The clinic owners. Some clinics are owned by non medical people, or very business oriented doctors. Generally, a private resident doctor are paid about 8 to 11 USD per hour, but it depends.

but many clinic are struggling too. Government healthcare is very cheap so private clinics cant really charged a lot to patient.

A PRIVATE primary care consultation in Malaysia cost about 10 to 20 USD only, with medicine, consultation and medical leave certificate.

Currently, I am this.

Specialist consultation can be very high, maybe about 45 USD to 200 USD depending on the complexity of consultation.

The richest would be surgeons tho. hahha

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inb4 in case you are wondering, I am currently furthering my study as an occupational specialist, so I am on a paycut ( i worked for a university). it is semester break, so that is why I am doing part times

Not all countries have cheap government healthcare, or have functional government healthcare at all.

Did you dream about American dream yet ?

America has very poor healthcare cost. Despite very low wage here, at least my healthcare is not expensive