Opinion
Medical Tourism In A Time Of Cancer
Published
3 years agoon
By
Lanre
I got this question a lot as family, friends and colleagues found out about the breast cancer diagnosis. I had no convincing answer. Even to myself. It was left to be in a country where I had no social structures at a time like this.
I did look to the familiar for a biopsy. School, work, love, conferences and life in general made the UK and US more logical choices for me. I asked trusted friends for help arranging a biopsy so I could be efficient. While I waited, work sent me to Berlin – my first visit ever to Germany. Germany’s medical care is legendary and so I thought, ‘why not?’
After meetings in Berlin, I left for a clinic in Wiesbaden, a small town outside Frankfurt popular with Nigerians with ties to Julius Berger. Exactly one week after the sample was taken, I got the result: triple negative breast cancer (TNBC), fast growing aggressive cells. If breast cancer is a western, TNBC is the baddest villain, but I did not know that then. Who even knew there are types of breast cancer? There are some things we never want to have to know.
Within 10 days, I was back in Wiesbaden for the next important step – staging. For this I needed a Positron Emission Tomography (PET) scan that would determine what stage the cancer was in, which would in turn determine treatment. The PET scan produces detailed three-dimensional images inside the body by detecting radiation given off by a radiotracer – a dye of sorts injected into your veins (or inhaled/ingested) which helps doctors determine cancerous cells because these mutated cells use up glucose at a faster rate than normal cells. Nigeria got its first PET scan machine only in 2022, thanks not to the investment of any federal or state government, but a private oncology centre in Lagos. How have our oncologists been determining cancer staging and treatment without this machine?
Shivering under the blanket thoughtfully provided by the hospital as I waited for the tracer dyes to diffuse through my body, I wondered: cold or nerves? I slept through it, out for the entire process immediately I stretched out on the machine.
The good news was: cancer was at stage 2 and had not spread and TNBC responds well to chemotherapy. The recommended treatment plan was 16 rounds of chemo, then a lumpectomy to remove the tumor, and then 5-6 weeks of radiation. Bad news: I had to move fast, travel was not recommended (presuming I was an heiress with a private jet and could fly in and out for chemo) because of how miserably sick chemo makes the body and weakens the immune system. Buying the drugs and getting them administered at home was also not advisable though it was a possibility. Keeping track of the white blood cells count, ensuring organs are coping, this was where care could slip. Could I start right away?
Of course not.
Abuja – Dakar – New York – Wiesbaden.
Tell family. Tell colleagues. Tell bosses. Then I was ready. Sort of.
Factors influencing decisions
No one in my family had a valid EU visa at this time. Germany was alien, the language and people unknown. There was no one to call, to say ‘check on her’ or ‘make pepper soup and take to her’ (that was soon sorted out!). But the advice to get started without delay gave Germany an advantage despite the well-meaning pressure to consider the US or UK. I had introductions to experts in TBNC across the world within hours – all standing by and ready to assist.
But two things helped me feel more comfortable with Germany. One, if I moved, the doctors would want to do these tests all over again…I did not feel I had the time, energy or money.
Second was health insurance. Until it kicked in (it never did; thankfully the organization I work for was supportive), I would be paying out of pocket and US medical costs were easily 4-5x higher than Germany. So, Germany it was.
The seeds of Germany’s health care system were sown on the eve of the carving up of Africa, with Bismarck’s 1883 Health Insurance Act. It was the first social health insurance system in the world. Today, Germany boasts of being within the top 20 health systems in the world spending 11% of GDP on health expenditure (€407 billion in 2019 or almost €5000 per person). Government funds 77% and the rest is private funded and everyone is covered. Everyone. Including refugees.
In addition to government funding, employees & employers fund up to 14.6% of gross wages, shared equally by the employer and employees and at the point of access a copay (this is where a patient is required to pay part of the cost) is required in some cases but not for preventative services such as cancer screening. Policy makers understand that prevention is better than cure and want zero excuses for those who need regular checkups. Germans who earn below a certain amount are compulsorily covered (88%) and private health insurance exists for high earners (11%).
