Permanent tenure serves as an immediate anchor to retain skilled medical officers within the public sector, halting the critical brain drain of junior talent.
MOH must clarify if the contract doctor system is indeed "abolished", as perceived by many, by stating if housemen entering in 2027 will begin as permanent employees or receive guaranteed conversion, besides eligibility for other existing MO cohorts.
Sabah lost 244 medical officers, mostly in hospitals, because 333 transferred out of the state for permanent posts, but only 89 from outside Sabah reported for duty in that state. Among 269 MOs from outside posted to Sabah, there were 171 no-shows (64%).
PM Anwar declares an end to the contract doctor system. Doctors will be offered permanent positions next year after completing housemanship. Budget 2027 increased FDS allowance from RM30-RM100, and post-basic incentive for paramedics/nurses to RM200/month.
Progress must be measured not merely by the number of doctors reporting for duty, but by whether health care facilities have sufficient manpower to deliver safe, timely, and quality care to the rakyat.
Bandar Kuching MP Kelvin Yii supports a new 30% specialisation quota reserved for doctors in Sabah and Sarawak, but tells Putrajaya to go further by increasing remuneration, fixing service duration for East Malaysia postings, and improving staff quarters.
Dr Dzul says 382 medical officers didn't report for duty out of 1,055 offers of permanent posts in Sabah and Sarawak this year (36% no-shows), a bit better than 42% no-shows in 2025. He announces a 30% quota for specialisation for those in Sabah/Sarawak.
PM Anwar, if doctors are rejecting permanent positions that were once used as a carrot to entice them, it’s obvious that the system has failed. JPA, MOF, and MOH must come up with real decisions before public health care slides further towards collapse.
Sabah DCM Masidi Manjun says staff accommodation and remuneration of doctors are the federal government's financial and constitutional responsibility, but says the state government can do much more if Sabah gets its constitutional 40% revenue entitlement.
The federal Budget 2027 should fund a Borneo Medical Service Package to attract doctors to serve in Sabah and Sarawak. Both state governments should also allocate funding for state allowances or bonuses and to improve staff accommodation for doctors.