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Tanko Muhammad, Ekweremadu and health of Nigeria by Suyi Ayodele

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What happened to the Nigerian judiciary under the now retired Chief Justice of Nigeria, CJN, Justice Tanko Muhammad, is a symptom of an ailing nation. We must all come to admit that Nigeria is a country that needs moral transplant. Who will be the donor is what we don’t know. That the aeroplane-driving CJN retired after his “brother justices” accused him of misconduct is never news to celebrate. The resignation itself is never a part of the diagnosis of what ails the country. And I sincerely do hope that the General Muhammadu Buhari administration will not because of the belated retirement  roll out the drums to celebrate his tough stance on the fight against corruption!  The judiciary is expected to be the healthiest of the three arms of government. Its chronic illness under Tanko is a pointer to the general well being of the government in power. The undertakers should not be far away as their services may be required soon.

In Africa’s worldview, a healthy man is a wealthy man. The saying, “health is wealth,” underscores the importance human beings attach to sound health. Without sound health, man becomes useless. This is why sane countries of the world don’t play with their healthcare delivery. But it is not so in Nigeria, a country which prides itself as the “Giant of Africa”. By that sobriquet, one would expect that Nigeria would tower above other African countries in all ramifications of life. If you are wondering why we are this low in all aspects of life as a nation, just take a look at our health care delivery system. If Nigeria’s health is failing, or has failed, the citizenry cannot be healthy. For those who care to know, Nigeria is not just ill, it is terminally ill.

Some two years ago or so, I had the misfortune of rushing an ailing church member to the University of Benin Teaching Hospital, UBTH. At the close of service that fateful Sunday, a friend and I had planned to go out with our spouses. We drove out of the church premises and saw the ailing woman being aided to the road to get a taxi to the hospital. We picked her up in my friend’s car while I joined him and asked the women to use my own car. By Ehaekpen Road, the woman gave up the ghost in the car. But we continued the journey to the UBTH. At the Accident and Emergency section of the hospital, she was confirmed as BID (Brought In Dead). That was where our ordeal began. The relation in the car contacted other family members and agreed that the remains of the woman be deposited at the hospital’s morgue. To our utter embarrassment, UBTH had no BID form to take the woman’s profile and have her corpse deposited in the morgue. For over two hours, the corpse was left in our car. I had to ask one of the hospital attendants in charge to copy the information of a used BID form at the back of another used form and fill in for the dead woman. I knew then that we had bigger problems than anyone could imagine. If a teaching hospital, as big as the UBTH, had no ordinary BID form, one can imagine the state of the General Hospital at Afrikpo, or Balewa Village or at Itawure!

This is why, at the slightest discomfort of headache, the locust masquerading as our leaders jet out of Nigeria to seek medical help abroad. From personnel to equipment, infrastructure to medications, hospitals in Nigeria are killing fields. In his 2017 article titled: ‘Africa’s presidents keep going abroad for medical treatment rather than fixing healthcare at home,’ published in Qartz Africa, an online publication, Yomi Kazeem has this to say: “The preference for an international doctor’s appointment is steeped in irony as these leaders often make promises about improving local healthcare a central part of their campaigns while seeking office. But by looking beyond the continent for medical solutions, African leaders maintain a vicious cycle which keeps faith in public healthcare low while channeling substantial state resources to hospitals abroad rather than plug local healthcare gaps. In many African countries, this reality is all too apparent. According to the World Health Organisation estimates, with a shortage of 4.2 million health workers, Africa is the region with the world’s second-worst health worker shortage”. Zeroing down on Nigeria, Kazeem  quoted WHO as saying that: “In Nigeria, Africa’s most populous country, the shortage  will be less severe if the health system could call on the services of the up to 15,000 Nigerian doctors estimated to be working outside the country. But there’s little motivation for doctors practising abroad to return home with crumbling infrastructure, lack of drugs and poor compensation.” If in 2017, we had 15,000 Nigerian medical doctors working outside the shores of the country, your guess is as good as mine on what the figure will be now.

