PM speaks to US Secretary of State Anthony Blinken

Prime Minister Ranil Wickremesinghe has held discussions with the US Secretary of State Anthony Blinken this evening (13).

The Prime Minister during the telephone conversation explained the current status of ongoing discussions with the International Monetary Fund.

Premier Wickremesinghe said Sri Lanka is looking forward to working closely with the United States and further strengthening ties between the two nations.

Meanwhile, US Secretary of State Anthony Blinken agreed to support Sri Lanka and to promote investments in Sri Lanka after the conclusion of IMF talks.

Prime Minister Wickremesinghe also requested Anthony Blinken to extend his greetings to US President Joe Biden.

US, China envoys meet for talks in Colombo

The Chinese Ambassador to Sri Lanka Qi Zhenhong has met with US Ambassador Julie Chung at the Chinese Embassy in Colombo for a discussion.

The Chinese Embassy said the two Ambassadors had a friendly discussion on broad topics of mutual interest.

China and the US could work together to help Sri Lanka overcome the current difficulties, the brief statement further said.

PM’s full statement in Parliament

Prime Minister Ranil Wickremesinghe today made a special statement in Parliament regarding the country’s situation.

Full statement of Prime Minister Ranil Wickremesinghe

I hope you all understand the situation we and our country face. We need to find new ways as an alternative to the traditional ways if we are to elevate the country from this position. We must set aside our traditional political ideologies for a short period of time and make a concerted effort to rebuild the country. The people of the whole country should play a role in this effort. We all have a part to play for the country.

Our primary focus here is on economic stability. But we cannot recover from this alone by creating economic stability.

We need to revive the economy of our country.

This is not something that can be done in two or three days. This challenge cannot be done by miracles, not from slogans, not by magic, nor emotions. Implementing intelligently thought-out projects requires hard work and dedication.

The country spends $500 million per month on fuel. It should be kept in mind that the current global crisis risks raising oil prices. Some estimate that global oil prices will rise by as much as 40% by the end of this year. In this context the idea of ​​introducing a coupon system for fuel cannot be ruled out. Somehow we have to find $3,300 million worth of fuel for the next six months.

It costs $40 million a month to import gas. We are currently using multilateral assistance, local currency and Indian loans to import gas. We will require $250 million over the next six months for gas.

The next three weeks will be a tough time for us in regards fuel. It is time we all must use fuel and gas as carefully as possible. Unessential travel should be limited as much as possible. Therefore, I urge all citizens to refrain from thinking about hoarding fuel and gas during this period. After those difficult three weeks, we will try to provide fuel and food without further disruptions. Negotiations are underway with various parties to ensure this happens. After these difficult three weeks, we are trying to ensure the shortage of fuel and gas will have ended. Let’s face these difficult three weeks united and patiently.

We produce some of the food we require locally. The rest are imported. Our harvest has declined in the past several months. We have to face this situation at and we have to work hard from this point onwards to ensure the next harvest is a success. That harvest, however, will be available by the end of February 2023. In terms of rice, our country’s annual rice requirement is 2.5 million metric tons. But we have only 1.6 million metric tons of rice in stock. This condition is not only restricted to paddy but many other crops. So, in a few months we will have to face serious difficulties and shortages in terms of our diets. We need to import food items to meet our daily requirements. It costs about $150 million a month.

The task of rebuilding our declining agriculture must begin immediately. We are losing the international market for our export crops. Action must be taken to prevent this. Chemical fertilizers are needed to boost local agriculture. It costs $600 million a year to import fertilizer for paddy, vegetables, fruits, other major crops as well as our tea, rubber, coconut and export crops. Since manure has to be applied from time to time from the beginning to the end of a harvest. It is essential that fertilizer is exported without any shortages. We must ensure that no money or effort will be wasted.

We are currently involved in various international assistance programs to import medicines and health equipment required for the country. It has also been planned to seek assistance from various countries. We do not need large amounts of foreign exchange for health for the next six months as those groups and countries have provided substantial support for our health system. We thank them on behalf of the health department.

In this context, we need $5 billion to ensure our daily lives are not disrupted for the next six months.