The unemployed pay a proportion of their unemployment entitlements and for the long-term unemployed, government contributes for them. The German federal government is not directly involved in care delivery but uses laws and regulation to set quality measures and ensure that providers cannot arbitrarily increase premiums and copayments. Dependents and children are covered free of charge and special schemes exist for the police, military and other public service employees.
Health funding in Nigeria
In Nigeria – the federal health budget covers part of the funding required for health insurance under new National Health Insurance Authority (NHIA) law enacted in 2022. The idea of a health fund is to act in a similar way as our pensions do – i.e., contributions from employees, employers, government (e.g., N4.4 billion was allocated to NHIA to cover retired military) and investments. Just like arrangements must be made for those who will retire, arrangements have to be made for those who will inevitably need medical care. It is not clear though, at least not from the agency’s website, how much the NHIA has in funds, what it spends annually, what it generates and who has access.
Health has never been a priority for Nigerian government and policy makers. For the first time since the Abuja Declaration of 2001 where Africa Union members pledged to dedicate at least 15 percent of annual budgets to health, Nigeria’s 2023 health budget got as high as 5 percent of the budget. High recurrent expenditure and corruption ensure that there is always too little to invest in building our medical facilities and expertise.
This is why Nigerians have to migrate when they are ill, increasing the financial and emotional resources required to get better. India, Turkey, Egypt, United Arab Emirates, Ghana etc. have become havens for Nigerian patients. Several factors dictate where patients go for health care outside Nigeria: family, budget, medical referrals, visas and expediency. Improving the health sector requires detailed research and assessment of medical tourism needs and costs in order to prioritize government interventions – until then, Nigerians will continue to seek better health care wherever they can.
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By Victor Ojelabi,
The Rotary Foundation has recognised the polio eradication efforts of Rotary International District 9112 under Immediate Past District Governor Lanre Adedoyin, following the District’s transfer of District Designated Funds to the PolioPlus Fund during the 2025 to 2026 Rotary year, a contribution acknowledged recently, as part of the global funding effort to protect children from the disease.
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The recognition brings a fitting international dimension to a Rotary year in which Adedoyin, a lawyer and member of the Rotary Club of Surulere South, repeatedly placed polio eradication among District 9112’s major humanitarian priorities across Lagos and Ogun states.
In a message addressed to District 9112, The Rotary Foundation thanked the District for committing its District Designated Funds to the campaign, saying the collective support from Rotary districts helped the organisation reach its fundraising target and secure matching funds that translate into US$150 million for polio eradication.
“Your support helped Rotary reach our goal and secure the matching funds that translate into US$150 million toward eradicating polio,” the Foundation said.
The money has consequences far beyond the balance sheet.
According to the Foundation, polio funding supports frontline workers taking vaccines into remote communities, environmental surveillance capable of detecting the virus in wastewater and programmes designed to interrupt transmission in affected areas.
The Foundation said the continuing effort was particularly important in Afghanistan and Pakistan, the only two countries where wild poliovirus remains endemic.
That assessment is consistent with Rotary International’s latest account of the global campaign.
Rotary says its partnership with the Gates Foundation generates up to US$150 million annually for polio eradication, with Rotary raising US$50 million and the Foundation providing a two-to-one match.
The money supports vaccine procurement, social mobilisation, outbreak response, surveillance and other operational requirements.
Rotary’s involvement stretches back decades. Its first polio vaccination project began in the Philippines in 1979, and the organisation became a founding partner of the Global Polio Eradication Initiative in 1988. Since then, global polio cases have fallen by 99.9 per cent.
For Nigeria, the story carries particular resonance.
The country recorded its last case of wild poliovirus in Borno State in August 2016.
Four years later, the World Health Organisation African Region was formally certified free of wild poliovirus, leaving Afghanistan and Pakistan as the remaining countries with endemic transmission.
That historic achievement, however, did not mean the end of the polio challenge in Nigeria.
Circulating vaccine-derived poliovirus can still emerge in communities with low immunisation coverage, making vaccination and surveillance essential even in countries that have eliminated wild poliovirus.
