pakistan set begin
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Pakistan set to begin $2.5bn ML-1 Railway upgrade …

LAHORE: Pakistan Railways is moving ahead with preparations for the first phase of the $2.5 billion Main Line-1 (ML-1) project, with civil works expected to begin in January 2027 under the government’s accelerated implementation plan.

The first phase will focus on the 480-kilometre Karachi-Rohri railway corridor, where new tracks will be constructed alongside safety fencing to prevent unauthorised access. The project is expected to take around two-and-a-half to three years to complete.

Railways Minister Hanif Abbasi said the department was making every effort to meet the January deadline set by Prime Minister Shehbaz Sharif. He noted that consultations with contractors and consultants, international tendering, bidding, shortlisting and contract awards could take four to five months, but the government was determined to keep the project on schedule.

Pakistan Railways has scheduled an online market engagement session for September 8 with local and international contractors, consultants and other stakeholders. The discussions will focus on project readiness, procurement, technical requirements, contract packages, qualification criteria, risk allocation and construction while railway operations continue.

The Karachi-Rohri section has been prioritised because it carries a major share of the country’s railway traffic and includes stretches affected by deteriorating infrastructure and frequent accidents. Once upgraded, the corridor is expected to allow trains to operate at speeds of up to 160 kilometres per hour.

The project will include track reconstruction, selected realignments, bridges, culverts, stations, freight facilities and other infrastructure along the Keamari-Landhi-Hyderabad, Hyderabad-Nawabshah and Nawabshah-Rohri sections. Upgrades to signalling, telecommunications and Walton Academy are also part of the broader plan.

The Asian Development Bank is expected to finance the project, while Pakistan is also exploring co-financing from the Asian Infrastructure Investment Bank, World Bank, Islamic Development Bank and other partners.

A meeting at Pakistan Railways headquarters reviewed preparations for the Karachi-Rohri upgrade, with Railway Board Chairman Syed Mazhar Ali Shah directing officials to complete the project review by October 30, 2026. Weekly monitoring of progress was also ordered.

Officials said international expertise and market feedback would be incorporated into the project to improve its efficiency, sustainability and technical viability. Authorities also pledged to maintain transparency, competitiveness and merit throughout the procurement and implementation process.

The government sees ML-1 as a key step towards modernising Pakistan’s railway network, improving passenger services, increasing freight efficiency and strengthening connectivity between major population centres and industrial areas.

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He stressed that the medical profession should not be treated like an ordinary business because healthcare is an essential public service. According to Dr Kamran Saeed Sheikh, the proposed system could create additional technical and financial difficulties for doctors and ultimately increase the cost of healthcare for ordinary patients. He also raised concerns about patient privacy. He said information about a patient’s illness, visits and expenses must remain confidential and should not be exposed through systems that could allow unnecessary access or monitoring. The PMA Punjab president said private healthcare providers were already paying taxes on several areas, including electricity, equipment, water, gas and buildings. He argued that adding more technical requirements could take doctors away from their main responsibility of treating patients. Dr Kamran Saeed Sheikh also warned that doctors were already leaving Pakistan and that healthcare establishments in some areas were closing rather than opening. He said further administrative pressure could make the situation worse. The PMA leadership said it had already held two meetings with the FBR and had also sent written communications explaining its position. According to Dr Kamran Saeed Sheikh, the discussions had not produced the result the doctors wanted. He said the medical community was prepared to keep all legal and democratic options open. “We will fight legal battles, go to court and protest,” Dr Kamran Saeed Sheikh said during the briefing. He also warned that doctors could come onto the streets and consider withdrawal of services if the issue was not resolved. Dr Maqsood Zahid, President Elect of PMA Punjab, also questioned whether POS technology was suitable for medical services. He argued that healthcare was different from selling ordinary products because doctors provide services that can be required at any time, including emergencies during the night. He said doctors could not stop treating an emergency patient simply because a machine was not working or an internet connection had failed. Dr Maqsood Zahid said many patients also receive treatment without paying the full amount. Some patients receive services at half rates, while others are treated free of charge. He questioned how such cases would be properly reflected through a system designed mainly around payment records. He gave the example of a hospital in Mian Channu, Khanewal, where doctors reportedly deal with many patients without charging them. He said that out of 100 patients, around 60 could be treated without receiving even a single penny, making a simple payment based system difficult to apply to real medical practice. The doctors also argued that medical treatment cannot be measured in the same way as the sale of a retail product because the cost and complexity of treatment can change from patient to patient. Dr Maqsood Zahid said the medical community was willing to discuss a suitable tax formula with the government if a system could be designed according to the realities of medical practice. The PMA representatives said doctors across the country were being represented in discussions on the issue. They said representatives from Sindh, Khyber Pakhtunkhwa, Balochistan, Karachi, Islamabad and Punjab had participated in consultations. The PMA also raised the problem of smaller clinics in remote areas. Doctors argued that poor internet services, electricity problems, shortage of technical workers and maintenance costs could create serious difficulties for clinics outside major cities. Dr Muzaffar Niazi said doctors would not accept a situation in which the medical profession was treated like a normal retail business. He said doctors were prepared to pursue legal action, demonstrations, public awareness campaigns and other forms of protest. The PMA leadership also stressed that it was not against taxation itself. Dr Maqsood Zahid said doctors were law abiding citizens and accepted that taxes were necessary to run the country. The main demand was for the government to develop a system that recognised the special nature of healthcare and did not place unnecessary financial and administrative pressure on doctors or patients. The PMA Punjab had already formally raised the issue with the FBR. In a letter dated January 20, 2025, Dr Kamran Saeed Sheikh, President PMA Punjab, asked the FBR Chairman to defer the installation of POS systems in private healthcare establishments. The letter warned that additional administrative, technical and financial requirements could increase the cost of healthcare and reduce the time available for doctors to provide medical treatment. It also pointed to problems such as unreliable electricity and internet services, shortage of technical staff and difficulties faced by small and medium sized clinics. PMA Punjab also warned in the letter that additional pressure on private healthcare could discourage young doctors and female doctors from starting private practices in remote and less developed areas and could contribute to further brain drain from Pakistan. The letter was also copied to the President of Pakistan, Prime Minister, Governor Punjab, Federal Minister for Finance and Revenue, Chief Minister Punjab, Speaker Punjab Assembly, provincial health ministers and the Chairman Punjab Health Care Commission. The PMA leadership has now made clear that the dispute is no longer limited to a technical discussion over a machine. Doctors say the issue involves taxation, patient privacy, the cost of healthcare and the ability of small clinics to continue providing services. If the disagreement remains unresolved,

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