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Archive for September, 2010

It is very interesting to see in this era and time, there is a country known as Malaysia which still decide what a citizen should and should not read!!!! Probably the authorities are still leaving in stone age. With such a fast developing  internet/IT era now, we can download the entire book via the internet or even purchase it online! It will reach your doorstep in a couple of days. The government still thinks that we are school children.

If you think that the facts that are written in the book are wrong then by all means, please sue the guylah………. Obviously they will not do that because it will be like opening a can of worms!
Now, not only they ban books but also cartoons…………………………….. How to develop creativity! Cartoon-o-phobia………………
Our Mamak Kutty said that he wants to sue Barry Wain for the book ” Malaysian Maverick” but till today no action mah…………………
 
BTW, each time when they ban a book, it only makes the book a best seller! Now, people will be buying it over the net and from Singapore……………… I bought “Malaysian Maverick” from Singapore!
 
It reminds me of Hitler. If anyone were to read the history of Hitler and ” Ketuanan Aryan“, you will find a lot of similarities between Malaysia and Germany during Hitler’s era. Remember ” Burn the Book” era of Hitler! Hitler’s propaganda is very much similar to Biro Tatanegara’s racial and religious indoctrination. I think our Mamak Kutty is reincarnation of Hitler! What UMNO is practising is exactly what the Nazi party practised in Germany before World War, use your enemies(Jews ) to the maximum then screw them. Most of the German’s technology then were invented by Jews but he turned against them for his political survival.
 
BTW, please visit Malaysia Today website (www.malaysia-today.net)   by Raja Petra (RPK) who has released confidential letters/investigations paper from Anti Corruption Agency!! A good read and you will know why MACC is another component party of BN! Sayonara………………………….
 
 
Kim Quek’s book banned
//
Sep 30, 10 8:13pm
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The Home Ministry has issued a ban order against the book ‘The March to Putrajaya – Malaysia’s New Era is at Hand’, for inciting hatred against the constitution.

NONEThe ministry’s secretary-general Mahmood Adam said the book, written by author Kim Quek, is “not suitable for general reading”.

He said the book contained elements of “baseless accusations and speculations” against national leaders and could incite public hatred and anger.

On Aug 19, Chua Seong Khoon, a representative of the book’s distributor Gerak Budaya, said that some copies of The March to Putrajaya were seized by the authorities from a Popular Bookstore outlet in Kuantan Megamall, Pahang.

A week later, publishing firm Oriengroup Sdn Bhd executive director Low Chee Chong was questioned by police at his office in Cheras in relation to the book.

“Three police officers from Bukit Aman came to my office and they questioned me under Section 112 (of the Criminal Procedure Code as a witness),” said Low.

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Here we go again!!!!!!!!. Another medical school! We already have 30 medical schools churning out thousands of underrated doctors and now we have this news! I am not sure when the government is going to stop all this nonsense. We have the highest number of medical schools per capita of the population. Any university can set up their branch campus here, but the question is , is there enough human resource aka academics to run these schools? The answer is a big NO!

Is it rather ironic that the government which has always prevented the universities from building their own hospitals before, seem to have taken a U-turn in this case. New economic model perhaps! Actually, Monash University Malaysia has already started to build their own private teaching hospital in Sunway which should be ready by 2013 but they will still use JB hospital. So, this will be the second university to do so if at all this plan becomes a reality. It is very difficult to run a private hospital in Malaysia with medical students running around. Patients come to private hospital for better care and comfort, thus most of the time they would not want medical students to disturb them. The situation is different in US as all hospitals are considered private hospitals.

Somehow I feel, this foreigners are not given the true picture of the situation down here. Further more, this foreign universities are not investing any money for the campus etc. All the money comes locally from the government, GLC and local investors. Good example will be Newcastle University in Nusajaya where the entire campus is being  built by Khazanah !

Johns Hopkins University to set up medical school and hospital in Malaysia

By WONG CHUN WAI
newsdesk@thestar.com.my

NEW YORK: The world-renowned teaching and research medical institution Johns Hopkins University will be setting up a medical school and hospital in Malaysia.

Prime Minister Datuk Seri Najib Tun Razak said a site at Serdang in Selangor had been picked to set up the facilities, which would become a medical research hub for the region.

The medical school, he said, would offer a four-year programme, adding that it would be a private initiative between Malaysian and American investors.

It will be Malaysia’s first private teaching hospital with research facilities.

Speaking to Malaysian newsmen here on Friday evening, he said an agreement would be signed early next month.

The Prime Minister did not give details of the project but it is understood that a Malaysian public listed company would be involved in the medical city plan, estimated to cost RM1.8bil.

There are Johns Hopkins University campuses in China, Singapore, Italy and the United States. The Johns Hopkins University in Baltimore, Maryland, is a private, non-profit institution.

Earlier, Najib met Dr Mohan Chellappa, the president of Global Ventures, Johns Hopkins Medicine International, where the Prime Minister was believed to be given an update on the 600-bed private hospital.

The prime minister said Johns Hopkins Medical International was a world-renowned medical school and had adopted a different curriculum compared to other schools.

“They are using the ‘Genes to Society’ curriculum, which is a more personalised medical approach,” he said, adding that the school provided a four-year programme and planned to take 100 students each year.

“Johns Hopkins has got a very good name. The idea is to create Malaysia as a hub,” he added.

Health Minister Datuk Seri Liow Tiong Lai in welcoming the move said the presence of such a prestigious research facility in the country would boost Malaysia’s health tourism industry.

This, he said, was another feather in the cap for the country’s healthcare industry and would also prompt more Malaysian-born specialists and other health care professionals to come back and serve in the country.

Liow is currently in London in an effort to persuade Malaysian professionals involved in healthcare to return home and serve the country.

“I am here to convince them to return home and serve. I believe many will find it more gratifying to work in Malaysia now,” he said when contacted.

He is also speaking to Malaysian medical students and fresh graduates to convince them to return home once they complete their studies.

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For Future Doctors: Housemanship, Medical Officer and Postgraduate Training (Part 1)

I received more than 10 000 visitors to my blog posting on “The General Misconception of Doctors Part 1 & Part 2” since 08/09/2010. I also had many comments supporting my article. Surprisingly, most of the comments were from medical students and young doctors who just started housemanship or just completed. I also had some overseas doctors giving their comment, not sure whether they are Malaysians or ex-Malaysians?

Even though many supported my articles, I also had few asking me to tell them what is in store during housemanship and postgraduate training in detail. Thus I thought it is about time I give them the full detail, to my knowledge, about the current and future situation in Malaysia. There was a person who asked me to write some positive aspect of being a doctor. Well, I only have 1, a total satisfaction of treating a patient till recovery. But always remember, you can only cure sometimes. I have had a medical student who refused to go to the ward after seeing a young boy dying of Leukaemia. Well, this will be a daily affair once you set foot into the medical field. Be prepared to see people die no matter what you do. To comfort always but to cure sometimes should be your motto!

