Much has been written in this blog about the future of medical graduates, the declining quality of products, oversupply of doctors and the eventual unemployment of graduates. The world is undergoing many changes. Wars are breaking out everywhere with extremist killing innocent people in the name of race and religion as well as territorial fight. Malaysians are only interested in Gaza but forgotten the fact that Syria has killed almost 170 000 of their own citizens, Boko Haram is killing their own citizens in Nigeria and ISIS in Iraq killing Christians who refuse to convert or leave. The Ukrainian crisis would not have come into the spotlight in Malaysia if not because of MH17! When people ask me why I don’t support Palestine openly, I ask them why they never bothered about what is happening in the rest of the parts of the world. Why people never marched to the Syrian embassy? Why don’t people march to the Arab country’s embassies for not helping the Palestine? Historically, more Muslims have killed Muslims compared by anyone else. I support humanity and that’s why I am a doctor! I condemn any atrocities no matter where it happens and who is involved. I do not support any particular race or religion or country. In fact, we may end up like them if our PM does not act as a leader in condemning the racial and religious bigots who are running amok in this country at the moment.
Now, coming back to the topic above, life as a practicing doctor does not seem to be getting any easier. We were just informed that the Annual Practicing Certificate (APC) fee would be increased by 2016. The proposed rate is RM 300/year, up from RM 50/year now. MMC will be corporatized as mentioned in the amended Medical Act 2012. Thus, one of the source of income for MMC will be the APC and NSR (National Specialist Register) fee. The NSR fee will remain at RM 1500 every 5 years. The renewal of APC will not be automatic anymore. You need to have a minimum amount of CME points to be renewed. I was informed that it would likely be 10 points per year for MO and 20 points per year for specialist.
Ministry of Health is also strengthening their enforcement unit and introducing many new rules and regulation for private hospitals and clinics. Recently, we were told that Visiting Consultants in a private hospital cannot admit any inpatients. They are only allowed to see outpatients. I understand that this new rule came about after the incident at the Chinese Maternity Hospital, Seremban where MOH had to close down the inpatient services, end of last year. The hospital was surviving with visiting consultants to run their inpatient services. Unfortunately, this new rule will have severe impact on hospitals and consultants. This basically means that a consultant who runs his own clinic outside would not be able to admit any patients to any private hospitals anymore. It also prevents Consultants from government sector to have any admission rights in private hospitals despite government allowing them to do locum/out of office hour’s session in private hospitals. Is this an indirect way of MOH in preventing their doctors from doing locum outside?
As for individual Maternity Centers, license is NOT going to be renewed if they do not have a full time Pediatrician and Anesthetist. This will force most maternity centers to close shop within the next 1-2 years. I have already had few O&G consultants from maternity homes calling our hospital for visiting rights. Unfortunately, it is a double whammy. We can’t accept them as visiting consultant as we can’t give them admission rights!
There is also another new rule, which says that we can’t run an ICU if we do not have at least 4 ICU trained nurses! Oh my, it looks like most of the small hospitals will have to close down their ICU services. How are we suppose to get ICU trained nurses when the training can only be done in a government hospital (under their post basic training) but they do not provide any allocation for private nurses?
By April next year, patients will have the option to choose between getting their medication from doctors as they do now, or to insist on the doctor giving them a prescription to buy the required drugs from a pharmacy. It was published in The Sun last month.This will be another big blow for the General Practitioners. It is a catch 22. Most GPs survive on the commissions they get from selling medications. If the above rule is implemented, they will have no choice but to increase their consultation fee. This in turn will chase away a lot of their patients. You can’t survive by charging RM 25-30 consultation fee! The Malaysian Pharmaceutical Society is fighting hard to get this implemented. As you would have noticed, many small pharmacies are merging to create big branded retail pharmacies almost everywhere in every town.
The cost of private healthcare is increasing tremendously. There was a saying that only 20-30% of the population seeks treatment from private hospitals. Unfortunately, the number of cash paying patients in private hospitals is dwindling over the years and only constitutes about 10-15% of the total number of patients attending a private hospital. The rest depends on insurance such as employee benefits and medical cards. In my hospital, almost 90% of patients are paid by insurance. This is where another huge problem is arising.
Since the New Fee structure was introduced by MOH in February this year, insurance companies are becoming more stringent in their assessment. For those who do not know, the fee increase of about 15-30% is the first increase after almost 16 years! And yes, our fees are regulated by the government but not the hospital fees. The insurance companies are now dictating what we should do and what we should not. They are even limiting the number of times we can see a patient in the ward. I have had insurance companies which specify that only 1 visit per day is allowed. If you visit more than once, either the patient has to pay or we have to do it for free! It does not matter whether the patient is ill or not! My surgical colleagues are having a tough time, as some of the fees are not being paid as it is deemed unnecessary by insurance companies and they decide this by sitting 400km away without even looking at the patient! Yes, I agree there are black sheep’s in our profession. I had written enough about this. Unethical and “go for money” doctors are increasing day by day due to stiff competition and reducing income. However, to query what a doctor should do and should not do, cannot be decided by some junior doctors who might not even have completed housemanship! FYI, insurance companies do take those who quit housemanship to become their underwriters! They even got the stupidity to ask why an appendicectomy cannot be done the next morning just because doing after office hours increases the cost! I hope we can say that to them when they get admitted for a similar problem. Interestingly, these insurance companies do not say these directly to their client/patients!!