We need to strengthen the rupee in line with the daily requirements of the citizens. Another $1 billion is needed to strengthen the rupee.

That means we need to find $6 billion to keep the country afloat for the next six months.

In the midst of all this we need to develop plans to raise the average national product. We need to implement those plans. According to the central bank, the average GDP growth in 2022 will be -3.5 According to the International Monetary Fund, the situation is even worse. According to them, its growth will be -6.5 percent.

The average national output of the global economy will decline next year due to the impact of the war in Ukraine. Recovery is forecast for 2024.

We also have to face that global environment.

The government has lost Rs. 6.6 billion in revenue with the abolition of the tax system we implemented in 2019. That was the beginning of the decline of our economy. Therefore, we must immediately return to the 2019 tax system. We must begin our resurrection from where we fell.

It is a fact that we all know that money has been printed indefinitely in recent times. Rs. 2.5 billion has been released from 2020 to May 20, 2022.

Many government agencies do not have proper financial management. Therefore, new methods need to be introduced. The Road Development Authority is an example. Although they had the funds, they failed to manage those funds in accordance with Treasury regulations. In the current situation in our country, the government is unable to provide funds to cover the losses of any state-owned enterprises. That debt burden can no longer be borne by the state or state-owned banks.

We are currently in talks with the International Monetary Fund. Our discussions are based on our future economic plan. Accordingly, the year 2023 will see us face all the challenges. We need to achieve economic stability by the end of this year. Then by 2024 we will have the opportunity to create economic stimulus through financial stimulus. By 2025, our goal is to balance our budgets or create a primary surplus. This economic program must continue to move towards this long-term goal. Even if the individuals, groups and parties in power change, it is imperative that we achieve our national goals and maintain the highest level of efficiency in the country.

In our efforts we must pay close attention to our foreign relations. To increase international our support. We are becoming a marginalized country in the world due to poor foreign polices. Changing that position will not be easy. But we have to do it somehow.

I am currently in constant consultation with foreign ambassadors. I had telephone conversations with the Secretary-General of the Commonwealth, the President of the United Arab Emirates, and the Prime Minister of the United Kingdom.

Discussions were held with representatives of international organizations such as the United Nations, the United Nations Food and Agriculture Organization, the World Food Program, the United Nations Development Program and the World Health Organization.

Many representatives of these countries and international organizations have agreed to support our country during this difficult time.

The United Nations has arranged for a worldwide public appeal on the 9th of June. They are seeking support to provide humanitarian assistance to Sri Lanka. Through this project, they plan to provide $48 million over a four-month period to the food, agriculture and health sectors.

India, China and Japan are leading the list of countries that provide us with loans and assistance. Relations with these countries, which have always been strong, are now broken. Those relationships need to be rebuilt.

Some time ago we borrowed under the SWAP facility from the People’s Republic of China. There was a condition regarding that loan. We can use that money only if our country has enough foreign reserves for three months. We have not had foreign exchange reserves for three months since the loan was taken. Our former officials took loans to deceive the country. We will not be debt free under that condition. We have requested the Chinese government to consider removing that condition from the agreement that has been signed with them.

We urge the Chinese government to look into the matter favourably.

Japan is our long time friend. A nation that has helped our country greatly. But they are now unhappy with us due to the unfortunate events of the past. Our country had failed to formally notify Japan of the suspension of certain projects. Sometimes the reasons for these suspensions were not even stated. According to reports submitted by an individual, some projects undertaken by Japan in our country have been halted midway through.

Japan and India had agreed to supply us with two LNG power plants. The CEB stopped those two projects without any justifiable reason.

Japan had agreed to provide about $ 3 billion worth of projects to our country by 2019. All of these projects were put on hold for no reason.

I urge the Parliamentary Committee on Public Finance to conduct an inquiry into the suspension of such valuable projects granted to us by our longtime allies for unstated reasons.

Despite alienating these friendly nations, India offered to help us in the face of the growing crisis. We express our respect and gratitude to them during this difficult time. We are also working to re-establish old friendships with Japan.

We call on the International Monetary Fund to hold a conference to help unite our lending partners. Holding such a conference under the leadership of India, China and Japan will be a great strength to our country. China and Japan have different credit approaches. It is our hope that some consensus on lending approaches can be reached through such a conference.