1)      Housmanship

I will divide this section into 3 subsections, explaining what has been happening since 1990s in housemanship training;

1a) Before 2000

Before 2000, the housemanship training use to have 4 monthly rotations in Obstetrics & Gynaecology, Medicine or Paediatric and Surgery or Orthopaedic. After the 1 year training, you will be transferred to rural or semirural areas to serve in district hospitals or Klinik Kesihatans (KK) (health clinics). Most of the time, these rural postings are a wonderful experience but a little bit scary due to lack of senior people to consult or assist you.

One of the major faults in this system is the fact that if you do Medicine, you will miss Paediatric and if you do Surgery, you will miss Ortho. Only O&G was made compulsory. Thus, the government felt it was inadequate. Many will go to KK and District Hospitals without doing Paediatrics/Medicine and Orthopaedics/Surgery. A lot of the time, you need to depend on the senior nurses or Medical Assistants (MA). I must say that during that time, the nurses and MAs were excellent. They were second to doctors, not to be compared with the current generation of nurses and MAs.

BTW, just to mention, the HO’s take home salary before 2000 use to be RM 1648!! Pathetic isn’t it? You won’t even be able to buy a car/house. The car loan interest rate than was 6-8%! You will get RM 20 for each on-call that you do! This “On Call” allowance was only introduced in 1994. Prior to that, you are not paid a single cent for your “On-Calls”, free labour for the government mah……………..

1b)  After 2000

Around the year 2000-2002, a new posting known as junior medical officer postings was introduced after housemanship. This is also known as the 4th and 5th HO posting. It was 3 month posting in either medicine/paediatric or surgery/ortho depending on which that you did not do during the 1 year housmanship as above. After completing the 4th and 5th postings, you will be posted to rural or district as a Medical Officer.

1c)  Since 2008

Since 2008, housemanship training has been extended to 2 years. This means you will be completing all the major postings before being transferred out.

2)      Life as a Houseofficer (HO)

When I did my Housemanship in 1990s, there were only 2-3 HOs in each ward of 40-60 patients. It was a tough life.  You are the front liners who will see the patients for the first time upon admission. You’re supposed to take the medical history of the patient, do a physical examination, take blood investigations and come to a diagnosis. In fact, you’re supposed to start the initial treatment and management of the patients. There won’t be any medical officers or specialist in the ward. Most of them will come only in the afternoon to see the patients. This means, you’re the boss in the ward and the life of the patient is in your hands! It is a very stressful life, where on top of all the existing patients in the ward, you also need to see all the new admissions. The new admissions can be about 20-30 admissions/day, divided between each of the 2-3 houseofficers.

You start your work around 7.00am everyday especially if you are doing medical or O&G postings by taking the ward patient’s blood. Then, you will be doing the clinical rounds with the Medical Officers and Specialist of the ward. After finishing the rounds, you need to carry out all the orders by the specialist and at the same time, clerk all the new admissions! You also have to run down to radiology department to get urgent appointments, go to the blood bank to get urgent bloods, trace results urgently etc etc. Of course, you may not finish your work by 5pm. If you are “On Call” on that day, you need to con’t your work throughout the night till the next morning 8am. And now, don’t think you can go back to your room and rest! You are supposed to con’t with the work on the next day as usual! You are basically a professional coolie!

As a HO, you need to do at least 10 calls a month, which means once every 3 days. I have even done continuous day calls before, never saw sunlight for 2-3 days! For each calls, we were paid RM 20 then, now it has gone up to RM 100 since 2006 ( please read my MMA article on “Government doctors: Past, Present and Future”). I use to say that you can earn better by working in Mc Donald’s!

Whatever said and done, I enjoyed my Housemanship simply because I had good colleagues who helped each other very well. I also enjoyed learning all the skills and procedures during my housemanship. Housemanship is the only time where you can learn all the necessary skills in doing procedures like CVP line, Chest tube, Peritoneal Dialysis etc etc. Thus, as I said before, if you became a doctor for passion and to help people, then you will enjoy housemanship. But if you choose medicine for glory, good life and money, it is during this time that you will realise that medicine is not for you. That’s the reason why, many will get a mental breakdown during housemanship. They never expected their life to be like this! Many still think that being a doctor is sitting in a clinic and seeing “cough and cold” cases. Being a doctor is more than that.

Of course, the situation has changed recently. With the tremendous increase in the number of doctors produced, we have almost 6-8 HOs in each ward of 40 patients. In fact, surgical department with 2 wards, sometimes has more than 40 HOs!! The workload will definitely be lower but you will lose out in your training. How many procedures would you be able to learn with so many of you in a ward? I have even seen some HOs leaving the medical department without doing a single CVP line or Chest tube. Only those who are eager to learn will succeed. The rests are just given a license to kill……… sorry to say!

3)      Rules and Regulation during Housemanship

There are few rules and regulations that you need to know as a HO. You will be given a log book for each posting. This log book needs to be signed off at the end of each posting by the department. The Head of Department (HOD) has the right to extend the training if he/she feels that you are not competent enough to be released. The extension is for a minimum of 3 months but can go on as long as the HOD feels adequate. Unfortunately, many of the HOD take the easy way out. No matter how incompetent the HO is, they usually let them go as they feel that it will not make any difference in extending their postings and of course less problem to the department. To me, I think it is very selfish for some of the HOD to think like this. Remember, these doctors are the one who is going to be released to the community with a “license to kill”.

As a government servant, you will be given 25 days annual leave. As a HO, these 25 days will be divided equally between the 3 postings that you do in a year. Any extra leaves including MCs, maternity leave and emergency leaves are considered as an extension of housemanship training. For example, if you take 1 week MC during a medical posting, your medical posting will be extended by one week, unless you want to deduct your annual leave allocated for that particular posting. This is one of the reasons why I always advise doctors/soon to be doctors not to get married during housemanship. Pregnancy will not reduce your workload as you need to do the same number of calls with the rest and it will only extend your housemanship even longer.

 Next, Part 2: Life as a medical officer and rural postings……………………………

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Another interesting write-up by AB Sulaiman. Would Najib do a miracle? I don’t think so!

 
A nation of failed economic development plans
//
AB Sulaiman
Sep 20, 10
1:45pm
 
 

COMMENT The world can be a nasty place especially in terms of planning, where your best and well intentioned plans can produce the worst unintended results. The country’s numerous development plans is a perfect example of this.

Since Independence we have always strived to be a country with strong social, economic and political credentials: a strong healthy and united people, public safety and security, great infrastructure, mature democracy, clean human rights record, good education system, governed under rule of law, and of course, a justice-minded judiciary.

To top them all off we are to enjoy a per capita income equal to the peoples in advanced economies. We wish to be an advanced country in our own right.

The current realities are anything but. The people are fragmented while some are migrating to friendlier lands, our infrastructure while adequate is wasteful, our democracy is an ugly disguise for authoritarianism, our education system produces non-thinking graduates, the rule of law has become the rule by law, and the judiciary is an international laughing stock.

The latest world indices would confirm this. There are many but I’d mention just two. First, the 2009 figures for FDI showing an 81 percent fall from US$7.32 billion to US$1.38 billion. At this paltry level we now have joined investment-unattractive countries like Myanmar, Cambodia, Laos and Timor–Leste.

Not only that, apparently the FDI into Thailand and Indonesia have overtaken that coming into Malaysia, once the darling of international investors.

