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Capitalism and Covid Care

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Carbon-Health California: A case study of the absurd

by Kumar David

To whet your appetite I will begin with a real life story; I can vouch for every word. Carbon Health a private health-care provider (carbonhealth.com) is paid millions of dollars from public funds to vaccinate folks in California. It is one of many for-profit clinics cashing in on public vaccination needs. The correspondence reproduced below – with adjustments to mask identities – tells it all.

 

 

QUOTES May 9, 2021

Dear Carbon Health Support Team,

My name in XYZ, I had my first vaccination on 1 Feb 2021 and my second on 24 Feb 2021 both administered by Carbon Health at 10965 Dronfield Blvd. The Health Pass issued to me on 14 April records only the second jab of 24 Feb and makes NO MENTION of the first (1 Feb). In fact it describes the second vaccine as the first! Please send me a corrected Health Pass that includes notification of both vaccinations. A scan of the white vaccination record card is attached for your inspection.

 

The subsequent replies from Carbon Health are as follows

 

Sun 9 May; response from Carbon Health

##- Please type your “complaint” above this line -##. Note by XYZ: “Done but ignored”.

 

Mon, 10 May, 19:22. After XYZ complained again the following reply was received.

##- Please type your reply above this line -##. Note by XYZ: “Done again but ignored again”.

 

Thu, 13 May, 18:28. Repetition of the same story.

 

END QUOTES

Finally XYZ received the following strange reply, a month after the initial complaint.

 

QUOTE

Melody E. (Carbon Health Support), 7 June 2021

 

Hello XYZ,

I apologize for the delayed response. Currently, we are not yet able to pull this data into the Health Pass, but we are actively working on a solution. You are more than welcome to keep a photo of your vaccination card in our system in case you misplace your physical card. For now, you will need to save your vaccination card received at the site you went to as your proof of record. I also want to let you know that we have submitted a ticket for you with engineering and our engineers are working diligently to resolve these errors as quickly as possible but we still do not have a time frame on when that will happen. Thank you again for your continued patience in these trying times.

Melody Eisenhauer

Central Support. Carbonhealth.com

END QUOTE

XYZ then complained to the California Department of Health and received the following response.

QUOTE

“Dear XYZ,

Unfortunately, we do not have an answer available at this time. However, there are a few resources where you may be able to find more information. If you’re interested in general COVID-19 information, you can also visit the California Coronavirus Response website. Thank you for sharing your thoughts and concerns and bringing this to our attention. I can understand why you would be frustrated. The pandemic is creating challenges for all of us. Emails like yours help us to become aware of what is happening in our communities. We are aggregating information such as this and are sharing with leadership to ensure that your voice is heard. The pandemic has brought with it many challenges and disruptions to “normal life.” Rest assured we are working hard during this rapidly changing environment to bring you the most up to date information available. We stand with you in these difficult times and will continue to be a resource for all questions related to COVID-19 Vaccination. Thank you for contacting the California Department of Public Health to share your questions and concerns. DO NOT REPLY TO THIS MESSAGE. Date: Tue, 8 Jun 2021 23:16:45 +0000.

END QUOTE.

The logistics of Carbon Health and other private providers has gone belly-up; there are numerous complaints. It is unsurprising that over 30% of Americans say they don’t want to be vaccinated for reasons that include lack of confidence in the delivery systems. The point is that vaccinators like Carbon Health are raking in millions of dollars of public funds but making a cock-up. There is a backlash against involvement of for-profit companies and clinics in covid-care programmes but the need is so great that their utilisation is unavoidable in the American system. Public anger on several aspects of vaccine production and distribution has grown but the Biden Administration’s strenuous effort is undermined by slip-shod delivery, vaccination logistics and medical record keeping.