Nothing, in recent time speaks to the parlous state of our healthcare delivery system more than last Thursday’s arrest of Senator Ike Ekweremadu and his wife, Beatrice, by the Metropolitan Police in far away United Kingdom. According to the reports of the arrest, the former deputy senate president was accused of trafficking a child to the UK for organ harvest and slavery. A statement issued by the Met police says “Beatrice Nwanneka Ekweremadu, 55 (10.9.66) of Nigeria is charged with conspiracy to arrange/facilitate travel of another person with a view to exploitation, namely organ harvesting. Ike Ekweremadu, 60 (12.05.62) of Nigeria is charged with conspiracy to arrange/facilitate travel of another person with a view to exploitation, namely organ harvesting. They have both been remanded in custody and will appear at Uxbridge Magistrates’ Court later today. A child has been safeguarded and we are working closely with partners on continued support. As criminal proceedings are now under way we will not be providing further details”. Ever since, the senator’s team has responded to state that the alleged “organ harvest victim” is not a 15-year-old street lad, but a 22-year old adult who volunteered to donate one of his organs for Ekweremadu’s daughter, Sonia, who is having challenges with her kidney. My thrust here is not to probe into the veracity or otherwise of the claims that the supposed organ donor, David Nwamini Ukpo, was shipped to the UK legally. I would also not bother to interrogate whether Ukpo is on his own an opportunist, who, according to claims, when he realised that he would be shipped back to Nigeria after his organ failed to match that of Sonia,  decided to raise false alarms of abuse and what have you. No, my focus is why, in the first instance, Ekweremadu had to depend on a UK hospital for an organ transplant operation for his darling daughter.

The problem with the Enugu-born senator is the problem with all our political leaders in Nigeria. Like the saying goes: “all are thieves but he who is caught is the barawo”. For crying out loud, Ekweremadu has been in the corridors of power since the time lizards were few. He is a confirmed “omo ijoba” (government child). Two years before the advent of the current political disaster we call democratic governance, he was elected chairman of Aniri Local Government Area of Enugu State on the platform of the defunct United Nigeria Congress Party, UNCP. He was elected into the Senate in 2003 and was deputy Senate president for 12 years, beginning with the era of David Mark, through to Bukola Saraki. In his 19-year stay in the Senate, like his other political leeches feeding fat on our patrimony without a whim of concern for the common good, Ekweremadu did not see any reason why Nigeria should have well -equipped hospitals where ailments like organ failure of any shade could be treated. Unfortunately, Ekweremadu is not the only culprit in the league of Nigerian leaders engaged in medical tourism. The league, as we all know, is led by General Muhammadu Buhari, who holds the life trophy of spending 104 days at a stretch on a London hospital bed at our expense, with the presidential jet parked at Heathrow Airport, accumulating demurrage! When we add the BTA of his personal aides who accompanied him to the UK, Buhari will go down in history as the man who spent what could have built for the nation a decent hospital for the use of the people on a single medical trip abroad. So, when news of the arrest of Ike and Beatrice Ekweremadu filtered in, what easily came to my mind is the saying that when the head is rotten, the tail will be home for maggots! Cumulatively, an August 5, 2021 report by the Premium Times of Nigeria, puts the number of days General Buhari had spent on medical tourism to the UK at 200. You may wish to ask: did Buhari not talk about the parlous state of the nation’s health institution while seeking our votes in 2014? Did he not assure us that he would not go abroad for medical attention? Kazeem, quoted earlier, answers the posers.

That done, as humans, we may also wish to look at the desperation of the father-figure Ekweremadu presents as he seeks a medical solution to his ailing daughter’s health. There is a deep prayer among my people which says: “ki Oluwa ma fi ina omo jo wa” (May God not allow us to be scorched by the death of our child). This is where I believe that our thoughts should be with Miss Ekweremadu as she battles for survival at this critical moment. It is even more important for us to spare a moment of prayer for Sonia, now that the most important caregivers of her life, the parents, are in detention. The thought that her parents are locked up in cells in the UK because of her is devastating enough for the poor girl. While we have the assurance that, unlike what we have in Nigeria, the UK Government would not allow Sonia to be left unattended to, we cannot overemphasise the importance of the presence of her parents at this crucial  time. Again, that the Ekweremadus were picked up on their way to Turkey is an indication of how desperate they were to bring their daughter back to sound health. We may frown at the method employed to achieve that. We may interrogate why the replacement for the failing organ was not sourced within the family circles. In all that, we must have it at the back of our minds that every mother hen uses her back to shield her chicks from the ravenous hawk. We therefore call on the Almighty God, our Healer, to stretch His healing hands on Sonia and make this storm to pass. We pray that she surmounts this mountain before her and becomes useful to Nigerian society and humanity in general. We also pray that after this, every Ekweremadu in leadership in Nigeria will see the need to build up our health institutions and other decayed infrastructure in the country as doing so is also in their own interest. May Sonia live!