It was against that backdrop that the IPDG’s polio drive developed during the 2025 to 2026 Rotary year.
Adedoyin, who became the second District Governor of District 9112 following the division of the former District 9110, had signalled early in his tenure that healthcare would remain a central part of the District’s service programme.
His installation in Lagos in July 2025 marked the beginning of a year that subsequently combined fundraising with grassroots advocacy and support for health workers.
By September 2025, the District had held a PolioPlus seminar at which Adedoyin warned against complacency simply because wild poliovirus had disappeared from Nigeria. District records show that the campaign remained prominent in its programme in the months that followed.
In October, Districts 9111 and 9112 took the End Polio Now message beyond conventional conference halls with a joint train journey from Lagos to Abeokuta.
Led by Adedoyin and then District 9111 Governor Henry Akinyele, alongside Nigeria National PolioPlus Committee Chairman Joshua Hassan and other Rotary leaders, the initiative turned the train journey into a public awareness campaign for polio eradication.
District 9112 also took the message to communities in Ogun State, including a roughly 10-kilometre Keep Polio @ Zero awareness walk in Sagamu aimed particularly at encouraging parents and guardians to ensure that children receive their vaccinations.
In Lagos, the campaign moved from advocacy to practical support.
District 9112 donated 100 pairs of rain boots and 200 raincoats to the Lagos State Primary Health Care Board in October 2025 to assist health personnel working on polio eradication during the rainy season. The intervention was valued at about ₦1.6 million.
Adedoyin made the District’s position clear at the presentation.
“Our commitment to ending polio is absolute,” Adedoyin said. “We will continue working with the Lagos State Government and our partners until polio is completely wiped out.”
Another significant moment came towards the end of his tenure.
In June 2026, District 9112 announced that it had raised US$13,000 through the World’s Greatest Meal initiative for The Rotary Foundation’s PolioPlus Fund.
The contribution was described by World’s Greatest Meal Committee Chairman Tokunbo Opanubi as one of the highest recorded by the District through the initiative.
The US$13,000 contribution is separate from the District Designated Funds now acknowledged by The Rotary Foundation.
Together, however, the initiatives illustrate the different channels through which District 9112 supported the global eradication campaign during Adedoyin’s tenure.
District Designated Funds form part of The Rotary Foundation’s funding system and allow Rotary districts to direct portions of avail

IPDG Lanre Adedoyin with wife at a Rotary event recently
able Foundation resources towards eligible programmes.
PolioPlus is one of the avenues through which districts can deploy such resources in support of Rotary’s eradication objective.
The Foundation’s latest acknowledgement therefore adds another layer to District 9112’s polio record for the 2025 to 2026 year.
It also demonstrates the multiplier effect behind Rotary’s funding model.
A contribution originating from clubs and districts can ultimately support a much larger global pool used for vaccines, surveillance, community mobilisation and the difficult task of reaching children in areas affected by conflict, insecurity or geographical isolation.
The stakes remain considerable.
Polio is a potentially fatal infectious disease that primarily affects young children and can invade the nervous system, causing irreversible paralysis.
Although its global footprint has been reduced dramatically, Rotary cautions that eradication requires sustained vaccination and surveillance until transmission has been stopped everywhere.
The Foundation’s message to District 9112 captured that unfinished mission.
It thanked the District for supporting the PolioPlus Fund and helping move the world closer to the point where “no child is threatened by this disease ever again”.
For Adedoyin, who handed over the governorship of District 9112 at the end of the 2025 to 2026 Rotary year, the recognition offers a powerful postscript to a year in which the District’s contribution was measured not only in fundraising figures, but also in public advocacy, community mobilisation and support for those working closest to vulnerable children.
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And for District 9112, the acknowledgement connects a local Rotary story from Lagos and Ogun states to a much larger global ambition: ensuring that the final cases of polio become part of history rather than the beginning of another outbreak.
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The contemporary art and photography exhibition “Wake Up!” is back again for a second edition.
