows down as a result of obstruction caused by the unauthorised stoppage of a bus. Considerable amount of foreign exchange is lost as a result. This is invisible as the fuel wasted is no concern to the bus driver.

Bus crew are further encouraged to commit illegal stoppage of buses as the return is good at every pick up in between halts.

Commuters are not bothered about economic losses to the country or the inconvenience to other road users. Their concern is to board a bus at any place outside a halt. Law enforcement officers are not available to check these offences, but surprise checks should be made to rid this menace. Heavy fines must be imposed.

The second stage fare should be increased to Rs 4.00 as we find that the conductors normally do not return the balance one rupee with the excuse of “no change”. This is a very common practice.

Gradual phasing of the revision for a reasonable increase should be considered taking into consideration the distance travelled. If the initial fare is increased to Rs 10.00 there will be mayhem on the road with each driver trying to outbeat the other to enhance his days collection. The result would be more accidents because of competition.

Massive overloading should be checked so that every bus gets a fair number of passengers.

Commuters must know how many buses ply on a particular route and there must be time tables displayed at every major halt for the information of the public. There must be more SLTB buses plying on every route but they must actually run with passengers without going behind private buses.

U Rajapaksa Battaramulla.


Join hands to develop Mother Lanka

The UNP that sees power slipping, seeing the Mahinda Chintanaya, the joint political and economic plan for Mother Lanka authored by the UPFA to develope the country is seeking to place obstacles in the path as a way to topple the government for quite some time.

It has resorted to pick holes where non exist. It has brazenly told the government not to play politics with fuel prices but use a pricing formula that will reflect global realities.

The UNP that hung onto the tail of the West-European countries find that it has missed the bus, while the government of President Mahinda Rajapaksa by maintaining friendly relations with the Middle-East and Asian countries finds that he gets monetary concessions on petroleum purchases, which he passes on to the motorists who have proliferated consequent to rise in the economy. That is anathema to the political Opposition.

Seeing the giant steps the economy is taking the opposition leader has threatened the IMF that is confidently financing the Sri Lankan government, that when his party comes to power it would desist repayment, little realizing that the IMF has its eyes and ears open and knows where to direct its money. He also seek to intervene in the fishing dispute with the Indian government while the Fisheries Minister is negotiating for an amicable settlement. He also opposes the pension plan for the private sector, which the UNP envisaged without leaving it to the parties concerned to amicably settle any contentious issues and avoid bad blood.

The President has invited him to join hands to settle the problems facing the minorities who are anxiously watching for a solution to the 30 year dispute but he has not responded while his party is disintegrating.

The JVP believes that power will come if they follow the plan of Rohana Wijeweera, who annihilated leaders hoping to sit in their chairs.

The overdue development, which was held up by the colonialists is being rectified, though the dull wits in the opposition does not see the need to join hands to develop the Motherland.

I L P Samarasinghe


Bambalapitiya Flats - unauthorized constructions and management corporations

No condominium management corporations have been formed in any one of the government housing schemes and gazetted. Where some kind of management body was formed in any blocks of flats, they are not functioning as at present and never functioned as they should. I challenge the Condominium Management Authority to prove otherwise.

In that situation the housing authorities have singled out the Bambalapitiya Flats to get the flat owners to form management corporations, once again, but without success especially because of the existence of the problem of unauthorized constructions and land encroachments and attendant issues. It is looked upon as a subtle move to help unauthorized constructors and land encroachers.

Unauthorized constructions and land encroachments have been resorted to by certain residents as the housing authorities adopted a deaf and blind attitude towards the issue and with some officials perhaps even being supportive of unauthorized constructions and land encroachments. Complaints to the housing authorities have been of no avail as a result illegal constructions and land encroachments by the ground floor residents increased.

Why the housing authorities failed to take prompt action against unauthorized constructions and land encroachments has to be viewed with suspicion.

Certain unauthorized constructors and land encroachers are now bent on being supportive of forming management corporations for the purpose of manipulating to hold on to their unauthorized constructions and land encroachments. The housing authorities are on the other hand bent on passing the problem created by them to the law abiding residents.

Once Management Corporations are formed and gazetted, in terms of the provisions in the Act, it will be the Management Corporations that will have to act against unauthorized constructions and land encroachments and spend for Court cases, in which case the house owners have to meet the expenditure for legal action against the law breakers in the housing scheme.

The house owners will not be inclined to spend their personal money on court cases against others living together in the same housing scheme. Hence no cases will be filed with the result that those who broke the law will continue to hold on to their ill-gotten property. The law abiding residents will then be the losers. What the housing authorities failed to do should not be burdened on the law abiding house owners. The housing authorities should clear the mess they are responsible for.

There are other issues such as the take over of the Water Tower by the National Water Services and Drainage Board, which agreed to take over as the residents pay their water bills direct to the NWS&DB, but not taken over still and the handing over the internal roadways to the Colombo Municipal Council to which the residents pay rates and taxes, which is still pending.

Upali S Jayasekera

 

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