Malta: exporting abortion

The saga of the life-saving abortion required by American tourist Andrea Prudente has come to an end in Malta. Her case has now been exported to the Spanish island of Mallorca where hopefully it will be satisfactorily settled. The matter has been dealt with in a manner identical to the case of Maltese-Canadian Marion Mifsud Nora in 2014. Today’s case was exported by Malta to Mallorca while the 2014 case was exported to Paris. The support of their travel insurers to transfer them by air ambulance to foreign jurisdictions was in both cases crucial in overcoming the lack of the Maltese state in providing adequate medical care.

The Maltese state has failed Andrea Prudente. It had also failed Marion Mifsud Nora. Likewise, it fails to protect every Maltese woman faced with a life-threatening pregnancy. Maltese women in these circumstances unfortunately suffer in silence and rarely speak up. The Maltese state lacks empathy towards any woman facing a difficult pregnancy.

Apparently, the fundamentalists running Mater Dei have learnt nothing in the last eight years after they exported the Mifsud Nora case to Paris. This notwithstanding the opinion expressed publicly by a number of eminent jurists: that when a pregnancy endangers a woman’s life, its termination is already permissible at law. In such cases the termination of a pregnancy has even been described as being an act of self-defence, permissible at law.

Exporting these two abortion cases to mainland Europe adds to the abortion tourism which is known to exist between Malta and the European mainland, primarily with the UK and Italy, even though this is not limited to these two countries.

ADPD-The Green Party has been the only political party to continuously speak up about the matter. The silence of the others is deafening!

We need an urgent overhaul of the outdated abortion legislation on Malta’s statute books.

The least we can do is to ensure the urgent removal of any legal ambiguity currently shielding the fundamentalists running Mater Dei from intervening medically to terminate a non-viable pregnancy.

Members of the local medical profession are unfortunately in the same situation as their Irish counterparts who dealt with the 2012 case of Savita Halappanavar. They are afraid to act to protect the health of patients in these circumstances. In similar circumstances Savita Halappanavar died under the watchful eyes of the Irish medical profession who felt that they could not intervene due to the then legal prohibition of any form abortion in Ireland.

Ireland has in the meantime successfully learnt its lessons and immediately proceeded to dismantle its abortion prohibitions. This involved a national referendum which by over 66 per cent voted in favour of the proposal of a Christian Democrat led government (Fine Gael) to proceed with the introduction of abortion.

Ireland has learnt the hard way in order to proceed with ensuring that ethical pluralism in its midst is adequately respected.

The writing is on the wall.

While the other political parties have been generally silent, ADPD – The Green Party is one of two political parties in Malta to speak up. ADPD supports the decriminalisation of abortion and the introduction of abortion in limited circumstances, that is to say when the pregnant woman’s life is in manifest danger, in respect of a pregnancy which is the result of violence (rape and incest) and in respect of a non-viable pregnancy.

The export of abortion to other countries will not solve or address the deficiencies of Maltese abortion legislation which, enacted over 160 years ago, is long overdue for an overhaul to bring it in line with current medical practice and developments.

The Parliamentary parties are unfortunately not interested in all this. Their policies for the foreseeable future are still export oriented.

published in The Malta Independent on Sunday : 26 June 2022

L-abort: nippruvaw niddiskutu bil-kalma

Id-dibattitu dwar l-abort hu wieħed emottiv. L-insulti u t-tgħajjir li għaddejjin huma bla limitu. Huwa f’din l-atmosfera li qed issir id-diskussjoni. Ċerti nies ma jitgħallmu qatt.

Id-dibattitu huwa ibbażat fuq l-istess punt fundamentali tad-dibattitu dwar id-divorzju: fil-pajjiż jirrenja l-pluraliżmu etiku. Jiġifieri jeżistu valuri kuntrastanti. Kuntrasti li ilhom jinbnew ftit ftit tul is-snin imma li ġew moħbija mil-lenti pubblika. Id-diskussjoni kienet waħda ipprojibita. Ma saritx minħabba l-biża’ minn soċjetà intolleranti, frott tal-fundamentaliżmu li għixna fih għal ħafna snin. Is-soċjetà tagħna illum żviluppat f’soċjetà lajka li immanifestat ruħha fir-referendum dwar id-divorzju u fl-aċċettazzjoni tad-drittijiet LGBTIQ.

Mhux kull abort hu xorta. Mhuwiex ġustifikat li taqbad l-“agħar każ ta’ abort” u tuża lilu bħala eżempju.

Il-kampanja kontra l-abort hi iffukata fuq abort bla limitu li ma jeżisti kważi mkien. Fuq l-iktar każ estrem, kontinwament jinbena argument li jappella għall-emozzjonijiet flok għar-raġuni. Argument li jbezza’ lil uħud imma li ma jikkonvinċix lill-kotra li kapaċi taħseb b’moħħa.

Il-kampanja favur id-dritt tal-għażla (pro-choice) min-naħa l-oħra tagħmlu l-argument li mara għandha dritt li tagħżel dak li trid, x’ħin trid u bla ma jindaħlilha ħadd. Dan jinkludi dritt li tagħżel jekk u meta tidħol għal abort. Argument neoliberali fejn il-libertà individwali m’għandhiex limiti.