We have an obligation to repay the loans taken so far. Many loan installments received from multilateral institutions have to be repaid this month. We did not pay the loan installments. In the future we will have to take new loans and we have the responsibility to repay the debt of the country.

Once we come up with a loan repayment plan for those that we have obtained from other countries, we need to focus on the personal loans our country has taken. We sough expert advice from Lezard, an international financial advisory firm, and Clifford Chance, an international legal consulting firm.

We absolutely must have foreign exchange to repay the loans that have been taken. The export economy needs to be strengthened quickly to bolster our foreign exchange. Our country is located in a strategically important position. That is a positive factor in terms of regaining a competitive advantage in the global market. Alongside the economic hubs of Singapore and Dubai, we too have the potential to grow into another economic hub. Vietnam is a great example of having undertaken such a task successfully. Different product values ​​must be exported by integration. At the same time, we want to keep the trade surplus as low as possible in our transactions with different countries.

Our ultimate goal is to create a new economy for Sri Lanka. The goal is to transform Sri Lanka into a developed country by 2048, the centenary of Independence.

Our country is not working like a well-oiled machine, we are not sure what we should we do first. This system needs to be overhauled. That is what we are doing now. Resetting the system.

The interim budget is the first step in rebuilding the system. Once we have taken that step, we will implement a modern system and install safeguards that will protect us from future calamities. But to do all this, we need to restart the system.

That is why we are presenting an interim budget to Parliament on the basis of our future economic plan and road map. As I mentioned earlier, our hope is that this budget will lay the foundation for our economy, allowing it to stabilize and recover.

The interim budget will reduce unnecessary government spending, while controlling other costs. We will also focus on revitalizing many areas affected by the crisis. There is an urgent need to focus on many sectors such as the export economy, tourism and construction.

We have also pointed out to the International Monetary Fund that this time the focus should be on the economically weaker sections of our country. They agreed. We prepared the interim budget based on those facts.

I would like to draw your attention to some of the key areas we are focussing on.

Take maximum action to ensure food safety.
A recent study by the World Food Program (WFP) found that 73% of participating households reduced their diet and food intake. We will change that situation and strive to provide food without shortage as per this food security plan. We are working towards ensuring a three meal situation in the country.

Increase in grant limit.
While the economy is in turmoil, people are facing various hardships. We will take action to alleviate their suffering as much as possible. The current annual expenditure on providing various reliefs to the economically backward is $350 million. This amount is expected to increase to US $550 million.

Farmers’ loans should be written off one hundred percent.
We know that farming families who cultivate paddy on small lands are in a very precarious position. Farmers’ loans obtained by farmers with less than two hectares of land will be stopped immediately.

Free ownership of their lands by residents.
Earlier we had launched a program to provide free government lands to the people through guarantees like Swarnabhoomi and Mahawali. Some provincial councils opposed the move. So this did not succeed. At present, steps are being taken to give the people the right to ownership so that such protests do not arise.

Granting the ownership of urban flats to the occupants on concessional basis.
Families live for rent in many of the suburban apartments. There are also long-term interest payments for home ownership. We will take steps to transfer the ownership of all these houses to the residents on concessional basis.

Opening of flats built by China for the public.
At the request of the People’s Republic of China when I was previously the Prime Minister, they donated 1,888 apartments to our country. One hundred and eight of these houses are reserved for artists. We will take steps to provide all these houses to the deserving without any political influence. My hope is to set up a program to provide those 1,888 homes for free.

At a time when the country is in decline, we are trying to rebuild the economy and the country without putting too much pressure on the people. Our expectation is to preserve every aspect of our lives and move forward.

We can save the country if we make gradual progress. There is a dangerous situation that goes beyond being a personal issue or a party issue. Let us understand the dangers and seriousness of this. In such a situation, there is no point in looking at the past. For a while let us forget the past. In trying to renew the country, we must think only of the future.

Economic reforms alone are not enough to rebuild a country. At the same time, socio-political and public service reforms are needed. I would like to bring to your attention to an issue that was raised at a recent press conference held from the protests.

