Editorial
Ending Needless Medical Tourism
Recently, President Muhammadu Buhari was reported to have said that the failure of government to address the various challenges in Nigeria’s health sector is responsible for the increase in medical tourism in which the nation loses over N400 billion annually.
According to the report, Buhari disclosed this during the inauguration of Senior Executive Course participants at the National Institute for Policy and Strategic Studies (NIPSS), Kuru, near Jos in Plateau State.
Represented by the state governor, Barrister Simon Lalong, the president said that despite the strong commitment being demonstrated by the Federal Government to revitalise the nation’s health sector, the sector continues to be bedeviled by low response to public health emergencies, inability to combat outbreak of deadly diseases and mass migration of medical doctors out of the country.
Sadly enough, the World Health Organisation (WHO) said that Nigeria is currently rated 187 out of 190 countries in the health index. We must also add that the poor state of health care delivery and the upsurge in the emigration of highly skilled health professionals has created room for the ever increasing search for medical treatments abroad.
This case is particularly true for ailments like cancer, kidney, liver, heart, brain, cosmetic and orthopaedic surgeries. There are also examples of celebrities and other wealthy Nigerians who, for sake of confidentiality, seek offshore medical therapy for afflictions that are easily curable within the country. Some even fly their pregnant wives abroad for delivery merely to qualify their offsprings for automatic foreign citizenship.
With an estimated population of over 180 billion (seventh largest in the world), Nigeria has remained a steady source of patients and revenue for some of the highly renowned medical centres across the world. Countries most frequently visited include the United States, United Kingdom, Germany, France, Canada, India, Saudi Arabia and South Africa, among others.
There was even a report of an envoy from a South East Asian country who recently complained to the Federal Government that his country was not getting enough medical tourists from Nigeria. Surely, the latter’s predicament is as bad as that. Every nation now plots to benefit from Nigerians’ extreme extravagance, especially in medical tourism.
Given the number of teaching hospitals, federal medical centres and accredited public and private specialist hospitals scattered across the country, it is expected that Nigeria would attract a respectable ranking among its African peers, at the very least. But this is certainly not for a country whose public hospitals are mainly ill-equipped, grossly underfunded and replete with fake and substandard pharmaceutical products.
We believe that Nigeria has not proved to be a favourable place for the practice of modern medicine, or any other standard specialty for that matter. What with the incessant strikes by doctors and paramedical staff over poor remunerations and welfare which disrupt the learning and practice of the profession.
Doctors have become easy targets for kidnappers in the country. In fact, the menace which grew to assume a seasonal pattern in some states is now getting more frequent with the deteriorating security situation across the land.
As long as this situation remains, doctors and other health professionals whose services are highly sought after elsewhere around the globe would always be tempted to migrate. The same goes for those wealthy Nigerians who can afford the cost of foreign medical travels.
To stem the trend, therefore, government needs to urgently expand and upgrade facilities at the nation’s already existing medical centres, especially the specialist hospitals, while also encouraging foreign direct investment in the health sector. Increased budgetary allocation is necessary to guarantee better funding of the sector.
Restriction of foreign exchange to only medical problems for which there are no remedies within the country can serve to check needless medical tourism. In this case, there has to be proof that reputable internal avenues had already been explored, possibly with verifiable referrals, before diplomatic travel permits and forex approvals can be granted.
Government should also endeavour to improve the welfare of medical personnel, especially those in its employ. Agreements reached through collective bargaining with union leaders must be promptly implemented to avoid the incessant strikes which now characterise the sector.
Above all, government should significantly step up its fight against insecurity. A society where people can feel safe to live and work without fear of cultists, kidnappers, terrorists, hired assassins, armed robbers and trigger-happy policemen can hardly provoke mass emigration of some of its highly skilled workforce. Instead, such society will attract more foreign investors and also encourage the return of its diaspora professionals.
Editorial
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Editorial
WPFD: Nigeria’s Defining Test
Nigeria stands at a critical juncture as the world marked World Press Freedom Day (WPFD) on May 3. This annual observance is a reminder that a free press is central to democratic life, good governance, and public accountability. For Nigeria, it is also a moment for sober reflection on how far the country has come and how far it still has to go in safeguarding the independence of its media.