Id-dibattitu hu kuntrast bejn dawn iż-żewġ estremi. Id-djalogu min-naħa l-oħra taf twasslek x’imkien ieħor li jkun aċċettat abort f’każijiet limitati fejn is-sens komun jgħidlek li dan hu ġustifikat. L-argumenti emottivi dan kollu jinjorawh u allura jimminaw d-diskussjoni matura li tant neħtieġu f’dan il-pajjiż. Il-pajjiż ma jeħtiegx l-abort bħala stil ta’ ħajja imma l-abort bħala rimedju f’ċirkustanzi straordinarji.

F’Malta l-abort isir. Jagħmluh n-nisa li jixtru pilloli online u jeħduhom mingħajr ma jikkonsultaw tabib, bil-kumplikazzjonijiet kollha possibli. Ma teżistix statistika dwar kemm minnhom jidħlu l-isptar bħala riżultat ta’ dan.

L-abort isir ukoll fl-isptar Mater Dei f’ċirkustanzi fejn tittieħed azzjoni biex tkun imħarsa l-ħajja ta’ nisa tqal li jiffaċċjaw kumplikazzjonijiet fit-tqala. Riċentment kellna l-polemika dwar t-tqala magħrufa bħala “ectopic”, jiġifieri meta l-bajda ffertilizzata teħel f’tubu intern fil-mara. Dan it-tubu (Fallopian tube) hu żgħir u jekk ma tittieħed l-ebda ażżjoni jinfaqa’ u jipperikola l-ħajja tal-mara tqila.

Il-kura li tingħata f’dawn iċ-ċirkustanzi hi mediċina li taqla’ l-bajda iffertilizzata minn mat-tubu u tarmiha. Jekk dan idum ma jseħħ jikber il-periklu u tkun meħtieġa operazzjoni. Fiż-żewġ każi dan hu abort li bħalu jsiru numru kull sena f’Mater Dei. Imma ħadd ma jgħid xejn, għax kulħadd jaċċetta li dan hu intervent meħtieġ, anke jekk il-liġi tqis din is-sitwazzjoni bħala illegali.

Hu ċar li l-opinjoni pubblika f’Malta, fil-parti l-kbira taċċetta l-abort meta dan hu meħtieġ biex iħares il-ħajja tal-mara. Meta tiddiskuti bosta jaslu biex jaċċettaw li l-abort f’dawn iċ-ċirkustanzi hu tollerabbli.

Hemm ċirkustanzi oħra fejn l-abort hu inqas kontroversjali. Qed nirreferi għal meta jsir abort f’kaz ta’ stupru jew f’każ ta’ inċest. Fejn it-tqala hi sfurzata, bi vjolenza, hu ġustifikat li jsir abort preferibilment fil-fażi l-iktar kmieni possibli tat-tqala. Mara li għaddiet minn vjolenza ma tistax issib il-liġi bojja lesta biex tikkastigha, għax inkella tispiċċa soġġetta għal vjolenza doppja.

Xi żmien ilu ktibt artiklu fejn kont ikkumentajt dwar il-fatt li hawn min fil-fażi inizjali tat-tqala jagħmel xi testijiet u jekk minnhom jirriżulta xi difetti fil-fetu, il-mara tirrikorri għal abort. Dan mhux aċċettabbli. Imma mhux biżżejjed li ngħidu hekk. Hemm ħtieġa li nifhmu lil min jagħmel din l-għażla u nistaqsu jekk parti mir-raġuni hijiex soċjetà li ma tindukrax biżżejjed familji li jgħaddu minn sitwazzjonijiet ta’ disabililtà. Minkejja li sar progress kbir xorta għad hawn nuqqas enormi kemm ta’ komprensjoni kif ukoll ta’ għajnuna iffukata lejn min għandu bżonnha.

Xi kultant naqraw b’min jirrikorri għal abort għax it-tqala u t-twelid jitqiesu xkiel għall-iżvilupp tal-karriera! Hemm soluzzjonijiet diversi għal dawn it-tip ta’ ċirkustanzi, minn edukazzjoni aħjar dwar is-saħħa riproduttiva għal sens ikbar ta’ responsabbilta’ mhux biss tal-mara imma wkoll tar-raġel.

L-aħħar eżempju huwa fejn issir għażla favur l-abort minħabba l-faqar. Jintqal li hawn każi fejn il-mezzi ta’ familja huma tant ristretti li ma jifilħux għal wild ieħor. Anke hawn hemm soluzzjonijiet li minħabba n-nuqqas ta’ dibattitu pubbliku ftit li xejn jiġu esplorati. Irridu nindirizzaw l-għerq tal-faqar u mhux il-konsegwenzi tiegħu. Inkella nibqgħu fejn konna. Anke hawn in-nuqqas ta’ edukazzjoni dwar is-saħħa riproduttiva hu enormi.

