Opinion
The Blight Of Misdiagnosis
A report had it that a reputable health technology company had declared its readiness to tackle wrong clinical diagnosis in the country.
This, the company intends to achieve through its fully integrated radiology solutions which they claimed would provide early detection and clinical intervention, and reduce long-term costs in health care in Nigeria and other West African countries.
The story caught my attention because my nephew was a victim of wrong medical diagnosis not too long ago. The boy who just relocated to Port Harcourt with his parents was down with fever. His mother took him to a nearby clinic at Azuabie after the first aid treatment given to him yielded no result.
At the clinic, they met an Indian doctor who diagnosed malaria and typhoid fever and gave him drugs which he was to take for three days. For the three days the drugs lasted, the fever subsided, only to resume in earnest the following day. This time, the boy was vigorously shivering, and could hardly stand. The boy was taken back to the clinic but the doctor insisted there was nothing wrong with the boy.
Meanwhile, there hadn’t been any laboratory test to ascertain the actual problem. After much insistence on a lab test by the mother, the doctor then instructed that a blood sample be taken from the boy for a lab test. To cut the long story short, my nephew almost died as they continued to administer typhoid drugs on him.
Thanks to a kind-hearted neighbour who saw the poor state of the boy and directed them to a hospital at Cocaine Village, Rumuogba. There, it was discovered that he was suffering from anemia which was caused by late poorly treated malaria.
Many Nigerians have been sent to their early graves because of doctors’ misdiagnoses, while others are groaning with irreversible conditions. An associate of mine suffered from severe abdominal pain and painful menstruation for over five years. She visited several hospitals here in Nigeria where several diagnoses were carried out.
Some diagnosed ulcer, others “ordinary stomach pain”. She lived in pain all these years until her family was able to raise money to send her to Singapore were proper diagnosis was done and she was permanently cured.
We can still remember the case of the late human rights activist, Chief Gani Fawehinmi, who died of cancer of the lungs seven years ago after being erroneously diagnosed and treated for pneumonia for over one year by doctors in Nigeria. Eventually, when he was moved abroad for proper medical attention as his condition worsened, it was discovered that he had cancer of the lungs, which led to his death.
Definitely, misdiagnosis is not peculiar to Nigeria. There are recorded cases of poor diagnosis in many other countries of the world but the rate at which it occurs in Nigeria is very alarming and worrisome and calls for urgent attention. Many doctors engage in trial-and-error method in their practices.
The Nigeria Medical Association (NMA) and other stakeholders in the health sector cannot afford to fold their hands while poor, innocent Nigerians are daily being sent to their untimely graves.
The truth is that there are a lot of people who have no business being in the health profession. These people see medicine as a fast way of making money instead of a means of rendering humanitarian services. Doctors should not be drawn to the profession by materialism but by the desire to save lives. That is the only thing that will help them to be meticulous, humble and sincere in admitting lack of competence when necessary. A situation where a doctor claims to know it all does not help matters.
A medical consultant recently decried a current ugly trend where parents force their children to study medicine irrespective of whether they have the interest or not. This really portends grave danger to Nigerians The most worrisome is that many hospitals in the country are also being run by quacks.
Medical misdiagnosis indeed poses serious danger to patients. It shows lack of confidence on the part of the doctors while also making patients lose confidence in the doctors.
It is, therefore, imperative that measures must be taken to curb it. NMA must devise a means of ridding the association of quacks and ensure that professionalism prevails in their practice.
Most importantly, patients and entire Nigerian citizens must realize that misdiagnosis is a criminal offence. It is a crime which they must fight at all cost.
Calista Ezeaku
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Fuel Subsidy Removal and the Economic Implications for Nigerians
From all indications, Nigeria possesses enough human and material resources to become a true economic powerhouse in Africa. According to the National Population Commission (NPC, 2023), the country’s population has grown steadily within the last decade, presently standing at about 220 million people—mostly young, vibrant, and innovative. Nigeria also remains the sixth-largest oil producer in the world, with enormous reserves of gas, fertile agricultural land, and human capital.
Yet, despite this enormous potential, the country continues to grapple with underdevelopment, poverty, unemployment, and insecurity. Recent data from the National Bureau of Statistics (NBS, 2023) show that about 129 million Nigerians currently live below the poverty line. Most families can no longer afford basic necessities, even as the government continues to project a rosy economic picture.
