
Doctor M is very definitely of the “new” school of surgeons – relatively young (late-forties perhaps) and easy to chat to. When I asked him if the second stage of the procedure to break up my kidney stone would take 15 minutes or so he smiled and said it would take a lot longer than that. “We have to make sure that the stone is broken into really small pieces that will easily pass down your ureter and that takes a while even with a laser. We have to retract the stent enough to expose the stone, insert the scope under active X-ray so we know exactly where we are and then blast the stone with the laser”.
When I was told a few weeks back that the kidney stone that was blocking my ureter could be removed by laser I was quite surprised. I’d assumed that it would be crushed and removed by a more basic endoscope but apparently we are more advanced than that in Zimbabwe. Perhaps it’s the dilapidated state of the nation that automatically primes one to expect that nearly all other aspects of life will be equally decrepit. Medicine has, to an extent, escaped this fate (if you have the means to afford it) though it is generally accepted that for advanced medical treatment it’s best to go to South Africa. Perhaps paradoxically it is often cheaper (it’s the competition thing).
The first stage of removal was to insert a JJ stent (so called for the shape of each end) past the stone which was partially blocking the ureter near my left kidney. This required day surgery and I had to report to the clinic in the Avenues area of Harare at seven a.m. I was checked in by pleasant and efficient staff, escorted up to a ward and then the waiting began.
At 10 o’clock my cellphone was taken away and I was told that I’d go to surgery “just now”. By noon I’d given up on the “just now” and dozed off. Around 3 o’clock I was loaded onto a gurney and moved off to the operating theatre where I was left outside. The paint was peeling off the passage walls opposite. The anaesthetist arrived and talked me through what she was going to be doing. She was young and chatty. She left, doctor M called past carrying a day pack and greeted me and then I was moved into the operating theatre and maneuvered onto the bed. The interior of the operating theatre was, to my untrained eye, modern though the overhead lights had different coloured elements that no-one could explain.
I was awake around 4.30 and the surgeon checked in on me at 5. Marianne picked me up at 7. A day spent waiting. Mostly.
Doctor M’s rooms are new, expansive and indicate a successful surgical practice. When I drove in this Friday past to have the consultation for the second phase of the kidney stone removal the car park was only half full. I was on time at 9.45 for the 10 o’clock appointment. I finally got to see him at 11.45 and yes, I fell asleep in the waiting room. When I left the car park and waiting room were full. Maybe I’d got off lightly.
I go back to the same clinic on Monday for the laser treatment. I won’t make the same mistake and will check up on the time I am expected though I suspect a fair bit of latitude will be built in to their answer. Unlike the last time I won’t be getting out the same day – apparently pain management will be required for at least one night. I guess that I will have to put up with it, hopefully I won’t have to wait too long for the analgesics!















Panic, greed or both?
11 03 2026On Wednesday morning the previous day’s rumour of fuel price increase was proven correct. Diesel price had gone up from $1.53 per litre to $1.77. Please note that is US dollars not the local ZWG dollar which despite being an official and rate-controlled currency nobody wants it, most certainly not the fuel stations.
The reason given for the price increase is the ongoing war in Iran. I suspect that it’s a convenient excuse to bleed the Zimbabwean public of yet more money. Yes, the increase in crude oil price is going to cause a knock-on effect to the pump prices but nearly 16%? What does the government think the knock on to cost of living is going to be? Do they care? Will it come down if or when the fuel prices are reduced? Not a chance!
Being a landlocked country all imports of consequence come in by road or rail. A telling exception is the fuel pipeline from the Mozambique port of Beira to Mutare, a city on the eastern border of Zimbabwe, which accounts for some 90% of fuel imports. This means that oil price increases are going to have a minimal effect on pump costs. This doesn’t seem to have been incorporated into the ZERA (Zimbabwe Energy Regulatory Authority) calculation of how the maximum allowable fuel price arrived at. ZERA is the government body that regulates maximum fuel prices – I am not sure what else it does if anything.
More tellingly there is no indication of how much the source price has changed so it is effectively meaningless. The government has lost no time in telling us just how lucky we have been that it didn’t increase more (last paragraph in italics below):
“The petroleum prices are with immediate effect from 4 March 2026 for the next two weeks. In the meantime, ZERA will be closely monitoring the market developments to ensure that there is adequate supply in the market.
“The above prices are as a result of Government reducing some of its charges to cushion the consumers from astronomical increases that have happened from changes in the international market.
“Without Government cushioning, the actual prices would have been US$1.90/litre for diesel and US$1.81/litre for blend.”
This is from a government that has imposed taxes on bank transfers of 2% (some are exempt such as pensions), 2% tax on cash withdrawals from banks and a VAT of 15.5% that has just gone up from 15%. Income is taxed starting at $100 per month. Foreign currency transactions by debit card now attract a 15% tax. This is a government desperate for cash.
The shortage of cash is evident in the public sector. The road from Bulawayo to Victoria Falls is nearly impassable in places. There are lots of others. Talking to a friend who lives in the eastern highlands area of Nyanga she tells me that it takes her an hour to go 7km along a road that became impassable in January due to heavy rains and other stuck vehicles. Roads in our suburb of Mount Pleasant can require a good deal of patience to negotiate and the problem is widespread in Harare. Power outages and poor voltage are endemic and municipal water is erratic and at best a trickle (ours goes into the swimming pool for storage). What was once the pristine central business district of Harare is now the proverbial dog’s breakfast of rubbish, potholes, vendors and a bad smell to boot.
The tax department works! It’s had a complete makeover in the last year or so and nearly everything is doable online. That’s including the notorious QPDs (Quarterly Payment Due) whereby one has to estimate the company profit or loss four times a year with penalties enforced for being inaccurate. Yes, you got it – taxed in advance!
Businesses eligible to charge VAT have to have a computerised point-of-sale that is linked to the tax department’s computer system and every invoice or cash sale has a QR code on it. Scan the QR code and you can see a representation of the invoice. Try it on the example. I have to admit that I’m impressed.
So when the government hikes the fuel price by nearly 16% and tells us that it could have been more I am sceptical (I am already cynical).
Postscript: In the time taken to write this blog fuel pump prices have rocketed the world over. The Zimbabwe government might just have to rescind its decision to “cushion” price increases. So far there haven’t been reports of fuel shortages but the bulk diesel price on the sign pictured is now zero – none to be had.
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Tags: cost of living, crude oil, fuel prices, fuel shortage, income tax return, invoice, Iran war, pump price, tax clearance, VAT, Zimbabwe Government
Categories : Business, News & Various, Social commentary