Commenting on this, artist TamithaAbeyratne made this request to me. He appealed to the people to find a solution to this problem in the parliament and to unite the people who love the country. But the Prime Minister himself should not try to deceive the people by giving sweets.

I would like to draw the attention of all of you to this idea. The responsibility for resolving the current situation in the country rests on the shoulders of the people’s representatives in this House. We must accept that responsibility. We must fulfill that responsibility. Instead of plastering over the issues, long-term and effective solutions should be sought.

So, let’s set aside all differences and think anew for the country. Let’s start the new journey. We will initiate the necessary constitutional reforms. Let’s think differently. We can all start to change the system by thinking differently and acting differently.

Public service must be viewed from a different angle. Efficiency and productivity have fallen to a very low level due to the provision of unlimited employment in the public service. Some government employees have no obligation to their duties. Therefore, the public sector needs to be completely restructured and reformed. Our mission is to create a public service that will enable a citizen to receive immediate and efficient services throughout their lives without any hassle.

Another important aspect to consider in this transition is to build a country free of corruption and fraud. It is mandatory. A society without theft. A country where there is no room for thieves. A regime with strong rules that can punish wrongdoers.

To this end, we expect to implement a national policy on the prevention of bribery and corruption. In 2019, a national policy to combat bribery and corruption was developed. We will take steps to hand over the draft policy to all party leaders in Parliament. Get their feedback too. Countries such as Sweden, which have successfully implemented the anti-corruption and anti-corruption mechanism, are following the example of the Hong Kong government and making the necessary structural changes. If any amendments are to be made to the present draft, necessary amendments will be made in consultation with all parties’ lawyers and experts and this National Policy will be implemented.

I therefore invite all of you in this House to support our economic, socio-political and public service reforms in rebuilding the country.

Let us build the country first. Let us protect our country from this crisis. Give your support to these efforts. After returning to normalcy in the country within the specified time frame, you may return to your traditional political activities. Implement traditional party political agendas.

I would like to conclude my statement by quoting Winston Churchill.

“The pessimist sees difficulty in every situation; the optimist sees opportunity in every difficulty.”

We take advantage of every opportunity that comes our way. We will use these opportunities to build the country with confidence.

We will all take full responsibility to bring the country back to normalcy.

Prime Minister’ Media Division

7th June 2022

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Investments at Colombo Port City to get 40-year tax concessions

Investments at the Colombo Port City will get 40-year tax concessions, Minister Bandula Gunawardana said today.

The Cabinet Spokesman said that the Cabinet had decided to offer the concessions to draw more investments to the Port City.

He said that in a competitive world other countries are offering attractive concessions to draw investors.

The Minister said that drawing investments has become difficult owing to the current global crisis.

Gunawardana said that Sri Lanka needs to offer more attractive packages for investors.

As a result, the Cabinet approved a proposal to offer 40-year tax concessions for investments at the Colombo Port City.

Gunawardana said that if such concessions draw more foreign investors it will help address the dollar crisis in Sri Lanka.

Ranil says Donoughmore Constitution was a success

Prime Minister Ranil Wickremesinghe, delivering a speech at the ‘Conference on Sri Lanka’s Twin Crisis’ held at the Sri Lanka Foundation, on Friday, said: “We based ourselves on the British Constitution. The majority has the power, the minority starts talking and shouting, that’s all. But then we changed the first-passed-the-post into a PR system. Now, you’re going to abolish the Presidency, then do you want to go back to the English system, the Westminster system, or do you want to have one in which there’s more cooperation like the old Donoughmore system, the State Council system? This is one issue that everyone has to think of.”

Excerpts of the speech: I’ve been asked to address you on Sri Lanka’s Twin Crisis. One has already started, the economic crisis in Sri Lanka. I need not go back to the past as to how we deprived ourselves of our foreign exchange, how we decided that we’d go on to do it alone and the facts were concealed not only from the public but from

Parliament, and from the members of the then government. And stemming from it is also a political crisis, the question of loss of confidence in a political system that allowed the country to go down to this level. So this is what we’re grappling with.

