ICC fails to do justice with Karim Khan

Medicine prices have spiralled out of control. The Pakistan Young Pharmacists Association has exposed numbers that should worry every citizen. A simple stomach medicine, Omeprazole, costs the government Rs1.7 per unit. The same medicine sells in the market for Rs67.85. That is an increase of nearly 4,000 percent. Other essential drugs for heart disease, depression, infections and diabetes show similar shocking increases. This is not a small problem. It is a national emergency. The government deregulated medicine prices in February 2024. That decision was meant to help the industry grow. Instead, it opened the door for companies to charge whatever they wish. Five multinational pharmaceutical companies have already left Pakistan. The country has lost billions of dollars as a result. Ordinary patients now pay the price, quite literally, for this policy failure. The allegations against the Drug Regulatory Authority of Pakistan are serious. The association claims officials allowed substandard medical devices to enter the market. It claims this negligence has contributed to disease outbreaks. It claims officials accepted foreign trips as bribes. These are not small accusations. They demand a proper investigation, not silence. Pakistan also produces far too little medicine on its own. Only 500 pharmaceutical units operate in the country. No major new investment has arrived in twenty years. Meanwhile, production that once happened on Pakistani soil has moved to India. This leaves the country dependent on a neighbour it does not trust. The government cannot ignore this crisis any longer. Life saving medicines must remain affordable for ordinary families. Price controls need to return for essential drugs. Corrupt officials must face accountability. Local manufacturing must be encouraged through real investment.

This editorial is based on a news story published in Minute Mirror newspaper. Punjab’s government promised that buying medical supplies centrally would save public money. It has done the opposite. Minute Mirror’s investigation into the province’s Rs40 billion procurement deal for surgical and medical disposables shows a system that looks broken from top to bottom. The numbers speak for themselves. Out of 125 medical device categories, 50 attracted only one bidder. That is 40 percent of the entire deal decided without any real competition. When only one company bids for a contract, there is no pressure to keep prices fair. This is not how public procurement should work. The price hikes are shocking. Surgical blades that should cost around Rs14 are being bought for Rs 78. Sutures that cost Rs77 are now priced at Rs 289. Even simple IV cannulas and blood transfusion sets have jumped far beyond reasonable benchmark rates. These are not luxury items. These are basic supplies used every single day in emergency rooms and operating theatres across Punjab’s public hospitals. Taxpayers were told centralizing this system would bring bulk discounts. Instead, it appears to have opened the door to inflated rates and limited competition. Even more troubling, the final financial outcomes seem to contradict objections raised earlier by vendors before the Grievance Redressal Committee. Such contradictions cannot be brushed aside. They must be explained clearly and honestly. This is public money. It belongs to the people of Punjab, not to a handful of favoured suppliers. The Specialized Healthcare and Medical Education Department owes the public a full explanation. An independent inquiry should be launched immediately. Every contract award must be reviewed, and every price hike must be justified. Minute Mirror urges the provincial government to act now. Transparency is not optional when public health and public money are both at stake.

The country is having an important conversation again. Should the country create new provinces to fix its governance problems? Or should it strengthen local governments and give real power to mayors instead? Federal Minister Mohsin Naqvi recently argued that the current system of governance has become outdated. He warned that without real reform, Pakistan will still face the same problems ten years from now. He is right that something needs to change. Large provinces, especially Punjab, are simply too big to manage efficiently from one provincial capital. But former State Bank Governor Dr Ishrat Hussain offers an important word of caution. He points out that creating new provinces means building an entirely new layer of bureaucracy. Each new province needs its own secretariat, its own cabinet, its own departments, its own buildings and vehicles. All of this adds permanent, recurring costs to a country that is already struggling with debt and financial pressure. Creating a new province does not solve a problem. It often creates an expensive new one. Dr Ishrat Hussain’s proposed solution deserves serious attention. He suggests that instead of drawing new provincial boundaries, Pakistan should strengthen mayoral systems and local governments in every major city. If cities like Lahore, Karachi and Faisalabad were given real financial and administrative powers, with elected mayors controlling budgets and development projects, this could fix governance problems without the heavy cost of new provincial structures. His argument makes sense. The real issue is not how many provinces Pakistan has. The real issue is that power has never properly reached the local level, where problems are actually felt and solved. This is a reasonable middle path. Strengthening city governments should be the first priority. Giving elected mayors genuine control over budgets, infrastructure and daily administration would bring government closer to the people it serves, without adding new layers of expensive bureaucracy. That said, there may still be a limited case for new provinces where genuine historical, linguistic and administrative grounds exist. Punjab is an unusually large province, and two regions within it, the Seraiki belt in the south and the Potohar region in the north, have long-standing and distinct identities, dialects and development needs that differ from central Punjab. If any new provinces are ever created, these two are the most defensible candidates, since they rest on real cultural and administrative logic rather than short-term political convenience. But this should remain the exception, not the rule.