Mhux in-nisa biss jeħtieġilhom jitgħallmu iktar imma anke l-irġiel għandhom ħtieġa kbira għal dan: uħud jeħtieġu doża iktar qawwija ta’ rispett u sens ta’ responsabbiltà.

Id-dekriminalizzazzjoni, almenu f’ċerta aspetti, hi parti essenzjali mit-tibdil meħtieġ. L-ebda mara m’għandha tkun soġġetta għal passi kriminali għax ħadet il-pilloli li waslulha bil-posta inkella għax irrikorriet b’xi mod għall-abort wara vjolenza li taqqlitha. Il-mara li tagħmel abort hi ukoll vittma hi stess u teħtieġ l-għajnuna u mhux is-swat tal-liġi.

Fid-dawl ta’ dan kollu l-proposta ta’ Marlene Farrugia iktar kmieni din il-ġimgha ser isservi biex taċċellera d-dibattitu pubbliku. Imma jkolli ngħid li saret ftit bil-għaġġla u hija nieqsa minn preparazzjoni pubblika dwarha.

Neħtieġu dibattitu kalm għax hu b’hekk biss li nistgħu nifhmu iktar lil xulxin. Dan hu dibattitu li mhux ser jispiċċa fi ftit ġranet iżda ser idum. Jekk ma nagħmluħx bil-kalma ma nkunu wasalna mkien.

ippubblikat fuq Illum : il-Ħadd 16 ta’Mejju 2021

The abortion debate

The abortion debate is very emotional. Many insults are flying around. Some, unfortunately never learn.

The basic premise underlying the abortion debate is identical to that of the divorce debate: ethical pluralism reigns. Meaning that different values and attitudes co-exist. It is a clash of values that has been building up over a number of years, far away from the public eye.  Discussion has been continuously postponed due to the fear generated by an intolerant society founded on fundamentalism. A lay society has in the meantime developed and manifested itself clearly in the divorce referendum and subsequent acceptance of LGBTIQ rights.

It is incorrect to select “the worst” type of abortion and presenting it as the prototype

The “pro-life” campaign against abortion is focusing on “abortion on demand” which practically does not exist anywhere and presenting this as the prototype.  On this basis the campaign propagates an emotionally charged message instead of appealing to a reasoned approach. A message aimed at instilling extreme fear even though it is not the least convincing.

The pro-choice campaign on the other hand argues that a woman has the right to determine her choices without interference from anyone. This includes the right to determine if and when to have an abortion. This is a neo-liberal attitude which considers that there are no limits to individual liberty.

The debate is a contrast between these two extremes. Dialogue, on the other hand, leads you elsewhere, considering the exceptional circumstances in which an abortion may be justified. The emotional arguments ignore all this thereby undermining the mature discussion which this country has a right to. The country does not require abortion as a lifestyle: rather it is required as a remedy in extraordinary circumstances.

Abortion is practised in Malta. It is practised by women who purchase abortion pills online which they take without medical direction. All sorts of medical complications arise.  No statistics are available as to the number of those who require hospitalisation as a result.

Abortion is carried out at Mater Dei Hospital in circumstances to safeguard the life of women who face serious complications at some point in their pregnancy.  Recently the press highlighted the controversy on ectopic pregnancies, that is when a fertilised ovum is lodged in the female Fallopian tube. If left untreated this leads to a rupture of the said tube thereby placing the life of the pregnant woman in extreme danger.  

The medicine administered in such cases serves to dislodge the fertilised ovum which is subsequently discharged. If there is a delay in administering the medicine, or if this is ineffective, a physical intervention (surgery) would be essential.  In both circumstances this is an abortion which is carried out a number of times annually in the state hospital. However, no one ever complains as it is considered by all as a necessary and essential intervention, even if the law considers this as an illegal situation.

It is clear to all that public opinion in Malta generally accepts abortion when this is carried out to address the danger to the life of a pregnant woman.. At the end of the day in these circumstances abortion is tolerated.  

There are other circumstances when abortion is acceptable. I refer to cases of rape or incest. When a pregnancy is the result of violence, an abortion, preferably in the earliest possible stages of a pregnancy is acceptable.  A woman who has been subjected to violence should find comfort in the law otherwise she would be subject to violence for a second time.

Some time back I had written an article about tests being carried out in order to identify specific abnormalities in the foetus. In such cases depending on the results of the tests, abortions are being carried out.

This selectivity is definitely unacceptable. However, one must look beyond this and try to understand the underlying reasons for such choices. One would immediately understand that the prospective parent/s are making a forceful statement that notwithstanding existing help they feel that they are not able to shoulder the burden of the indicated disability. Notwithstanding the substantial progress registered over the years there are still substantial gaps. Parents feel this much more than anyone else. 

Occasionally we read about abortion resorted to in order not to endanger career development.  There are alternatives to such a course of action starting from education on reproductive health which ought to instil a greater sense of responsibility in both man and woman.

Poverty is another situation which may lead to opting for an abortion. It has been asserted that in circumstances of poverty a woman may opt for an abortion. Alternatives exist even in such circumstances: these have however been ignored.   It is poverty which has to be addressed and not its consequences.  Even in these circumstances the impact of a lack of education on reproductive health is glaring.  

