Page 6 - Pakistan Link - April 21, 2023
P. 6

P6 - PAKISTAN  LINK - APRIL 21, 2023                                                                                                         OPINION
              n By Javed Jabbar                                                                 58(2)(b) on the president, enabling the  to be transferred to the high court of
              Karachi, Pakistan              A Malleable Charter                                dismissal of the PM and dissolution of  another province. A total of 17 chang-
                                                                                                the  legislatures  at  the  president’s  dis- es  were  made  under  the  misleading
               hile  it  is  appreciable  that                                                  cretion.  It  took  12  years  for  the  13th  singularity  of  the  term  ‘First  Amend-
               a  solid  monument  is  to                                                       Amendment in 1997 to delete this pro- ment’.  Later,  in  1976  and  May  1977,
       W be  soon  erected  in  Islam-                                                          vision.  During  military  regimes,  the  the  Fourth,  Fifth  and  Sixth  Amend-
       abad  to  symbolize  the  profundity  of                                                 superior courts were able to entertain  ments, consisting of several alterations,
                  the  Constitution,  the                                                       writs and petitions, and adjudicate on  adversely  impacted  the  judiciary.  An
                  record  shows  that  the                                                      civil legal matters.          abortively  attempted  amendment  in
                  1973  charter  remains                                                            A sign of semantic confusion even  1997 aimed to make the PM ‘ameerul
                  quite  malleable.  Ac-                                                        in 2023 was evident when, on March  momineen’, accountable only to a cap-
                  cording to the Oxford                                                         29, 2023, during an interview on a TV  tive legislative two-thirds majority.
                  Dictionary,  malleabil-                                                       channel, the present head of state, and   The  Constitution’s  pliability  to
                  ity is the capacity of “...                                                   the interviewer, referred to the multiple  change  —  while  surviving  —  is  aptly
       a material to be hammered or pressed                                                     ‘abrogations’ of the Constitution, while  evident in the numbers. By one count,
       permanently  out  of  shape  without                                                     both also acknowledged its durability!  there have been only ‘26’ amendments
       breaking or cracking”. In this context,                                                  ‘Abrogation’  means  ‘repeal’  or  to  ‘do  in  50  years,  i.e.,  only  about  two  per
       is malleability a virtue or a flaw? Per-                                                 away with (permanently)’. It should be  year!  In  actual  fact,  changes,  for  bet-
       haps no definitive answers are possible.                                                 remembered  that  the  1973  Constitu- ter  and  worse,  number  hundreds  of
          All  constitutions  are  subject  to  an  indirectly  elected  Senate  to  initi- sive  use  of  prime  ministerial  power  tion was never ‘abrogated’ de jure. It re- alterations, each such change being an
       amendment  in  response  to  changed  ate Constitution amendment bills and  for  five  years.  The  PM’s  dominance  mained partly in place during both the  ‘amendment’.
       conditions and experience. The excep- debate  money  bills  (under  Gen  Ziaul  was suspended under martial law on- military  regimes  of  1977-1985/1988   In 1985, for example, the Eighth
       tional  malleability  of  the  1973  Con- Haq).             ward of July 5, 1977 — when the chief  and  1999-2002/2008.  Which  is  why  Amendment   actually   introduced
       stitution  is  its  remarkable  capacity   Like  a  pendulum  that  swings  martial law administrator became the  petitions  challenging  military  inter- changes  in  about  65  articles  through
       for major changes — by both elected  from one extreme to the other, so too  supreme executive authority. This was  vention were heard and judged in the  modifications,  omissions,  deletions,
       legislatures and unelected military re- did the original 1973 version undergo  reinforced  after  president  Fazal  Elahi  Supreme Court.  additions  and  links  to  other  articles.
       gimes,  the  latter  being  notably  aided  a 180-degree shift, with such shifts last- Chaudhry’s  exit  in  September  1978   Recent  and  ongoing  comments  Where the intention to introduce pur-
       by judicial sanction, e.g., the doctrine  ing  years,  not  seconds.  Starting  with  when  the  CMLA  became  president  about the democratic dimension of the  poseful references to the Constitution
       of  necessity.  But  even  elected  legisla- a head of state who was a ceremonial  while remaining COAS/CMLA.  Constitution ignore hard, inconvenient  in  the  education  curriculum  is  laud-
       tures  have  retained  some  progressive  decoration without a single discretion-  When  Junejo  became  PM  on  truths. Its original version was distorted  able, such texts should also inform stu-
       amendments made by military rulers,  ary power — except for the authority  March  24,  1985,  the  president’s  pow- by civilian, not military action, in less  dents  about  its  charming  malleability
       e.g.,  increased  seats  for  women,  res- to grant mercy petitions — the prime  ers were only partly eroded. Even with  than  a  year.  The  First  Amendment  of  under both civilian and military rulers.
       toration of the voting age to 18 years  minister’s  imbalanced,  all-powerful  the end of martial law on Dec 30, 1985,  May 1974, ostensibly redefining the ter-  (The writer is a former senator and
       instead of 21, and of joint electorates,  position  was  in  full  play  till  July  4,  the pendulum stayed on the president’s  ritorial composition of the state post- federal minister and author of, among
       the expanded size of legislatures (un- 1977. Indeed, one of the basic reasons  side  because  the  Eighth  Amendment  1971  was  also  used  to,  among  other  other  books,  Pakistan  —  unique  ori-
       der Gen Musharraf), the authority of  for  the  1977  upheaval  was  the  exces- earlier  in  1985  had  bestowed  Article  things, allow judges from one province  gins; unique destiny? Dawn)


