After reading this report, I am compelled to cut to the chase the talk about cutting waste at government hospitals.
Despite soaring health care costs, the Health Ministry has found that a substantial amount of medicine dispensed by government hospitals goes unused or expired.
According to the report, Datuk Eisah A. Rahman, the ministry's senior director of pharmaceutical services, the medicine returned to the pharmacy at various hospitals for the first half of the year was:
- RM128,818 at Kuala Lumpur Hospital
- RM82,436 at Sarawak General Hospital
- RM27,899 at Seberang Jaya Hospital in Penang
- RM53,769 at Tuanku Fauziah Hospital in Perlis
- RM190,616 at Tuanku Ja'afar Hospital in Seremban
- A TOTAL OF RM483 538 from just FIVE HOSPITALS!!!
The ministry is collating data from the other government hospitals. Eisah said the current figures alone reflect the amount of medicine wasted adding that it would be a substantial amount for all the hospitals.
There are 135 hospitals in the country with the ministry spending RM1.6bil on medicine in 2010, an increase of 14.48% from the previous year.
Whilst I applaud Datuk Eisah A. Rahman's courage in making this disclosure, I am quite aghast that it is only now that the public know about this wastage. Why did it take so long for the ministry to take the bull by its horns by implementing the “return medication programme” only last year?
It is most worrying that one reason behind the campaign was to help reduce the possibility of the prescription drugs being misused by others.
Isn't there some sort of stock check system whereby the relevant staff can ensure there is no wastage or misuse? Surely there exists some sort of recording system for the medical supplies and that orders must only be made and approved when existing supplies are about to be exhausted. Does this report reveal more than meets the eye?
One wonders about the size of the cumulative figure for the whole country in ONE year and for the last TEN years. And also, to compare the figures for this wastage per year and assess its proportion in relation in the total expenditure. It is important that the Minister of Health explain how he is going to handle this situation to ensure history is not repeated! More importantly, that the rakyat's money is used prudently FOR THE RAKYAT and NOT for illegals!!!
Who will take responsibility for the state of affairs? What measure will be implemented to avoid such wastage? And, who is the one wasting resources?
What on earth is happening to Health Care in Malaysia? For sure, a major restructuring is needed especially in:
1. Privatization - Are decisions made by Economic Planning Unit rather than the Ministry of Health?
2. Health Tourism - How is this being handled?
3. Proliferation of private insurance and its impact on medical fees
4. How illegals/foreign labour is putting a strain on public health care
Equity, accountability and accessibility of public health care services must ALWAYS prioritize the citizens. As in other sectors, TRANSPARENCY is also needed in decision making!
Currently, the rakyat face problems related to:
1. Burgeoning private insurance costs
2. Spiralling health care care costs
3. Access to services restricted in some cases
4. Expensive medication
5. Wrong medication or wrong diagnosis.
6. Long queues at public hospitals
7. etc etc
To exacerbate matters, it was also reported HERE that the government is introducing a new financing scheme for primary care (1Care for 1Malaysia) by forming a private company/corporation to act as an insurance company and managed-care organisation (MCO). The doctors who wrote this letter expressed their concerns about the company and you can read about it in my post on ICare here.
Obviously, there has to be a big change in the way things are being done. The rakyat must always come first. And to ensure that happens, CHANGE IS IMPERATIVE. Vote wisely for that massive swing to make things better in this country.
nick Sis,
I'm all for reducing wastage and inefficiency in all of the govt dept and ministry. However this report from Datuk Eisah is peanuts compared to the hundreds of millions the GOM waste annually (actually the Auditor Gen's report did reveal that wastage and inefficiency by the Govt runs into billions). By comparison, this wastage of medicine by us the rakyat, is actually negligible.
A lot more (billions) could be save if only our government is transparent and above boards on all of its endeavors. Unfortunately, they are not and as usual the spot light on wastage and misuse of resources are trained on the rakyat and NOT on the real big time culprit, our own government. It seems that rakyat would commit a huge and terrible sin whenever they waste millions BUT the GOM is simply doing it's best and only UNLUCKY that billions are waste yearly. Rakyat is the devil and GOM is the sinless angel or so the propaganda goes. That's why I no longer read or listen to any government statement or remark or advise or even directive. Most of the time IT IS A WASTE OF TIME!
Nick.
GOD bless and have a productive week ahead, Sis.