Providing adequate reproductive health education would in the long run lead to less abortions.  This is required not just by women but also by men who generally require a greater sense of responsibility.

Decriminalisation is central to the change required. No woman should be subject to criminal action for making use of abortion pills which she receives through the post or for opting for an abortion after being violently impregnated. Women who opt for abortion are themselves victims who should find full protection of the law and not be criminalised.

In the light of the above the proposals put forward by Marlene Farrugia earlier this week will aid the development of the public debate.  Unfortunately matters were done somewhat in a hurry as the public was not prepared for these developments. But maybe shocking the public was part of the strategy!

We require a calm debate as this is the only manner in which we can clearly understand each other’s arguments. This is a debate that will not be over in a few days.  Being rational and calm is the least we can do.

Published in The Malta Independent on Sunday : 16 May 2021

Ma’ Reno Bugeja: lil hinn mill-bebbux

Reno ġurnalista b’esperjenza li għandi kull rispett lejh. Ikun ippreparat sewwa biex ikun jista’ jindirizza l-argument quddiemu.

L-intervista kienet iffukata fuq l-ADPD u l-futur tiegħu. X’inhi r-raġuni għall-fatt li minkejja dawn is-snin kollha għadna partit żgħir?

Tul l-intervista Reno, b’sengħa, kontinwament ipprovokani biex joħroġ l-argumenti u l-ispjegazzjonijiet tiegħi.

Il-ħin ma taraħx għaddej għax l-argumenti jintiżġu flimkien b’ħeffa kbira b’mod li sat-tmiem jidher quddiemek mużajk ta’ argumenti li jagħti stampa ċara.

Id-diffikultajiet li niffaċċjaw huma essenzjalment tnejn.

L-ewwel hemm sistema elettorali li tul is-snin fittxet dejjem li tikkonsolida l-ħakma ta’ żewġ partiti fuq il-pajjiż u l-istituzzjonijiet tiegħu.

It-tieni hemm il-frammentazzjoni. Dawk li jaħsbuha bħalna huma mifruxa. Tul is-snin dejjem kien hemm diffikulta biex ninġabru flimkien. L-għaqda bejn l-Alternattiva Demokratika u l-Partit Demokratiku f’dan is-sens kien pass kbir il-quddiem. Ovvjament hemm ħafna iktar xi jsir biex l-ilħna progressivi jinġabru flimkien.

L-intervista serviet biex nispjega ukoll il-kuntrast politiku tagħna ma dak tal-partiti l-oħra.

Tkellimt ftit dwar l-ambjent. Emfasizzajt li l-ambjent għalina jmur lil hinn mill-apprezzament tal-bebbux, id-dud u l-fjuri. L-apprezzament u l-ħarsien tal-ekoloġija huwa importanti ħafna f’ħidmietna. Imma l-ħarsien tal-ambjent ifisser ukoll il-ħarsien u t-titjib fil-kwalità tal-ħajja, tagħna u tal-ġenerazzjonijiet ta’ warajna.

Tkellimna fit-tul, madwar 40 minuta.

Issibu l-ħsibijiet dwar kif il-pajjiż qed isir dipendenti fuq l-evażjoni tat-taxxa. Nafferma għal darba oħra li l-iskema tal-bejgħ taċ-ċittadinanza mhiex aċċettabbli għalina. Hi prostituzzjoni tal-pajjiż.

Hemm ukoll kummenti dwar l-abort u kif dan fil-prattika diġa qed isir fl-isptar Mater Dei.

Il-ħidma politika tagħna tkompli. Pass pass nimxu l-quddiem.

Il-parkeġġ fl-Isptar Mater Dei

Matul il-kampanja elettorali għall-elezzjoni ta’ mexxej tal-Partit Laburista, wieħed mill-kandidati, il-Ministru għas-Saħħa Chris Fearne,  ħabbar li dalwaqt ser jitneħħa kull ħlas għall-parkeġġ tal-isptar Mater Dei.

Mal-ewwel d-daqqa t’għajn din tidher proposta tajba u raġjonevoli. Imma meta tibda taħseb ftit fuq l-implikazzjonijiet tagħha malajr tirrealizza li l-għan aħħari ta’ din il-proposta mhux faċli li jintlaħaq. Il-problema tan-nuqqas ta’ spazju għall-parkeġġ hi ferm iktar ikkumplikata u mhux ser tissolva billi jinqata’ l-ħlas.

Dawk li jużaw il-parkeġġ fl-Isptar Mater Dei huma pazjenti li jżuru l-isptar għall-visti (out-patients), persuni li jkunu qed iżuru lill-morda f’kull ħin tal-jum, impjegati tal-isptar u ħaddiema ingaġġati fuq xogħol kuntrattwali fil-konfini tal-isptar. Ilkoll kemm huma ta’ kuljum jiffaċċjaw in-nuqqas ta’ parkeġġ, ħlief dawk li għandhom spazju riżervat għalihom tul il-ġimgħa kollha, irrispettivament minn kemm jużawh.