One important new campaign is an initiative demanding that the system of private patents be ended. The ‘End the Private Patent System Manifesto’ calls for a pharmaceutical industry under popular control and free, universal and public vaccination. Among the supporters are Noam Chomsky, Nancy Fraser, Naomi Klein, Arundhati Roy, trade union and community leaders and parliamentarians from 15 countries. More than 250 organisations and 350 well known persons are signatories to a petition. The unusually hard-hitting statement reads:

“Thanks to huge scientific efforts, international collaboration and historic amounts of public money, humanity has been able to develop several effective vaccines against Covid-19 in less than a year. However, this achievement could be overshadowed by the greed of the pharmaceutical industry. The exceptional measures demanded from the population must also apply to the pharmaceutical industry. The suspension of Covid-19 vaccine patents is a priority. Philanthropy and public-private initiatives are not the answer. The capitalist system and neoliberalism have been at the helm at all stages.

“At root is the transformation of the relationship between humans and nature – the ecological and health crises are intertwined. Predatory neoliberalism has exacerbated the crises. To ensure universal accessibility, it is necessary and urgent to suspend patents, nationalise pharmaceutical industries and raise investment in public pharmaceutical industries. We must choose: capital or life. We must act to create a global universal guarantee of high quality health care. Our demand is carried in our poster “#FREECOVIDPATENTS shown here”.

 

Naught for your comfort

The highly contagious Delta Variant, the Grim Reaper, is on the prowl in the U.S. This variant, dominant in the U.K. and first detected in India now accounts for over 6% of infections in the U.S. according to the Centre for Disease Control. The highly transmissible variant accounts for about 20% of cases in some Western U.S. States.

Here’s how the Delta variant is affecting the world (information extracted from several sources). The UK is considering a delay of up to four weeks from the scheduled June 21 end to all lockdown. Public Health England found that infections from the variant rose by nearly 30,000 in a week. WHO-Europe warned that it is “poised to take hold in the region”. France is racing to contain scattered cases. Zimbabwe HAS announced a two-week lockdown for some districts after detecting 40 cases in three days. A high health official here said that the variant has been found in the island – Chandima Jayawardena, director of Immunology at Sri Jayewardenepura U said that variant was detected in one person in a quarantine facility.

Guangzhou, China has reported over 100 cases of the Delta variant. The All India Institute of Medical Science alarmingly reported that the variant is “predominantly found even after getting a single dose or both doses of the vaccine and is 100 per cent more transmissible than the previous alpha variant”. The situation in Lanka is murky and statistics and news stories inspire little confidence in the authorities. A top Lankan scientist Chandre Dharmawardena in Canada laments: “In this Covid scenario why don’t they give leadership to Tissa Vitarana, the only qualified biochemist-virologist in parliament?” So many inexplicable happenings! It’s as if the regime is hell bent on hara-kiri.

Two months ago I took the initiate and pronounced that the tide had turned against the Gotabaya regime and that presidential cabal and government were in disorderly retreat. Two weeks ago I asserted more confidently that people were fed up with the President (Gotabaya Fatigue I think I called it). The slide since has been faster than anticipated. There is hardly one pro-government Editor in the media, Ministers fight in public like dogs at a garbage dump, SLPP Secretary and Energy Minister brawl while packs of mongrel MPs line behind each imposter. A third bunch of wretches declares “If Basil were here this cock-up would have been averted” – the implication is that Gota has screwed up everything.

I now feel bold to make a third prediction about this mad hatters’ tea-party. Public anger will spill, defiance of regime misconduct will intensify and as the economy worsens – unavoidable – mass demonstrations are but months away. Will Gota shoot? Well, shooting Sinhala Buddhists is not as simple as shooting Demalas! And neither the Lankan population, nor India, nor America will let the (Raja) Paksas impose a military coup. Nor will China ride in on a saffron dragon to rescue drowning Paksas – what for? The real sting however is elsewhere; sooner the pandemic dissipates sooner people will mobilise in numbers; longer it persists, fairly or unfairly Gota and his henchmen will be blamed.



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The heart-friendly health minister

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Dr. Ramesh Pathirana

by Dr Gotabhya Ranasinghe
Senior Consultant Cardiologist
National Hospital Sri Lanka

When we sought a meeting with Hon Dr. Ramesh Pathirana, Minister of Health, he graciously cleared his busy schedule to accommodate us. Renowned for his attentive listening and deep understanding, Minister Pathirana is dedicated to advancing the health sector. His openness and transparency exemplify the qualities of an exemplary politician and minister.