 

Strictly Personal

Air Peace, capitalism and national interest, By Dakuku Peterside

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Nigerian corporate influence and that of the West continue to collide. The rationale is straightforward: whereas corporate activity in Europe and America is part of their larger local and foreign policy engagement, privately owned enterprises in Nigeria or commercial interests are not part of Nigeria’s foreign policy ecosystem, neither is there a strong culture of government support for privately owned enterprises’ expansion locally and internationally.

The relationship between Nigerian businesses and foreign policy is important to the national interest. When backing domestic Nigerian companies to compete on a worldwide scale, the government should see it as a lever to drive foreign policy, and national strategic interest, promote trade, enhance national security considerations, and minimize distortion in the domestic market as the foreign airlines were doing, boost GDP, create employment opportunities, and optimize corporate returns for the firms.

Admitted nations do not always interfere directly in their companies’ business and commercial dealings, and there are always exceptions. I can cite two areas of exception: military sales by companies because of their strategic implications and are, therefore, part of foreign and diplomatic policy and processes. The second is where the products or routes of a company have implications for foreign policy. Air Peace falls into the second category in the Lagos – London route.

Two events demonstrate an emerging trend that, if not checked, will disincentivize Nigerian firms from competing in the global marketplace. There are other notable examples, but I am using these two examples because they are very recent and ongoing, and they are typological representations of the need for Nigerian government backing and support for local companies that are playing in a very competitive international market dominated by big foreign companies whose governments are using all forms of foreign policies and diplomacy to support and sustain.

The first is Air Peace. It is the only Nigerian-owned aviation company playing globally and checkmating the dominance of foreign airlines. The most recent advance is the commencement of flights on the Lagos – London route. In Nigeria, foreign airlines are well-established and accustomed to a lack of rivalry, yet a free-market economy depends on the existence of competition. Nigeria has significantly larger airline profits per passenger than other comparable African nations. Insufficient competition has resulted in high ticket costs and poor service quality. It is precisely this jinx that Air Peace is attempting to break.

On March 30, 2024, Air Peace reciprocated the lopsided Bilateral Air Service Agreement, BASA, between Nigeria and the United Kingdom when the local airline began direct flight operations from Lagos to Gatwick Airport in London. This elicited several reactions from foreign airlines backed by their various sovereigns because of their strategic interest. A critical response is the commencement of a price war. Before the Air Peace entry, the price of international flight tickets on the Lagos-London route had soared to as much as N3.5 million for the  economy ticket. However, after Air Peace introduced a return economy class ticket priced at N1.2 million, foreign carriers like British Airways, Virgin Atlantic, and Qatar Airways reduced their fares significantly to remain competitive.

In a price war, there is little the government can do. In an open-market competitive situation such as this, our government must not act in a manner that suggests it is antagonistic to foreign players and competitors. There must be an appearance of a level playing field. However, government owes Air Peace protection against foreign competitors backed by their home governments. This is in the overall interest of the Nigerian consumer of goods and services. Competition history in the airspace works where the Consumer Protection Authority in the host country is active. This is almost absent in Nigeria and it is a reason why foreign airlines have been arbitrary in pricing their tickets. Nigerian consumers are often at the mercy of these foreign firms who lack any vista of patriotism and are more inclined to protect the national interest of their governments and countries.

It would not be too much to expect Nigerian companies playing globally to benefit from the protection of the Nigerian government to limit influence peddling by foreign-owned companies. The success of Air Peace should enable a more competitive and sustainable market, allowing domestic players to grow their network and propel Nigeria to the forefront of international aviation.

The second is Proforce, a Nigerian-owned military hardware manufacturing firm active in Rwanda, Chad, Mali, Ghana, Niger, Burkina Faso, and South Sudan. Despite the growing capacity of Proforce in military hardware manufacturing, Nigeria entered two lopsided arrangements with two UAE firms to supply military equipment worth billions of dollars , respectively. Both deals are backed by the UAE government but executed by UAE firms.

These deals on a more extensive web are not unconnected with UAE’s national strategic interest. In pursuit of its strategic national interest, India is pushing Indian firms to supply military equipment to Nigeria. The Nigerian defence equipment market has seen weaker indigenous competitors driven out due to the combination of local manufacturers’ lack of competitive capacity and government patronage of Asian, European, and US firms in the defence equipment manufacturing sector. This is a misnomer and needs to be corrected.

Not only should our government be the primary customer of this firm if its products meet international standards, but it should also support and protect it from the harsh competitive realities of a challenging but strategic market directly linked to our national military procurement ecosystem. The ability to produce military hardware locally is significant to our defence strategy.