Two, as for per capita income we are at about US$7,000 while the advanced countries we wish to join are at US$30,000 and above. We are less than a quarter of the way to our self-proclaimed goal.

On looking back, we started well in the arena of economic development, but somewhere along the line we faltered and very badly.

Faltered from the start

I reckon we faltered beginning 1970 when we introduced the New Economic Policy (NEP). This was when we began propounding and experimenting economic development plans beyond the parameters of sound economic principles.

NONESpecifically we made plans and projections not in the interest of the country, but in the interest of a segment of the population, namely the Malays.

Now this might be an explosive statement to make so I have to make my stand clear.

The fact of the matter is that the factors of production in an economic set-up are land, labour, capital, entrepreneurship, and in an increasingly knowledge-based world economy, on the ability to access and utilise knowledge. I ‘borrow’ these factors as principles for economic development.

For an economy to expand therefore, all scarce resources must be optimally channelled for the development of these principles.

I’d reiterate: develop land, inject capital optimally for investment, encourage entrepreneurship, enhance the level of knowledge through smart education. Only then can the economy expand and achieve sustainability.

This last element of sustainability is important – the developing economy must reach a level when it can sustain or regenerate itself without anymore support from any planning agency.
Anything less than this and we can see an economy not going anywhere, and could in fact regress, like our current situation. Lim Kit Siang sums it well – the economy would be a ‘work in regress’.

What has gone wrong with our string of development plans? In my view there are several, and I mention them here despite being aware that many commentators have mentioned them constantly. Perhaps there can be some wisdom in saying the same things again, hoping somewhere along the line the decision makers can begin to listen.

Several hundred billion USD wasted

First, after 1970 we seem to divert the elementary formula for economic development mentioned above, into some non-optimal channels resulting in massive wastage. Our planners channelled land development mainly to the Malays. We made development plans for sectarian, not for national interests.

malaysia formula one race 170305 petronas team posingIn this way the Malays gain comparatively easy access to scarce capital they cannot fruitfully use because of their lack in entrepreneurial skill and spirit. Their lack in education and knowledge have rendered their productivity level below that of their non-Malay counterparts.

I am aware of course that this resource misallocation was for a special reason and thereby meant to be implemented only for twenty years. But when this time was up the authorities would merely forget this proviso.

As events turn out, such allocations have proven to be below optimum level; even wasteful of scarce resources. External observers have noted that the NEP wasted several hundred billion US dollars!

Favouring race over economics

When the leaders saw that the Malays could not cope and the non-Malays restive they use race and religion to both spur the Malay on and to push away any non-Malay disgruntlement. In other words the leaders dismissed the traditional economic factors of national asset creation in favour of Malay racism and cultural hegemony under the banner of Ketuanan Melayu; and of Islam.

malaysia stock exchange market klse 141008 06I might be out of academics but I have never known racism and religion to substitute economic factors in any country’s asset creation efforts. Surely the planners have not forgotten that this new formula was experimental in nature and to last only for twenty years.

In any case, here we see the early unintended results of the NEP. On the part of the Malays we see a community of people developing a false sense of confidence that they have progressed ahead on the platform of race and religion; whereas in actuality they have not.

On the part of the non-Malays they see the wastefulness of the country’s allocation of scarce resources in the interest of racism and religion as the sure way towards non-sustainability and regression.

And yet the authorities would prevent the citizens to even debate the issue.

No post mortem conducted

Come 1990 and the NEP report card had shown the recklessness of this development programme. Malay achievements were nowhere in sight.

Would there be some form of post-mortem analysis to see the good and bad points? To see whether the country should progress ahead in the same race-and-religion principles?

There has been no such effort, not to my knowledge anyway. It has been more of the same: more racism, more religion. And here we see the continuation of a string of failed development programmes.

mahathir malaysiakini interview 020207 denialDr Mahathir Mohamad (left) announced the Vision 2020 stating that the country would join advanced nations by this magical year. It was well-intended perhaps, but with the economic principles remaining unchanged, that is in favour not of the country but of the Malays, the country began its slide downwards.

When Abdullah Ahmad Badawi took the reins of power, many people had thought that he might just do the right thing to put the country back on the right track again. But he used religious motives (remember Islam Hadhari) to lead the people forward – there was no change there either.

Now we have Najib Razak leading the nation out of the dangerous zone of falling into the steep precipice of a failed state. He has his own plans of course, and its called 1Malaysia: people first, performance now. Will he make any headway?

I just say this to him for whatever it is worth. Go ahead with your development plans based on the proven factors of production as mentioned severally above.

But do not be distracted by sectarian interests, nor for religious considerations. Go for optimum scarce resource allocation and economic sustainability.

 

//

 

AB SULAIMAN is an observer of human traits and foibles, especially within the context of religion and culture. As a liberal, he marvels at the way orthodoxy fights to maintain its credibility in a devilishly fast-changing world. He hopes to provide some understanding to the issues at hand and wherever possible, suggest some solutions. He holds a Bachelor in Social Sciences (Leicester, UK) and a Diploma in Public Administration, Universiti Malaya.

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Hari Raya Silence!

I have been very quiet since I posted the 2 most popular postings on the 7th and 8th of September 2010. My posting on “General Misconception of being a doctor Part 1 and 2” attracted almost 10 000 visitors! I also had many comments for the above 2 postings , almost all supporting what I have said. Interestingly, I also had some foreign doctors from US and UK commenting on my post.  I also realised many medical students who commented on my post, agree that they have chosen the wrong field!

I have been reading all the comments and to answer some of the querries, I will be posting few more articles soon, especially on the housemanship and postgraduate training in Malaysia. I will not talk on the quality of doctors being produced nowadays as I have written enough about it in my MMA articles, some even way back in 2006! Yes, I did predict the current situation more than 5 years ago. I also believe that my prediction for the coming future will also come true someday, as I have written in my blog.

I have been quite busy lately and thus did not have enough time to write the continuation. However, I should be posting a new article within the next 2-3 days.

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For Future Doctors: General Misconception of being a doctor Part 2

My first Part of this topic attracted more than 600 people to visit my blog in a day. Today, I post my second part of my discussion for your reading.

1)      Being a GP

As I have written before in my MMA articles, the future of GPs are bleak. If you think that you just want to complete your MBBS and open up a clinic, then I think you are misinformed badly. Many GPs are suffering nowadays. Many have even closed their shops due to severe competition. GPs, not only have to compete with their fellow GPs but also with private hospitals, government clinics, pharmacy and traditional medicine sellers. The scenario has changed as I have said in Part 1. You are also strictly regulated by the Private Healthcare and Facilities Act which was implemented from 2006 onwards. Many GPs are only earning a net profit of RM 10 000 a month which is ridiculous compared to the amount of work that you are doing. Imagine that you have to work from 9am to 10pm daily including Saturdays and Sundays, especially during your early days. That’s the reason why you notice less and fewer doctors resigning from the government sector to set up their clinic. GPs are now moving from urban areas to sub-urban and rural areas to open up their practises. There may be a better market for GPs in these areas compared to town areas.