Dr. Palitha Mahipala, the current Health Secretary, demonstrates both commendable enthusiasm and unwavering support. This combination of attributes makes him a highly compatible colleague for the esteemed Minister of Health.

Our discussion centered on a project that has been in the works for the past 30 years, one that no other minister had managed to advance.

Minister Pathirana, however, recognized the project’s significance and its potential to revolutionize care for heart patients.

The project involves the construction of a state-of-the-art facility at the premises of the National Hospital Colombo. The project’s location within the premises of the National Hospital underscores its importance and relevance to the healthcare infrastructure of the nation.

This facility will include a cardiology building and a tertiary care center, equipped with the latest technology to handle and treat all types of heart-related conditions and surgeries.

Securing funding was a major milestone for this initiative. Minister Pathirana successfully obtained approval for a $40 billion loan from the Asian Development Bank. With the funding in place, the foundation stone is scheduled to be laid in September this year, and construction will begin in January 2025.

This project guarantees a consistent and uninterrupted supply of stents and related medications for heart patients. As a result, patients will have timely access to essential medical supplies during their treatment and recovery. By securing these critical resources, the project aims to enhance patient outcomes, minimize treatment delays, and maintain the highest standards of cardiac care.

Upon its fruition, this monumental building will serve as a beacon of hope and healing, symbolizing the unwavering dedication to improving patient outcomes and fostering a healthier society.We anticipate a future marked by significant progress and positive outcomes in Sri Lanka’s cardiovascular treatment landscape within the foreseeable timeframe.

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A LOVING TRIBUTE TO JESUIT FR. ALOYSIUS PIERIS ON HIS 90th BIRTHDAY

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Fr. Aloysius Pieris, SJ was awarded the prestigious honorary Doctorate of Literature (D.Litt) by the Chancellor of the University of Kelaniya, the Most Venerable Welamitiyawe Dharmakirthi Sri Kusala Dhamma Thera on Nov. 23, 2019.

by Fr. Emmanuel Fernando, OMI

Jesuit Fr. Aloysius Pieris (affectionately called Fr. Aloy) celebrated his 90th birthday on April 9, 2024 and I, as the editor of our Oblate Journal, THE MISSIONARY OBLATE had gone to press by that time. Immediately I decided to publish an article, appreciating the untiring selfless services he continues to offer for inter-Faith dialogue, the renewal of the Catholic Church, his concern for the poor and the suffering Sri Lankan masses and to me, the present writer.

It was in 1988, when I was appointed Director of the Oblate Scholastics at Ampitiya by the then Oblate Provincial Fr. Anselm Silva, that I came to know Fr. Aloy more closely. Knowing well his expertise in matters spiritual, theological, Indological and pastoral, and with the collaborative spirit of my companion-formators, our Oblate Scholastics were sent to Tulana, the Research and Encounter Centre, Kelaniya, of which he is the Founder-Director, for ‘exposure-programmes’ on matters spiritual, biblical, theological and pastoral. Some of these dimensions according to my view and that of my companion-formators, were not available at the National Seminary, Ampitiya.

Ever since that time, our Oblate formators/ accompaniers at the Oblate Scholasticate, Ampitiya , have continued to send our Oblate Scholastics to Tulana Centre for deepening their insights and convictions regarding matters needed to serve the people in today’s context. Fr. Aloy also had tried very enthusiastically with the Oblate team headed by Frs. Oswald Firth and Clement Waidyasekara to begin a Theologate, directed by the Religious Congregations in Sri Lanka, for the contextual formation/ accompaniment of their members. It should very well be a desired goal of the Leaders / Provincials of the Religious Congregations.