Dawk il-pazjenti li jżuru l-isptar Mater Dei għal vista mal-ispeċjalisti diversi huma ġeneralment fost l-iktar persuni vulnerabbli, l-iżjed minħabba l-istat ta’ saħħithom. Għaldaqstant jagħmel ħafna sens  li jkun iffaċilitat għas-servizzi tal-isptar. Iżda għalihom it-tneħħija tal-ħlas għal parkeġġ mhi ser issolvi xejn. Anzi, aktarx l-affarijiet imorru għall-agħar.

Il-problema tal-parkeġġ fl-Isptar Mater Dei ġejja minn żewġ fatturi separati u distinti minn xulxin għalkollox. L-ewwel nett hi r-riżultat tal-użu mhux daqstant effiċjenti tal-ispazju tal-parkeġġ fil-konfini tal-isptar. Il-problema, qed tiġi kkaġunata wkoll mill-fatt li fit-toroq għandna għadd esaġerat ta’ karozzi, ħafna iktar milli jifilħu t-toroq tagħna. Dan, kif jirrimarka l-Pjan Nazzjonali għat-Trasport, jaħti għalih il-fatt li fil-qasam tat-transport ma ppjanajna qatt fit-tul.

Kieku l-ispazju tal-parkeġġ fil-konfini tal-isptar Mater Dei kellu jintuża b’mod iktar effiċjenti, bla dubju l-problema kontinwa ta’ nuqqas ta’ spazju tittaffa, avolja aktarx xorta ma tissolviex għalkollox.

Mhux biex nikkunslaw, imma tajjeb niftakru li l-problema tan-nuqqas ta’ spazju għall-parkeġġ mhix limitata biss għall-isptar Mater Dei, iżda hija mifruxa mal-gżejjer Maltin kollha.

Din hi riżultat tad-dipendenza esaġerata mill-karozzi li qed ikomplu jiżdiedu jum wara l-ieħor u li allura jikkompetu għal spazji dejjem iżjed limitati.

Dwar in-numru mhux żgħir ta’ pazjenti li jżuru Mater Dei għal xi vista huwa ovvju li wieħed ma nistgħux nistennew li dawn jużaw transport alternattiv. Dan minkejja li għadd minnhom diġa jinqdew bit-transport pubbliku b’mod regolari. Bosta minnhom ikunu jeħtieġu l-għajnuna biex ikollhom aċċess adegwat. Din l-għajnuna jsibuha mingħand il-qraba u l-ħbieb bl-użu ta’ karozzi privati.

L-awtoritajiet tal-Isptar Mater Dei għandhom ifasslu pjan li jindirizza l-ħtiġijiet tat-trasport ta’ dawk kollha dipendenti mill-isptar (pjan li jissejjaħ Green Transport Plan) biex ikun identifikat l-aħjar mod kif jistgħu jintużaw il-faċilitajiet tal-parkeġġ tal-isptar. Dan għandu jindirizza mhux biss il-ħtiġijiet tal-pazjenti fis-sodod tal-isptar u tal-impjegati imma ukoll ta’ dawk kollha li jżur l-isptar f’kull ħin tal-ġurnata.

Dan il-pjan mhux biss jista’ jidentifika soluzzjonijiet prattiċi għat-titjib fl-infrastruttura tal-isptar iżda wkoll jindika l-aħjar mod kif din tista’ tintuża. F’dan ix-xenarju mbagħad it-tneħħija tal-ħlas għall-parkeġġ tkun dettall pjuttost insinifikanti.

 

Ippubblikat fuq Illum : Il-Ħadd 5 ta’ Jannar 2020

Parking at Mater Dei Hospital

Within the context of the electoral campaign for the leadership of the Labour Party, Minister for Health Chris Fearne announced that, shortly, parking at the Mater Dei Hospital grounds will be free of charge.

At face value this is a reasonable proposal. However, when one tries to understand the implications of such a proposal it is obvious that this is easier said than done. The problem of lack of parking space is much more complex and it will not be unravelled by abolishing parking charges.

Users of Mater Dei Hospital parking are out-patients, those visiting bed-ridden patients, hospital staff and contractual workers carrying out duties within hospital grounds. All of them face a daily acute shortage of parking space, except, possibly, a small section of staff who have access to reserved parking on a 24/7 basis irrespective of the time they actually make use of it.

Mater Dei Hospital out-patients are among the most vulnerable of the Maltese population. So, it stands to reason that any measure aiming at facilitating their reasonable access to the services at Mater Dei Hospital would be most welcome. However, the availability of free-parking will not solve their parking problems. Rather, it will possibly make matters even worse than it is at present.

The parking problem at Mater Dei Hospital is the result of two separate and distinct factors. Firstly, it is the result of what is possibly an inefficient use of the available parking space within Mater Dei Hospital grounds. Secondly it is in itself a reflection of the large number of cars on our roads, which, as everyone knows, are bursting at the seams. This, as our Transport master plan points out is the result of an absence of long-term transport planning in the Maltese islands.