There’s a second crisis. The second crisis is the global impact of the Ukraine crisis. We’re only seeing the beginning of it, the increase in fuel (price). It will get much worse as it goes along. As it goes along you’d probably find that there’ll be a shortage of food.

The food shortage will go global till 2024. After all Russia and Ukraine, one is the largest producer of grain, the other is the fifth largest. You cannot import Russian grain, and in Ukraine whatever is left cannot be sent off. Their ports are closed by the Russians, and their rail track gauge is different from that of Poland. So each carriage has to be lifted and put onto the Polish track. You can’t send food out there. And many of the fields of their agricultural area are destroyed. If the war stops even tomorrow, it will take Ukraine at least three years to get its cultivation back on track. Then the rising price of fuel, the rising price of corn, again the shortage of fertilizer. So it hits the whole world. There’s a shortage of fertilizer in California, there’s a shortage of fertilizer in Brazil. How do you meet it? And there’s going to be a shortage of food. Already countries are banning the export of food. That’s the second one you have, that you’re facing.

There’s no Priority List. Even till recently different agencies were actually using the different credit lines to order what they wanted, there was no priority. If someone said ‘I want fertilizer’ that was the effort, if someone said “I want petrol’ that was there. We had to establish a Priority Order and sort of centralize the access to the foreign credit lines. So this is just a start of what we have to do. The worst is still to come. As you know there will be no food, as in our food supplies will be enough until about September- October because we didn’t have enough fertilizer either for ‘Maha’ or for ‘Yala’. Now we’re trying to get fertilizer for the next ‘Maha’ season. If we do, then we will be certainly self -sufficient by February next year. What do you do in between? As the economy fails, more and more jobs are being lost. More and more enterprises, big and small are collapsing. This is what we’re going for. A time will come when people will not eat three meals a day. They may eat two meals; that situation may come for some of our people.

We have to avoid hunger. Is there an end to it? Well, we’re talking with other nations, our friendly nations, to get help. There is light at the end of the tunnel, but we need to ensure that there are no earth slips while we go through the tunnel. That’s the problem. We cannot get through this year by ourselves. We need a few billion dollars to come from outside. Otherwise this country cannot survive. We need to reach out again to the people we rejected. The Japanese have been our friends from 1952 to date who are hurt by what happened. Which country rejects 3 billion dollars’ worth of aid, without a thank you, without even having a negotiation? Just said we don’t want it. How do you build back confidence with those people? We’re lucky that India has come forward to help us, at the hour of our need. Other countries are chipping in. China has come with assistance, but someone in the government went and negotiated a loan, a swap, which we cannot use.

So we have to get ready to go through a tough time and to change the system. Changing the system and making this export oriented, I don’t think is going to help Hiran De Silva, Chairman – Rakimu Jayathu Lanka very much. But his sons and his daughters and his grandsons and his granddaughters are going to have a new Sri Lanka. That’s what we’re working for. A Sri Lanka that is prosperous. Let this experience be our last experience with this bitter politics. Let’s think anew.

And that comes back to the Constitution. We based ourselves on the British Constitution. The majority has the power, the minority starts talking and shouting, that’s all. But then we changed the first-passed-the-post into a PR system. Now you’re going to remove the Presidency, then do you want to go back to the English system, the Westminster system or do you want to have one in which there’s more cooperation like the old Donoughmore system, the State Council system? This is one issue that everyone has to think of. I’ve given some proposals to make the Parliament work together, but that is only the beginning. So think of it and remember, that this is the beginning of a new journey. So think of it, and start traveling along.

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Sri Lanka will need $5 bln in next six months for essentials -prime minister

Sri Lanka’s cash-strapped government will need at least $5 billion in the next six months to maintain basic standards of living, including some $3.3 billion for fuel imports, the country’s prime minister told parliament on Tuesday.

“Only establishing economic stability not enough, we have to restructure the entire economy,” said Ranil Wickremesinghe, who is working to prepare an interim budget to balance Sri Lanka’s battered public finances.

The island nation of 22 million is suffering its worst economic crisis in seven decades, with a shortage of foreign exchange stalling essential imports.

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Cabinet postpones decision on 21st Amendment to next week

The Cabinet has postponed the discussion on the 21st Amendment to the Constitution to next week.

