Editorial
No To Anti-Migration Bill
On April 6, this year, Nigeria’s lower legislative chamber, the House of Representatives, triggered an outrage. The House passed for second reading, a Medical and Dental Practitioners Act (Amendment) Bill, 2022, which seeks to make it compulsory for graduates in medical and dental fields to render services within Nigeria for five years before being licensed to practise.
The sponsor of the bill is Honourable Ganiyu Johnson, a member of the All Progressives Congress (APC) representing Lagos State. He strongly believes that once passed into law, the proposed legislation will end the massive movement of young Nigerian doctors abroad.
His argument is, Nigeria has only 24,000 licensed medical doctors in the country, which is less than 10 per cent of the number needed to meet the World Health Organisation’s (WHO) recommendation, hence, the need for the bill. He said, considering the growing trend of the Nigerian population and the current rate of emigration of Nigerian-trained medical and dental practitioners, passing this bill into law would provide Nigerians with quality medical services.
To further buttress his argument, the federal lawmaker compared the fees paid in the United Kingdom and other countries’ universities on the one side to what is paid in Nigerian universities, concluding that tuition fees in Nigeria’s public medical schools were highly subsidised. Thus, making it mandatory for the nation’s medical professionals to reciprocate.
Many Nigerian doctors have moved to the developed world, searching for greener pastures. About 5,600 of them have migrated to the United Kingdom in the past eight years. Now, in some southern states of the country, only one doctor is expected to treat about 30,000 patients while in the North, the ratio is a doctor to over 45,000 patients.
Nigeria is not the only African country losing its medical staff to developed nations. Virtually every African country is affected. Statistics from Britain’s Nursing and Midwifery Council showed that up to March 2002, over 2,000 African nurses left their countries to take up jobs in Britain. For instance, South Africa lost 2,114 nurses and midwives to Britain and Zimbabwe, 473 nurses.
Since the content of the bill became public knowledge, doctors and their unions have been lambasting the House of Representatives for the move. Tempers have been flaring, with the doctors claiming that the legislators are ill-informed to contemplate such a law, thus, picking holes in it, and vowing to stop the lawmakers on their track.
Expectedly, the National Association of Resident Doctors (NARD) rejected the bill. In a communique issued after the association’s emergency National Officers’ Committee (NOC) meeting, the resident doctors were particularly shocked by the bill’s sponsor, Hon. Johnson, and his attempts to enslave Nigerian-trained medical doctors. Also, an umbrella body of Nigerian medical doctors and dentists practising outside the country known as Diaspora Medical Association petitioned the National Assembly over the bill.
Similarly, the Medical and Dental Consultants of Nigeria (MDCAN) also faulted the bill. According to MDCAN, the proposed bill is harsh and discriminatory, lacking the basic ingredients of good faith. In a statement signed by the President, Dr Victor Makonhuola, and the Secretary-General, Dr Yemi Raji, MDCAN noted that the bill violated Section 34 (1) (b) of the Nigerian Constitution.
While we appreciate the passion and concern for the health of Nigerians as shown by Johnson in proposing this bill, we think it is misdirected, ill-informed, and poorly thought through. We wonder why the legislators should focus on medical doctors when Nigerians across all professions are fleeing the country to seek greener pastures abroad. Focusing attention only on the medical doctors is like curing one of many ailments that are threatening the life of a dying patient without finding solutions to the others.
The bill is undemocratic. It infringes on medical personnel’s freedom of movement to seek good means of livelihood elsewhere. It is laughable that these same legislators and their cronies in government who frequently go on medical trips overseas are now telling doctors where to work. Why do they not make a law against politicians going for medical tourism? Is it not our money these politicians spend abroad to treat themselves, while we have hospitals that are in dilapidated conditions?
The real motive for seeking to delay medical professionals from taking better opportunities overseas is yet to be seen. What Johnson advocates blatantly violates the acclaimed labour and market principles. The question is: how would the proposed law tackle the vexed issues of infrastructural deficits, low public investment, and poor workers’ welfare, as well as improve the quality of clinical outcomes in the least?
On the issue that medical workers must give back to society after enjoying subsidised training, it must be emphasised that bonding already exists in the civil service with clear guidelines for its application. Governments at both state and federal levels provide full sponsorship for university education at both undergraduate and postgraduate levels, with a proviso that they will bond individuals who benefit from such sponsorship for a specified number of years. This does not apply to subsidies.
Resolving the challenge of brain drain in the country’s health sector cannot be achieved through this bill. Rather, Nigeria needs to address the various factors that make skilled health workers desire to migrate from the country. They should direct considerable efforts at improving the health system, with sustainable investments, to make it conducive for health workers to work and achieve better outcomes. Besides, their work environment and career expectations must be prioritised.
Editorial
Checkmating ‘One-Chance’ Menaces In PH
Editorial
That Oshiomhole’s Call On FG’s Road Projects
There are moments in the life of a legislature when plain speaking becomes a public service. Senator Adams Oshiomhole provided such a moment on the floor of the Senate when he accused the Minister of Works, Senator David Umahi, of manifestly neglecting critical federal arteries in Edo and Delta States, and implored his colleagues to prevail on the Minister to adopt a more equitable and genuinely national approach to road infrastructure delivery. It was blunt, it was uncomfortable, and it was necessary.
