Good fences make good neighbours, and good boundaries keep public hospitals honest, fair, and working for every Malaysian, not just the highest bidder.
Dr Dzul says regulatory barriers under Act 586 are holding up the launch of Rakan KKM, particularly on management of government assets and public sector governance, plus challenges in the licensing process and contract between Rakan KKM Sdn Bhd and MOH.
Whether rich or poor, everyone is treated the same in government hospitals. But Rakan KKM smashes the role of public hospitals as The Great Equaliser of Malaysian society by fast-tracking wealthier patients who can pay to cut the queue, says Dr Carollyn Kek.
Chua Hong Teck parses through the "bold health care reforms" touted by Dr Dzul, including Rakan KKM, DRG model, basic MHIT product, and MOH's digitalisation programme, agreeing that while some of these are indeed bold, they haven't been implemented yet.
A brain tumour patient says he was lucky to get surgery in just 2 weeks at UMSC instead of waiting 6 months or longer at UMMC, as he had insurance. Rakan KKM plans to operate likewise. The man slams inequality from privatisation: "The poor can go and die."
Dr Dzul says Rakan KKM will offer total knee replacement surgery, saying one has to wait six months for this major procedure in public hospitals, "but if not, we go to private. Instead of us going to private, now there's a choice to come to Rakan KKM."
Galen Centre CEO Azrul says contrary to public perception about Rakan KKM's impact on the health care system from people paying to cut the queue, Rakan KKM may actually be too small and modest, with limited services, to be able to really disrupt anything.
PSM launches a campaign against Rakan KKM, warning it will worsen specialist shortages and lengthen waits for poor patients. PSM also wants a 5-year moratorium on new private hospitals, capped private hospital charges and increased MOH budget to 5% of GDP.
Kapar MP Dr Halimah Ali tells MOH to treat private GPs as the real "Rakan KKM" aiding with patient loads in primary care. Bandar Kuching MP Dr Kelvin Yii wants BNM and MOH to form a committee to regulate TPAs by setting a GP fee floor, starting with GLCs.
PSM will launch a campaign on Aug 13 to cancel Rakan KKM that creates a "privileged" category of patients who get shorter wait times and easier specialist access by paying for it. The campaign also seeks raising MOH's allocation to 5% of GDP over 5 years.