All insurance companies are increasing their premiums as of now, to minimize their loss from the recent fee increase. How many percent of the population will drop out of the scheme? As the premiums increases there will definitely be certain portion of the population who will not be able to sustain their policy. This in turn may reduce the number of patients visiting private hospitals. On the other hand, the cost of private healthcare will continue to escalate. Eventually it will reach a tipping point where the private healthcare system may collapse, especially the big tertiary private hospitals. This did happen in the US in 1990s after which they started building smaller primary and secondary care hospitals to keep their overhead cost lower.
While we are having constant pressures from all these external factors, the litigation rate seem to be going up by leaps and bounds. Last year the court of appeal decided to award RM 3.5 million (before interest) in damages for a cerebral palsy case in a private hospital in Klang Valley. It has set a record as the highest amount ever awarded as well as a benchmark for future cases. Recently, a government hospital was asked to pay RM 2.78 million in damages for a similar type of case. Interestingly, the mother of the child is a doctor who is still in government service! Another consultant in a private hospital in Klang Valley was asked to pay RM 280 000 for causing death of a child due to mismanagement of labor, and the patient is a foreigner! Just today, another case involving an Orthopedic surgeon and a government hospital was found guilty of negligence. These are just the tip of the iceberg as many cases are being settled out of court!
These cases have now increased the premiums for our medical indemnity insurance and it will only go higher! A couple of months ago I had a father who said that doctors can’t be suit in court because no doctors will give evidence against another. I think he is leaving in the 80s. Those days are gone. We have many consultants hired by lawyers to attend court cases as expert witness. On the other hand, an increasing litigation rate will also increase the cost of healthcare as doctors will become over cautious and order unnecessary investigations (as happening in US). It is known as CBM: Cover Backside Medicine! The production of poor quality doctors with poor training during housemanship will only make things worst for the field of medicine in the future.
Well, many things are changing in medical fraternity. Some are for good as it ensures safety of patients and general public. The practice of medicine will not be the same anymore as many rules and regulations are being put in place. Income of doctors will continue to decline due to various factors mentioned in this blog. Doctors will be pressurised from every corner, which include debts, high indemnity premiums, high litigation rate and high maintenance cost of practice. AND I have not even started talking about TPPA and ASEAN Trade agreement! So, never do medicine for easy life and money!
2014 has not been a good year for this country. Anyway, I wish everyone a Selamat Hari Raya and have a safe journey home……………
*** please click on the links to see the articles***
Pagalavan's Avatar 
so, you made your judgement based on your observation from cnn ,fox news and mainstream media.i assume that you probably never heard of zionist either.cant blame you though.most people are falling for their cunning propaganda.they own the entire hollywood,subtly and subconciously inculcate ideologies through their movies.
in short,unleash your mind.dont be the sheep that goes everywhere the shepherd goes.
I can say the same thing to you! I am not talking about Palestine alone. I am talking about ALL the atrocities that is happening in this world but no one talks about that!! Why? Is Zionist the only people killing others?Please read carefully what I had written!! it is people like you who need to open your eyes and see the world, rather than being emotional
thanks, i just want to see your response.now i know where you stand on the matter.
“If in the past year you didn’t CRY OUT when thousands of protesters were killed and injured by Turkey, Egypt and Libya, when more victims than ever were hanged by Iran, women and children in Afghanistan were bombed, whole communities were massacred in South Sudan, 1800 Palestinians were starved and murdered by Assad in Syria, hundreds in Pakistan were killed by jihadist terror attacks, 10,000 Iraqis were killed by terrorists, villagers were slaughtered in Nigeria, but you ONLY cry out for GAZA, then you are not pro HUMAN RIGHTS, you are only ANTI-ISRAEL.” — Hillel Neuer, Executive Director of UN Watch, July 15, 2014
i voice my objections out loud when all of those happen! however as a muslim the palestinian crisis is much closer to heart since whom being slained is our own brothers and sisters! i understand for non-muslims they dont feel it that much, but we felt the conflict that close to our heart more! plus the zionist are making a mockery killing children in ramadhan! childrens! about the muslims being slained by muslims that is the extremist group and are you making a point that all is these religion’s fault? religious extremist is always a bad thing no matter what religion it is:islam,christian,hindu,buddha etc etc..and those arabs are definitely fools but they’re never gonna listen to people since probably they’re making connection with israel too. yeah,the world starting to gone crazy but right now theres nothing worse than the palestine crisis. and people DO talk about all the other crisis. i cant side with anyone supporting israel, and i know some people are like that, whom i can only call as total idiots!
The whole world are our brothers and sisters. And YES, extremist group exist in the name of religion whether it is Zionist, Christian orthodox or Muslims. The way people interpreted religion creates extremist as one will claim they are better than the other in the name of GOD. FYI, there were more children killed in Syria than in Palestine but why no one bothers? Our country still recognises Syria, no official condemnation etc. that is what I am saying. I am not saying that Zionist are doing good but it is not the ONLY war that is happening in this world now!! Unfortunately, other than Palestine, the rest is a non issue for majority Malaysians.