2)      Being a Consultant in a Private Hospital

Only in medicine I can earn RM 50 000/month when I work in private hospital? I had many friends and budding doctors who feel that medical specialist earns the highest in private sector compared to any other profession. Again, I would say that you are mistaken. Even though you may be right in terms of the earning capacity but what you are not aware is the fact that the private hospitals DO NOT pay us a salary!

Basically you are NOT employed by the private hospital. You are just running a clinic as a self-employed person in the hospital. Whatever you earn is the consultation/surgical fees that you are charging the patients. In fact, the hospital takes 10-15% of your consultation fee as their administrative fee. Furthermore you also need to pay a rental for the clinic space that you are renting! The rental can range from RM 4000 to RM 8000/month. Yes, if you are an interventionist/surgeon or have a lot of patients, you may earn as high as above but at the same time you can also earn very much less than expected depending on the number of patients that you see for that particular month. You may even end up earning less than RM 10 000/month at times! Again, with more and more private hospitals coming up, the competition will be greater and the income of each doctor in each hospital will definitely drop even further. Remember, if a patient’s hospital bill for an admission is RM 5000, only less than 25% of the bill is the consultation fee which belongs to you, of which the hospital will take another 10%!

Also, when you are in a private hospital you are all alone. There are no junior doctors to help you. You need to do all the procedures by yourself and must be available at all times to entertain any medical complaints from the patients (even in the middle of the night). It is not just a matter of running a clinic! So basically you can only charge a patient when you see a patient for consultation and that is your salary!

And also don’t forget, for you to reach the status of a subspecialists before going full-time private practise, it will take at least 12 years following undergraduate medical education, a total of 15-17 years !! By this time some of your fiends will be earning much more than you and driving bigger cars and going holidays all over the world. Many of my friends who went on to do IT, accountancy etc etc had become company managers and directors by the time I finish my subspeciality. They have started to enjoy their life when I was just beginning to think of earning money.

3)      TV programmes : ER, CSI, House etc

Don’t get carried away by watching TV programmes like ER, CSI and House. Things do not work the way it is shown on the TV. I had one budding doctor who said that she wants to become a forensic pathologist. I am sure she was influenced by CSI. In Malaysia, the reality is, any forensic pathologist just sits in the mortuary the whole day. They hardly go down to the scene of the crime. Furthermore, if you do attend a court case, you will be tortured by the lawyer. BTW, don’t think we have all the high-end technology in our mortuary like what you see in CSI. In Malaysia, forensic pathologist doesn’t work in a police department. You are just another specialist in a government hospital forever, as you won’t be able to go private. Malaysian law do not accept a report by a private specialist.

4)      Patient’s demand and increasing medico-legal issues

Many doctors are being sued nowadays. This happens in most developing or developed countries. Gone are the days where patients will forgive and forget. Even the government is asking all doctors in civil service to take their own indemnity insurance as the government may not be able to cope with the legal suits. The cost of insurance has gone up tremendously especially for surgeons and obstetrician. For Obstetrician, the yearly insurance stands at RM 40 000 – 50 000! So, don’t think that the public has high respect for you and thus they will not take any action against you. A small mistake can land you in court and your entire reputation will be affected, no matter how many life’s that you have saved.

I am sure I would have made a lot of you very depressed by now. Please do not do medicine for the reasons that I have mentioned above. You will regret it later. If you really have passion for medicine then by all means, go ahead. I give the same advice to all parents who seek my advice regarding medicine. But always remember, no matter how much passion you have for medicine, it is still a job for you to earn money for a living. Once you are married and have children, money will be the most important factor no matter what you think now.

The amount of money you are spending to do undergraduate medicine alone can easily be used to start-up a business! Most private medical colleges in Malaysia charges about RM50 000-90 000/year which comes to about RM 250 000 to 500 000 in total, not including accommodation and food. You can easily safe this money, do accountancy/engineering/designer etc etc and use it later to start your own business venture.  Don’t you think it is a better option? To get back the investment that you have made for medicine will take another 20 years, not including the money that you need to spend for postgraduate education!

Let me tell you, the money now is not in professional field. If you are smart and only want to earn money, please try technical studies like architect, interior designer, accountancy etc. This is where the money is! If you are good, you can easily become a manager or director of a company by the age of 35.

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For Future Doctors: General Misconception of being a doctor PART 1

Over the last few months, many budding doctors have contacted me to ask about the future prospects of doing medicine. Of course I gave them a depressing night after informing them of the current and future prospects of doctors in Malaysia. During these discussions I realise that many of these people do not understand a lot of issues surrounding the field of medicine. Thus I was obliged to write this article to wake up these people from their dream of “guaranteed” life if you were to become a doctor!

1)      Guaranteed Job and Good salary/can make money

Many parents still believe that being a doctor guarantee their children’s future. Well, it may be so before but not in another 5-10 years time. You can read about these issues in my MMA articles column. 20 years ago we only had 3 medical schools producing about 400 doctors a year but now we have almost 30 medical schools in the country (the highest per capita population in the world). Last year alone, almost 4000 new doctors started housemanship in Ministry of Health (MOH). The number will further increase in coming years when all the medical schools start to produce their graduates. I believe it will reach a figure of 6000/year by 2015.

This is where issues arise. Even now, the MOH is struggling to place these doctors in various hospitals in the country. We have almost 30-40 houseofficers in each department now not knowing what to do every day. Their training is compromised and they are being released after that without proper training with license to kill! I may sound negative but this is the reality. Even district hospitals are being used to train houseofficers now, starting 2010. As you would have read in the papers recently of parents complaining that their child has been transferred to East Malaysia after completing housemanship, it is a known fact that the shortage of doctors at this point of time is in East Malaysia. As our MOH Director General had said, most doctors will be sent to Sabah and Sarawak from this year on wards.

What’s going to happen in the next few years? Again, my prediction is, there will be surplus of doctors by 2015. There will more bodies than post in MOH by 2015. Doctors most likely will need to queue up to be posted in government service.  You will be sent to rural and East Malaysia to serve. Any appeal will not be entertained. If you think this would not happen, please look at the nurses! 5 years ago, the government began to approve numerous nursing colleges due to shortage of nurses. Now, we have surplus of nurses without any jobs. I know of nurses who are currently working in petrol stations! BTW, the MOH is currently considering introducing common entry exams for all medical graduates. Only those who pass this exam will be given housemanship post. This will happen soon.

Furthermore there may be a pay cut for doctors when all the post are filled. One of the allowance known as critical allowance of RM 750 will be removed once all the posts are filled. Critical allowance is never a fixed allowance and is usually reviewed every 3 years. As you know, the pharmacist’s critical allowance is going to be removed if not already.

I had one budding doctor who said that the reason she wanted to do medicine is because it is the only field where you have a guaranteed job and a starting salary of RM 6000. Well, I have talked about guaranteed job issue above but she is definitely wrong in stating that the starting salary. The starting salary of HO has gone up over the last 5 years; no doubt about it (please read my MMA article). However, the starting salary of HO currently is about RM 3500 to about RM4000 after including the on-call allowance. Remember, your salary only increases about RM 70/year. You will only reach a salary of RM 6000 after 7 years of service as a medical officer, when you are promoted to U48 according to current promotional prospect in civil service introduced end of last year! BTW, other than the difference of critical allowance, a doctor’s salary is only RM 200 more than a pharmacist in civil service!

