A visit to the doctor

For some time Kikomeko hadn’t been feeling like himself. There was a numbing pain he felt piercing inside his belly. In spite of the pain Kikomeko whose life was all about work had pushed off visiting his doctor. One reason was he run a company, an insurance outfit, now involved in negotiations for a merger with an outsized competitor. He was so absorbed in this multimillion-dollar negotiation, that he chose to ignore it, hoping the pain would subside.

Apart from being ever lost in work, there was another reason he kept putting off doctor’s visits. Kikomeko had an intense dislike of anything to do with visiting hospitals and taking their medicine. A long time ago as a little child, suffering from typhoid he had been assigned to a closed-off ward, and that experience of being isolated in a sanatorium left him with such a sour test of, “Never again!” Fortunately, now soaring at midlife, his health had generally been super limiting his doctor visit, if ever.

Then one day he felt a lightning pain hit him so hard inside the belly. It felt like a hot spear cutting him to pieces. He noticed the day was open, and so why not make a quick doctor visit, he thought. He called his doctor’s clinic, explained his situation and was booked right away for an appointment. Getting there, he quickly told the nurse he was in a hurry, for there was a lot of work waiting on him and he wanted to see the doctor immediately. Hopefully, he thought, after a quick inquiry, he would be given some tablets, and then he would get back to his desk covered with important paperwork.

“Sir, we need to first take several tests before you see the doctor!” the nurse at the receptionist desk advised.

“How long!”

“For all the important results to come out you will need about two hours!”

Kikomeko pulled out his phone and checked his next appointment. It was five hours away. Inside his backpack briefcase was his laptop and with his iphone in hand, he could as well take the tests, sit and wait, for the results. Then he would fly off with some relief medicine. He obliged.

Once the results came out they were passed on to the doctor. The doctor did not get back to him immediately. When he stepped out of his office he ignored Kikokomeko’s who tried to show him he was delayed by pointing to the wall clock. Instead, he called for another doctor. Kikomeko wondered if there was an urgent case that had come up. But supposing it was his being discussed, a thought crossed his mind. He shifted uneasily.

Finally, the doctor came back and motioned him to enter his office. Kikomeko, gladly walked to his office. He found the other doctor seated and looking quite glum. Kikomeko attempted some light-hearted humor about the weather and how climate change had come to Africa with a recent hard rain pour that had left supposedly some snow behind. But it didn’t have much effect. Then without much ado, his doctor raised his hand, “Our tests strongly suggest that you have cancer of the colon, but we shall need to undertake more tests to prove conclusively.”

“What!” Kikomeko slumped back in his chair. The much he knew of this disease was that it was terminal. Clearly, he had not just dropped by to be read a death sentence. The doctors observing his disturbed face, took to comforting him. “Even if the results come out confirming what we suspect the situation can be managed. There is no need for panic.”

Not panic! Easy to say, but Kikomeko was really terrified. He stood up to leave with the understanding that his results would be sent to an overseas facility for further analysis. “If the results confirm, how long might you give me to live.” He asked while loosening his necktie.

“For these cases, possibly six months!”

Just before all this Kikomeko’s life had but been rosy, glittering, and flying. The company he was just about to acquire would make him the leading insurer of oil and gas in the country, a multimillion-dollar investment. A few months back he had bought land up a hill, and the architecture had just given him 3D drawing of his dream house. But now in a moment all those plans had been rendered meaningless. The magical life he thought he was in full control of, was clearly not his.

When he got home Kikomeko decided not to tell his wife, Mary, for fear of upsetting her and causing tension at home. But then even without venturing Mary could easily notice the anxiety written all over his face. “What must be bothering you?” she probed.

“The company purchase has hit a rock,” he lied and moved outside. A lot was on his mind. Kikomeko had never even written a will, for being in good health, death was the last thing on his mind. He had undertaken a number of bank overdrafts for his various personal businesses which would fall due in a short time. There were issues in the village calling upon him to resolve- land matters left behind by his late father. Being a fighter he knew whatever the results, he would use all his resources to fight this terrible disease, including perhaps selling some of his property. But then he also needed to leave as much means behind for his family, just in case the disease was not arrested and it took him in the six months!

Eventually, he decided to come clean and share with Mary what was eating him all up. At night he kept tossing in bed, shivering with sweat. However, far from what he had feared, Mary on hearing told him she already knew. “Matter of fact I had a dream that the enemy was attacking us and all we need is to pray.”

Kikomeko normally considered his wife one of those religious fanatics, and would never cease to shake his head, as she kept linking every aspect of their life to God and prayer. He often mocked her, “Why to keep your God on 24/7 watch with all those frantic prayers like he has no other business!” But then, this time, something in all she said struck him, and unlike in the past, the two joined hands in prayer.

