MATARA, Sri Lanka -- Lately, a whole day can pass at Kusum Fernando's small pharmacy in the southern Sri Lankan coastal town of Matara without a single customer coming in.
"[This] was never the case before," said the bespectacled 66-year-old, leaning over a glass counter. "The patients who come to buy medicines have dropped by half for every month. ... Even when some patients come with prescriptions for three days, they only buy medicines for one day because they do not have money for the full dose."