2)      Medical degree recognition

 If I can’t work in Malaysia, I can go to Singapore or Australia to work, right?

Again, another misconception. Many do not know that medicine is a very peculiar field and cannot be compared to any other profession. In order for you to work in another country, your degree needs to be recognised by the Medical Council of the other country. If it is not recognised, you would not be able to work there. For your information, only UKM and UM degrees are recognised in Singapore. If it is not recognised, you need to sit and pass the qualification exams in the respective country with no guarantee of a job.

Almost all medical degrees from Malaysia are NOT recognised elsewhere. Malaysia Boleh mah! Only Monash University Malaysia’s medical degree is recognised by Australian Medical Council and thus you would be able to work in Australia/New Zealand. Some of the private medical colleges do twinning programmes with external universities from Ireland/UK/India etc. These may be recognised depending on which degree and where you graduate from.

3)      Housemanship & Compulsory service

I have mentioned a little about housemanship above. As you know the housemanship has been extended to 2 years since 2008. Even though it is good for your own training but it does prolong your future postgraduate training. After Housemanship you have to undergo another 2 years of compulsory service before you decide to resign for private practise or pursue your postgraduate degree. It is during this compulsory service that you will be posted to anywhere in the country.

Furthermore, housemanship is not an easy posting. Even though the numbers of HOs have increased tremendously over the last 2 years, it is still a very exhausting job. Many have had a mental breakdown during housemanship. I just heard of a houseman who is on psychiatric MC for the last 2 months! It seems she thought that being a doctor is just like sitting in a clinic and seeing cold cases (probably she thought she can become a GP immediately!)

4)      Hard work and post graduate training

20-30 years ago, being an MBBS holder itself is good enough. You can easily open a clinic and become a GP and well respected by the community. But things are changing. Even GP practise is a speciality by itself in many countries (Master in Family Medicine/FRACGP etc). Malaysia is also moving towards that. Many patients are demanding and would prefer to see a specialist directly nowadays.

Thus it is important that when you join medicine undergraduate degree, please be prepared to continue your education for another 10 years after graduation! In order for you to complete your postgraduate education, it will easily take another 10 years, assuming you pass all your exams in one try! So, don’t assume your education is only 5 years! MBBS do not mean anything now, in fact it is only considered as a diploma!

Getting into postgraduate training is also becoming increasing difficult. The number of places for Master’s programme is very much limited in local universities. The demand is greater than supply and of course don’ forget the quota system as well! Other than MRCP (UK) – internal medicine, MRCPCH (UK) – paediatric and MRCOG – Obstetric, you have to depend on local master’s programme for your speciality. Thus, you have a very limited option. With such a big number of doctors coming into the market now, I can assure you that getting a place for post graduate education is going to be a major problem in 2-3 years time! Be prepared.

TO BE CONTINUED………………………….

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What Hishamudin Rais said below is exactly what I said to one my friend who is an old harden supporter of UMNO but she was still very sentimental to UMNO! Many people especially the older generation still supports UMNO just because of this “Malay right” protector crap. But what they don’t realise is the fact that UMNO has been cheating them all this while, especially since the 1980s. Mahathir screwed up UMNO since then. It is not the same UMNO that was in existence during independence.

 
Hisham Rais: Umno has shrunk the Malay mind
//
Joseph Sipalan
Sep 7, 10
1:23pm
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Renegade artist Hishamuddin Rais declared that the Malay mind has been “bonsified” (shrunk and distorted, like a bonsai plant) by Umno’s political agenda in order to perpetuate the culture of fear against non-Malays.

The former ISA detainee said that it is typical of Umno to play on racial fears to convince the public that they are the best option for Malays to remain at the forefront of social and economic development in Malaysia.

NONE“This process that ‘bonsifies’, nullifies and stupefies (Malays) goes back to the British time. (Malays) are led by lazy leaders and lazy thinkers,” Hishamuddin (middle in photo) said at the ‘Malays are muted too!’ forum at the KL and Selangor Chinese Assembly Hall last night.

The controversial activist noted that Malays have been indoctrinated to fear new ideas and ‘ghosts’ of Chinese supremacy, to the point that the Malay public believe that the ‘ghosts’ are real threats to their existence.

Taking the example of bomoh or witchdoctors, Hishamuddin claimed that Umno employs the same tactics to convince the Malays that they are constantly battling against hantu (ghosts).

“In Malaysia it is very simple. The hantu for the Malays are the Chinese. The Malays are made to believe that there are all sorts of hantu, to encourage the public to be thankful for Umno (to save them).

“It’s just like (the tactics of) the bomoh in the kampung, where kampung folk will be told that there are all sorts of hantu to deal with… Umno uses the same modus operandi,” he said.

Playing up fears

Hishamuddin claimed that just like the colonial British in Malaya, Umno realises that a liberated Malay mind is a threat to their existence, hence the ruling party’s efforts to stop the liberalisation of the Malay mindset.

He alleged that Umno would never agree to free the Malay mind as it is all about maintaining the ruling party’s power and control over Malaysia’s wealth.

NONEHishamuddin noted that such fear of losing power has only taken hold fairly recently, evident especially in the ruling government’s efforts to perpetuate the fear of a recurrence of the May 13, 1969 racial riots.

“They put the fear in Malays that the Chinese wanted to take over the country. I thought that (notion) was mad, because this is the most mismanaged country, with corruption in the police and the judiciary.

“Because the country is so mismanaged, do you really think the Chinese want to take over the country?” he quipped.

Speaking to an audience of around 160 people, Hishamuddin stressed that the ruling government is simply working on the premise of “manufactured consent”‘, where it employs public institutions such as the Malayan Sultanate to force people to agree with whatever opinions or policies it makes.

He said that it has perpetuated the culture of ‘lazy thinkers’ among Malays, where the best minds end up being unwilling or unable to contribute to the community’s advancement.

Licence just to laugh

Hishamuddin stressed that it is unfortunate that the best Malay minds have been left out of the nation’s education system, to make way for ‘half-educated’ Malays who are bent on maintaining the status quo.

“Malays have become very lazy thinkers. To the non-Malays, I ask that you have sympathy as the Malays are faced with a situation where their reading material is very limited and (the government) allows less and less people (to form their own opinions),” he said.

NONETaking the example of the recent banning of comics by cartoonist Zulkiflee Anwar Ulhaque, better known as Zunar (right), Hishamuddin said it is ridiculous that public expression, particularly by Malay artists, should be censored.

“Just imagine, just to laugh you need to get a licence… and if you want a licence you will have to engage in corruption to pay the Marxists,” he said. 

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Rising Racism and Patriotism!

The article below was written by Dr David Quek, President of MMA in The Malaysian Insider. He is spot on the issues that are happening in this country.

Just before I read David Quek’s article, a friend of mine wrote some interesting comments on my earlier post (Racism/Quality & Transfers) linked to my Facebook. I do agree with him that there are more and more youngsters who can’t speak Malay in our country. Majority of these people are from the Chinese ethnic group. Most of these people are below the age of 20 years old. As a doctor I do see them in my clinic. At times it is rather amusing because the parents can speak good Malay/English but the children can’t. This is a peculiar scenario that we are seeing now. Why is this happening?