Besides being a formator/accompanier at the Oblate Scholasticate, I was entrusted also with the task of editing and publishing our Oblate journal, ‘The Missionary Oblate’. To maintain the quality of the journal I continue to depend on Fr. Aloy for his thought-provoking and stimulating articles on Biblical Spirituality, Biblical Theology and Ecclesiology. I am very grateful to him for his generous assistance. Of late, his writings on renewal of the Church, initiated by Pope St. John XX111 and continued by Pope Francis through the Synodal path, published in our Oblate journal, enable our readers to focus their attention also on the needed renewal in the Catholic Church in Sri Lanka. Fr. Aloy appreciated very much the Synodal path adopted by the Jesuit Pope Francis for the renewal of the Church, rooted very much on prayerful discernment. In my Religious and presbyteral life, Fr.Aloy continues to be my spiritual animator / guide and ongoing formator / acccompanier.

Fr. Aloysius Pieris, BA Hons (Lond), LPh (SHC, India), STL (PFT, Naples), PhD (SLU/VC), ThD (Tilburg), D.Ltt (KU), has been one of the eminent Asian theologians well recognized internationally and one who has lectured and held visiting chairs in many universities both in the West and in the East. Many members of Religious Congregations from Asian countries have benefited from his lectures and guidance in the East Asian Pastoral Institute (EAPI) in Manila, Philippines. He had been a Theologian consulted by the Federation of Asian Bishops’ Conferences for many years. During his professorship at the Gregorian University in Rome, he was called to be a member of a special group of advisers on other religions consulted by Pope Paul VI.

Fr. Aloy is the author of more than 30 books and well over 500 Research Papers. Some of his books and articles have been translated and published in several countries. Among those books, one can find the following: 1) The Genesis of an Asian Theology of Liberation (An Autobiographical Excursus on the Art of Theologising in Asia, 2) An Asian Theology of Liberation, 3) Providential Timeliness of Vatican 11 (a long-overdue halt to a scandalous millennium, 4) Give Vatican 11 a chance, 5) Leadership in the Church, 6) Relishing our faith in working for justice (Themes for study and discussion), 7) A Message meant mainly, not exclusively for Jesuits (Background information necessary for helping Francis renew the Church), 8) Lent in Lanka (Reflections and Resolutions, 9) Love meets wisdom (A Christian Experience of Buddhism, 10) Fire and Water 11) God’s Reign for God’s poor, 12) Our Unhiddden Agenda (How we Jesuits work, pray and form our men). He is also the Editor of two journals, Vagdevi, Journal of Religious Reflection and Dialogue, New Series.

Fr. Aloy has a BA in Pali and Sanskrit from the University of London and a Ph.D in Buddhist Philosophy from the University of Sri Lankan, Vidyodaya Campus. On Nov. 23, 2019, he was awarded the prestigious honorary Doctorate of Literature (D.Litt) by the Chancellor of the University of Kelaniya, the Most Venerable Welamitiyawe Dharmakirthi Sri Kusala Dhamma Thera.

Fr. Aloy continues to be a promoter of Gospel values and virtues. Justice as a constitutive dimension of love and social concern for the downtrodden masses are very much noted in his life and work. He had very much appreciated the commitment of the late Fr. Joseph (Joe) Fernando, the National Director of the Social and Economic Centre (SEDEC) for the poor.

In Sri Lanka, a few religious Congregations – the Good Shepherd Sisters, the Christian Brothers, the Marist Brothers and the Oblates – have invited him to animate their members especially during their Provincial Congresses, Chapters and International Conferences. The mainline Christian Churches also have sought his advice and followed his seminars. I, for one, regret very much, that the Sri Lankan authorities of the Catholic Church –today’s Hierarchy—- have not sought Fr.

Aloy’s expertise for the renewal of the Catholic Church in Sri Lanka and thus have not benefited from the immense store of wisdom and insight that he can offer to our local Church while the Sri Lankan bishops who governed the Catholic church in the immediate aftermath of the Second Vatican Council (Edmund Fernando OMI, Anthony de Saram, Leo Nanayakkara OSB, Frank Marcus Fernando, Paul Perera,) visited him and consulted him on many matters. Among the Tamil Bishops, Bishop Rayappu Joseph was keeping close contact with him and Bishop J. Deogupillai hosted him and his team visiting him after the horrible Black July massacre of Tamils.