I think this is what’s called the snowball effect.
Back then,people were not entirely informed about what actually happen in Palestine.So, the issue just float temporarily and sink afterward.Now that the whole world are more informed with what’s happening,more and more started voicing out.
The same goes with the black apartheid and Nelson Mandela.If people were more informed back then, it may as well be stopped even before it manage to culminate. http://www.globalresearch.ca/facts-all-us-citizens-need-to-know-about-israel-and-palestine/5391043
Please google hasbara technique.It is a well known jewish propaganda technique to downplay any act of atrocities they’ve commited to sway the public to support their cause.The victim card,the self defense card and every other possible card,you name it,they played it.The moment you say ‘i dont support Palestinian because bla2 ”, you already fall for their cunning tactic.
No one said that we don’t support Palestine. Everyone has propaganda in this world. Hitler had it, US has it, in fact even UMNO has it. That is politics!.we have to use our brains to reason it out.
You are deflecting and trying to resort to namecalling, wild accusations just because you can’t accept that there are other crisis and wars happening in the world. No tears and not much (close to zero) media coverage despite more horrors than whats happening in Gaza, people only focus on Gaza. Just because somebody does not support Palestine, or the Palestinians, certainly does not mean they are hasbara as you refer to it. A prominent palestinian public figure in my country when asked about the atrocities in other places, said his tears were only for Palestine. So the same applies to say Sudanese, Whats happening in darfur, how much did you weep or protest over that?
No you are just a sorry excuse for a human being. Stop accusing and instead subscrube to humanity which by far comprise of more than just Palestinians. I am sure Kashmiris, Yazidis, Kurds all have reserved their tears for their own causes. You are not the only one who is entitled to be biased. You reason is that you have been thoroughly brainwashed by the extreme left wing pro Palestine propaganda, whilst the rest of us just think all war and all human crisis are bad and should be condemned equally. Thats where we differ.
People are entitled to support causes they relate to or feel close to. You dont have a say in that. So take your hasbara nonsense and shove it where the sun dont shine. Until your heart bleeds for all, you aint got a leg to stand on.
Dr Paga, I think in your next blogpost, you should highlight some of the private med school problems, such as unqualified doctors who are given the lecturer (some even senior lecturer) posts, many of whom do not have any experience in teaching, neither do they have postgrad qualifications, let alone NSR certifications. Some even are daring enough to call themselves “ophthalmologist” when they only have MRCOpth Part 1!! Another Burmese doctor who self proclaimed a “nephrologist”, when he has not even cleared his MRCP Part 2A, just because he worked in a dialysis centre back in his home country for 7 years! Many more of such issues are hidden from the public’s eyes, and worse still, the students themselves, and their parents who have forked out half a million for the course, taught by these half-baked academics! When someone internally tries to alert the MOHE and MMC, the management will come down hard on that whistle-blower. And the true postgrad holders with NSR get side-lined, or sharing the same entitlement with those who don’t have the qualifications, and worse still, some of those get promoted to higher posts in admin side… I am sure you are aware of these, but then again, you will be the better person to write it up. Perhaps the MOHE and MMC will take necessary actions to curb this problem which is rampant in many private med schools in Bolehland.
This is nothing new!! I did mention this in some of my earlier post. In fact I know some well known universities taking MBBS holders and giving them lecturer post! In a real medical school, MBBS holders will not even be a lecturer, what more a senior lecturer.
Good day Freak Clown ,
This issue is no longer fresh. When I was doing my community posting, I was requested by my public health senior lecturer to help her in doing the data input as well as analysis. I was wondering, is that possible if a public health specialist doesn’t know how to operate SPSS ?
Dear N,
Yes it is possible for public health doctors to not know how to operate SPSS. In the UK, statisticians are hired as part of the team to handle numbers and co-author papers. PH doctors need to know what the number means, how it should be done, but no the actual details of it. SPSS should not be the main work load for PH doctors.
MMC rates and increasing .. can be tolerated … NSR criteria already now revamped.. also tolerated… we are a very patient bunch.
However GP stripped off their dispensing rights .. Enforcements officers within KKM given more authority to persecute doctors.. why?.. what is the means and to what end .
Are we actually criminals that we need the courts , legistlation , MMC , KKM , UKAPS and CKAPS to be given such authority to penalize us . Maybe this would make a good slogan …
doctors are not criminals… dont treat us like one..
So GPs are to be given free reign then? Just because the Hippocratic oath was seemingly recited and taken? GPs and other doctors are humans first, vulnerable to negligence, like any other humans/professions.