The war in the Middle East is not shrinking. It is spreading. The recent Houthi attacks on Saudi oil tankers in the Red Sea are proof that a conflict once confined to Yemen’s borders is now reaching into international waters, threatening ships that carry oil and goods for the whole world. This is a dangerous moment, and it deserves plain, honest words rather than diplomatic silence. Prime Minister Shehbaz Sharif was right to call these attacks a violation of international law. Commercial ships are not military targets. When tankers are attacked in the Red Sea, it is not just Saudi Arabia that suffers. Shipping costs rise, insurance costs rise, and ordinary families far from the region end up paying more for fuel and food. This is why the prime minister called it a threat to the global economy, not only a regional dispute. Pakistan’s response also reflects a long and real relationship. For decades, Islamabad and Riyadh have stood together, through shared faith, economic support, and security cooperation. Millions of Pakistani workers live and earn their livelihood in Saudi Arabia. When Saudi Arabia faces a security threat, it is natural that Pakistan feels it too, not as a distant headline, but as something close to home. The prime minister’s message of solidarity, delivered alongside Field Marshal Asim Munir, reflects this old and genuine bond, not a hollow diplomatic gesture. But solidarity with a friend does not mean closing our eyes to the wider picture. A war that keeps expanding helps no one, not Saudi Arabia, not Yemen, and not the region as a whole. Yemen has already endured years of war, hunger and displacement. Its people deserve peace, not another chapter of conflict. At the same time, attacks on tankers cannot be excused as a fair response to that suffering. Two wrongs will only deepen the crisis. This is why Pakistan’s call for restraint must be addressed to both sides. The Houthis must stop attacks on commercial shipping in the Red Sea. Saudi Arabia and its partners must also avoid actions that push the conflict further, and instead pursue a political settlement in Yemen. The Red Sea and the Strait of Hormuz are lifelines for global trade. Keeping them open and peaceful is not just in Saudi Arabia’s interest, or Pakistan’s interest, but in everyone’s interest. The world cannot afford another war zone at sea.

The government says it closed the financial year with a primary budget surplus of around Rs3.6 trillion. This is the third year in a row that the government has managed this feat. On paper, this looks like good news. It shows fiscal discipline and helps Pakistan meet its IMF targets. But a closer look tells a different story, one that ordinary citizens are living through every day. The surplus was not built on stronger tax collection. The Federal Board of Revenue actually missed its target by nearly Rs1 trillion. Instead, the government leaned heavily on the petroleum levy. Collections from this single source jumped by 28 per cent and crossed Rs1.567 trillion. This levy is charged at Rs80 per litre on petrol and diesel. It hits every citizen directly, from the farmer running a tube well to the daily wage worker commuting to a factory. This is the real problem. A government struggling to widen its tax net is instead squeezing more money out of fuel prices. Every rupee added to the petroleum levy pushes up transport costs. It raises the price of food, medicine and almost everything else that must be moved from one place to another. This is exactly why inflation continues to bite ordinary households, even as officials celebrate a fiscal surplus in press releases. The government now plans to collect Rs1.7 trillion through this levy in the current year. That means more pressure on fuel prices is coming. A surplus achieved through petroleum taxes instead of genuine reform is not a lasting solution. It only shifts the burden onto people who are already struggling with high prices. Pakistan does not need more levies. It needs real tax reform that brings undertaxed sectors into the net, so ordinary citizens are not made to carry the weight of fiscal discipline alone.

The suicide bombing at Kabal Police Station in Swat has claimed 17 lives. Seven police officials  and 10 civilians were martyred in this attack. More than 23 injured people are still fighting for their lives in hospitals. We pray for their speedy recovery. This attack was not just on a police station. It was an attack on the peace of an entire community. The people of Swat have already suffered greatly from terrorism in the past. They rebuilt their lives after years of conflict. They deserved better than this bloodshed. Markets closed across Kabal as residents mourned their dead. This attack must be condemned in the strongest possible terms. The bomber used between six and eight kilograms of explosives. Police officers showed real courage. They stopped the bomber from reaching his main target. Their bravery saved many more lives. These officers deserve recognition, not just words of praise. Their families deserve the full compensation that has been promised to them, delivered without delay. The formation of a Joint Investigation Team is a necessary step. Investigators must move quickly and use every modern tool available to find those responsible. But investigation alone is not enough. Pakistan needs a sustained and serious campaign against terrorism, not scattered responses after each tragedy. Chief Minister Muhammad Suhail Khan Afridi used this moment to blame federal security policies. This kind of political point scoring serves no one right now. Terrorism is a threat to the entire country. It cannot be treated as a provincial problem or a political weapon. What Khyber Pakhtunkhwa needs is genuine cooperation between the provincial and federal governments, not finger pointing while bodies are still being buried. The Rs20 billion allocation for police capacity is a welcome move. But money alone will not defeat this threat. Pakistan needs unity among political parties, religious leaders, security forces, and ordinary citizens. Terrorists thrive on division. They exploit political blame games and public distrust. Every time leaders turn a tragedy into a political argument, they hand terrorists a small victory. The victims of Kabal deserve more than condolences. They deserve a state that protects its citizens and brings the guilty to justice without delay. They deserve leaders who put aside politics and work together against a common enemy. Pakistan has defeated terrorism before through unity and sacrifice. It must find that same resolve again. Swat has bled too many times. This must be the last time.