I refer to recent remarks suggesting that a greater sense of nationalism may help curb the migration of doctors from public service.
While the spirit of service to the nation is indeed an important value, it must be recognised that Malaysian doctors have long demonstrated deep commitment and professionalism in serving the rakyat, often under demanding and constrained conditions.
The issue before us is therefore not one of patriotism. It is fundamentally about whether our systems, policies, and career structures are sufficiently robust, fair, and sustainable to retain this highly trained workforce.
The Malaysian Medical Association (MMA) has rightly highlighted key concerns, including:
- Uncertain contract pathways.
- Inadequate and mismatched remuneration.
- Lack of transparency in career progression.
- Workplace pressures affecting morale and well-being.
These are systemic challenges that require systemic solutions.
From a regional Asean perspective, this issue is not unique to Malaysia. Many countries are facing similar health care workforce mobility and retention pressures.
Evidence consistently shows that health care professionals remain where they feel valued, fairly treated, professionally supported, and are provided with clear and secure career pathways.
Nationalism alone cannot compensate for structural gaps. Rather, when there is trust in the system, a sense of belonging and commitment will naturally follow.
Moving forward, efforts should focus on:
- Strengthening workforce planning and career pathways.
- Enhancing transparency and meritocracy in promotions.
- Reviewing remuneration and incentives to reflect responsibilities.
- Improving working conditions and safeguarding well-being.
- Engaging doctors meaningfully in policy development.
If we address these fundamentals, we will not only retain our doctors, but we may also see many returning to serve.
Malaysia has a strong foundation of dedicated health care professionals. It is now our responsibility to ensure that the system supports them as much as they have supported the nation.
Dr Azizan Abdul Aziz is the past president of the Malaysian Medical Association (Term 2023 – 2024) and chair of the Medical Association of Southeast Asian Nations (Masean). This statement is made in her personal capacity. The views expressed do not necessarily represent those of Masean or its member National Medical Associations.
- This is the personal opinion of the writer or publication and does not necessarily represent the views of CodeBlue.