A more efficient use of the available parking space within the grounds of Mater Dei Hospital would undoubtedly contribute to reducing the parking problems faced by all users of the hospital, but it will most probably not solve it. At the end of the day the lack of parking space is a problem common to all sectors of Maltese society: it is an issue of over-dependence on the use of private cars with an ever-increasing number of cars competing for limited parking space.

It stands to reason that one cannot expect a number of out-patients to use alternative transport. Some already make use of public transport on a regular basis. Most would however need some form of help with their transport requirements which help is generally forthcoming from family and friends through the use of private cars.

The Hospital authorities need to draw up a Green Transport Plan covering the needs of the hospital’s stakeholders and the optimal use of the hospital facilities for this purpose. Green Transport Planning would analyse the requirements not just of the hospital’s patients and its staff: it would also project the requirements of those visiting patients.

At the end of the day the Green Transport Plan for Mater Dei Hospital would propose practical solutions in improving the hospital’s infrastructure as well as in optimising the use of its facilities. In this respect payment or non-payment for parking would be just a minor detail.

published in The Malta Independent on Sunday: 5 January 2020

Ftit ħsibijiet wara t-traġedja f’Ġenova

Wara l-kollass tal-pont f’Ġenova hemm numru ta’ lezzjonijiet, anke għalina, mijiet ta’ kilometri ‘l bogħod mill-pont Morandi.

Minkejja li l-investigazzjonijiet uffiċjali dwar l-għaliex seħħ dan il-kollass tal-pont għadhom bil-kemm bdew, il-media Taljana diġá qed tiddiskuti dak li ġara fid-dettall. Il-pontijiet kollha fl-Italja qegħdin taħt il-lenti, b’mod partikolari dawk li hu magħruf li m’humiex f’kundizzjoni tajba u li allura jistgħu, f’qasir żmien jikkollassaw huma ukoll. Dan jassumi sinifikat ikbar meta wieħed iqis li f’dawn l-aħħar ħames snin, fl-Italja, diġa ikkollassaw seba’ pontijiet oħra, u qiesu ma ġara xejn!

Bla dubju, fost il-lezzjonijiet ewlenin, jeħtieġ nifhmu l-ħtieġa li nieħdu ħsieb u nikkuraw b’mod adegwat il-proġetti pubbliċi. Għax anke f’Malta, wara li l-proġetti pubbliċi jkunu saru, ħafna drabi ftit nagħtu kas tagħhom. Ħarsa ftit lejn il-flyover li tifforma parti mill-bypass tal-Marsa/Ħal-Qormi kif inhi illum, tkun biżżejjed, avolja kif ħabbret Infrastruttura Malta nhar il-Ġimgħa ma hemm l-ebda ħsara strutturali. Huwa biss issa li tħabbar li ser jibda programm ta’ manutenzjoni, issa li n-nies, wara l-istraġi ta’ Ġenova, bdiet tistaqsi l-mistoqsijiet. Forsi, min jaf, mil-lum il-quddiem jibda jkollna skeda regolari ta’ manutenzjoni tal-proġetti pubbliċi kollha. Forsi xi darba l-mini ta’ Santa Venera ma jibqgħux iqattru.

Hemm ukoll x’jingħad dwar il-governanza tajba fil-proġetti pubbliċi.

Deċiżjoni riċenti tal-bord li jirrevedi l-kuntratti pubblici (Public Contracts Review Board) hi ta’ tħassib kbir. L-għoti tal-kuntratt għall-bini u t-tkomplija taċ-Ċentru tas-Saħħa f’Raħal Ġdid ġie mwaqqaf wara li Public Contracts Review Board esprima dubji serji fuq kif tmexxew il-proċeduri tal-evalwazzjoni tal-offerti. Fil-fatt ġie identifikat li żewġ professjonisti (inġinier u Perit) kienu konsulenti kemm tal-Fondazzjoni tas-Servizzi Mediċi tal-Ministeru tas-Saħħa kif ukoll ta’ tnejn minn dawk li tefgħu l-offerti. Fil-fehma tiegħi huwa diffiċli ferm biex nifhem kif ħadd mill-Fondazzjoni għas-Servizzi Mediċi ma nduna b’dan il-konflitt ta’ interess. Kont nistenna xi ħaġa aħjar mill-Fondazzjoni, għax jidher li ftit li xejn qed jagħtu importanza lill-ħtieġa ta’ governanza tajba fil-ħidma tal-fondazzjoni.

Issa li l-Public Contracts Review Board ħa deċiżjoni nistenna li l-korpi professjonali li jirregolaw l-inginiera u l-periti jeżaminaw sewwa l-kaz biex jaraw x’passi għandhom jieħdu f’dak li hu ksur ta’ etika professjonali bażika.