               n By Riaz Haq              Pakistan is the Second Biggest Source                                               bean nations.
                 California                                                                                                       Many Caribbean nations have es-

               hen   US   Ambassador           of Foreign Doctors in US and UK                                                tablished medical schools to especially
                                                                                                                              cater to the demand from the United
               Richard  Holbrooke  suf-                                                                                       States.  In  2007,  Pakistan,  too,  set  up
       W fered  a  massive  heart                                                                                             Dow International Medical College as
       attack  in  2010,  the  doctors  who  re- presence  of  South  Asian  doctors  in                                      part of Dow University of Health Sci-
                  sponded to this emer- the United States.                                                                    ence (DUHS).
                  gency  were  both  for-   More recently, Dr Mansoor Mo-                                                         Indians and Pakistanis also make
                  eign:  one  from  India  hiuddin, a 1989 graduate of Karachi's                                              up  the  top  two  nationalities  among
                  and  the  other  from  Dow  Medical  College,  made  global                                                 66,211  foreign  doctors  in  the  United
                  Pakistan.  Dr  Farzad  headlines  when  he  implanted  a  pig                                               Kingdom.  There  are  18,953  doctors
                  Najam, a graduate of  heart  in  a  patient  at  University  of                                             from India, 8,026 from Pakistan, 4.880
                  King  Edward  Medi- Maryland School of Medicine. Con-                                                       from Nigeria and 4,471 from Egypt in
       cal College in Lahore, was the chief  sidered  one  of  the  world’s  foremost                                         the UK.
                                                                                                                                  The list of 25,400 foreign doctors
                                                                                                                              in Canada is topped by South Africans
                                                                                                                              (2,604)  followed  by  Indians  (2,127),
                                                                                                                              Irish  (1,942),  British  (1,923),  Ameri-
                                                                                                                              cans (1,263) and Pakistanis (1,087).
                                                                   Top Countries of origin of foreign doctors in the US -Source OECD  There  are  25,607  Pakistani
                                                                                                                              medical  school  graduates  currently
                                                                   notransplantation  Program  with  Dr  Philippines  and  Dominica  and  4%  working  in  all  the  OECD  member
                                                                   Griffith. Dr Mohiuddin serves as the  from Mexico.         countries which are considered rich
                                                                   program’s  Scientific/Program  Direc-   Many of these "foreign doctors"  industrialized  nations.  These  Paki-
                                                                   tor and Dr Griffith as its Clinical Di- are US citizens, born and raised in the  stani  doctors  account  for  10.6%  of
                                                                   rector.                      United  States,  who  travel  abroad  to  242,000  Pakistan-trained  doctors
                                                                       The pervasive presence of South  study at foreign medical schools. Their  practicing  now.  74,455  Indian  doc-
                                                                   Asian doctors in the United States is  reasons vary from ease of admissions  tors working in OECD nations make
                                                                   confirmed  by  OECD  (Organization                         up 7.3% of about 1,020,000 of all In-
                                                                   for  Cooperation  and  Development)                        dia-trained doctors in practice.
                                                                   statistics on foreign doctors in OECD                          In  spite  of  losing  10.6%  of  its
                                                                   member nations. While India has re-                        doctors  to  "brain  drain"  than  India's
                                                                   mained the top source of foreign doc-                      7.3%, Pakistan still has more doctors
                                                                   tors since 2013, Pakistan has moved                        per capita (1.1 per 1,000 population)
                                                                   up from third to second spot during                        than  India  (0.7  doctors  per  1,000
                                                                   this  period.    As  of  2016,  there  were                population),  according  to  the  World
                                                                   45,830  Indian  doctors  and  12,454                       Bank.  Pakistani medical colleges ad-
                                                                   Pakistani doctors among 215,630 for-                       mit 16,000 students a year compared
                                                                   eign doctors in the United States. In-                     to 92,000 in India.
                                                                   dia (45,830) and Pakistan (12,454) are                         As  the  populations  age  and  de-
                                                                   followed by Grenada (10,789), Philip-                      mand  for  medical  services  grows  in
       Doctor brain drain  -  Source Statista                      pines  (10,217),  Dominica  (9,974),                       the West, more and more of it is being
                                                                   Mexico  (9,923),  Canada  (7,765),                         met by recruiting health care workers,
       heart surgeon at George Washington  experts  on  transplanting  animal  or- Dominican  Republic  (6,269),  Chi-        including doctors and nurses, from the
       University Hospital at that time. Dr  gans, known as xenotransplantation,  na  (5,772),  UAE  (4,635)  and  Egypt  Pie chart of origins of foreign medi-  developing world.
       Monica  Mukherjee,  a  junior  cardi- Muhammad  M.  Mohiuddin,  MD,  (4,379).            cal graduates in US -Source OECD  (Riaz  Haq  is  a  Silicon  Valley-
       ologist  at  the  hospital,  assisted  Dr  Professor  of  Surgery  at  UMSOM,   In percentage terms, 21% of for-       based  Pakistani-American  analyst
       Najam in the operating theater. This  joined the UMSOM faculty five years  eign  doctors  come  from  India,  6%  to lower costs. This is particularly true  and  writer.  He  blogs  at  www.ria-
       episode  illustrates  the  high-profile  ago and established the Cardiac Xe- from Pakistan, 5% each from Grenada,  of  the  medical  schools  in  the  Carib- zhaq.com)

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