Again, we need to go back and see what happened 20 years ago that has progressed to this stage. Way back in the 1960s and 1970s, many vernacular schools were on the verge of being closed down due to lack of enrolments. Many non-Malays felt that they need to go to the National Schools to be part of the country they called home. They wanted to learn Malay, English and mingle around with other races. At that time, the syllabus was still UK-based and was in English but was slowly changed to Malay by end of 1970s. Majority of the teachers were non Malays with the Malay teachers were mainly involved in teaching BM and arts subjects. There were hardly any racial slurs or remarks that were made. All religious societies were freely formed in these schools. The missionary schools were well-respected and was still run by the missionaries with assistance from the government. In fact, most of the school canteens were run by Chinese !! No issue about halal or haram! I was among the lucky ones who just manage to go to National schools at the end of 1970s but then, I realise that something is not right.

Instead of integrating and uniting people under 1 education system, our politicians decided to separate us even further. MARA colleges, boarding schools, ITM(later UITM), matriculation were formed to help the Malays. No doubt that these were necessary to help the poor Malays in the rural area where good schools were not available, in fact there were no secondary schools in a lot of rural areas. But what about poor non-Malays in rural area? they were just left behind! unfortunately what started as a welfare system for the poor rural Malays were soon hijacked by the more urbanised Malays. Slowly, most of the enrolments in these schools were Malays from the urban cities as they were definitely performing better than their rural counterparts. I feel that there is no need for MARA colleges and boarding schools now since we have both primary and secondary schools available in most rural areas nowadays.

After standard 5 exams (equivalent to UPSR today), a lot of my Malay friends disappeared to MARA colleges, agama schools and boarding schools ( one of them supposedly Sheikh Muzaffar, the so-called astronaut). Then came SRP (PMR equivalent) after which the rest of my remaining Malay friends disappeared. So much so, my school (a premier school in Seremban) only had 1 Malay student in the entire Science stream till Form 5! Despite getting good results in SPM, non of the Non-Malays ever received any JPA scholarship!! In fact one of my non-Malay friend(an Indian ethnic) were told directly to his face that JPA scholarship for medical education is only for Bumiputeras, during the interview (back in 1989)! why bother calling for the interview then? His father was just a Tamil school teacher and his mother was a housewife! Talk about social background. At the same time, I can here a lot of my Malay neighbours who got inferior results than me receiving scholarship to go overseas. The worst part, they are better off economically than us!

So we all ended up doing STPM (Form 6) for 2 years to be eligible to enter local universities. And yes, not a single Malay in our school Form 6 science stream. Those who did SPM and got good results were immediately absorbed into matriculation, another BUMI only course! Thank GOD, we did very well in our STPM and got into local university to do medicine. Again, all local universities had quota system not based on merit. Indians were allocated only 16 slots for medicine in UM. Imagine how competitive it was for the non-Malays to enter local university then. Probably that is what that made us better and stronger, survival of the fittest!

Soon, people began to realise that they do not get any benefit by going to national schools and learning BM etc for unity. They are never treated as equals and discriminated in education opportunities. Slowly, they lost interest and started moving away from the national schools thus the mushrooming of vernacular schools again (please read my post on ” 1Malaysia Education” under education page). This coupled with the racial discrimination, racial remarks in schools only made the situation worst. With the introduction of KBSR/KBSM by late eighties, the entire education system was manipulated to benefit the ruling government. History book were revamped and the contribution of non-Malays were wiped out. The students were made to be in cocoons! You can see this with the current quality of university products, which is the extension of our schooling system.

So, talking about patriotism, why should these people be blamed for not able to speak Malay and thus called unpatriotic! As I have always said, we need to look into the root of the problem before making any comments or remarks. If you are at the receiving end, you will know the answer. People have lost faith in this country as the discrimination only seem to be getting worst. Of course, those who have benefited from the system will not know the problems the others are facing. Even though at times I do get angry with people who can’t speak Malay or English, I feel pity for them as circumstances have made them to be like that. Circumstances created by our ruling party, divide and rule policy! Below I attach one of my friend’s comment in my facebook , saying the same as what I have said:

 

but if one were to target just the chinese by quoting “wa tak tahu cakap malayu” … pls be sensitive about this issue. many of the older and some younger generations are not proficient at all with the national language. i can excuse the old generations because some are direct migrants from china and many live amongst themselves being self sufficient. in fact, i can tell u with so many middle man & touts & corrupt tradesmen running around, i can tell u its still good living in this country without knowing the national language well. but does this make them any less malaysian ?

as for the younger generations, many policies in this country have forced the non bumis in this country to give up hope learning the language well. (but that doesnt mean they are any less malaysian than you) Many were educated overseas or private schools or chinese schools where BM were not emphasized at all. why ? because all the local universities are biased against them, all the govt contracts will not be allocated to them, even in nasional schools many are racially ostracized, even the courts have given up the idea of making our bahasa compulsory for ALL documents. and with many middle men serving their needs, there is practically no chance for the non malays to grasp the language well. again, does that make these citizens any less patriotic than you ? (patriotism does not mean can sing national anthem and speak BM … it also involves of many many other factors u know … glorifying racism does not mean one is patriotic)

last but not least. you said many don’t bother to speak malay while staying in this country. actually the truth is, many bother to speak but had no good teachers in school to teach them lah. all languages the same, takes a good while to pick up the language lah. for the extreme ppl who really cant speak anything, those form just a super small minority. its like someone who dont speak english in this part of the earth, i mean english has been the ubiquitous language, why more than half of the ppl on earth cant speak the language well ? does that mean they should go home to outer space or balik hutan where all of us walk out from ?

bahasa melayu is still a very young language. i can say it is one of the easiest language to learn on earth and it can be a beautiful thing to be able to sing songs with it. but by targeting the chinese and saying one is not a malaysian because this person cannot grasp the language is totally wrong. knowing the language is just one of the many factors to call yourself patriotic but it is certainly not the only criteria. besides, even if we were 100% patriotic, will we all be accorded the bumiputera status and be recognized as a true malaysian and enjoy all the benefits of this country ?

this country is currently in a mess from top to bottom, across all boards. sparking controversial debates using the chinese descendents is very very unfair. fyi, i am already the 5th generation of migrant in malaysia, why am i not considered a bumi ? i speak malay, though i am not a muslim, i understand this country and its history, i know my rights, i know the constituition, i know the culture and i know my public holidays, i also know my agong and the sultan, i know all the ministers and i know the national anthem. i also know what merdeka is all about.

lastly, the indonesians. have you met indonesians who cant speak a word of indonesians ? how many indonesians have u befriended all your life ?
?malaysian earlier than any of us ? does that make them any less malaysia who had no idea how to speak BM properly. blame who & blame what ? aint they here in …malaysians and eastern asli have come across many orang i do agree with you many are not proficient in BM. iyes

 

Rising racism, 53 years on

By David KL Quek

This year, I became a senior citizen. I can now withdraw my EPF savings and I qualify for some discounts for travel and surprisingly even for some buffet meals at some eateries.

