Not enough doctors, not enough nurses
Overworked doctors and nurses.
Not enough specialists - many specialists resign and leave.
They dont have enough medicine at the gomen hospitals anymore.
You have to pay for some medicines or you can buy them at the private pharmacies.
If you go to the gomen hospital you may have to wait four hours, six hours before you can see a doctor.
Having said that, our specialists, doctors and nurses are generally doing an excellent job. Thank you doctors and nurses.
But because the gomen is messing up the entire gomen administration (health, education, agriculture, defense, transportation, tourism, everything) not only are our citizens suffering from a poorly managed health service but the doctors and nurses are being prevented from reaching their maximum potential.
And here is something for the Minister of Health. I do believe you have been given a tricky portfolio. I dont think anyone else wants to be the Minister of Health. The way things are going your career can be ended here.
- AND THE FAILING MEDICAL SERVICES ARE JUST ANOTHER REASON WHY
- YOU WILL BE WIPED OUT IN THE NEXT ELECTIONS.
- THE PEOPLE ARE FED UP.
- YOU WLL BE KICKED OUT.
- BELIEVE ME ON THIS ONE.
And then the latest bungle is something called the Rakan KKM scheme.
The following points are extracted from the Ministry's own website:
hasil (kutipan duit) daripada Rakan KKM akan digunakan untuk:
Membayar kos penuh perkhidmatan, termasuk membayar hospital untuk
penggunaan bahan pakai buang dan infrastruktur, membayar pasukan
penjagaan kesihatan, dan kos pentadbiran serta pengurusan inisiatif ini.
Jika terdapat lebihan pendapatan, ia akan digunakan untuk tujuan awam, termasuk secara eksplisit mensubsidi pesakit awam.
Rakan KKM ialah inisiatif baharu yang mewakili penambahbaikan ..Pesakit Bayar Penuh (FPP) dan FlexiHours.
Dengan asas ‘ekonomi premium’,
pesakit Rakan KKM akan dapat menikmati tambahan dalam keselesaan dan
kemudahan termasuk:
penjagaan yang disesuaikan untuk mereka (personalised care),
Boleh memilih pakar yang merawat mereka,
privasi dan keselesaan tambahan di wad.
Di bawah Rakan KKM, petugas penjagaan kesihatan awam lain yang terlibat (selain pakar) juga akan dibayar secara rasmi.
Keuntungan tambahan daripada Rakan KKM akan disalurkan terus kepada hospital dan ke dalam sistem penjagaan kesihatan awam.
Rakan KKM akan menetapkan harga berdasarkan kos yang perlu ditanggung
dan lebihan untuk disalurkan ke dalam sistem penjagaan kesihatan awam.
My Comments:
I received the following about this Rakan KKM from a former Cabinet Minister (Thank you Tan Sri). I believe it is a forwarded message that is going around.
- The gomen is about to roll out the Rakan KKM scheme in selected gomen hospitals
- Hospital Cyberjaya, Putrajaya, Hospital Serdang, and National Cancer Institute (IKN).
- They claim this is to let patients who can pay more get “faster access” for elective surgeries or specialist care.
- The story is that the money collected will be used to upgrade hospitals and reward healthcare workers.
- But here’s the reality: this scheme is fundamentally unfair. Why?
- 1. Now, your place in line depends on your wallet.
- Public hospitals used to treat those who needed care most, first.
- With Rakan KKM, anyone with cash can jump the queue.
- Those who can’t pay, just wait your turn—maybe forever.
- 2. The principle of public service equality is gone.
- Gomen hospitals are supposed to treat everyone same, regardless of money
- Now, those who pay more get faster service, and the rest are told to wait.
- 3. More pressure on an already struggling system.
- gomen hospitals short of more than 11,000 specialists
- only 44% of what’s needed
- Instead of fixing this, gomen is adding more load
- splitting doctors’ time between regular patients and “premium customers”
- 4. Critical and semi-critical patients will suffer even more.
- Doctors’ time is now shared with those who can afford to pay versus those who cannot
- Health Minister defending Rakan KKM
- saying it is “reform” to generate more revenue
- But once a public healthcare system starts selling privileges based on price, that’s the beginning of silent privatisation. If you have money, you’re king. If you don’t, just keep waiting.
- How did we get here? After more than a dozen utility hikes, expanded and increased taxes, plus a bunch of new taxes —how is there still not enough money to fund public healthcare?
- Where did all those “trillions in potential investment” go, that now our public healthcare system has turned into a two-class affair?
- Do they even realise what they are doing?
My Comments:
- The Malaysian health services are suffering from 50 years of ketuanan policies.
- The whole country is collapsing because of these foolish policies.
- Just fix the ketuanan policies and you fix the problem.
- Instead they are pulling all sorts of stunts doing dont know what.
Hello Minister - أَفَلَا تَعْقِلُونَ ??
The Minister of Health used to be a member of the parti lebai. So I am sure he should be able to read and understand that short Arabic verse above.
We all pay taxes. Income tax, corporate tax, sales tax, road tax, excise taxes, import taxes, cukai tanah, cukai taksiran and all sorts of other taxes. Meaning we have paid for the full range of gomen services.
Why do we have to pay extra now to get medical services which we have already paid for?
And under what Act of Parliament can a gomen department raise revenue directly from the public? Revenue is strictly under LHDN. Plus collection of fines, compounds by certain other departments and agencies that have been approved by Parliament and gazetted. Make sure your paperwork is in order.
