Any thoughts before I continue?
I myself would have probably voted "depends on condition" too.
'Subsidised by govt' denote that the govt is paying an entity, like a private corporation to supply healthcare.
But it's not. Services r given by govt, paid by taxes.
I prefer to tell it as it is, from my experience as a healthcare worker.
1. In the Emergency Dept in a tertiary hospital
2. Primary healthcare in rural area
3. Nephrology as a subspeciality, also in a tertiary hospital
I spend the last 4 months as a HO there & couple of months as a junior MO before getting posted out.
1. How critical are u?
2. What speciality your complain belong to, if needed for further treatment (not all complains need to be forwarded, some r treated in ED)
The ED received patients walking in w a complain or by ambulance. So the patient load is tremendous.
ED patients come in by the hundreds per day, from minor illnesses to major ones.
Doctors & resources r often stretched at the ED. When there are influx of patients, they get 'stuck' at ED before getting a bed up in the wards. We call this access block.
This, obviously is not safe for patients. ED is not a ward & there is very little close monitoring done, unlike the wards.
But this is not happening.
Resources at govt hospitals r getting stretched, while private hospitals still look kinda cool, no issues (if u can afford that is)
This is 1 reason why ppl think private might be better.
My clinic is small, only a team of 2 doctors (myself included), 2 MAs & nurses. We run emergency/outpatient services, a non communicable disease (NCD) unit & a mother child clinic (MCH)
Small place but we still see about 50-80 patients in the morning (NCD) and noons we keep for MCH appointments, like scans, antenatal booking
Luckily I didnt have any emergencies there though, now that I think about it. 😅
Also, patients like to give u food. 1 makcik wanted to give me live chicken. 😂
She tells me it is for her cat. 🤦🏻♂️
Primary healthcare in rural areas offer access no private healthcare can. It is still far from being 100% accessible, but the work we do make a difference in many rural communities.
Kidney disease as u might know, is exponentially increasing by the day. Dialysis patient are increasing & what else but costs also going up.
Nephro is unique in a sense most of our patients r long term with us.
This just means no. of patient r always increasing. Again, resources r stretched when only patient load increases but not budget.
Dialysis costs about RM2000++ per month, per patient. Not many can afford to pay that, for years.
But like I say, no. of patient going up, money is stagnant. There is basically no where to go.
The delivery is maxed out. Quality, mostly excellent because of our healthcare workers, but this system is not sustainable.
It will tip over one day if we do not manage it well.
I think I will choose to be hopeful. The work KKM does is exemplary, I'm proud to be part of it once. They are working miracles over there.
Point is, the system is too fractured to say whether private or public is better. And for many like I said, they have no choice. I think we owe it to this segment of ppl to make it better.
Sekian, rambling saya malam ini.