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Prime Minister Pushpa Kamal Dahal is scheduled to visit China from Sept 23, following his participation in the 78th United Nations General Assembly in New York. 

While bureaucratic preparations are underway, the prime minister is also engaging in consultations with political leaders to determine key issues to be raised with Chinese leaders. Nepali Ambassador to China Bishnu Pukar Shrestha has been holding meetings with high-ranking Chinese officials to finalize the potential agenda for the visit. 

While the Chinese side is insisting that both sides should focus on implementation of the past agreements, there are some key issues that Dahal needs to raise when he sits with Chinese officials. Foremost among these is China’s new map that does not acknowledge Nepal’s political map launched in 2020. Dahal has already pledged to raise this issue, and the nation is keenly anticipating how he will approach it and how the northern neighbor will react.

Of late, there are confusions in Nepal over some issues raised by China. For example, China has categorized the Pokhara International Airport as a major project under the Belt and Road Initiative (BRI). Nepali authorities have consistently refuted this claim, yet the Chinese side has not clarified its stance. Likewise, there are confusions on BRI even eight years after signing of the agreement. It is the duty of the Prime Minister Dahal to articulate Nepal's concerns on the initiative.

Furthermore, there are confusions in both the political and diplomatic circles of Nepal about China’s new initiatives such as Global Security Initiative and Global Civilization Initiative. Chinese Ambassador to Nepal Chen Song recently said that Nepal is already a part of GCI. His predecessor, Hou Yanqi, too, had publicly declared that Nepal had joined the GSI.

Another pressing issue is the absence of a joint border inspection between Nepal and China. This has given rise to various issues including allegations of border encroachment by China. During his visit, Dahal should urge Beijing for a joint inspection of the border. While there are other bilateral matters that require attention, it is paramount that Dahal take up the aforementioned issues with Beijing. If both sides are genuinely committed to elevating the bilateral relationship to a new level, they must resolve these outstanding issues first.

Let’s start with a couple of recent incidents that may appear insignificant from those in positions of power.

At a government-run children’s hospital in the heart of Kathmandu, a five-year-old, Rejina Gopali of Thaha municipality ward 10, died awaiting treatment, on Monday. 

In a far-flung Budhinanda municipality in the remote district of Bajhang, Jayapura Shahi was found hanging from the ceiling with a rope at her maternal house. Separated from her husband after he took a second wife, Shahi had been running a shop to eke out a living. Local people have moved the local police post, claiming that it was a murder. 

While in Bajhgara of Dharan municipality (Sunsari), a house caught fire on Thursday morning after a gas cylinder blast that occurred when the family of Sita Dhital was making preparations for a Dar feast as part of Teej celebrations. A narrow gulley came in the way of firefighting, taking the fire brigade 1.5 hours to douse the flames. By that time, the house had turned into ashes. 

Meanwhile, the specter of lumpy skin disease continues unabated. The trail of death and devastation from the disease is shocking. On Thursday, Minister for Agriculture and Livestock Development, Beduram Bhusal, informed the House of Representatives that 52,548 animals have died from the disease, 13,83,595 have recovered whereas 73,636 animals remain ill. 

Bad tidings do not end there. On Wednesday, a khukuri-wielding Shyam Sapkota (47) of Nuwakot Nepali Congress joint general secretary Mahendra Yadav. While Yadav is in police custody, Yadav is undergoing treatment. 

On Thursday itself, Mukunda Rijal, chair, Kathmandu Metropolitan City ward 16, died while undergoing treatment for severe pneumonia. This, even as large sections of the national population continue to suffer from the twin specters of dengue and conjunctivitis. 

Then there are those dignitaries from near and afar, who are a cut above the rest. They are so powerful that they can make controversial remarks questioning the status of Nepal as an independent country. As experts par excellence, it is of course their ‘prerogative’ to teach us how to conduct our foreign policy, isn’t it? 

Of course, nothing is certain except death and taxes, but this rings so true for the people. While negotiating the roads of this bustling valley, this stark realization comes to haunt us so often, despite the presence of police officers and a more-or-less functioning traffic system.

One major factor is mainly to blame for the incidents—from the death of a child to a close shave for a leader to a cylinder blast to chaotic roads to infringement upon our sovereignty and many other incidents in between. 

That is the near-total absence of the government from the affairs of a flailing state. The parliament, civil society, the judiciary, the free press and the people—above all else—should do every bit to make the government govern this country before it’s too late.    

The kidneys, bean-shaped organs located on each side of our spine, constitute a very important part of our body.

How so?

Healthy kidneys filter a half cup (roughly) of blood per minute, removing wastes and extra water to make urine, which flows from the kidneys to the bladder via pair of thin tubes of muscle called ureters, one on each side of the bladder. The kidneys, ureters and the bladder form part of the urinary tract.