Curated by Awele Onwordi, Wake Up! 2 exhibition pays homage to the Nigerian youth and burgeoning street culture which many of its contributing artists reference in their works.
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Titled “Young, Wild, Free”, the exhibition celebrates the creativity, resilience, freedom and cultural influence found in Nigerian youth.
Taking aim at societal issues and economic concerns, the exhibit reflects the youth and their refusal to compromise or bow despite all the challenges stacked against them while charting youth culture through art, music, fashion, skateboarding, photography and community.
The exhibition will be held, once again, at the Angel and Muse Gallery at 25 Sumbo Jibowu street off Ribadu Road off Awolowo Road in Ikoyi.
It will open on Saturday 5 September 2026 and will run until 11 September 2026
This second edition which focuses on celebrating, nurturing and exploring artistic practices rooted in youth and street culture will feature works from DENCITY and SUPERGLIDER HOUSE.
Exhibiting artists include Ajilore Kehinde – their work is deeply influenced by Nigerian street culture and works of other artists like Slawn, Peters Ejiro, etc, Chuka Onwordi – graphic designer who embodies themes of death, melancholy and beauty in his works, ZIDYEP – Abuja based creative whose works move between digital and physical spaces through art, graphic design and air brushing , Franklyn Okoye – graphic designer and artist whose works explore themes of identity and hyper-reality, Awele Onwordi – founder & curator of WAKE UP and multidisciplinary artist whose practice spans character art, creative logo design, album covers and more , Oluchi Kogolo – digital illustrator whose work explores street culture, personality and storytelling through a raw and playful visual style and Kozetuo Apeji – multidisciplinary artists who work explores experimental approaches to problem solving through both digital and traditional art forms.

Commenting on the exhibition in her curatorial statement, Awele noted that “despite economic instability, limited opportunities and socio-political challenges, Nigerian youth continue to shape culture through music, fashion, art, skateboarding, raves, photography and community.”
Also read: Five rising stars battle for 2026 Headies Next Rated
Continuing and harping on the raison d’etre of the exhibition she said, “Young, Wild and Free exists to celebrate Nigerian youth while also creating a platform that supports and amplifies them.”
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By Dr. Sam Akpe,
The hall wore a robe of expectations as minutes ticked towards the hour. The city was wrapped in the mood of impending festivity. Something was in the air. Road safety personnel and armed policemen were on duty—directing traffic and maintaining orderliness along Woji Road.
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A walk into the event hall felt like an excursion into a carnival. From the urbane music equipment emitting jazzy tunes, to the symmetrically-arranged seats, the arty wall decorations, and the storybook backdrop, poetry was on display.
Outside, directly opposite the car park, a massive poster announcing the event in the making—the Annual Wole Soyinka Lecture with a life-size portrait of the literary legend—exhibited what was about to unfold.
The imposing poster also indicated two other persons—the technocrat extraordinaire, Chief Ndutimi Alaibe, as chairman of the day, while the former Aviation and Aerospace Development Minister, Chief Osita Chidoka—was the guest speaker.
Indeed, almost the entire Port Harcourt—a city of political frenzy, soaked in oily wealth but surrounded by shantytowns—was in colourful feel of expectancy, as it awaited the arrival of Akinwande Oluwole Babatunde Soyinka, Africa’s first Nobel Laureate in Literature.
Then almost surreptitiously, the literary idol walked into the hall unannounced. Except for his traditional white hair, the big smile, and the hawk-like penetrating eyes, the hall almost missed his entry. Eventually, everyone rose in honour of the reverential figure—the father of modern political literature.
The 92-years old, with a deep voice, was in the city not just to attend a lecture in his honour, but to participate in a highbrow yearly ritual of the National Association of Seadogs, also called Pyrates Confraternity—a body of intellectual militants founded by him several decades ago.
It turned out to be quite an explosive event. Chairman of the summit, Chief Ndutimi Alaibe, known simply as ‘Timi, paid extensive tributes Wole Soyinka before setting the tone for the lecture that triggered off wide-ranging discussions.
