Today , doctors on facebook are getting rage for a speech by one of the MPs from Ayeyarwady region.
She said ” All the government doctors have to arrive their duty on time , every late arrival will be taken an action according to rules and regulations.
No wonder, doctors in service are gonna be raged out . There are so many unfair things in their working environment ,that made them less tolerant and be sensitive to any words which seemed to be burden for them.
They’ve been doing works days and nights .May be they are not able to arrive in time but they aren’t also dismissed at the exact time .
If a doctor has to work for 24 hours from 8am to next day 8am, he usually leaved from duty at about 11am or 1pm ,sometimes even missed their lunch.
And then, they get back to the work next day .
It’s quite difficult to consider every aspects of the problem.
Like the MP who said that words is also a doctor but not in service. Thus, she can’t understand well about the feelings of in service doctors.
She will have an idea to consider for patients but forgetting the capacity of government doctors.
I am also a doctor who didn’t join to service . According to official data , there are about 10000 doctors currently serving in government hospitals among 30000 registered in board. Therefore, 2 out of 3 doctors are not serving in government work. May be they are not practicing medicine or may be they don’t want to join to government service.
On the other hand, government itself can’t afford to assign all those doctors in hospitals. They can not pay sufficient money for the welfare of health care staffs.
1500 doctors were currently picked up by union civil service board and they are under training in the civil service institutes.
It seems the current workload of doctors will be reduced a bit after those 1500 reinforcements have finished their training.
But, even with these numbers of doctors and health care staffs, we can not give sufficient health care to 51 million people.
There are patients in rural and remote who are not having enough care ,they are going to quacks to cure their diseases.
I don’t know how the system error can be fixed to run smoothly again.
People are dying everyday without receiving necessary treatments .Some of them even died at tertiary hospitals for the late arrival or for inadequate treatments.
The inadequate treatments doesn’t mean health care providers are not caring properly them at the hospitals.
Sometimes, the hospitals can not hold the growth of patients admission. Each and every patient need thorough investigation, rightful diagnosis and treatment and proper counsellings for mentally distressed conditions. However, our hospitals can not provide that far , they are lack of services in one area or sometimes in multiple areas.
There is no insurance policy to cover health care fees for those needy patients.
Government’s free health care policy didn’t work out .A lot of corruptions and unable to use budget wisely caused the allocated funding already in vain.I am really afraid of having illness. You can not get tender loving care at the hospitals , that’s true.
Your illness will be taken away at the hospital but you won’t see the smiles in their face.This is not because of they don’t want to , this is because they are in stressful condition, always worrying about their insecure lives .

The health care system in Myanmar must be changed .
We should not be sheep , we should not be spent our days and efforts in hospitals only by hoping a new day to come.
Outsiders will not understand the pain of health care persons.
Health care staffs,their very low wage incomparable to regional annual salaries , they hate it but they can’t escape from it .
The government need to develop a wise plan for the welfare of health care staffs and patients.
The solution will not be realistic if it only favors the patients and not considering about that of health care providers’.

Arthur Chan

11.9.2016