The relevant proposal was presented to the Cabinet by the Minister of Justice, Prison Reforms and Constitutional Affairs, Dr. Wijeyadasa Rajapakshe late Monday (06).

The Minister had submitted the relevant proposal to the Cabinet with the amendments made during the discussions with the party leaders.

However, it has not been approved and the Cabinet has proposed to include the amendments submitted by the political parties and organizations and submit to the next Cabinet meeting.

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No salaries for cabinet ministers for one year

The Cabinet Ministers have agreed to perform their duties without receiving ministerial salaries for one year as proposed by Prime Minister Ranil Wickremesinghe.

A proposal submitted by the Prime Minister Ranil Wickremesinghe regarding the work of the Cabinet Ministers without receiving the salaries for a period of one year has received the cabinet approval.

Speaking during the weekly Cabinet media briefing in Colombo today, Cabinet Spokesman Minister Bandula Gunawardena said the ministers had also decided to forgo their ministerial salaries due considering the prevailing economic problems in the country.

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Sri Lanka Urges Airlines to Fly Full Tank or Fill Elsewhere

Sri Lanka is recommending airlines carry enough jet fuel to last return trips or fill up elsewhere, as the island grapples with a shortage of everything from oil to food due to a foreign-exchange crisis.

“We’ve asked airlines to carry the required fuel while operating to Sri Lanka, because there is a shortage of aviation fuel, and we have to manage the situation,” Rayhan Wanniappa, a director of Sri Lanka’s Civil Aviation Authority, said in a phone interview Monday. “Airlines are bringing certain additional supplies, while we are also providing from our stocks.”

Airlines that fly to Sri Lanka, including Dubai’s Emirates Airline are tankering — carrying more fuel than required — while the island’s flag carrier is using the Southern Indian city of Chennai and Dubai to refuel for long-haul flights, people familiar with the matter said, declining to be identified as plans are confidential. There’s increased refueling at southern Indian airports by international flights to and from Colombo to offset the shortage, according to an official at Indian Oil Corp.

Sri Lanka has been plagued by a dearth of necessary items, power cuts and rampant inflation, leading to public protests calling for the ouster of President Gotabaya Rajapaksa. The country defaulted on its foreign debt for the first time this month, and has started bailout talks with the International Monetary Fund.

SriLankan has taken measures for minimum interruption to flight schedules, a spokesman for the airline said. The steps include fuel tankering and refueling aircraft through technical stops at foreign airports, he said.

Singapore Airlines Ltd. is uplifting additional fuel on flights departing Singapore to Sri Lanka due to the shortage, a representative said in an email. Emirates didn’t immediately respond to a request for comment.

“There’s been no effect in airport and airline operations,” said G.A. Chandrasiri, chairman of the Airport and Aviation Services, that operates the main airport in Colombo. “This is just a preventive measure.”

The Indian ocean nation has been trying to come up with cash to pay for oil that’s been sitting on tankers off its coast as its fuel crunch persists. The country’s sole refinery is attempting to restart after three months of shutdown, with crude supplies from Russia which it hopes to refine into usable fuel.

‘People are going to die’: crisis-hit Sri Lanka runs out of medicine

Chandrapala Weerasuriya can’t remember when he last took his medication. The 67-year-old retired businessman, living in Sri Lanka’s Gampaha district, has always relied on a drug to keep at bay his hereditary nervous condition, which makes him dizzy and unable to walk.

But since his prescription recently ran out, he cannot get another supply. The drug is simply not available in Sri Lanka any more.

“I am afraid that I might become paralysed because there is no one to care for us,” he said fretfully. “My wife and I do everything alone. We split the household chores and manage it between ourselves. My wife has a knee problem and she can barely walk.”

Sri Lanka’s financial crisis, its worst since independence, is swiftly becoming an alarming health crisis. The government’s coffers have fallen to their lowest levels on record and last week the country was forced to default on its international loans for the first time in its history. Without crucial foreign currency, Sri Lanka has been unable to import the essentials: food, fuel – and medicine.