World Press Freedom Day exists to highlight the fundamental importance of freedom of expression and to honour journalists who risk their lives in pursuit of truth. It underscores the idea that without a free press, societies cannot function transparently, nor can citizens make informed decisions. In countries like Nigeria, where democracy continues to evolve, the observance carries particular urgency.
This year’s theme, “Shaping a Future at Peace: Promoting Press Freedom for Human Rights, Development and Security”, places journalism at the heart of global stability. It emphasises that a peaceful society cannot be built on silence, fear, or manipulated information. Rather, it depends on the free flow of accurate, timely, and independent reporting.
At its core, the theme highlights the role of journalism in fostering accountability, dialogue, and trust. These are not abstract ideals. In Nigeria, where public confidence in institutions is often fragile, the media remains one of the few platforms through which citizens can question authority and demand transparency. When press freedom declines, so too does public trust.
Journalism serves as a foundation for peace, security, and economic recovery. Countries with robust media systems tend to attract greater investment, maintain stronger institutions, and resolve conflicts more effectively. Nigeria’s economic challenges, ranging from inflation to unemployment, require open scrutiny and informed debate, both of which depend on a free press.
However, the issue of information integrity has become increasingly complex in the digital age. Artificial Intelligence (AI) and online platforms have amplified the spread of misinformation and disinformation. In Nigeria, where internet penetration has grown rapidly, false narratives can travel faster than verified facts. This makes the role of credible journalism more vital than ever.
The challenge is not only technological but also ethical. AI-driven manipulation of information threatens to distort public discourse, influence elections, and deepen social divisions. In such an environment, professional journalism must act as a stabilising force, ensuring that truth prevails over sensationalism and propaganda.
Equally troubling is the safety of journalists. Across Nigeria, reporters face growing levels of online harassment, judicial intimidation, and physical threats. Self-censorship is becoming more common, as media practitioners weigh the risks of reporting sensitive issues. This trend undermines the very essence of journalism.
A particularly alarming incident involved a serving minister in the present administration, who openly threatened to shoot a journalist during a televised exchange. Such conduct, broadcast to the public, sends a dangerous signal that hostility towards the press is acceptable. It erodes the norms of democratic engagement and places journalists in harm’s way.
This year’s theme aligns closely with the United Nations Sustainable Development Goal (SDG)16, which promotes peace, justice, and strong institutions. Freedom of expression is a cornerstone of this goal. Without it, institutions weaken, corruption thrives, and justice becomes elusive. Nigeria’s commitment to SDG 16 must therefore include genuine protection for the media.
Historically, the Nigerian press has been a formidable force. From resisting colonial rule to challenging military dictatorships, our journalists have played a central role in shaping the nation’s political landscape. Today, however, that legacy appears to be under strain, as the media operates under what can best be described as a veneer of freedom.
Beneath this facade lies a troubling reality. Journalists are routinely harassed, detained, and prosecuted for performing their constitutional duties. Reports from media watchdogs indicate that dozens of Nigerian journalists face legal threats or arrest each year, often for exposing corruption or criticising those in power.
The Cybercrimes (Prohibition, Prevention, etc.) Act of 2015 has become a focal point of concern. Originally intended to combat cyber threats, it has increasingly been used to silence dissent. Sections 24 and 27(1)(b), in particular, have been invoked to target journalists, bloggers, and social commentators.
Although amendments introduced in February 2024 were meant to safeguard journalists, concerns persist. The law continues to be wielded in ways that stifle investigative reporting and restrict freedom of expression. Legal reforms must go beyond cosmetic changes to address the root causes of misuse.
To safeguard the future of journalism in Nigeria, decisive action is required. The Cybercrimes Act must be revisited to ensure it cannot be weaponised against the press. Law enforcement agencies must operate free from political influence, upholding the rule of law and protecting journalists’ rights. Civil society and international partners must also strengthen independent media through funding, training, and platforms for wider reach.
In this rapidly evolving world shaped by artificial intelligence and digital innovation, Nigeria faces a clear choice. It can either allow press freedom to erode under pressure, or it can champion a truly independent media landscape. The path it chooses will determine not only the future of journalism, but also the strength of its democracy and the peace it seeks to build.
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