Because, following your Rakan KKM logic, one day can the:
i. Jabatan Pertanian ask farmers to pay for their subsidised fertiliser (baja sabsidi)? Siapa bayar lebih akan dapat baja sabsidi dulu. Siapa tak bayar lebih, boleh tunggu sikit lah. I am simply using the same logic.
ii. Or one day can the Jabatan Bomba say, 'Siapa setuju bayar 'Service Charge RM500' Bomba akan sampai dua kali laju ke tempat kebakaran. Siapa tak setuju bayar Service Charge, Bomba akan sampai ikut time biasa lah. Sebab Jabatan Bomba pun kurang staf.
But here is the real problem - the 50 year old ketuanan policies.
1. The gomen restricts intake of medical students into the public universities by racial quotas. So Malaysians of the wrong race who qualify for medical seats are denied the opportunity. So the Malaysian public universities have been graduating far, far fewer doctors than is actually possible in a country of 34 million people. The public universities are not producing enough doctors. That is why the gomen health service is facing so many problems.
This policy must change - overnite. Forget about restricting the non-bumis. Double, triple, quadruple the number of medical seats at the IPTAs and make sure ALL applicants who qualify can enter medical school regardless of race. Lower entry requirements for the bumi candidates is fine. We need Affirmative Action. And normal entry requirements for the non-bumis.
2. Then the gomen licensed private universities including private medical schools. But these are very expensive - they cost up to RM1 million in fees over five years. People cannot afford to spend RM1 million to send their children to private medical universities. So we have a shortage of doctors.
There are also graduates from overseas medical schools who face recognition problems by the gomen. Sort this out quickly. Make it clear what are the foreign medical schools that are recognised. Be fair. If foreign medical schools are up to standard and they are affordable then recognise them quickly so that our Malaysian students can go and study in those medical,schools. We need more doctors lah. We dont need quotas.
3. And then graduates from private medical universities (who maybe from the wrong races again) are denied or delayed intake into 'housemanship'. After graduating, doctors must serve as "housemen" in gomen hospitals before they can get a license to practise as doctors in Malaysia. Now the gomen says there are not enough places at gomen hospitals to train these 'housemen' doctors. A Chinese friend says his niece graduated one year ago and has still not been given a place as a houseman. Same with a mamak doctor who graduated about a year ago. Wrong race again. The stupid ketuanan policies again.
If they are not given a slot for housemanship in a gomen hospital then these young doctors cannot become licensed medical doctors. Their FIVE year studies and their RM1 million medical fees at private medical school becomes wasted. RM1 million and five years study are a huge economic resource. Plus doctors are always the brightest people in the country. All wasted - because of really stupid and outdated ketuanan policies. The country's economic resources become wasted. These monkeys do not understand how much damage they are doing to the economy. And now the health system is collapsing.
Focus on the bottleneck - the shortage of places for housemanship. Really focus on increasing the slots for housemen. If the gomen can spend billions on invisible navy ships, multi billion Ringgit submarines, useless RM4.5 BILLION carbon capture projects why cant you spend a few tens of millions of Ringgit to equip more gomen hospitals to take in more housemen for training? That is all it will cost - maybe a few tens of millions of Ringgit.
Then you can also train the housemen properly for TWO years - instead of the 'express one year program'.
4. Then we come to the "specialists". Without a graduate medical degree (Masters) a doctor cannot become a specialist in the gomen hospitals. And only Masters degrees from local IPTA are recognised. Why? Because of the stupid ketuanan policies.
In Malaysia even if you have a Masters degree in medicine from Harvard University or Cambridge University it is NOT RECOGNISED by the gomen for you to become a specialist in the gomen hospital.
But Singapore recognizes graduates from the Harvard Medical School. How come? Who is cleverer - Malaysia or Singapore? But Singapore practises meritocracy.
So to be a 'specialist' in the gomen hospital you must have a Masters degree in medicine from a local IPTA. This is where the racial quotas kick in again. It is a control mechanism. They can control the bumi non-bumi quota of specialist doctors in the country.
'A doctor, identified as Dr. Prema, successfully sued a Malaysian university for denying her application to pursue a graduate degree overseas, claiming the rejection was based on personal prejudice and racial discrimination according to The Edge Malaysia'
Can you please stop all this racial rubbish?
5. Then because of all this race based screw ups there are not enough houseman, not enough doctors, not enough specialists in the gomen hospitals. So the existing doctors are worked to the bone. The nurses too. Doctors are often 'on call' for 36 hour shifts. Because there are not enough doctors.
You need to see the specialist? You may have to wait weeks for an appointment. You need surgery? You may have to wait for months.
The specialists are also worked to the bone. So the specialists resign and join private hospitals where they can be paid TEN TIMES more. Making the shortage of specialists in thebgomen hospitals even more chronic.
- Bottom line - we do not have enough specialist doctors in the country.
- Bottom line - the gomen health care system is collapsing.
So stop all this racial quotas and ketuanan policies.
You are going to lose the elections because of these ketuanan policies.
Because they do not work.
Why dont they work?
Sebab dalam buku ekonomi tak ada teori 'race based economic policies'.
Tak ada brader. There is no such thing.
Hangpa tak faham okonomi, tak faham bisnes, tak faham finance
- tiba-tiba you want to craft economic policies
that are not found written inside any economic textbook on earth,
on planet Mars, Jupiter or Pluto?
And then you expect such an economic system to work?
It does not work. The roof is collapsing on you.
Hello Menteri Kesihatan, أَفَلَا تَعْقِلُونَ ??
