Category: Health

By Dugald Baird
Wednesday 18 February 2015 11.47 GMT
The Guardian

The advertising watchdog has banned a poster campaign for “trivialising” cosmetic surgery.

Posters were placed in toilets in motorway service stations and shopping centres by the Malaysian-based Medical Tourism Association stating “Did you know… ‘Boob job’ is the most popular cosmetic procedure for women”.

They added: “Malaysia is proud to be amongst one of the only countries within the region where medical tourism is promoted by the government. Hence medical tourists can have the assurance of quality care and be guided by the regulation, safety standards and the governing laws within this industry.

“Our private hospitals bagged three out of nine awards at the international Medical Travel Awards 2014.” Continue reading “‘Boob job’ posters banned for trivialising cosmetic surgery”

By Goh Keat Peng | September 20, 2012

We spend a lot of time on independence, for example, the independence of a nation. But perhaps not enough time on interdependence of the people within an independent nation. These two processes are of dire importance to all human beings.

Here in Malaysia, three days ago, a nineteen year old girl died; on the very day she was to have reported for work for the first time as a kindergarten teacher. The fact that she had come to this point when she could be considered for such a job was in itself a testimony of her courage, discipline, persistence and determination. For her heart (as a bodily organ) was faulty and in 2007, a donor heart was found but upon transplantation was rejected by her system. A second donor heart became available to her and she underwent the arduous process of heart transplant a second time. This one served her for almost five years till her sudden death. She is heart-achingly mourned by her parents and the organ donor’s parents and many others throughout the land.

There are many stories within this one story. In fact, an entire ecology of human relationships was involved. The story transcends many generations, many taboos and prejudices, bringing many souls/lives together. This was a story involving an intricate web of human relationships that demonstrated the best of human courage, kindness, generosity, goodwill and good conduct. As well as the realities of human interdependence which lifts the human spirit through its heart-warming and inspirational qualities.
Continue reading “A tale of interdependence”

Dr Steven KW Chow | Apr 5, 2012
Malaysiakini

The title of the Event was ‘Pelancaran Siri Jejalah Public Engagement – Kajian Sistem Kesihatan Malaysia’ but what really happened was a paradox.

As a media event it was well organised.

The members of most of the mainstream media were at hand.

They, together with the large number of government servant attendees still in their uniforms or with their name tags, virtually made up the bulk of the crowd.

The robust public presence that was supposed to be the objective of this engagement was clearly missing.

Thus it was not surprising that the discussion was devoid of substance and spirit. Continue reading “Public engagement meet on healthcare system a letdown”

— John Teo
The Malaysian Insider
Feb 19, 2012

FEB 19 — 1 Care for 1 Malaysia sounds like a very good slogan but behind this impressive slogan and all the controversies, rhetoric, claims and counter claims lies a very big and fundamental question of where is the funding of such a massive overhaul of our healthcare system going to come from?

We know that the basic principle of part-government and part-public funding underlies this concept and the reason behind this shift of funding policy is the ever-escalating health costs which the government cannot continue to provide funding for indefinitely.

Let me quote two very important facts. 1) According to the 2012 Budget that was announced by our prime minister, the allocation for health totals RM1.8 billion, which is equivalent to 3.7 per cent of the total budget. There were other ministries that have higher budget, notable ones being the Ministry of Defence.

The World Health Organisation recommends that at least five to six per cent of a total budget be allocated to health. Many other countries allocate up to seven to eight per cent. Malaysia is way below that mark. Continue reading “1 Care: Show us the mathematics”

By Shamini Darshni | February 15, 2012
The Malaysian Insider

FEB 15 — When the idea of a national health financing mechanism came up in the mid-2000s, the question of how the funding scheme would be implemented caused much concern.

As a journalist then with an interest in public health issues, I followed the arguments made, then observed how the idea of “the rich paying for the poor” disappeared.

Logic suggests that the then-proposed national health financing mechanism — or scheme, as it was also referred to — had gone back to the drawing board. Today, it seems that the same idea has been repackaged under 1 Care.