Il-kontroll adegwat tal-materjali li jintużaw fuq is-sit ta’ kostruzzjoni hi materja oħra ta’ importanza fundamentali. Din mill-ewwel tfakkarni fl-investigazzjoni li saret dwar il-kwalitá tal-konkos użat fl-isptar Mater Dei. Anke hawn kienet responsabbli l-Fondazzjoni għas-Servizzi Mediċi. Dwar dan ma kienx hemm biss l-inkjesta li saret taħt it-tmexxija tal-Imħallef irtirat Philip Sciberras imma ukoll rapport tal-Awditur Ġenerali fuq talba tal-Ministru tal-Finanzi. Dan ir-rapport kien konkluż u ippubblikat f’Mejju li għadda.

Niftakru li l-Awditur Ġenerali fir-rapport tiegħu kien emfasizza li rriżultalu li kien hemm nuqqas kbir ta’ dokumentazzjoni dwar kull stadju tal-proġett (significant lack of documentation with respect to all stages of the project). Dan wassal lill-istess Awditur Ġenerali biex jikkonkludi li “l-inkapaċita tal-Fondazzjoni li tipprovdi l-informazzjoni bażika dwar proġett ta’ dan il-kobor ifisser falliment istituzzjonali u negliġenza grassa fl-amministrazzjoni ta’ fondi pubbliċi” (the Foundation’s inability to provide basic information relating to a project of this magnitude represents an institutional failure and gross negligence in the administration of public funds).

Min-naħa l-oħra, anke l-inkjesta immexxija mill-Imħallef irtirat Philip Sciberras identifikat nuqqasijiet kbar li dwarhom irrakkomandat li jittieħdu passi.

In partikolari qed nara quddiemi l-konklużjoni numru 5 tar-rapport Sciberras li tgħid li “in-nuqqasijiet gravi li nkixfu bir-rapporti tekniċi tal-lum jindikaw li l-konkos dgħajjef li nstab f’kull parti tas-sit hu riżultat intenzjonat ta’ azzjonijiet bi skop ta’ frodi. Il-Bord ifforma l-impressjoni ċara li l-ġrajjet li wasslu għal dan ma kienux riżultat ta’ koinċidenza, lanqas ma kienu providenzjali, imma warajhom kien hemm id moħbija li tagħti direzzjoni.” (the widespread failings uncovered by the present day technical reports indicate that the pervasive weak concrete found in the site is a result of intended fraudulent actions. Moreover the Board is left with a distinct impression that events as they transpired were not the fruit of coincidence or providence but seem to indicate an element of concertation and direction.)

Ma tantx jidher li sar wisq dwar dawn ir-rakkomandazzjonijiet. X’qed nistennew? Li jaqa’ x’imkien?

Hemm tagħlim waħda bażika minn Ġenova: in-nuqqas ta’ governanza tajba tista’ twassal ukoll għall-imwiet.

Ippubblikat f’Illum : 19 t’Awwissu 2018

Lessons from the Genova bridge collapse

The collapse of the Morandi bridge in Genova should lead to a number of lessons which have an application hundreds of kilometres away from Genova.

Notwithstanding the fact that the official investigations into the bridge collapse have barely commenced, the media in Italy is discussing the possible causes of the collapse and whether there are any other bridges on the Italian mainland that may shortly have a similar fate. The fact that there have been some seven other bridge collapses in Italy during the past five years adds more fuel to this debate.

Among the many lessons to be learnt is the need to ensure adequate maintenance of public structures at all times. How does Malta score? Not very well, I would say. Have a look at the bridge forming part of the Marsa/Qormi flyover. It does not send out a good message even if, as stated by Infrastructure Malta on Friday, the flyover is structurally safe. The authorities in Malta have only announced the commencement of a maintenance programme for this bridge when questions began being asked as a result of the Genova tragedy.

Hopefully we will henceforth have regular maintenance schedules of all public structures and,  maybe, someday the dripping Santa Venera tunnels will be seen to permanently!

What about good governance in tenders for public projects? A recent decision by the Public Contracts Review Board is cause for concern. The award of the contract for the building and finishing of a health centre in Paola was halted by this Board after serious doubts regarding the evaluation procedure were raised. In fact, two professionals (an engineer and an architect) were identified as being simultaneously advisors of the Health Ministry’s Foundation for Medical Services as well as two of the three tenderers. It is, in my opinion, very difficult to understand how nobody at the Foundation for Medical Services was aware of this glaring conflict of interest. Good governance is apparently not the Foundation’s strong point.

Now that the Public Contracts Review Board has decided the case, I would expect that the professional bodies regulating the professionals involved take appropriate action on what is clearly a very serious breach of professional ethics.

Adequate quality control of materials used on site is another fundamental issue. The investigations regarding the quality of concrete used in the construction of the Mater Dei Hospital project comes to mind. The Foundation for Medical Services was also responsible for this project.

This issue has been dealt with not only by an inquiry led by retired judge Philip Sciberras but also by a report drawn up by the Auditor General at the request of the Finance Minister, which was concluded and published last May.

We may remember that, in the Auditor General’s report, it was emphasised that he found a “significant lack of documentation with respect to all stages of the project”. This led the Auditor General to conclude that “the Foundation’s inability to provide basic information relating to a project of this magnitude represents an institutional failure and gross negligence in the administration of public funds”.

