Wednesday, December 2, 2009
Dr. Ndibe on Nigeria, in Sickness and in Health
"Leaders who can’t, or won’t, solve problems for other citizens should have no right to run off to better-run countries when their health is ravaged."
Yar’Adua’s luck, Nigeria’s misfortune
By Okey Ndibe
Last week, Attorney General Michael Aondoakaa went out of his way to establish his closeness to Aso Rock resident, Umaru Yar’Adua. With Nigeria gripped by widespread rumors of Mr. Yar’Adua’s death in a hospital in Saudi Arabia, Aondoakaa set out to squelch the whispered falsehood. In a statement, he told Nigerians, in effect, to relax. In Nigerianese, the statement was akin to declaring, “Nothing spoil!”
Aondoakaa wanted Nigerians and – why not – the world as well to know that he’d been on the phone to Yar’Adua, and Umaru was, as one newspaper reported, “hale and hearty”. Well, good for Mr. Yar’Adua, but how about millions of Nigerians who can’t afford to fly abroad for the succor of Saudi or German doctors?
A day after Aondoakaa’s upbeat, “nothing spoil” report, Yar’Adua’s personal physician finally owned up, in a statement released by Segun Adeniyi, that the former Katsina governor has been diagnosed with “acute pericarditis,” described as an inflammation of the covering of the heart.
Nigerian clerics, Christian and Moslem alike, weighed in with prayers for Mr. Yar’Adua’s quick and complete recovery. Moved, no doubt, by Christian and Islamic sense of charity, these ecclesiastical authorities urged adherents of their religions to storm heaven with petitions for Yar’Adua’s physical mending.
I’m not one to argue against praying for any ailing person. In fact, I wish Mr. Yar’Adua nothing less than vibrant, exuberant health. Even so, each time I made to pray for the man, I stumbled. A voice within me kept protesting, “How about the millions of sick Nigerians dying silently, slowly, in excruciating pain in Nigerian hospitals laid waste by the avarice, greed, idiocy of so-called Nigerian leaders?” Since assuming – I’d say usurping – the Nigerian presidency in 2007, has Mr. Yar’Adua taken any significant step to improve the quality of health care in the country?
My answer was there – it was easy – No! There’s no question that many Muslims and Christians heeded their leaders’ entreaties to storm God with petitions for Mr. Yar’Adua’s well being. I hope the Aso Rock resident recovers well enough to answer a simple question: What have you ever done to give ailing Nigerians a praying chance at revamped health?
Mr. Yar’Adua was enthroned on Nigerians on May 29, 2007 – thanks to a combination of Olusegun Obasanjo’s colossal malice, Maurice Iwu’s shameless mischief, and (later) the Supreme Court’s tragic misjudgment. Since his investiture in office, Yar’Adua has made several trips abroad – specifically to Germany and Saudi Arabia – on account of his sickness.
These frequent medical trips have proved costly for Nigerians. Nigeria is in woeful shape, and demands a full-time, energetic and visionary leader to devote himself to the generation and execution of sound policies to rescue the country. Yet, Yar’Adua has been far from focused on Nigeria and its myriad crises. Quite simply, the hardest thing the man does in a typical day, it seems, is to nurse himself to sleep.
In a moment of comical diversion during his “run” for the presidency, Yar’Adua had challenged those doubting his superb physical conditioning to step into an arena and face him in several rounds of squash. That sad attempt at swagger has since earned a spot as one of the theatrical interludes in Obasanjo’s “do-and-die” campaign against a people who had the effrontery to deny him an unconstitutional third term in office. Since his investiture in office in May 2007, Yar’Adua has cut the image less of a swashbuckling squash player than of a man who, on many a day, would be incapable of sitting up to watch one round of squash.
Rumors have swirled in Nigeria that Yar’Adua has cancelled numerous state functions because he was in no shape to sit through them, or to stand up for a few minutes to make a speech. Nigerians wasted billions of naira on an election to choose a leader, and ended up with a man that must rank as one of the costliest liabilities in the history of leadership. Again, Nigerians must be in no hurry to forget that Yar’Adua is a product of vengeance. Even so, Yar’Adua deserves scolding – he’s grown up, after all – for consenting to be a pawn in Obasanjo’s diseased game of vindictiveness. Yar’Adua knew full well that he was a feeble man, that his body could not withstand the sheer physical tax of being a president. For his own sake, for the sake of his family, and in the interest of the Nigerian collectivity, he should have had the courage to tell Obasanjo: “Sorry, but I can’t serve as the instrument with which you whip Nigerians.”
Aondoakaa wants to toast what he alleges to be Yar’Adua’s strong health. It’s fine if Saudi doctors nurse Yar’Adua to health, or even a semblance of it. The trouble is that, in a perverse way, Yar’Adua’s health care translates a health scare for most Nigerians. Let me explain.
The record is that Yar’Adua has been seriously sick for a long time, even spanning the eight years he operated as Katsina governor. Yet, the man didn’t see fit to build and equip one hospital in his state that would cater to other residents facing similar health issues. He was apparently like most Nigerian “leaders,” content to take care of himself – by flying abroad for treatment. It never occurs to these so-called leaders to use their offices to improve the quality of health care in Nigeria and for Nigerians.
Last week, a young man contacted me from Lagos to report his shock at the dismal state of the Lagos University Teaching Hospital. “The place is not even fit for pigs to be treated there,” the man said, pleading that I write about the issue.
LUTH is no isolated case. Nigerian hospitals, almost without exception, are a ghastly sight. In the 1970s, Nigeria boasted a number of teaching hospitals that were well equipped and run by some of the best doctors in the world. Today, those teaching hospitals have come to abject ruin, the result of neglect by the country’s cast of misbegotten “leaders.”
Nigerians ought to awaken to the scandal, and resist the rule of men and women who wreck the nation’s health sector and then run abroad for medical care. Has Yar’Adua ever paused to ask himself whether Saudi Arabia has more doctors than Nigeria?
Has it ever occurred to him that Saudi monarchs do not fly to Nigeria when they urgently desire a doctor’s attention? Why then does he – do other “prominent” Nigerians – have a habit of rushing off to Saudi Arabia, Egypt, Germany or elsewhere to worry their doctors? Don’t Nigeria’s rulers realize that a good health care system does not emerge by accident? Instead, that such a system is the product of vision, planning, and seriousness of purpose on the part of genuine political leaders in partnership with medical professionals. What is Yar’Adua’s record, even, in paying doctors or equipping existing federal hospitals? Is that record not – bluntly put – wretched?
That’s the kind of conversation Nigerians ought to be having. Those who wish to pray for Yar’Adua’s restoration to health should, by all means, do so. Here’s my own prayer: That Yar’Adua’s luck in Saudi hospitals should not continue to spell misfortune for millions of Nigerians.
On his return to Abuja, Yar’Adua should (as a priority) outline what he intends to do to lift the quality of Nigerian hospitals to Saudi levels. If he can’t come up with a plan, then Nigerians ought to insist that he should head for a Nigerian hospital when next he needs to see a doctor. That way, he would gain first-hand experience of the grim reality at Nigerian hospitals – and a deserved taste of the desperate fate facing most Nigerians who suffer from common and severe ailments.
Leaders who can’t, or won’t, solve problems for other citizens should have no right to run off to better-run countries when their health is ravaged.
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