Rebranding aside, the idea of 1 Care is noble. But the sketchy details are worrying. Why a major announcement is made without being accompanied by proper details boggles me.
Continue reading “Why should I care about 1 Care?”

— Academy of Medicine of Malaysia
The Malaysian Insider
Feb 14, 2012

FEB 14 — We observe with concern and interest the recent discussions by the ‘rakyat’ and explanations by the Ministry of Health Malaysia (MOH) in the print and electronic media regarding the planned National Health System Transformation. We agree that there are deficiencies in the present system that need to be addressed and applaud the Director-General of Health’s pledge to engage the ‘rakyat’ and stakeholders in its planning.

There is no denying that the Malaysia’s Health System is acknowledged internationally as being successful in providing health services to the ‘rakyat’. Notable successes include:

1. Reduction in mortality and morbidity and increased life expectancy, rising from 56 yrs for male in 1957 to 72 years in 2006; and 58 yrs for females to 76 years correspondingly. Infant mortality rate is comparable to developed countries.

2. An equitable public sector and universal access to comprehensive treatment; where everyone has access to medical treatment up to tertiary level at a nominal fee; and for the poor for free. Continue reading “Restructuring the Malaysian health system: Is there a need?”

— CK Chooi
The Malaysian Insider
Feb 11, 2012

FEB 11 — Many have written on this subject. Most are concerned about the implementation, costs, bureaucracy and effectiveness of the 1 Care scheme. Perhaps there is another holistic approach the government can consider.

Best treatment for the rakyat

Even in most developed countries those who did not have medical insurance will have to accept public health care and those who can afford it are treated in private hospitals. This is a reality of life, all citizens accept this. Have we heard anyone complain that he should be treated in a five-star private hospital when he knows well that he cannot afford it? The government cannot lose votes on this score. Malaysian citizens are mature enough to realise this fact —not all men are equal! We have the poor, the middle class and the rich — every society has this social structure. Continue reading “Why revamp our healthcare system with 1 Care?”

— David KL Quek
The Malaysian Insider
Feb 11, 2012

FEB 11 — Why the need for Health Reform now?

This is the question that has been posed by many people. What indeed are the key reasons for the government to embark on such a radical transformation of our health system? There is no easy answer. But I would venture some socio-economic and health economic possibilities.1

Although one cannot discount or exclude political reasons or even patronage-linked considerations, I would not wish to embark on this line of speculation, because essentially this would only detract from the real issues at hand. Also, it would be hard to prove what are at best, innuendoes and almost surely shaped by partisan motives and beliefs. But it would also certainly be impossible to allay public fears and anxieties that these sorts of political interjections might play a role in any government policy makeovers. So perhaps, these possibilities should at least be highlighted so that they might be forewarned and prevented from hijacking such a monumental policy shift for personal or partisan reasons.

Major reasons for this proposed health reform are: widening public-private disparity in healthcare delivery; attempt to slow down rising healthcare costs; government policy shift to reduce health care subsidy; implementing W.H.O. mandate to provide so-called universal coverage for health; social health insurance to tap into another copayment mechanism for healthcare payment; and forming an autonomous national health authority. Continue reading “Malaysian health reforms socio-economics: Part 5”

— David KL Quek
The Malaysian Insider
Feb 10, 2012

FEB 10 — Out-of-Pocket and Catastrophic Payments

So what is so terrible about out-of-pocket (OOP) payments for healthcare? Why are health economists and policymakers so enamoured with this unsavoury OOP payment that this healthcare financing mechanism has been universally targeted to be eradicated, or at least reduced?

Many health authorities from the WHO and World Bank have analysed this in great detail, taking into account especially poor countries around the world, including those in Asia, Africa, Central and South America. Malaysia too has been included in many multi-country analyses to ascertain if common themes and determinants are shared within the disparate health systems in the regions.

When one looks at poverty levels and unequal economic systems, the health determinant as a function of economic underdevelopment and social aberration unfortunately looms large in some really poor nations. While poverty per se cannot all be attributed to just ill health or the lack of access to proper health care, impoverishment as a result of quests for healthcare has been a classic example of what poor countries are doing wrong. Continue reading “Malaysian health reform socio-economics: Part 4”