A week after Kikokomeko was called back by his doctor for the final results. He drove over sweating, fearing the worst. But when he got to the clinic, the doctor was smiling with relief. “I have some good news,” he shared. “We have just got a report from overseas and it is an ulcer bothering you and causing all this pain. It is not the cancer we feared.”

Delighted, Kikomeko called up Mary and shared the good news. “Hallelujah!” she cried with joy. “Amen!” Kikomeko roared back.

As he drove back home he reflected on this recent experience. Before all, he had been preoccupied with his work, thinking everything was under his control. He had not even had time for his family. Then in one moment, his life had been tossed upside down with a devastating medical report.

What a relief that it had all worked out fine. But for now he knew something. He needed to change the priorities of his life. Instead of work and work; it would now be God, family, and then work. Kikomeko felt like a man given another chance at life. Whatever he would be doing now was the knowledge,that he was not fully controlled. There was someone else!

Governor Emmanuel Tumusiime Mutebile (1949- 2022) and the mixed legacy of Uganda’s economic reforms!

For a long time I had wished to meet  Mr. Emmanuel Tumusiime  Mutebile, the famed Permanent  Secretary/ Secretary to Treasurer, Uganda’s Ministry of Finance Planning and  Economic Development   (MoFPED). Seeing where Uganda was headed which  I regretted and despaired I had taken a keen interest in her political economy ending up writing a critical book, “Things Fall  Apart in Uganda” (2013). The opportunity finally came following the death of  Uganda’s fifth  President,  Godfrey  Binaisa, QC, and I  found myself deeply involved in his funeral arrangement. Somewhere along a kinder and gentler face emerged eager to assist in any way. This was none other than the famous Mutebile, much respected as the architect of Uganda’s Economic Reforms.

In 1979 after Mr. Binaisa became President he recruited a number of brilliant much younger men from all over Uganda to assist him as personal assistants. One of those was Emmanuel Mutebile, an Oxo-educated economist, formerly a lecturer at the University of  Dar es Salaam. When Mutebile heard of the death of his former boss, he suspended everything and rushed to assist the grief-stricken family.

He found us trying to figure out a matter of interest where we needed a well-connected person to link us to State House. About 1956  when Mr. Binaisa returned from England armed with a law degree he had teamed up with the veteran nationalist, Ignatius Musazi who had earlier in 1952  founded the  Uganda National Congress (UNC)to picket for  African self-rule.  When Musaazi passed on in 1990 and was buried at city square in Kololo as a national hero, he too felt he deserved as much.

To realize this request we turned to Governor Mutebile who enthusiastically took up the matter. As we waited for State  House clearance, suddenly  I  saw an opportunity to start engaging the Governor on some matter dear to my heart.

“How do you see all this disorganization in our city,” I asked, looking for a way to draw his attention to how the public sector had fallen apart leading to urban decay in spite of the much-vaunted  Economic reforms. The Governor looked at me disarmingly and then said, “you mean these beautiful slums!” He explained that the concrete propping up everywhere was a progressive sign of Uganda’s economic miracle. “Martin, why should you be concerned about order when people can now afford to build this much!”

“But what about rural areas?” I pressed him, unconvinced and casting doubts on his reforms.  “This is where 70 percent of our population  resides and the poverty there is  crushing!”

“We see progress,” he held his ground. “There are now more tin-roofed houses in all the villages across the  country than ever  before!”

For almost an hour we gently spurred but it was getting dark. This was not a good time to fight out an ideological debate when still anxious about where the deceased would be laid to rest. We drew; neither having given in to the other. Eventually, after repeated calls by him on behalf of the Binaisa family to State  House,  the request was not honored. We decided to lay QC besides Canon Ananasia Binaisa at Alexander Memorial McKay Church in Natete.

After the funeral, we would bump into each other frequently especially as he was a  regular visitor to my  Rotary  Club. Meanwhile, I found no reason to revise my views about Uganda’s fragile economy normally lauded as one of the best performings in Africa. With his passing, I have come across many deserved tributes in his memory, but there are certain aspects about the reforms he spearheaded that I strongly feel necessitate further reflection.

There is no doubt that Governor Mutebile played a herculean role in reviving Uganda’s sagging economy in the early 1990s, together with his able team. In 1986 Uganda’s economy can best be described as on a drip. After fifteen years of civil war and mismanagement, Uganda which in 1970 had the fifth highest GDP per capita in Eastern and Southern Africa, with inflation never above 5 percent, was paralyzed with poverty soaring at 56% and inflation galloping away at 120 percent. For foreign exchange the country heavily depended on coffee exports accounting for 70- 80 percent of total exports. Tax revenues averaged just 5.8 percent of GDP and foreign aid financed 50 percent of public expenditure. Uganda was listed as highly indebted nation.