But as I ponder upon ‘retirement’, it is sad to see the Malaysia that I know and live in, grows increasingly uncertain, diffident and bogged down in self-made crises, one after another.

Our previously phenomenal economic growth has now trickled down in a dizzying spiral of middle-income trap – not helped by the 2008 global financial crisis.

Our foreign direct investments have dwindled as our competitiveness, our productivity, perhaps our systemic corruption and wastage, have now been exposed and called into question.

Even our inborn entrepreneurs are investing overseas because of the uncertain future and shifting policies, which have made us face the truth of our competitiveness and value as a nation.

Instead of maturing gracefully, we appear to have become trapped in a petulant phase of angry adolescence breaking out senselessly to attack convenient bogeymen -race and religion appear to have become the easy targets, which breed even more political and economic uncertainty.

As a fourth generation Malaysian, I was born two and a half years before our fateful Merdeka. I am still wondering whether we are truly ‘liberated’ as befits the meaning of ‘Merdeka’, so gloriously proclaimed by our Bapa Merdeka, Tunku Abdul Rahman Putra Al-Haj, in 1957.

That Merdeka was to have ushered in the birth of what some would have called ‘an unlikely nation’, one that appeared cobbled together in a slapdash manner, juxtaposing a disparate if hodgepodge peoples – predominantly Malays, Chinese and Indians- and akin to mixing oil in water. Yet again, does any one in such serendipitous circumstance have that conscious sense of history and historicity of these singular moments?

To be fair, even then, no one dared to dream that the idea of Malaya and later Malaysia could succeed. But truth be told, we did do very well for so many years, becoming one of the rising ‘Asian tigers’. It’s just these recent years that we have foundered and perhaps lost a little faith in ourselves.

So many other post-colonial new nations had self-destructed in interethnic, religious or tribalistic clashes and conflagrations. We nearly did in May of 1969.

But good sense and firm actions created a novel social re-engineering feat (the NEP) in its wake, to bring about some semblance of order, reasonable interethnic tolerance and suppressed racial tensions.

For the next four decades, we have lived a reasonably harmonious if distinct existence, although seething fault-lines appear now and again to threaten the veneer of our touted ‘Truly Asian’ unity among our unique pastiche of colourful normalcy.

Forty years hence, ratcheted-up rhetoric is beginning to sunder this extraordinary relationship. Polarised insistence on continued affirmative action in stylised if arbitrary terms, remains a bone of contention, which powerfully fans the embers of resurgent ethnic fears and pride.

Sadly, as we celebrate this auspicious anniversary, we seemed mired in increasingly rabid and insulting racism, which greatly threatens our flimsy unity and contrasting diversity.

Extremist leaders continue to spew so much hurtful invectives that these would have shamed the most neo-Nazi right-wingers, the world over. Most modern societies would have punished such hate-mongers if not for their senseless racial baiting but then for their ad hominem attacks on just about anyone who dares to challenge their warped if narrow worldview.

Perhaps the media can play their roles better by downplaying these media hounds, whose purposes are so sickening and depraved.

Racist rhetoric

It appears that more and more politicians are flogging the twisted if populist concept of ethnic supremacy and extraordinary rights (of ethnic ketuanan) once again, as if to bolster their public images as racial champions. The loudest and the most strident appear to be those who are now commanding the greatest publicity and arguably some perverse following.

Our authorities appear timorous in not wanting to directly confront these vociferous bullies, for fear of some unintended backlash. But in so doing, the government loses even more credibility. The government of the people must serve as a fearless just arbiter of a firm and respected Leviathan, and not be held ransom by some mindless minority.

There cannot be distorted applications of the rule of law, where any one can flaunt and challenge the wisdom of the law, at wanton will. There seems to be no more respect for anyone else except for the self-righteous bully pulpit arrogance of voluble tyrants disgorging more and more hatred and painfully shrill racist ideologies to the hilt.

Freedom of speech implies rational discourse and debate, not threatening and insulting rantings. It certainly does not absolve anyone of despicable spewing and inciting of ethnic or religious intimidation or hatred.

But who really is to blame for the recent rise in racist rhetoric?

It appears that some components of the government are still pushing the propaganda machine to perpetuate the concept of racial supremacy and denigrating all other ethnic groups.

The Biro Tata Negara (BTN, National Civics Bureau) instead of instilling national civic consciousness, appears to relish in inculcating and indoctrinating any civil servant or would be scholarship holder, in a time-warped belief system that only the Malays are true patriots and truly deserving of their Malaysianness.

This is still happening 50-odd years following Merdeka, and one wonders why non-bumiputeras don’t sometimes feel any greater sense of belonging to this nation of ours.

Surprisingly such BTN programmes appear to have been a ‘recent’ phenomenon. My sister and brother-in-law who are senior government servants in the Ministries of Education and Higher Education respectively claimed never to have been subject to such gross demeaning indoctrination or abuse – perhaps, they too have been too polite, too programmed, to acknowledge. It did not take place when I was a clinical lecturer for seven years at Universiti Kebangsaan Malaysia in the 1980s and early 1990s.

But as MMA president, I have received some angry verbal complaints (many are traumatised, frightened and do not want to be quoted for fear of reprisals) that even non-bumiputera junior medical specialists and house officers, who aspire to join the service or to be confirmed, are currently subject to physical and mental abuse. Mind you, these are not students of impressionable age, but grown men and women in their twenties and thirties.

Some have been made to squat and huddle together in front of other bumiputera peers, rudely woken at early mornings, shouted at, called pendatang, usurpers of scholarships and positions, depriving the true bumiputeras of their places and rights, told in uncertain terms that they are here only at the behest and kindly generosity of the bumiputeras, and that they can always ‘go home’ or balik kampung which means China or India.

Groups have been bullied into subordinating to and acknowledging the official ‘dogma’, or risk having the entire group not ‘passing the course’. Do these utterances ring a bell?

Less than a year and a half ago, one young returning teacher broke down from such radical abuse and hazing, that her family decided to pull her out, repaying the loan in full – enough is enough! So can we not see how this will perpetuate the cycle of blatant racial baiting and hatred when these ‘officers’ return to their respective services, after such provocative BTN courses?

Mustn’t such propaganda stop? Is the government truly sincere in wishing to stem such state-endorsed racism? Is this government truly espousing the 1Malaysia concept for whatever it is worth?

Last year, Minister in the PM’s Department Mohd Nazri Abdul Aziz acknowledged that the BTN must be overhauled. He had revealed that courses by the BTN were racially divisive and used to promote certain government leaders. While Nazri was bold enough to expose this, he was nearly alone in defending the need to overhaul the BTN courses.

Most of the ruling elite, including the deputy premier had sided with those who refused to acknowledge Nazri’s contention that the BTN was a mockery of the 1Malaysia concept. Of course, former premier Dr Mahathir Mohamad joined in and insisted there was no need to revamp the BTN courses, which led Nazri to call the former PM a “bloody racist”, even conferring on Dr M the title “the father of all racists”.