On the other hand, the inquiry led by retired judge Philip Sciberras also identified various deficiencies in respect of which it recommended that action be taken.

I point in particular to conclusion No. 5 of the Sciberras report which states that : “the widespread failings uncovered by the present day technical reports indicates that the pervasive weak concrete found in the site is a result of intended fraudulent actions. Moreover, the Board is left with a distinct impression that events as they transpired were not the fruit of coincidence or providence but seem to indicate an element of concertation and direction.”

Apparently, not much has been done to date regarding the  implementation of the recommendations of these reports. Shall we wait for our own bridge collapse before action?

There is one basic lesson to be learnt from the Genova tragedy: a lack of good governance is a potential killer.

Published in The Malta Independent on Sunday : 19 August 2018

Ftit ħsibijiet wara l-istraġi ta’ Genova

Wara l-istraġi ta’ Genova bla dubju it-Taljani ser jippruvaw jitgħallmu l-lezzjonijiet li s’issa ma rnexxielhomx jitgħallmu, sforz amminstrazzjoni ġeneralment inkompetenti u korruzzjoni fl-għoti tal-kuntratti.

L-investigazzjoni dwar x’wassal għall-kollass tal-pont għadha fil-bidu. Il-pont ilu hemm iktar minn 50 sena u bla dubju kemm saret (jew kemm ma saritx) maintenance adegwata tul is-snin ser tkun materja fundamentali fl-investigazzjoni. Anke l-fatt li l-pont kien ilu daqstant snin, hu fattur, għax probabbilment messhom ilhom li ittieħdu passi biex il-pont jinbidel għax il-konkos tiegħu bla dubju għejja u per konsegwenza ddgħajjef wara dan is-snin kollu fl-użu.

F’dan il-kuntest ikun tajjeb li flok il-konkos ta’ Genova niftakru ftit fil-konkos ta’ Mater Dei. Dwar dan hemm mhux biss ir-rapport tal-awditur ġenerali, ppubblikat f’Mejju li għadda, imma ukoll ir-rapport tal-inkjesta immexxija mill-Imħallef irtirat Philip Sciberras.

Ikun tajjeb li niftakru li fir-rapport tal-Awditur Ġenerali kien ġie emfasizzat li kien hemm nuqqas ta’ dokumentazzjoni li hi tant essenzjali biex tingħata l-assigurazzjoni li proġett ta’ dan il-kobor sar sewwa.

Min-naħa l-oħra r-rapport tal-inkjesta immexxija minn Philip Sciberras kien identifika diversi nuqqasijiet li dwarhom irrakkomanda li jittieħdu passi.

Wara l-istraġi ta’ Genova għandna kull dritt nistaqsu: x’passi ittieħdu dwar ir-rapporti fuq il-konkos ta’ Mater Dei? Għax jekk ma jittieħdux il-passi neċessarji, dawn l-affarijiet ser jibqgħu jirrepetu ruħhom.

Some memories of my father

 

It is now four weeks since he passed away in the early hours of 11 June. Yet I still find myself dialling his telephone number at least twice a day to exchange some news or to ask for his opinion or advice on some matter.

Three months short of his 85^th birthday, he had retired from the civil service 25 years ago after a continuous public service spanning over 40 years. I do remember most of his postings, in particular those at the Customs and the then Water Works Department. He was dedicated to his duties at the Department of Social Services where he spent more than twenty years of his public service.

He was an only child as his elder sister had died at birth. At the tender age of six he was already an orphan when he lost his father who worked as a linotype operator at the government printing press. It was in 1937, two years before the outbreak of World War II. Without a breadwinner at home and inexistent social services life was miserable.

My father was not into politics. He was of the opinion that it would have been much better had I followed in his footsteps! He told me as much in very forceful language many times, in particular on the morrow of Black Monday in October 1979 when standing in the timber balcony of our home in St Paul Street Valletta we could still observe smoke coming out from the gutted Progress Press, home to The Times and The Sunday Times for many years.

He was a civil servant of the old school who took much pride in his work. As a young boy I could observe this at close quarters whenever he took me along. As an account keeper at the Water Works Department in the 1960s he would patiently listen to and address complaints on “errors” in water and electricity bills. Later in the 1980s, he would apply his skills as a welfare officer in the different area offices of the Department of Social Services assisting the elderly and vulnerable who sought the assistance of the state.

In 1977, after taking part in a sympathy strike called by the UĦM in solidarity with bank employees he was transferred to the Bormla Area Office of the Department of Social Services. It was certainly not intended to be a pleasant experience. In fact, he used to recount how in the first weeks after his being transferred to the Bormla Social Services Area Office, various officials of the local Labour Party Club used to turn up at the office “to check” on the progress of the new welfare officer! Subsequently he was transferred to other Area Offices.

My father spent his last weeks in palliative care at the Sir Anthony Mamo Oncology Centre where he was much impressed by the dedicated service of all members of staff, without exception. My family is grateful to them all as their care and dedication ensured that his last days were bearable right to the very end. May he rest in peace.

published in The Malta Independent on Sunday – 10 July 2016