‘Timi told the audience that Nigeria is immeasurably better today because of people like Soyinka who, throughout his remarkable journey, has consistently chosen the harder path—the path of conscience, courage, and truth—when silence could have been safer, easier, and far more rewarding to him.
Labelling the scholarly sage as a man with generosity of spirit and loyalty to friends, he applauded Soyinka’s readiness to encourage worthy causes, and the extraordinary willingness to show up whenever principle, rather than prominence was needed.
He declared, “Today, we honour you not merely with words, but with our presence and our shared commitment to engage the very questions your life has posed to our nation for more than six decades—questions of justice, accountability, freedom, and the moral courage required to build a truly democratic society.”
Besides, the lecture, the event was also a celebration of those described as the National Association of Seadogs Martyrs—a group comprising members of the confraternity arrested on February 17, 1997, imprisoned and tortured by the military in Rivers State on accusation of undue radicalism.
Their ordeal, which lasted 72 days, stated Dr Joseph Oteri, the confraternity leader, was an unplanned journey into the darkest hell of the late General Sani Abacha’s regime, “for daring to believe that Nigeria deserved better than the boot of a dictator,” until they were freed by a court of law.
‘Timi noted that the arrest and prosecution of the Pyrates was basically “for refusing to be silent in the face of oppression” describing the victims as “enduring symbols of resilience and civil courage in the struggle for the restoration of democracy and the rule of law.”
He said the anniversary of the event reminded everyone that democracy not freely bestowed; but was won through the sacrifices of countless Nigerians –many celebrated, many unsung—who endured intimidation, persecution and personal loss in defence of freedom, justice and accountable governance.
Going down memory lane, he mentioned other martyrs of democracy to include “Dele Giwa, whose fearless journalism challenged military authoritarianism until it claimed his life, Ken Saro-Wiwa and the Ogoni Nine, whose martyrdom awakened the world’s conscience to environmental justice and human rights, Kudirat Abiola, whose courage sustained the struggle to reclaim a stolen democratic mandate.
“We remember Chief Alfred Rewane, whose unwavering commitment to democracy cost him his life. And we remember Chief Bola Ige, Nigeria’s former Attorney-General and Minister of Justice, whose assassination remains, to our enduring national shame, unresolved.”
Then he added: “Whether through imprisonment or assassination, torture or intimidation, these men and women bore heavy personal burdens so that future generations might live under the rule of law rather than the rule of fear.
“Their stories remind us that civil courage is not an abstract ideal. It is rather the willingness to stand for what is right, even when the consequences are severe and deadly.
“As we honour their memories today, may we also recommit ourselves to completing the work for which they sacrificed so much—building a Nigeria founded on justice, accountability, constitutional governance and respect for the dignity of every citizen.”
The hall sat in silence, except for intermittent applauses and fulfilled smiles from Soyinka as ‘Timi recalled rare moments of encounter with the erudite professor several years ago—a part of four decades of relationship that has profoundly shaped his understanding of what Soyinka means to Nigeria.
He mentioned an instance of close interaction in 2006 when, under the auspices of the Commission of Nobel Laureates, Soyinka was part of an international mission that visited the Niger Delta to promote peaceful dialogue and undertake a fact-finding exercise in the region—including a visit to the Niger Delta Development Commission, where ‘Timi served.
He recalled that after listening to their presentation, Soyinka remarked that the NDDC had taken on an enormous burden on behalf of a beleaguered region and deserved to be remembered as one of the positive initiatives of the Obasanjo administration, adding with characteristic generosity, “I will remember to commend him when next I see him.”
Two years later, ‘Timi’s late wife, Alaere, extended an invitation to the revered literary czar who was then in the United States, immersed in an exceptionally demanding schedule, to visit ‘Timi’s village of Igbainwari in Opokuma, Bayelsa State, to inaugurate the Wole Soyinka Library—an initiative of Alaere’s organisation, Family Reorientation, Education and Empowerment (FREE).
He revealed that what made that visit even more remarkable was that Soyinka “did not merely fly in to perform a ceremonial duty and depart. He chose to spend the night in our modest country home in that remote riverine community.