So are we surprised that Perkasa, school teachers and principals, public officers, resort to such ‘ingrained’ behaviour, notwithstanding the so-called ‘provocation ‘ from their charges, their students, who must surely be so ‘insensitive’ as to other’s religious practices?

Pursue the perpetrators

Yet, when called upon to investigate such racist behaviours, the authorities appear to be dragging their feet, and instead concentrate with such efficiency to question and charge a rapper (NameWee) who merely was bold and foolhardy enough to serve as a conduit to expose these wrongdoings.

Can the police and authorities not see the biasness of their actions, by pursuing the messenger and not the perpetrator of possible crimes?

Can the authorities not understand why thinking Malaysians and non-bumiputeas are beginning to feel persecuted and discriminated against, more and more, despite utterances to the contrary by our political leaders?

Can the authorities not understand why more and more disgruntled non-bumiputeas are making a beeline to emigrate whenever and wherever they can – hardship, uprooting displacement and starting over, notwithstanding? This has got nothing to do with patriotism, when one is constantly told that he or she is unequal as a citizen, and that they are unwanted.

Can every Malaysian non-bumiputera truly feel that he or she has a fair and reasonable share of this piece of earth called Malaysia? Do our authorities truly appreciate talent, merit or worth of any non-bumiputera at all, or is this mere lip service? Can they not see the hollowness and insincerity of their pronouncements – when we can hardly see the ‘walk’ from the ‘talk’?

Such crescendos of racist ravings seriously undermine the carefully constructed dream of a true Malaysian nation, shattering the much-bandied ‘unity’ slogan already so tattered among our terribly troubled diversity.

Hurtful cries to demonise and belittle other races as unequal, pendatang and lesser than themselves cannot but help demoralise every peace-loving non-bumiputera Malaysian who aspires for a better tomorrow, a better Malaysia.

We fully recognise the special position of the bumiputeras, but as non-bumiputeras we also increasingly demand our rightful place in this nation of ours. Lest it is forgotten, our position is also enshrined in the constitution. This is not arrogance, but a statement of fact as a human right of any citizen.

We do have a long way to go. We have many mindsets to change, to engage, to dialogue with in sincerity and humility, so that race and religion cannot be made a bogeyman for every travail or challenge that the country is facing.

We have our work cut out for us, but as rational Malaysians, we must all try even harder to persuade the government to be one for all Malaysians and not for mere sloganeering alone or for any one racial group.

We must flush out all closet racists. We must instead cultivate greater rational discourse and dialogue without preconditions of threats and top-down dictates. We need to work on closer cross-ethnic cooperation, tolerance and acceptance so that together we are truly more than the sum of our rich individual strength and heritage.

We must nurture greater cohesiveness by lowering the tempo and temperature of racial baiting and shrill cries and rhetoric of ethnic pride and irrational fear-mongering. We must work towards greater confidence of sharing and building and not engage in divisive dismantling bigotry based on artificial barriers of so-called ethnic or religious sensitivities.

This government must be seen to act without fear or favour, by espousing fair and just policies, by directly confronting and stemming the tide of racism and racial-baiting. Divisive ravings drive uncertainty and suppress confidence. We need to reverse such negative rhetoric if we wish to improve the climate for economic buoyancy in this country.

By staying the course of inept inattention, we stand to lose our global competitiveness even more, as we Malaysians lose confidence in ourselves and our grip on the future.

We must do this right and soon, or risk losing everything! 53 years hence, and Merdeka then would have been in vain.

“We came into the world like brother and brother, And now let’s go hand in hand, not one before another.” – William Shakespeare, in the closing couplet of ‘The Comedy of Errors’ [V.i.425-26]

DR DAVID KL QUEK was the editor-in-chief of the MMA News (bulletin of the Malaysian Medical Association) for 11 years and is currently president of the MMA.

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Racism/Quality & Transfers

2 weeks ago we had 2 principals asking the non-Malays to go back to their forefather’s country and now we have a police officer who have said the same thing! I wonder where this country is heading to…….. This incident below clearly tells us the standard of English among our civil servants. Basically this police officer do not understand English and asked the complainant to speak in BM. This is a common phenomenon now. I had many teachers who were my patients but were unable to speak English when I explain to them in English. The best part was when I asked them what subject are they teaching in school, answer : Maths/Science!!! Aren’t this subject thought in English!

What happened to the 2 principals? Well, I heard one was transferred to office work and the other is on leave till completion of investigations. Why is it taking so long to take any action against these individuals? In our bloated civil service, it is a common phenomenon that any non-performing staffs are just transferred to another department. He/She receives the same salary but got to do lesser amount of jobs. Subsequently he/she will be promoted as anyone else based on seniority of service rather than performance. This is the reason why our civil service is rotting away, coupled with poor product of our education system.

I just had a retired ex-senior nurse who told me above the misery she has to undergo at a first class ward of a government hospital. Medications not served, no proper nursing and totally no caring attitude from the current generation of nurses! This is not a common findings if you are in a government hospital nowadays, poor quality of nurses. This retired nurse just asked me one question ” This happened to me in a first class ward, i wonder what the patients are undergoing in the 3rd class ward!” . I share the same feelings with her. Imagine, you can become a nurse with just 3 credits in SPM nowadays! What quality do you expect? And it is happening everywhere in our country. That is the reason why the FDI is dropping as we can’t provide enough human resource for any companies who wants to invest in this country. The good and hardworking ones will leave the country as they can’t tolerated these non-sense!

Sunday September 5, 2010

Racism: Cop under probe

By ANDREW SAGAYAM
saggy@thestar.com.my

KUALA LUMPUR: A police inspector who allegedly told a 51-year-old snatch theft victim to “balik China” (return to China) if she could not speak Bahasa Malaysia is being investigated.

City police chief DCP Datuk Muhammad Sabtu Osman said the inspector, in his 30s, was from the Sentul district police headquarters. He is being investigated by the city police headquarters disciplinary committee headed by the Chief Police Officer.

The officer, who is attached to the Criminal Investigation Depart­ment, has been temporarily relieved of his duties pending investigations. He is now handling administrative work.

He allegedly made the remark to housewife Loh See Moi, who was a snatch theft victim on Aug 24 in Kepong.

“The police force will not defend and protect any policemen, if they are guilty of wrongdoing,” said DCP Muhammad Sabtu.

Loh, from Selayang, lodged a police report against the inspector at the Jinjang police station yesterday, alleging that he had uttered these words: “Jika tak tahu cakap Bahasa Melayu, balik China” (go back to China if you can’t speak Bahasa Malaysia).

In her report, Loh said she had gone to the Kepong police station accompanied by her daughter Fong Ay Lian, 26, to lodge a report following the snatchtheft.

She said at the inspector’s office, her daughter spoke to the officer in English but he refused to entertain her as she was not the complainant.

Then as Loh began to relate her ordeal in English, the inspector made the remark.

Loh said she asked him in Bahasa Malaysia why he made the remark, saying that she was a Malaysian.

DCP Muhammad urged the public to lodge a report or complaint with their respective district police chiefs if they encountered problems with policemen or officers.

“I will be very disappointed if the allegations against my officer are true. We will investigate the matter thoroughly,’’ he added.

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