Hartal Doktor Kontrak (HDK) supports the Ministry of Health’s (MOH) initiative to expand Full Paying Patient (FPP) services in government hospitals under the RakanKKM programme.
This move is essential for generating additional income for the health care system and could help retain specialists in public hospitals by providing them with better earning opportunities. It will also improve access to specialist treatment for Malaysians at lower costs compared to private sectors.
However, we urge the MOH to implement robust safeguards to prevent abuse and to ensure that this program does not negatively impact the quality and accessibility of public health care, especially for vulnerable populations. The following concerns must be addressed to ensure the initiative’s success:
Maintaining Focus On Public Health Care
Government hospitals must prioritise affordable and accessible health care for all, particularly underserved communities. There is a risk that some health care professionals may prioritise FPP services over public responsibilities, resulting in longer wait times and reduced care for public patients.
We recommend strict regulations and oversight to ensure that specialists maintain their public health care commitments. Violations should result in penalties, including bans from FPP participation.
Protecting Junior Doctors And Health Care Workers
Junior doctors, nurses, and other health care workers may face exploitation due to pressures associated with FPP services.
To prevent overwork and ensure fair workload distribution, we advocate for fair remuneration and recognition for those not directly eligible for FPP earnings, protecting their rights and promoting equity.
Managing Strain On Public Resources
Given existing shortages in manpower and resources, the expansion of FPP services must not detract from public patient care. A comprehensive assessment of each hospital’s capacity is crucial before expanding FPP services to safeguard public health care delivery.
Ensuring Fair And Equitable Benefits
To prevent a select few specialists from dominating FPP services, we propose equitable distribution of FPP patients among all eligible specialists. Additionally, implementing a cap on income from FPP services can prevent skewed priorities due to financial incentives.
Regulation And Accountability
Strict regulations and regular audits are essential for the transparency of FPP operations. Specialists and department heads abusing the system should face immediate sanctions.
The MOH should also explore fair compensation mechanisms for health care workers who do not benefit directly from FPP services.
In conclusion, while Hartal Doktor Kontrak supports the RakanKKM programme for its potential to generate revenue and retain specialists in the public health care system, it is vital that the initiative is executed with stringent safeguards to prevent abuse and exploitation.
Protecting the quality of care for non-paying patients and ensuring equitable treatment for all health care workers must remain the priority.
We are committed to safeguarding the rights of junior doctors and all health care workers, ensuring that changes to the health care system benefit the Malaysian population as a whole.
- This is the personal opinion of the writer or publication and does not necessarily represent the views of CodeBlue.