Hi Dr. Pagalavan, this is entirely irrelevant to the article. I am currently a Malaysian house officer in the UK and I am keen to return to Malaysia upon completion of my foundation programme next year. Could I contact you personally (e.g. email) for some advice re job applications in Malaysia?
pagal72@gmail.com
Helli dr, love your writing, but just wanna let u know that I am a Muslim, that people in Syria ( Muslim killed Muslim) is actually a wrong statement. The one who start the killing is not Muslim they are syiah. syiah is TOTALLY NOT MUSLIM… TQ dr
The statement “Muslim killing muslims” is not meant for Syria! It is happening everywhere including Pakistan, Afghanistan, Nigeria, Libya, Sudan,Egypt etc etc. Syiah is a sect of Islam similar to all other religion in this world. It all depends on how you interpret your religion. Are you saying Iran is not a Islamic country? You can’t say they are NOT Muslims just because they interpret the religion differently. They do perform haj, pray 5 times perday etc etc.
Hahahah, Mira, your statement “but just wanna let u know that I am a Muslim” is very funny… Do you know that Dr Paga is also a Muslim?! 😀
Hi Mira. Seems like Mira is indicating that “muslims will never kill muslims”. Well , I would recommend Mira to watch ” Dawn of the planets of the Apes” . I wish you may get some meaning from this movie.
to a sunni a syiah is never a muslim,please note..if you recognize they’re muslim too than ur faith is weak..
NOW you see why extremist are created? Sunni will claim syiah is not Muslim, Wahabi will claim that Sunni is syirik etc etc. everyone who practices one sect will say the other is deviant!! THus in the name of GOD, people will kill each other trying to make their interpretation as the genuine one!
Sigh. This is why there will NEVER be peace in this world. Instead of categorizing people into race, religion or sex, why can’t we all just get along. In my opinion, we are all just human. Religious or not religious, atheist or not , just try to be a good human.
Iryu, What a non sense comment you written there! We all are one race that is human race. Who are you to condemn what people practice in their life? Are you all mighty?! Just mind your own business!
It always amazes me how seemingly very educated people can be so brainwashed. It shows the effectiveness of propaganda. And explains how a country like North Korea can continue to exist.
Totally agree with you. I think the general public in this country should be concerned with our internal issues first. I totally understand the predicament happening in Gaza and around the world. At the same time, what can Malaysia do to help the other countries when our internal finances, economy and education system is going downward. Just a note, I think Dr Paga didn’t say anything offensive as such and he is entitled to his own opinions. If anyone wishes to disagree.. I guess you just have to agree to disagree.
Not to forget – we have a police officer now kidnapped by d Muslim terrorists recently in Sabah.. No1 is following the news but GAZA is more important for the Malaysians.. I see them both equally important..
Hi Pagal,
About visiting consultants not allowed admission rights, are they allowed to see inpatients who are admitted under other doctors? Eg a visiting physician seeing a patient under an O&G specialist?
they did not specify anything like that but just said that Visiting Consultants cannot have any patients under their name being admitted. However, I presume that if the patient is under a resident consultant but referred to a Visiting consultant for certain subspecialty (e.g.. cardio, plastic etc) , it should be OK.
Dear Dr Pagal,
Your statement “As for individual Maternity Centers, license is NOT going to be renewed if they do not have a full time Pediatrician and Anesthetist. ”
Is there any circular, blueprint or working paper out regarding this? Would greatly appreciate if you could clarify further on this or direct me where I can find out more regarding this.
Thank you.
There is no circular but it will be sent to you when you apply for license renewal. MMA president Dr Krishna Kumar has also mentioned it in Berita MMA last month. You can contact your state UKAPS unit or CKAPS unit of MOH.
Thank you…. Will contact CKAPS / UKAPS on that.
Dear Pagal,
Another well written article.
Don’t blame CKAPS or UKAPS. They are enforcing regulations as prepared by MOH albeit without using common sense at times and sometimes with an over enthusiasm rarely seen elsewhere.
The reason these regulations border on stupidity and reeks of high handedness is because virtually no significant input were received from the necessary stake holders i.e private GPs, private specialist, NGOs etc. As you rightly pointed out, many of these regulations put a vice like grip on the medical practitioners’ balls. We’re check mated at every corner.
Even if they do have an input from stakeholders, they don’t bother. When I received a call from CKAPS about the visiting consultant issue, the person who called me was a junior MO who do not know anything ! When I asked her, what about government doctors doing locum and consultants running clinic outside, she could not answer!
I agree with Dr Pagalavan about racial and religious tension as happening in the world now,not only in Palestine. I think Dr has given a very fair comment, neutral and non judgmental comment, anyone is entitled to their opinion. I am an overseas doctor, sad to see, through my own experience dealing with Malaysians, when I question why MH17 still fly over the conflict zone, it is just a question, not even a comment,i was labelled as anti Malaysia!!! A lot of commentators here are too emotional and just looking through their own lens and blast Dr Pagavalan for a well written blog like this. The situation in Malaysia will get worst,especially in medicine if we are not looking at bigger picture rather than attacking the person like racist, anti Malaysia……..We need to tackle the issues, not person that raise up the issues and debate like an adult. Sad to say, but true, Malaysians still do not have the mentality like first world country, our blood are all red color regardless of our race/religion….
Ya everyone is entitled to their opinion. So contrarian opinion must be allowed.
Yup
lolz then it is from my observation and my own exclusive opinion to express that many malaysian “keyboard warriors” are a sad emotional/reactive bunch. i won’t be surprised if many of them are science degree holders, and I know a few doctors who don’t apply critical thinking in daily issues. Still, it is good that we know such contrarian opinion exist amongst our countrymen, just in a sad way.