Apart from removing wastes and extra fluid from the human body, the kidneys also remove acids that the cells produce and maintain a healthy balance of water, salts and minerals like sodium, calcium, phosphorus and potassium in blood.

What happens to the human body without this delicate balance? Nerves, muscles and other tissues may not work normally.

Aside from these functions, the bean-shaped organs also help control blood pressure, make red blood cells and keep the bones strong and healthy.

The points mentioned above make it clear that keeping the kidneys healthy is of paramount importance.

But data show that the individuals, the society and all three tiers are not giving kidney health the utmost attention it deserves.

Out of the total population of around 30m, three lakh people (approx) in Nepal have renal problems. About 30,000 people experience moderate kidney problems every year, 3,000 have severe kidney failure. About 8,000 people are on dialysis in Nepal whereas the number of people on dialysis in Malaysia (total population: 28m), a popular job destination for Nepali workers, is 45,000.

Though not well off, Nepal provides free dialysis through government hospitals, the first of its kind in Asia, providing Rs 2,500 for each session. This, of course, is not enough for kidney patients with hypertension and diabetes as they have to foot extra cost for non-kidney ailments.

The federal government provides a lump sum of Rs 1 lakh to each kidney patient apart from conducting kidney transplant for free. Local governments provide a monthly allowance of Rs 5,000 to each patient. Yearly, the government spends around Rs 1bn on dialysis. 

Despite these efforts, kidney patients and/or their family members gone broke and appealing for monetary assistance here, there, everywhere for continuation of treatment has ceased to be a new thing.

This, in spite of a Constitution that has recognized the right to health as a fundamental right. This, in a ‘country geared toward socialism’ where the political elites get to fly abroad and avail themselves of the state-of-the-art services in one of the finest medical institutions of the world, all at the taxpayer’s expense?

A question arises: Where are the governments of all three tiers failing?

Instead of focusing on prevention of kidney ailments, the state is focusing on treatment. The state alone is not to blame, though.

Increasing kidney problems should prompt us to look into our food and drinking habits. Are we drinking enough water? Are we taking food that boosts our overall health, including kidney health?

Water requirements also vary depending on the nature of work and climatic conditions. Lakhs of Nepali youths sweat it out in hot climes abroad where drinking water is scarce. This takes a huge toll on their overall health, including renal health. Many of us are taking all sorts of synthetic/alcoholic drinks to quench our thirst.  

This daily, through its extensive reporting, has brought how our public health delivery system is failing the very public. Our conversation with experts has made it crystal clear that the government should focus more on preventing ailments, including kidney ailments, rather than on treatment. The government should provide immunosuppressive drugs to kidney patients for free. Also, the state, together with private and public health service providers, should launch door-to-door campaigns to raise awareness and keep kidney diseases at bay. Here’s hoping that the government on a splurging spree has enough funds—and political will—in its coffers to do that.  

“This is a garden of all castes, everybody should acknowledge it. Everybody from all the four Jat (Caste) and thirty-six Barna (creed) should protect and promote this garden.” The words of King Prithvi Narayan Shah are relevant today. In a world beset by religious and ethnic strife, Nepal's exceptional degree of religious tolerance stands as a testament to its unity in diversity.

But recent events in Eastern Nepal, specifically in Dharan, have raised apprehensions about the stability of this harmonious equilibrium. Disturbing attempts to undermine social and religious cohesion have emerged, which calls for vigilant oversight by the authorities. While immediate crisis may have been averted, the nascent situation remains susceptible to manipulation through the powerful medium of social media.

The constitution of 2015 has enshrined the rights of all castes and communities to practice their faiths and preserve their cultures, safeguarding these liberties from encroaching on the rights of others. Legal frameworks have also been established, delineating the boundaries for all ethnic and religious groups.

Unfortunately, the proliferation of social media has exacerbated the situation, as malicious actors exploit these platforms to disseminate false information and fan the flames of violence. Certain self-proclaimed religious figures have unabashedly amplified their divisive rhetoric, exacerbating tensions through the online sphere. While safeguarding freedom of expression is paramount, authorities must exercise discretion in curbing objectionable content that could incite turmoil.

The specter of external forces seeking to sow discord cannot be dismissed. The collective appeal for calm and unity by political leaders, including Prime Minister Pushpa Kamal Dahal, demonstrate the gravity of the situation. Government agencies must remain vigilant and intervene if such machinations threaten the social fabric.

In these trying times, the imperative to preserve our cherished tradition of harmonious coexistence is clear. Diligent oversight, unity among diverse factions and a steadfast commitment to maintaining the rich tapestry of Nepali society stand as the bulwarks against divisive forces seeking to erode its unity.