The specifics of his complaint deserve restating. Drawing attention to the recent approval of some 20 new road projects despite the parlous state of existing ones, the former Edo State governor lamented that Nigerians cannot travel from Benin to Warri, Benin to Asaba, Benin to Auchi, or Auchi to Okene without encountering severe distress. He alleged a deliberate omission of these corridors from the national budget in the last three years, save for palliative interventions directed by President Bola Tinubu through tax credit arrangements. His question — “What have we done wrong?” — resonates far beyond the chambers of the National Assembly.
We lend our full and unequivocal support to that call. The Auchi-Benin Road, for instance, has been in a deplorable and near-impassable condition for several years, turning what should be a two-hour journey into an all-day ordeal of broken axles, extortionate fares, and despondent commuters. The media have, on multiple occasions, chronicled the suffering of motorists, traders, and students who ply that route. To describe it as a federal road today is to stretch the meaning of the term beyond recognition.
This pattern of sidelining is not confined to Edo or Delta. Even here in Rivers State, the disposition of the Federal Ministry of Works has left much to be desired, particularly along the Eleme axis of the East-West Road. That road, which ought to be a flagship of federal presence in the Niger Delta, has remained in a wretched state for long. Those who use it daily — workers at the Eleme Petrochemical Complex, the two refineries, Onne Port, and the countless ancillary industries — can attest to its deterioration. Work has proceeded in fits and starts without the sustained urgency such a strategic road demands.
The Eleme stretch is not a mere intra-state byway. It is the gateway to the nation’s economic jugular. According to the Federal Ministry of Works and Housing’s 2023 Highway Condition Survey, only about 35 per cent of the country’s 36,000 kilometres of federal roads are rated as being in good or fair condition, with the remainder classified as poor or very poor. The East-West Road, conceived in the 1970s to bind the entire Niger Delta, remains unfinished in critical sections more than four decades after. If it had been treated as a priority, the perennial gridlock, carnage, and economic loss on the Eleme-Refinery junction would have long been consigned to history.
The irony is as painful as it is glaring. The Niger Delta remains the goose that lays the golden eggs. Data from the Nigeria Extractive Industries Transparency Initiative [NEITI 2023 Oil and Gas Audit] show that the region still accounts for over 78 per cent of Nigeria’s federally collected export earnings and about 65 per cent of total government revenue. The National Bureau of Statistics [NBS Foreign Trade Report Q4 2024] similarly confirms that crude oil continues to dominate export receipts. By every metric of equity and economic logic, a region that sustains the national purse deserves first-rate consideration in the allocation of infrastructure, not afterthoughts and tokenism.
Road infrastructure is not largesse to be dispensed by favour; it is the skeleton upon which commerce, cohesion, and citizenship hang. When contracts are concentrated in one geopolitical zone while other zones are left to contend with craters, it erodes trust in the federation itself. The World Bank’s Nigeria Development Update [June 2023] estimated that poor transport connectivity inflates the cost of moving goods by up to 40 per cent and costs the Nigerian economy an estimated $1.5 billion annually in lost man-hours and vehicle maintenance. If we profess to be one country, then equity must be the compass that guides key institutions before any project is executed. Development must spread round, not pool in one place as though other regions do not matter.
There is also a grave security dimension that can no longer be ignored. The deplorable condition of federal roads has become a veritable enabler of criminality. The NBS Crime Experience and Security Perception Survey reported over 2.5 million incidents of kidnapping-related occurrences nationally, with transport workers identifying bad road spots as prime ambush points. When vehicles are forced to crawl at 10 kilometres per hour through failed sections at Auchi, Sapele Road, or Eleme, they become sitting ducks for armed gangs. Fixing bad roads, therefore, is not merely about convenience; it is about safeguarding lives.
By his intervention, Senator Oshiomhole has hit the nail on the head and reminded Minister Umahi of a fundamental constitutional truth: public office is held in trust. The Ministry of Works is not a personal estate where contracts are awarded according to whim or political convenience. It is a national institution funded by the collective resources of Nigerians, including the oil and gas rents from the very communities whose roads are now neglected. The Minister must demonstrate balance, transparency, and a pan-Nigerian outlook in the distribution of projects that impact the daily existence of citizens. Selective neglect breeds suspicion, and suspicion is corrosive at a time when the nation is preaching unity, oneness, equity, and justice.
Consequently, the National Assembly must go beyond rhetoric and assert its oversight powers with vigour. Sections 88 and 89 of the 1999 Constitution [as amended] empower the legislature to investigate and expose any maladministration in the execution of federal projects. If an office holder is not acting rightly, it is the duty of the Senate and the House of Representatives to call him to order. Oversight must not be reduced to budget approval ceremonies; it must translate to field verification, public hearings, and insistence that the Federal Character principle, as enshrined in Section 14(3) of the Constitution, reflects in road awards.
Let the Auchi-Okene, Benin-Warri, Benin-Asaba, and Eleme East-West gangways be restored to motorable dignity. Let priority be given to completing existing, economically vital roads before embarking on new ones. If those who, through their resources, sustain the federation are sidelined in the distribution of tangible dividends, it tells poorly of our nationhood. Bad roads must be fixed, and they must be fixed now, with fairness as the guiding standard.
Editorial
Making Rivers’ 2026 Budget Count
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