Agreed
Dr pagalavan , can you share more regarding Tppa and ASEAN Fta? What will happen?
I’m currently in KLINIK KesihTan, planning to open GP, it seems like our government is trying to shut down GP completely.
Will consider writing about it later!
is there on-call duty for radiology master student ?
Is there on-call duty for radiology specialist in private hospital ?
Isn’t it boring to talk the same thing, for example pathology of kidney, as a undergraduate lecturer for time to time and you will be asked some silly questions from your undergraduate immature student ??
YES, there are on calls for BOTH.
Why complain when it is you who decide what you want to do
dr andrew, i agree with dr paga….if you complain, it means you are not interested in what you are doing, so better off not doing it (esp if it’s a field in medicine!)
dr andrew, nothing personal here but i do assumed that you were never once an immature undergrad student, asking silly questions to your undergrad lecturers.
Dr paga, after reading your blog about arising problems in medical graduates, I’m planning to do pharmacy instead. But before that, I want to ask if pharmacy having the same dilemma as medicine? What would be the future prospects of the pharmacy field? Thank you.
If the government decide to remove the dispensing rights of doctors, there will be a lot of vacancy for pharmacy. At the moment, the demand for pharmacist is still good. Whatever it is, do what you are interested in.
Dr, can I know the basic salary and allowances for fresh pharmacy graduate in government hospital? Does a pharmacist require to do on-call like the doctor? Thank you
The salary is just RM 200 less than a doctor with better working life. The allowances are also the same except the critical allowance which is much lower. Please see here and here
Dear Dr Paga,
I don’t know what are you trying to imply by saying “Muslim killing Muslims” is not meant for Syria! It is happening everywhere including Pakistan, Afghanistan, Nigeria, Libya, Sudan,Egypt etc”.
I hope it does not try to convey sublime message to other readers that Muslims like to kill each other. Haters kill each other, and it happened throughout history of mankind; be it Pagan, Christian, Islam, Buddhism, or Hindu.
As why you are wondering that Muslims particularly in Malaysia are more concern on what happening in Gaza,it is that because this tragedy has befallen Palestinian people for so long, so long that majority of people forgot that Israeli regime is the one occupying the Palestinian land. They are not just occupied the land, they are practicing apartheid and genocide at the same time – which Hitler and Hendrik Verwoerd themselves will salute Israel for achieving double merit at the same time!
I have been following your blog for quite some time; and occasionally if it is about rotten bureaucracy system in Malaysia, I’ve noticed that you like to put the blame on domination of one particular race in civil service. Perhaps, you should not forget that ministerial post for Health Minister, never been offered to this one particular race. (and Hishamuddin was only Acting Minister, mind you).
I sincerely believe you do not intend to become a person who preach racism/bigotry, and I do hope in the end we all can live peacefully; although history have showed otherwise.
syifa, it does not matter if one particular race has never been offered the post of Health Minister. This Health Minister can never make independent decision. This person still has to serve his master just like a puppet. So, there is nothing proud to shout about being in this position.
syifa, may i also add that, i agree that israel is unfair in their treatment to palestinians. However, if you have such stand against the Israelites, i think you should also considered how non-malay is being marginalised in malaysia as the fact is that orang asli is the only true indigenous people in malaysia, not the malay, chinese or indian. According to your ideology, the fact that the constitution states so, doesn’t mean that malay should have the right. Just like, despite the fact that Israel has this law which makes palestinians second class citizen in Israel, it does not necessarily mean its the right thing to do.
I am not implying anything. I am just trying to say the truth which people never bothered. Throughout history, people have killed each other for various reasons. BUT no one bothers about anything else. Everyone knows the history of Palestine and Israel and it has been going on for years and everyone has been screaming about it for years as well. Yes, we do feel for these people but Malaysians tend to only wake up when this conflict happens and not for anything else. That is what I am trying to say. No one support Israel here and same goes for any other atrocities that are happening elsewhere. People should be as concerned as Israel Palestine issue for all other wars in this world.
As for civil service, please look at the data and statistics! Just because we have a minister who is a non UMNO does not mean the civil service is all well and good. FYI, the minister has NO power to decide anything in civil service. Please ask him. Who heads is not important but who runs the ministry is what matters. Look back into history and see what happened since 1980s and why the civil service which once had almost 40% non Malays is now 95% Malays.
IMHO, Malaysia already has too many top government officials “who preach racism/bigotry”, but apparently these are sanctioned or considered “safeguarding of one’s rights”. I think most readers of this blog know the definition of real “racism” and/or “bigotry”.
Plus, like everyone else in Malaysia, Dr Pagavalan is entitled to his opinion. Unless he’s not?
What is Palestine? http://www.youtube.com/watch?v=W9ReF4UUa4E
History has a tendency to be rewritten to suit any political purpose. You will need to go back in history and find the real history of this land now called Palestine. The country of Palestine and the people now called Palestinians did NOT exist as a political entity until UN Resolution 181. Before that, it was the Palestine Mandate under the British, comprising a mixed bag of peoples (including Arab Muslims, Arab Christians, and Jews), none with any political identity. Before the Mandate, Palestine as a territory did not even exist under the Ottoman Empire. Different parts were administered under controls from administrative centres in Beirut, Damascus and Jerusalam.