The Subsidy Question
The removal of fuel subsidy in 2023 by President Bola Ahmed Tinubu has been one of the most controversial policy decisions in Nigeria’s recent history. According to the president, subsidy removal was designed to reduce fiscal burden, unify the foreign exchange rate, attract investment, curb inflation, and discourage excessive government borrowing.
While these objectives are theoretically sound, the reality for ordinary Nigerians has been severe hardship. Fuel prices more than tripled, transportation costs surged, and food inflation—already high—rose above 30% (NBS, 2023). The World Bank (2023) estimates that an additional 7.1 million Nigerians were pushed into poverty after subsidy removal.
A Critical Economic View
As an economist, I argue that the problem was not subsidy removal itself—which was inevitable—but the timing, sequencing, and structural gaps in Nigeria’s implementation.
- Structural Miscalculation
Nigeria’s four state-owned refineries remain nonfunctional. By removing subsidies without local refining capacity, the government exposed the economy to import-price pass-through effects—where global oil price shocks translate directly into domestic inflation. This was not just a timing issue but a fundamental policy miscalculation.
- Neglect of Social Safety Nets
Countries like Indonesia (2005) and Ghana (2005) removed subsidies successfully only after introducing cash transfers, transport vouchers, and food subsidies for the poor (World Bank, 2005). Nigeria, however, implemented removal abruptly, shifting the fiscal burden directly onto households without protection.
- Failure to Secure Food and Energy Alternatives
Fuel subsidy removal amplified existing weaknesses in agriculture and energy. Instead of sequencing reforms, government left Nigerians without refinery capacity, renewable energy alternatives, or mechanized agricultural productivity—all of which could have cushioned the shock.
Political and Public Concerns
Prominent leaders have echoed these concerns. Mr. Peter Obi, the Labour Party’s 2023 presidential candidate, described the subsidy removal as “good but wrongly timed.” Atiku Abubakar of the People’s Democratic Party also faulted the government’s hasty approach. Human rights activists like Obodoekwe Stive stressed that refineries should have been made functional first, to reduce the suffering of citizens.
This is not just political rhetoric—it reflects a widespread economic reality. When inflation climbs above 30%, when purchasing power collapses, and when households cannot meet basic needs, the promise of reform becomes overshadowed by social pain.
Broader Implications
The consequences of this policy are multidimensional:
- Inflationary Pressures – Food inflation above 30% has made nutrition unaffordable for many households.
- Rising Poverty – 7.1 million Nigerians have been newly pushed into poverty (World Bank, 2023).
- Middle-Class Erosion – Rising transport, rent, and healthcare costs are squeezing household incomes.
- Debt Concerns – Despite promises, government borrowing has continued, raising sustainability questions.
- Public Distrust – When government promises savings but citizens feel only pain, trust in leadership erodes.
In effect, subsidy removal without structural readiness has widened inequality and eroded social stability.
Missed Opportunities
Nigeria’s leaders had the chance to approach subsidy removal differently:
- Refinery Rehabilitation – Ensuring local refining to reduce exposure to global oil price shocks.
- Renewable Energy Investment – Diversifying energy through solar, hydro, and wind to reduce reliance on imported petroleum.
- Agricultural Productivity – Mechanization, irrigation, and smallholder financing could have boosted food supply and stabilized prices.
- Social Safety Nets – Conditional cash transfers, food vouchers, and transport subsidies could have protected the most vulnerable.
Instead, reform came abruptly, leaving citizens to absorb all the pain while waiting for theoretical long-term benefits.
Conclusion: Reform With a Human Face
Fuel subsidy removal was inevitable, but Nigeria’s approach has worsened hardship for millions. True reform must go beyond fiscal savings to protect citizens.
Economic policy is not judged only by its efficiency but by its humanity. A well-sequenced reform could have balanced fiscal responsibility with equity, ensuring that ordinary Nigerians were not crushed under the weight of sudden change.
Nigeria has the resources, population, and resilience to lead Africa’s economy. But leadership requires foresight. It requires policies that are inclusive, humane, and strategically sequenced.
Reform without equity is displacement of poverty, not development. If Nigeria truly seeks progress, its policies must wear a human face.
References
- National Bureau of Statistics (NBS). (2023). Poverty and Inequality Report. Abuja.
- National Population Commission (NPC). (2023). Population Estimates. Abuja.
- World Bank. (2023). Nigeria Development Update. Washington, DC.
- World Bank. (2005). Fuel Subsidy Reforms: Lessons from Indonesia and Ghana. Washington, DC.
- OPEC. (2023). Annual Statistical Bulletin. Vienna.
By: Amarachi Amaugo
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