There tends to be a misunderstanding that the Economic reforms that followed were pioneered by the  Museveni government,  which couldn’t be any further from the truth.  In the  1980s  the  Obote  2 government was the first to embrace  IMF/ World  Bank  Structural  Adjustment  Policies  (SAP), but only with limited success largely due to the ongoing  Luwero Triangle war. After the Museveni government came to power, with  Dr. Crispus Kyonga as  Minister of Finance, the country suspended these reforms and imposed strict controls on prices and foreign exchange, which only worsened the economic malaise.

The Museveni government was in a quandary.  According to its  Ten-point program, it was opposed to foreign interests interfering in Uganda’s economic development and advocated for state control of key sectors of the economy. These leftist policies quickly failed to revive the economy exacerbating inflation which simply soared to 240  percent in 1987. After flirting with barter trade, the advice offered by technocrats based at the Ministry of  Finance, led by a  one Mutebile, won the day.  They argued that the economy should be liberalized and embrace once again the World Bank/ SAP policies.

From what we gather  Tumusiime Mutebeli was born into a  deeply religious family that has roots in the East African revival Born again movement. This explains his “Tumusiime” name -given to thank  God for life. His education journey saw him attend Butobero High  School and later Makerere  College School before joining  Makerere  University to study economics and politics.

In 1972,  as guild President at  Makerere University, he risked his life by openly opposing the  Amin government’s decision to expel Asians. Pursued by soldiers he fled and ended up at the University of  Durham in UK  for a degree in politics and economics,  and then on to  Oxford  University for a  Master’s degree. A first-class honors student he had started work on a doctorate in economics when he joined the war that led to  Idi Amin’s fall in 1979.

After the fall of President Binaisa,  he served briefly under his successor, Mr. Paulo  Muwanga, who had overthrown him. During the 1980 General elections, Mutebile sided with Uganda Patriotic Movement  (UPM) and once survived an assassination attempt on his life. A skilled networker not only did he remain behind unlike many of his old party comrades who fled either to take up arms against  Obote  2 government or take up jobs in the diaspora,  he moved to Ministry of  Finance where he gradually rose to become Chief Economist. In 1985 he was appointed Permanent Secretary by President Obote and when his old comrades took over the government a year later, was confirmed by President Museveni.

Although once a socialist radical, by then he had apparently become a proponent of free markets. There is a story to that. At Oxford University he was tutored by development economists like Professor Frances Stewart who preferred redistributive economic policies to fight inequality. But at  Dar es Salaam University it is possible that his firsthand impression of the failure of  President  Nyerere’s socialist Ujaama policies made him embrace neoliberalism, a philosophy that advocates free markets and limited control of the state in economic management.

In the 1970s virtually all  African economies were near total bankruptcy reeling from the effects of the collapse of the commodity market and oil prices that rose throughout that period.  Yet most of these governments, like Uganda, had initiated vast public sector enterprises which were hardly productive but sucking the treasury and leaving nations heavily indebted. Something had to be done. The consensus was starting to emerge to cut unstainable public expenditure.

Founded in 1944 World Bank and IMF were Bretton Woods institutions whose primary goal was to preserve US supremacy by promoting the dollar as the currency of the last resort. Shortly after Uganda secured her independence in  1962, World Bank advanced credit to help her build or renovate major schools and hospitals. The early loans were not conditional but now with many developing nations desperately out of funds for her, under the influence of supply-side economists, to write a cheque it became a condition that beneficiary countries restructure their economies and embrace fiscal discipline by limiting public expenditure.  The term “home-grown solutions”  was a plague to their ears.

Initially, not everyone within the  Museveni government was convinced and there was a stubborn  element  which  opposed opening  key  sectors of the economy to foreign  control  through  privatization. But the  once socialist Museveni  finally  yielded to  the  neo liberals  led by  Mutebile,  especially  as inflation  soared,  with Uganda  constantly  devaluing  her currency  and becoming  even more  indebted.

Almost  immediately  once Uganda adopted a programme  of fiscal discipline, macro stability to tame inflation and liberalized the foreign  exchange and commodity  markets Uganda’s faltering  economy was  finally  revived. Some time later, while visiting  a cousin who had taken  up a job with  World Bank up in Washington  DC, she confessed to  me, “I  am so  happy  everyone here is talking  of how successful Uganda reforms are!” However, all this was coming at great cost to average Ugandans.