Sri Lanka imports more than 80% of its medical supplies. Now almost 200 medical items are in shortage, including 76 essential, life-saving drugs, from blood-thinners for heart attack and stroke patients to antibiotics, rabies vaccines and cancer chemotherapy drugs. Essential surgical equipment and anaesthesia is running out so fast that the decision was made this week for only emergency surgeries, mostly heart and cancer patients, to go ahead. All routine surgeries – anything from hernias to swollen appendixes – have been put on hold. Some government hospitals have been instructed to only admit emergency patients.

“Ultimately, people are definitely going to die,” said a doctor in Colombo who had been told not to speak to the media.

She described how the hospital was so low on certain drugs they had to instruct families of patients to go out to pharmacies and try to buy it themselves. “There have been incidents where the family members have gone around looking for drugs and by the time they’ve come back with the drug, it’s been too late and the patient has died,” she said.

The doctor said the shortages were getting worse. “I’m worried about pregnant mothers because soon I don’t know whether we will have enough drugs to perform cesarian sections,” she said.

Cancer drugs, which are notoriously expensive to import, have been particularly badly hit by shortages in recent weeks, and the responsibility to source them has fallen on the heads of oncologists themselves. They have been putting out global appeals for donations, and writing letters to private supporters, organisations and governments, to ensure cancer treatments are not delayed.

Dr Buddhika Somawardana, an oncologist at Colombo’s largest cancer hospital, described the “great stress” he and other doctors were under as essential cancer drugs began to run out over a month ago or stopped being available at all.

“One of the drugs we give patients undergoing chemotherapy, which boosts their blood count so they aren’t liable to serious infections, is not available any more,” he said. “So far, we managed to get donation of 80,000 vials. But that will not last very long.”

He added: “Somehow, thanks to donations, we have mostly been managing without any huge issues. But we had to postpone some chemotherapy, which may have detrimental effects on the cancer outcome.”

Somawardana said the crisis was placing a huge “financial and psychological burden” on cancer patients, who were having to source and pay vast sums for their own medicines to continue their treatment, previously free and easily accessibly in hospitals under Sri Lanka’s lauded universal healthcare system.

Cancer doctors too were feeling the pressure of having to be the ones both to appeal for global drug donations, as well as treat their patients. “I didn’t know how long we will be able to go on like this,” he said.

Ruvaiz Haniffa, a doctor in Colombo, expressed his frustration that doctors had “seen this coming as early as January” but little had been done by authorities to set up backup plans to ensure no medicines ran short, even as the country’s foreign reserves began to deplete to worryingly low levels.

“We are facing great ethical dilemmas as doctors,” said Haniffa. “We used to have a very efficient health system. But at the moment, it has become ineffective. More people will die, which is not acceptable.”

He said his patients were being forced to find their own drugs and pay prices over 40% higher, if they could find them at all. Haniffa said many of his patients were having to choose between medicine or paying for the school tuition for their children or fuel to take them to work.

Haniffa said he feared for the long-term impacts on the life expectancy of Sri Lankans. “With the kidney disease and the diabetes and the hypertension we are not treating now, it causes long term damage,” he said. “So in five years, we will see strokes go up, heart attacks go up, neurological problems go up, cancers go up.”

With the newly appointed prime minister, Ranil Wickremesinghe, warning recently that the situation would “only get worse” and that Sri Lankans are facing tough months ahead, those without medicines said they faced an uncertain future. On Sunday, India delivered 25 tonnes of medical supplies to the country while France donated some essential equipment, but most working in the healthcare system say Sri Lanka can not rely on donations for ever.

Among those riddled with anxiety was Sushantha Weerasuriya, 42, who has struggled to get hold of his epilepsy medicine, travelling long distances to track a few pills down. Even when he manages to find the medicines, they have become almost impossible for him to afford, totalling 10,000 rupees (£22) in May.

But as soon as he stops taking the medication, he begins to have regular seizures, which cause him to lose consciousness and being unable to work.

“If I am without it for five days, then the condition will return and continue non-stop, which I really fear,” he said. “I am the primary breadwinner of my family and I have to support my wife and four-year-old daughter. But when the condition comes, I cannot work. If the medication completely stops then my family’s livelihood is in danger,” he said.