This firm and similar companies playing in this strategic defence area must be considered strategic and have a considerable place in Nigeria’s foreign policy calculations. Protecting Nigeria’s interests is the primary reason for our engagement in global diplomacy. The government must deliberately balance national interest with capacity and competence in military hardware purchases. It will not be too much to ask these foreign firms to partner with local companies so we can embed the technology transfer advantages.

Our government must create an environment that enables our local companies to compete globally and ply their trades in various countries. It should be part of the government’s overall economic, strategic growth agenda to identify areas or sectors in which Nigerian companies have a competitive advantage, especially in the sub-region and across Africa and support the companies in these sectors to advance and grow to dominate in  the African region with a view to competing globally. Government support in the form of incentives such as competitive grants ,tax credit for consumers ,low-interest capital, patronage, G2G business, operational support, and diplomatic lobbying, amongst others, will alter the competitive landscape. Governments  and key government agencies in the west retain the services of lobbying firms in pursuit of its strategic interest.

Nigerian firms’ competitiveness on a global scale can only be enhanced by the support of the Nigerian government. Foreign policy interests should be a key driver of Nigerian trade agreements. How does the Nigerian government support private companies to grow and compete globally? Is it intentionally mapping out growth areas and creating opportunities for Nigerian firms to maximize their potential? Is the government at the domestic level removing bottlenecks and impediments to private company growth, allowing a level playing field for these companies to compete with international companies?

Why is the government patronising foreign firms against local firms if their products are of similar value? Why are Nigerian consumers left to the hands of international companies in some sectors without the government actively supporting the growth of local firms to compete in those sectors? These questions merit honest answers. Nigerian national interest must be the driving factor for our foreign policies, which must cover the private sector, just as is the case with most developed countries. The new global capitalism is not a product of accident or chance; the government has choreographed and shaped it by using foreign policies to support and protect local firms competing globally. Nigeria must learn to do the same to build a strong economy with more jobs.

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Strictly Personal

This is chaos, not governance, and we must stop it, By Tee Ngugi

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The following are stories that have dominated mainstream media in recent times. Fake fertiliser and attempts by powerful politicians to kill the story. A nation of bribes, government ministries and corporations where the vice is so routine that it has the semblance of policy. Irregular spending of billions in Nairobi County.

 

Billions are spent in all countries on domestic and foreign travel. Grabbing of land belonging to state corporations, was a scam reminiscent of the Kanu era when even public toilets would be grabbed. Crisis in the health and education sectors.

 

Tribalism in hiring for state jobs. Return of construction in riparian lands and natural waterways. Relocation of major businesses because of high cost of power and heavy taxation. A tax regime that is so punitive, it squeezes life out of small businesses. Etc, ad nauseam.

 

To be fair, these stories of thievery, mismanagement, negligence, incompetence and greed have been present in all administrations since independence.

 

However, instead of the cynically-named “mama mboga” government reversing this gradual slide towards state failure, it is fuelling it.

 

Alternately, it’s campaigning for 2027 or gallivanting all over the world, evoking the legend of Emperor Nero playing the violin as Rome burned.

 

A government is run based on strict adherence to policies and laws. It appoints the most competent personnel, irrespective of tribe, to run efficient departments which have clear-cut goals.

 

It aligns education to its national vision. Its strategies to achieve food security should be driven by the best brains and guided by innovative policies. It enacts policies that attract investment and incentivize building of businesses. It treats any kind of thievery or negligence as sabotage.

 

Government is not a political party. Government officials should have nothing to do with political party matters. They should be so engaged in their government duties that they literally would not have time for party issues. Government jobs should not be used to reward girlfriends and cronies.

 

Government is exhausting work undertaken because of a passion to transform lives, not for the trappings of power. Government is not endless campaigning to win the next election. To his credit, Mwai Kibaki left party matters alone until he had to run for re-election.

 

We have corrupted the meaning of government. We have parliamentarians beholden to their tribes, not to ideas.

 

We have incompetent and corrupt judges. We have a civil service where you bribe to be served. Police take bribes to allow death traps on our roads. We have urban planners who plan nothing except how to line their pockets. We have regulatory agencies that regulate nothing, including the intake of their fat stomachs.

 

We have advisers who advise on which tenders should go to whom. There is no central organising ethos at the heart of government. There is no sense of national purpose. We have flurries of national activities, policies, legislation, appointments which don’t lead to meaningful growth. We just run on the same spot.

 

Tee Ngugi is a Nairobi-based political commentator

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