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A fairy tale, success or debacle

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Ministers S. Iswaran and Malik Samarawickrama signing the joint statement to launch FTA negotiations. (Picture courtesy IPS)

Sri Lanka-Singapore Free Trade Agreement

By Gomi Senadhira
senadhiragomi@gmail.com

“You might tell fairy tales, but the progress of a country cannot be achieved through such narratives. A country cannot be developed by making false promises. The country moved backward because of the electoral promises made by political parties throughout time. We have witnessed that the ultimate result of this is the country becoming bankrupt. Unfortunately, many segments of the population have not come to realize this yet.” – President Ranil Wickremesinghe, 2024 Budget speech

Any Sri Lankan would agree with the above words of President Wickremesinghe on the false promises our politicians and officials make and the fairy tales they narrate which bankrupted this country. So, to understand this, let’s look at one such fairy tale with lots of false promises; Ranil Wickremesinghe’s greatest achievement in the area of international trade and investment promotion during the Yahapalana period, Sri Lanka-Singapore Free Trade Agreement (SLSFTA).

It is appropriate and timely to do it now as Finance Minister Wickremesinghe has just presented to parliament a bill on the National Policy on Economic Transformation which includes the establishment of an Office for International Trade and the Sri Lanka Institute of Economics and International Trade.

Was SLSFTA a “Cleverly negotiated Free Trade Agreement” as stated by the (former) Minister of Development Strategies and International Trade Malik Samarawickrama during the Parliamentary Debate on the SLSFTA in July 2018, or a colossal blunder covered up with lies, false promises, and fairy tales? After SLSFTA was signed there were a number of fairy tales published on this agreement by the Ministry of Development Strategies and International, Institute of Policy Studies, and others.

However, for this article, I would like to limit my comments to the speech by Minister Samarawickrama during the Parliamentary Debate, and the two most important areas in the agreement which were covered up with lies, fairy tales, and false promises, namely: revenue loss for Sri Lanka and Investment from Singapore. On the other important area, “Waste products dumping” I do not want to comment here as I have written extensively on the issue.

1. The revenue loss

During the Parliamentary Debate in July 2018, Minister Samarawickrama stated “…. let me reiterate that this FTA with Singapore has been very cleverly negotiated by us…. The liberalisation programme under this FTA has been carefully designed to have the least impact on domestic industry and revenue collection. We have included all revenue sensitive items in the negative list of items which will not be subject to removal of tariff. Therefore, 97.8% revenue from Customs duty is protected. Our tariff liberalisation will take place over a period of 12-15 years! In fact, the revenue earned through tariffs on goods imported from Singapore last year was Rs. 35 billion.

The revenue loss for over the next 15 years due to the FTA is only Rs. 733 million– which when annualised, on average, is just Rs. 51 million. That is just 0.14% per year! So anyone who claims the Singapore FTA causes revenue loss to the Government cannot do basic arithmetic! Mr. Speaker, in conclusion, I call on my fellow members of this House – don’t mislead the public with baseless criticism that is not grounded in facts. Don’t look at petty politics and use these issues for your own political survival.”

I was surprised to read the minister’s speech because an article published in January 2018 in “The Straits Times“, based on information released by the Singaporean Negotiators stated, “…. With the FTA, tariff savings for Singapore exports are estimated to hit $10 million annually“.

As the annual tariff savings (that is the revenue loss for Sri Lanka) calculated by the Singaporean Negotiators, Singaporean $ 10 million (Sri Lankan rupees 1,200 million in 2018) was way above the rupees’ 733 million revenue loss for 15 years estimated by the Sri Lankan negotiators, it was clear to any observer that one of the parties to the agreement had not done the basic arithmetic!

Six years later, according to a report published by “The Morning” newspaper, speaking at the Committee on Public Finance (COPF) on 7th May 2024, Mr Samarawickrama’s chief trade negotiator K.J. Weerasinghehad had admitted “…. that forecasted revenue loss for the Government of Sri Lanka through the Singapore FTA is Rs. 450 million in 2023 and Rs. 1.3 billion in 2024.”