“For a man of such global stature—a Nobel Laureate whose voice commanded respect across continents—it was an extraordinary act of humility. Let me add that he also tried Izon local brew.
“By his presence, he honoured not only our family but also an entire community that had long felt disregarded, affirming that no place is too small, and no people too insignificant, to deserve dignity, learning, and hope.
“He spoke with genuine admiration of my late wife’s vision, courage, and steadfast determination, recognising in her work a powerful testament to what conviction and selfless service can accomplish. He said ‘I am not often impressed with people, but she has succeeded in impressing me with her drive, her vision and her total commitment.’”
‘Timi noted that Soyinka created more impact during that visit when he spoke to the youth of the Niger Delta whose militancy at that time had emerged as one of the defining challenges confronting the Niger Delta.
Soyinka offered a wise counsel urging them to choose dialogue over violence and a future built on peace, not conflict.
With characteristic moral clarity, he challenged them to embrace “intellectual militancy in pursuit of the region’s development—a powerful call to exchange the force of weapons for the power of ideas, knowledge, and constructive engagement.”
By his confession, ‘Timi’s reminiscences were not merely out of nostalgia, but because they spoke directly to the event of the day, or as he put it, long before “reclaiming the state” became a familiar phrase, Soyinka was already living it’s meaning.
Or how would you describe a man of Soyinka’s standing journeying to a remote community which many considered too insignificant to matter, just to inaugurate a library and spend a night among strangers without ceremony or pretence, in an environment of budding militancy—with violence on parade.
Soyinka’s act simply affirmed that the true measure of leadership is not the distance one travels, but the willingness to stand with people wherever they are. ‘Timi described this as principled leadership and accountability exercised with wisdom and humility.
On the of the theme: “Reclaiming the Nigerian State through Accountability, Justice and Civil Courage” the former managing director of NDDC said it speaks directly to the realities of the Nigeria—a country we inhabit and the nation we aspire to build.
His words: “Nigeria is blessed with extraordinary human talent, abundant natural resources and remarkable resilience. Yet we continue to fall short of our collective potential. Our national challenge has never been a lack of diagnosis; it has been a failure to act consistently on what we already know.”
It was his view that too often, the institutions designed to hold power accountable have been weakened, thus making justice, for many Nigerians, a privilege rather than their inalienable right.
Restating the virtues of the confraternity, he said: “This gathering cannot, in good conscience, speak of reclaiming the Nigerian state without confronting one of the cardinal evils that the National Association of Seadogs was founded to repudiate.”
That evil, called tribalism, has birthed partisanship, clannishness, ethnic chauvinism and statism, while the enduring values of nationalism, absolute honesty, absolute selflessness, and love for all have been neglected, said ‘Timi.
He asserted that, tribalism has become less an individual prejudice than a systemic condition, coursing through Nigeria’s national bloodstream and eating away at the very fabric of our society.
He noted that reclaiming the Nigerian state must therefore begin with reclaiming ourselves—by ensuring that the principles we so proudly profess are applied consistently, without fear or favour, irrespective of tribe, political affiliation, or the identity of those who wield power.
Ultimately, he said, “accountability is sustained not by laws alone but by the courage of men and women who insist that those laws apply equally to the powerful and the powerless.”
His position was that reclaiming the Nigerian state would not be achieved by a single dramatic event, but through the steady accumulation of principled choices by citizens who refuse to be indifferent, institutions that remain faithful to their mandates, and leaders who choose integrity over expediency and courage over convenience.
Falling back on his modest experience in public service, ‘Timi said the journey has reinforced one enduring lesson in him, that sustainable development cannot exist without accountability, and that where institutions are weak, hope gives way to cynicism; where accountability is upheld, even limited resources can produce lasting impact.
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He urged participants to see beyond the event of the day as they aim to rebuild Nigeria, knowing that “nations are not reclaimed by rhetoric alone,” rather, they are reclaimed “when conscience triumphs over convenience, when institutions are stronger than individuals, and when citizens summon the courage to do what is right, even when it is difficult.”
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