Resolution 181 CREATED the states of Israel AND Palestine. The partition plan of the area (ie basically the Mandate territory) is freely available on the Internet. At partition, the surrounding Arab states promptly attacked the new state of Israel. The subsequent history is well documented.
If the Arabs and the newly created Palestine state has accepted the existence of Israel, today’s problem will not exist.
If people wage war, then expect territories to change. Look at the history of Europe, and the changing political entities and boundaries through 2000 years of recorded history. The same is happening now.
It is pertinent to note what was the sentinel event in this latest version of the conflict. Many preferred to ignore that.
Finally, it is difficult to have peace, when one side insisted on the annihilation of the other side. Because it makes the other side feel they have nothing to loose, it’s kill or be killed. In such a scenario, who’s the bad guy? Or good guy?
Many refuse to read the history beyond 1948? That is the problem. Where did the Jews come from in the first place? Who chased the Jews from their home land ? These are histories which are not thought in schools nowadays. Thus many of the younger generations are not aware of the history 500-2000 years ago. No one knows what happened when the pagan Roman empire ruled the middle east. When you talk about it, they will say that we are supporting Israel. N
NO one supports what Israel is doing but this war will NOT end unless both side agrees for a border.
It will not end until the Arabs accepts the right of Israel to exist. Something several Arab countries and Hamas refuses to do.
If I am threaten with complete annihilation,I will also fight back.
What would you do? All of you?
@jk “History has a tendency to be rewritten to suit any political purpose” – thank you so much for finally admitting to this, on behalf of the whole Boleland’s people. Yet, when it comes to Palestine issue, Malaysians will say “History has a tendency to be rewritten to suit any political purpose”… when it comes to our own 3 races in Malaysia for equality and fair treatment, we are called “Pendatang” and the “re-written history” is never admitted!! OMFG.
Syifa must be one of those so-so result scorer, but get sent to MRSM boarding school, later securing a loan or scholarship to go for diploma or matric course, later again get scholarship to go university of her choice either locally or abroad. Then come back work for UiTM, and yelling help for Palestinian brothers and sistas. Meanwhile condemning other Muslims for not wearing the hijab, and thinks that UMNO has done good for the nation and all the pendatangs.
I think it is unfair to judge someone if you do not know the person. personally
Sorry peace man,
I have to give you zero mark for your blind guesses, as none of it are correct.
p/s: You should add to your username peace loving, it seems “peace” alone not enough to make you a “peace man”; better still, change it to peacekeeper and I pray that you to be send to conflict area so that you may have an open mind. PEACE, V
Peace Man must be one of those so-so result scorer, but get sent to MRSM boarding school, later securing a loan or scholarship to go for diploma or matric course, later again get scholarship to go university of her choice either locally or abroad. Then come back work for UiTM, and yelling help for Palestinian brothers and sistas. Meanwhile condemning other Muslims for not wearing the hijab, and thinks that UMNO has done good for the nation and all the pendatangs.
Does it look good to you? Childish manner. Bluih!
what i dun understand is that why they only talk so much about israel vs palestine….it happened everyday in syria…Iran…but they only voice bout israel vs palestine cz israel is not of their religion but wad happen in syria is between their same.religion. They shud focus on saving syrian too! dun jz save gaza…save syria etc too!..
People do talk about syria. People do talk about ISIS killing Christians and strongly condemned such an act.
Are we here assuming that we have met everyone in Malaysia who only talk about Palestine and thus that’s how we come up with that biased conclusion?
Sheesh.
FYI, the Ukranian-Russia conflict has been predicted since BEFORE Obama became president. This is NOT a new issue. People who read will know about it…MH17 or not. Sarah Palin had talked about it when she was running for Vice President during the two previous elections. Just because you haven’t met someone who know about it – and told you to your face that they knew- does not mean that people don’t know or don’t care.
Of course, people do talk but how many really care as much as the Palestinian issue. Do you even see our country condemning the incidents? In fact Najib had the cheek to say that UMNO must take ISIS as an example of strength? But when Zionist attack gaza, the whole country goes insane! The Gaza-Palestine issue is a territorial issue but the rest that is happening in the Muslim world are religious issue. Thus not many are bothered as much
Beg to differ.
Not a territorial issue. It is a humanitarian issue.
And our country is not the only country who goes insane with this conflict. Because if that’s the case, then one can argue that the whole world has gone insane with the rest of us. I am sure u are aware of the recent UN resolution where only US cast a sole vote of NO againts investigating Israel for war crimes and there were 17 countries who abstained.The rest are well aware of what has been going on.
Unless people live in a cave they would know that solidarity marches are everywhere in almost every country around the world including in the US. So if insanity is deviation from normalcy, then maybe we are not so insane after all.
Perhaps we will never agree on this. I never thought we will. Just saying my piece.