If these numbers are correct, as tariff liberalisation under the SLSFTA has just started, we will pass Rs 2 billion very soon. Then, the question is how Sri Lanka’s trade negotiators made such a colossal blunder. Didn’t they do their basic arithmetic? If they didn’t know how to do basic arithmetic they should have at least done their basic readings. For example, the headline of the article published in The Straits Times in January 2018 was “Singapore, Sri Lanka sign FTA, annual savings of $10m expected”.

Anyway, as Sri Lanka’s chief negotiator reiterated at the COPF meeting that “…. since 99% of the tariffs in Singapore have zero rates of duty, Sri Lanka has agreed on 80% tariff liberalisation over a period of 15 years while expecting Singapore investments to address the imbalance in trade,” let’s turn towards investment.

Investment from Singapore

In July 2018, speaking during the Parliamentary Debate on the FTA this is what Minister Malik Samarawickrama stated on investment from Singapore, “Already, thanks to this FTA, in just the past two-and-a-half months since the agreement came into effect we have received a proposal from Singapore for investment amounting to $ 14.8 billion in an oil refinery for export of petroleum products. In addition, we have proposals for a steel manufacturing plant for exports ($ 1 billion investment), flour milling plant ($ 50 million), sugar refinery ($ 200 million). This adds up to more than $ 16.05 billion in the pipeline on these projects alone.

And all of these projects will create thousands of more jobs for our people. In principle approval has already been granted by the BOI and the investors are awaiting the release of land the environmental approvals to commence the project.

I request the Opposition and those with vested interests to change their narrow-minded thinking and join us to develop our country. We must always look at what is best for the whole community, not just the few who may oppose. We owe it to our people to courageously take decisions that will change their lives for the better.”

According to the media report I quoted earlier, speaking at the Committee on Public Finance (COPF) Chief Negotiator Weerasinghe has admitted that Sri Lanka was not happy with overall Singapore investments that have come in the past few years in return for the trade liberalisation under the Singapore-Sri Lanka Free Trade Agreement. He has added that between 2021 and 2023 the total investment from Singapore had been around $162 million!

What happened to those projects worth $16 billion negotiated, thanks to the SLSFTA, in just the two-and-a-half months after the agreement came into effect and approved by the BOI? I do not know about the steel manufacturing plant for exports ($ 1 billion investment), flour milling plant ($ 50 million) and sugar refinery ($ 200 million).

However, story of the multibillion-dollar investment in the Petroleum Refinery unfolded in a manner that would qualify it as the best fairy tale with false promises presented by our politicians and the officials, prior to 2019 elections.

Though many Sri Lankans got to know, through the media which repeatedly highlighted a plethora of issues surrounding the project and the questionable credentials of the Singaporean investor, the construction work on the Mirrijiwela Oil Refinery along with the cement factory began on the24th of March 2019 with a bang and Minister Ranil Wickremesinghe and his ministers along with the foreign and local dignitaries laid the foundation stones.

That was few months before the 2019 Presidential elections. Inaugurating the construction work Prime Minister Ranil Wickremesinghe said the projects will create thousands of job opportunities in the area and surrounding districts.

The oil refinery, which was to be built over 200 acres of land, with the capacity to refine 200,000 barrels of crude oil per day, was to generate US$7 billion of exports and create 1,500 direct and 3,000 indirect jobs. The construction of the refinery was to be completed in 44 months. Four years later, in August 2023 the Cabinet of Ministers approved the proposal presented by President Ranil Wickremesinghe to cancel the agreement with the investors of the refinery as the project has not been implemented! Can they explain to the country how much money was wasted to produce that fairy tale?

It is obvious that the President, ministers, and officials had made huge blunders and had deliberately misled the public and the parliament on the revenue loss and potential investment from SLSFTA with fairy tales and false promises.

As the president himself said, a country cannot be developed by making false promises or with fairy tales and these false promises and fairy tales had bankrupted the country. “Unfortunately, many segments of the population have not come to realize this yet”.

(The writer, a specialist and an activist on trade and development issues . )

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