Malaysia?

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Malaysian governement serviced doctors have always been underpaid. apart from that they are also overworked. in the family medicine practicr, they work 8am-5pm daily, and on rotation, some doctors work from 5pm-9.30pm daily as well, apart from weekend duties. these are known as extended hours. Doctors who worked extended hours are usually paid MYR80 (about 17.10 USD) per hours. not anymore.

now instead of getting paid, they are given replacement hours. say they worked 3 extended hours, they can accumulate it till it becomes 8 hours and swap for a day off only.

In my country, the UK, our national health service has always worked junior doctors extremely hard. Pay is OK, but not amazing.

However as a junior doctor progresses, they are able to work less and over time, perhaps after10 years, they start to earn a good salary.

Senior doctors in the UK in the NHS can earn up to 250,000 GBP per annum ($300,000 USD).

Doctors in the UK in the private sector can earn perhaps double that, however the private sector is less challenging and so doctors are less experienced and so earn less as a result, more or less evening up the pay gap.

My wife was a podiatrist and service manager in the NHS (she has just moved jobs for the first time in her life). Her salary was OK, but not amazing, but the work was challenging.

The NHS is a soft employer, meaning you are very unlikely to be fired (compared to private industry). It therefore attracts a lot of people that hope for an easy work life.

Our national health service is struggling, primarily because of an aging population.

For example, my father has alzheimer's and is in a care home. He interacts with the NHS about once a month, yet I, currently in my 50's have seen a doctor about 3 times in my adult life.

we inherited your healthcare system. unfortunately, yours evolved, we didnt

Really?

I didn't know that.

Thank you for sharing.

Britain once colonized Malaysia (Malaya)

your nation started off with national funded healthcare. we followed that. your healthcare reformed a few times, latest being with the national insurance and PFI.

we are still stucked with national funded healthcare

Private funded initiatives are highly controversial here.

The idea that public money is used to fund private companies and generate profit for them is an uncomfortable concept with many.

My wife's podiatry department was expected to "Make profit". What they actually mean't was under spend the budget.

I'm not sure whether mixing a public service with private industry is a long term benefit, we will see.

I am ashamed, there are only 22 countries Britain has not invaded.

We were brutal.

nah its ok. we had 67 years to improve ourselves, and we messed up pretty bad. our siblings (singapore and brunei) did even better than us. sure, your nation system kinda messed us up here and there, but our politicians are even worse. they ride religion, ethnicity and the royalty card to further divide us

I think politicians are the same everywhere, it just depends how much the local situation enables their actions.

yeah. so dont feel guilty. humbly i think the brits tried correcting as much as possible the mess they left. given power to local leaders, business partnership, etc. but the local kills the local more.