Of course it is a humanitarian issue. The main reason for the fight is a territorial issue. Yes, the whole world goes insane but why not the same response when 170 000 people has been killed in Syria? Why only Palestine becomes a humanitarian issue where as the rest is not our problem? Why no one marches to the Syrian embassy like how people march to US embassy etc. Everyone knows that US will side Israel because US economy is controlled by Israel. Why no one marches to the Arab country embassies for sitting quiet doing nothing? I think you don’t understand what I trying to say.
No I understand perfectly what you are trying to say – the explicit as well as the implied, I assure you.
I am glad you admitted that the whole world has gone insane with the rest of us. Because if insanity is a deviation from normalcy, then we are not the one who is insane, yes?
I applaud you for wanting everyone to have the same reaction for all war crimes and humanitarian issue…not just on palestinian issue. But the thing is people’s reaction is proportionate….and ‘proportion’ cannot be the same. Of course to quantify and measure what is proportionate and what is not is an exercise in futility as there are many factors and constants that are involved.
I however am questioning your stand that to me sounds as though “since people don’t have the same reaction and response to all other killings previously, then that’s why I don’t openly support the Palestinian cause”
You can support or not support whatever cause u like. It is your reason that I question.
As Desmond Tutu had once said “To be neutral in the face of injustice is to choose the side of the oppressor”.
So go ahead and lament the fact that people dun have enough awareness on any other issue and educate them. But at the same time, that doesnt give you the justification not to openly support Palestine.
Unless you never really want to, in the first place. In which case, it is your prerogative to do so and i rest my case.
That the way you interpret what I wrote! I made it very clear above that I support humanity no matter where it happens. I am against all atrocities that happens anywhere in This world. I think I made it very clear! Thus I do not pinpoint at one issue and throw all my support to that particular issue ONLY.
Thank you for making that clear. Because It really wasnt before. And judging by a lot of other comments previously, I was not the only one who get confused. And at the risk of flattering myself, I don’t get confused easily.
It must be the words that u used. Let me quote it verbatim “When people ask me why I don’t support Palestine openly,I ask them why they never bothered about what is happening in the rests of the part of the world”.
That sounds to me like u are trying to justify not openly supporting Palestine just because they didn’t support previous wars/atrocities.
Sorry if I was confused. But I bet, I was not the only one.
I reiterate that I never get bothered whether or not people support whatever cause there are. That is an individual prerogative. But the justification interests me.
At the end of the day we are a free agent of our actions and we answer only to the God we believe in and ourselves.
Good Day.
Yes exactly. People have the tendency to interpret sentence by sentence rather than the whole article. This is very common and I have seen that many times, even in this blog.
afizaazmee, sorry to say you seems confused to me. Dr Pagal is right to say you must not cherry pick the sentences but view them as whole
Historically, more Muslims have killed Muslims compared by anyone else
Dear doctor, please have a longer memory than what happened 4 weeks ago. By saying the above, you are saying that muslims are somewhat terrorists. No, we are not and we abhor killing/murder/genocide as much as you do.
Have you counted the number of muslims in iraq and afghanistan the US soldiers have killed?
the hundreds of thousands of palestinian civilians israeli soldiers killed in the name creation of the holy land since 1948?
Numbers of muslims in myanmar being massacred by their buddhists counterpart?
Russian army raping and killing civilians in chechnya since god knows when?
Serbs having massacred bosniaks not that long time ago?
And the brutality communists hv done to our country?
Muslims killing muslims do not happen that often, and once it happened, suddenly too wide of a media coverage with the intention of generalizing muslims as terrorists.
Palestinian israeli conflict is one of the most watched conflict as it involved abrahamic religions, ie half the people of the world. It involves double standard and hypocrisy of the highest order by superpowers on which seems to be a systematic sidelining of muslims. They preach equality but jews are the chosen people of God that can kill civilians. They preach human rights at the same time close eyes at genocide of palestinian arabs (whether they are muslims or christians)
I guess selective amnesia is very convenient.
I respect you as a consultant for your decades of working experience. But historically, you have amnesia too and you dont make too much sense.
You owe muslims an apology for insinuating that they are “somewhat terrorists”, but i bet you wont do that because you said nothing like that, you only took facts from cnn and foxnews yadayadayada.
Stick with lambasting junior doctors. That’s where you are good at. Your political and historical sense are just too far gone, that it has offended many muslims.
I am talking about centuries and not 4 weeks. You should read the history beyond the last 50 years! Who is having selective amnesia? It is just because people only pay attention when “others” kill muslims but not when they kill each other. That’s why people don’t talk about the cruelties in Nigeria, Syria, Egypt, Afghanistan etc etc. They tend to close eyes when these happens. Look back into history beyond the last 50 years then you will know what I am talking about. Don’t become emotional.
More than 50 years?
Austrian started world war 1.
German involved world war 2.
Japanese bombed pearl harbor.
american killing their indians.
australian killing their aborigines.
koreans killing their koreans.
Israel started mass murder of palestine to create a holy land.
Abit further, the Europeans, especially the brits, colonized more than half of the world in the spread of christianity, to exploit the local riches, to dominate trades. Portuguese came to malacca and started to wage war. Dutch army killed Indonesian javanese. In MALAYA, brits killed malays, malays killed brits.