One of the requirements of these reforms, as way to cut back public expenditure and balance the budget Uganda was tasked to half the size of public service, which was dismissed as too expensive payroll.  So, Uganda, from 320,000 staff in 1990 she rushed to cut down staff to  156,803, by 1995.  Long serving civil servants were given little choice through a process that was colorfully termed as retrenchment. In far off more developed nations with booming economies such forced terminations could easily be absorbed as there were other jobs.  But  in Uganda, for most of these  traditional  public servants, left  to contest in courts  for their  full terminal  benefits,  this was traumatic.

Between 1992-  1998, as  part of  these conditions  there was also  a recruitment  freeze.  Almost everyone  would  agree  why a developing  nation  like Uganda trains  her people  is  to create  employment, so that those armed  with  skills  can develop  the nation. In 1997  after a decade away  of studying  and  helping  the US develop  as a teacher of public schools  and  manager of  a  major enterprise; I  returned home and  went  straight  to Makerere University  where  I applied for  a job  as a Lecturer.  Though   well qualified I was turned away because government of  Uganda was under a recruitment  freeze.

I could  have  immediately  packed my  bags except  for Prof  Akiki Mujaju (RIP), my  former teacher, who  once he got to  know  I was back, immediately  contacted a colleague, Prof Joy  Kwesigwa, (current  Vice  Chancellor  of Kabale University) then  head of the  new Department  of  Gender Studies,  to find  a way  of  engaging me. The  Government  of Uganda  had paid for my  full university  education  but a foreign  organization had decreed educated Ugandans like me should  be locked of the job market!

Another condition of these  reforms was privatization of state enterprise. This was a standard  prescription that never  took into  concern  the socio economic  reasons  behind  the formation  of some of these state enterprises, albeit  their  failures, especially  in  supporting  indigenous founded enterprises. In some  nations like  Malysai, when  it  became absolutely  necessary,  the  nationals  would be  given  first options to  buy shares  in privatized companies.  Uganda, for  some  reason, took  a wholesale nondiscriminatory approach quickly disposing off  over  105  state enterprise,  which  incidentally  had  been  set  up  from national  savings.  A number of these state enterprise were sold  under dubious  circumstances due  to   internal  wheel dealing.

Perhaps we need to digress to explain why so many state enterprises had become crippled. These enterprises, most  which  were founded by Uganda Development  Corporation,  had been  successfully  run through the1960s under the leadership of  Semei  Nyanzi, becoming  a source of employment  to thousands.  Like other sectors of the economy they had suffered from the disastrous Amin Economic war. This worsened under Obote 2 when they became victims of patronage which denied them of able managers. What was needed was thorough restructuring. As William Pike note in his memoirs, “Combatants”, one of the few survivors of that massacre was the New Vision Printing  Company. As Chief Executive given free latitude he turned it around into a profitable company now listed on the Uganda Stock Exchange and employing hundreds. The other case is that of National  Water & Sewerage Corporation, which, under the able management of  Dr. William Muhairwe as later narrated in “Making  Public Enterprises Work” was also turned around and now employs hundreds of  Ugandans.

The most controversial sale turned out to be Uganda Commercial Bank (UCB), which had been founded in 1964 to deepen financial literacy and extend credit in the largely rural population, a  market hardly of interest to foreign-owned banks.  Although at one stage  UCB  was on the verge of illiquidity (there are stories where customers could not access their money until someone later deposited an equivalent figure),  even after she was restored to profitability under the leadership of  Prof  Ezra  Seruma,  the reformers insisted she is put on the market.  After some drama, it was sold to a South African bank. It was later reported that within the first year of trading, this once national jewel having sold off the famous  UCB tower to a  savvy tycoon,  the investors recovered all their purchases and have never made a loss since.

In 2001 Mutebile moved to the Central Bank as Governor, a position he would hold for over  21 years. Again as part of the economic reforms Bank of Uganda was empowered to close banks that failed the liquid test.  Over the course starting in 1993 largely indigenously founded banks without the financial depth of foreign-owned banks would suffer most.  In 1993, Teffe Bank,  founded by  Baganda elites, was closed due to insolvency. In 1998 International Credit  Bank, founded by an indigenous entrepreneurial family, was closed due to insolvency. In 1999 Greenland  Bank,  founded by  Muslim elites was closed due to insolvency.  In 1999 Cooperative Bank, founded by national cooperative societies, was closed due to insolvency.  In 2012, the National Bank of Commerce, founded by Kigezi elites to help with the development of  Mutebile’s mother district by mobilizing savings, was closed due to insolvency.

Free marketers argued that a bank should only be retained on technical reasons revolving around her financial viability.  This means raising capital inaccessible to most nationals in a small economy like Uganda. At the end out of 26 commercial banks, four would survive where either Uganda or local investors had majority shareholding. The rest ended with foreign shareholders as the majority, meaning Ugandans as well explained elsewhere by  Prof  Seruma are left at the mercy of foreign capital. This partly explains the exorbitant 15-20% bank interest rates, compared to the 0.5- 2% interests charged in the developed countries, hindering ironically the very development of the private sector.

Indigenous founded banks and locally founded strategic industries were abandoned in favor of foreign-owned banks and foreign investors, more keen at scooping profits for the benefit of their external shareholders. Ultimately the Economic reforms took something out of Ugandans, a certain sense of self-confidence, especially as some of these foreign-owned companies came with their own people, including askari- guards, leaving nationals out in the cold! In a  liberalized market foreign shareholders could own 100% of the company. Where we  lost  UCB  now we had  Kenya Commercial  Bank  and  no wonder  there  is  a creeping  talk  you  come  across  in town  that “we Ugandans can’t manage!”

Here we must pause and point out that the 1990 Economic reforms were not a universal failure, altogether, and did some plausible good. Those of us who lived through the 1980s scarcity are forever grateful. Like one of my friends who for his wedding had to hide crates of soda underneath his bed, having secured the scarce soft drinks mysteriously. At our Kampala suburban home the taps were constantly out of water and load shedding was normal. I personally had to require a recommendation chit to secure foreign exchange when first traveling out, courtesy of a hand written note from my muko (in law), Professor Apollo Nsibambi (RIP). The liberalization of the commodity market invigorated our farmers who cut out expensive bureaucratic middlemen with better prices and production shot up.

These gains do not deny that there are areas of misgiving. In fact, going over some actions one wonders if in the mind of some the  Republic of  Uganda was about to shut down! Was it really inevitable,  as happened, to  “sell”  public houses built from national savings to seating tenants as “pool houses”! This was a clear conflict of interest as in profiting from one being in a decision-making position.  Look at Makerere University which retained that infrastructure and how the younger generation has lived to profit from the property she retained. By selling off  “pool houses” senior public servants would later scamper around for places of abode,  sometimes finding themselves locked in slums with impassable roads.

And, much as the public service numbers were halved, they would quickly jump back to over 300,000 anyway; but then without the promised pay reform to make public service more efficient. If anything the culture of  “workshop allowances ” and “ghost payroll” these reforms had promised to eliminate soared. In the absence of state enterprises, the nation would return them back under the guise of government agencies, with bloated salaries for the beneficiaries,  further weakening traditional public service.

In as much as the reforms saw Uganda’s economy grow ninefold, our GDP per capita only rose to $900,  more due to inequality.  For all the progress in thirty-plus years, Uganda is yet to attain a middle-class economy.  The poverty rate has stagnated at  21%; and our tax revenue, at  14%  of GDP remains one of the worst-performing in sub-Saharan Africa.  Uganda ranks 159 out of 189  countries in the Human Development index. Even the NRM government manifesto points out “the majority of Ugandan youth aged 18-30 years are either unemployed or employed in the informal sector. Less than 15% had formal jobs.”  Because there are no commensurate jobs created by a thriving industrial and agricultural sector,  the country has turned to export them.  Presently there are about 300,000 Ugandans working in the  Middle  East with over  120  labor exporting companies.

If imposing fiscal discipline was the heart of  Economic reforms by cutting down public expenditure; Uganda has now perfected the pork and barrel politics of patronage with  84  cabinet ministers, a 529  Parliament and 131 districts. According to the Auditor General, Uganda’s national debt to GDP has galloped to 47 percent “which creates a risk of reaching unsustainable levels”. This must evoke back bitter memories when the country was listed as Highly indebted and gave foreign lenders leeway to enforce their harsh policies. And as for the weakened public sector, in the very week of Governor Mutebile’s death, a  national daily paper reported “there is only one dialysis machine for 15 public regional hospitals”!

Hence my observation and conclusion that the Economic reforms Governor Mutebile led have a mixed legacy. Just before we  parted, when  I  debated him over his economic policy,  I also shared a wish that it would be good to honor his old boss,  President  Binaisa,  with a memorial lecture, as the bank did for  Governor  Joseph  Mubiru.  His eyes lighted and he asked me to follow him up on that. I regret and apologize I never did.  However,  my simple request to  Bank of  Uganda is that the bank honors this great man with  Memorial lectures,  which would be a great avenue to critically discuss the reforms he inspired and their impact on Uganda’s future for the benefit of posterity. May he RIP.