I guess somewhere along the lines, muslims are somewhat terrorists.
Sure, muslims have been wrong somewhere along the line with unnecessary killings. But to highlight such that muslims kill more is just so unfair.
Remember that guy from boston shooting. 12 killed, 71 injured. If he were a muslim, sure they’d call him terrorist.
I don’t think you are getting the point! Atrocities had happened everywhere and I had mentioned that clearly. The whole issue above is how muslims in Malaysia become emotional when ‘others’ kill muslims but not when they kill each other. I use Syria as an example because when 170000 people were killed, do you see the same amount of emotion when 1000 people killed in Palestine. When the Muslim brotherhood in Egypt were sent for hanging by hundreds, do you see the same type of emotion? People have killed people for whatever reason they can think off. But why only some matters and not the rest?
Well, i guess we all could agree who studied history more here.
efenem86, just want to ask you a simple question. Who saved the people in Bosnia & Herzegovina not too long ago? Please give credit where it is due.
For your info Efenem, it took 5 days for Zionists to kill 100 muslims, but it only took 1 day for ISIS in Iraq to kill 130 muslims.
You are not thinking logically, and you’re clouded by emotions. Please re-evaluate your statement, Doc.
I dont understand your rants really doctor. What points are you trying to get across here? That muslims endorse killings of some muslims?
Have you had muslims friends in facebook? If you do, you would probably know how we shitted on al-sisi when the regime killed muslim brotherhood. We do not love assad of syria. If you dont see any of those, probably you dont have enough muslim friends.
By the way, i am not talking about who kills muslims more (by the way the answer is still the nonmuslims).
I am talking about who likes to kill more. (And the answer is still the nonmuslims).
I am not trying to be racist as to insinuate nonmuslims are killers. No. I am merely saying that murderers have no religion. They just kill.
I am talking about emotional rants that people do for Palestine issue but not for the rest. Why not the same amount of response for the rest. Why our government never officially condemn the incidents? Why no economic sanctions? That is what I am saying.
As for Muslim friends, I don’t think you know me well enough!
If you want to ask the government, ask the government. I dont think the ministers know the existence of your blog. As for the regular people who visits your blog, some of us gave the answers. Perhaps you should start a survey.
The US have committed more war crimes than anybody else. Still we have diplomatic and economic ties with them, and still welcome obama with our unholy open hands.
Dear doctor,
The muslims generally know you meant well about acknowledging other muslims with plights but do not appreciate your remark of muslims getting killed more by muslims. You making such rants do not make things better for humanity and world peace.
Please stick to your doctoring, lambasting junior doctor, and ranting about poor medical quality in doctors nowadays. Not that any positive result have come out of those rants either, but at least people appreciate them more.
Of course you are free to say what you like about the things that happen in this world. But we need more results, not just rants sir.
Have a good day ahead doctor.
Even the DG reads my blog! And everything that I wrote in this blog have become a reality and now even the government had acknowledged it.
These are not rants by the way. These are facts but people always become emotional when we talk about reality etc. Remember when I started this blog, how people became emotional when I said doctors will become unemployed?
Ah… after Syifa, it’s time to guess who is efenem86. This one will be a person with not-so-good results along, but becoz family has some connections, and born with the right religion at the right place at the right time. Then sent to religious school for education, and whole family only support the BN regime. Anything to do with religion will spark off the insane berserk mode, and he will boycott McD, Nestle, Maggi Mee, Marks and Spencers etc.. meanwhile, getting a scholarship to study in an abroad country, at the expense of other tax payer’s money; when come back get a job becoz of the mandatory 30% quota of each company, reads Utusan and Papagomo Blog (but occasionally coming to paga’s blog to create flamewar), quietly supports Katak Ali’s calling of Pendatang.
The comment is not justified if you do not know the person.
Paga is right. He is speaking from a more subjective standpoint.
I would like to advise steering clear from ad hominems (personal attacks). Just because an internet troll uses them does not mean we should.
Internet 101: Ignore the trolls. They feed on attention and controversy. They use personal attacks due to a profound lack of actual substance. I’ve tuned off to all his/her comments after the first two paragraphs.
I hope Dr Paga will continue to shed light on what is a very important topic in Malaysia. Truth is always welcome. They who seek to bury the truth are lost and will ultimately fail in life.
As I am aware, Dr Paga has been around town raising awareness of this issue, inculding attending conferences and MMA meetings on the subject. He has done more to promote a better standard of healthcare than most others.
Keep up the good fight.
I am an overseas observer who may return to practice in Malaysia…heck, money isnt everything…
May you be blessed with the power of mint and berries, yet with a tasty, satisfying crunch
Dr. M. Crunch.
From the conversation above, it just reinforces my personal view of not commenting publicly on the Palestinian-Israeli issue nor any issue involving Muslims as it tends to end up…as above..
Owe Muslims an apology, Muslims are offended, Muslims this, Muslims that..
You MAJORITY of Muslims are the majority who DO NOT matter as it’s the minority who are causing the problems. Please look at yourselves first, be the unified majority first before you start pointing at the non-Muslims and disrespecting their opinions.
Poor ukaraine grad doc.. Poor housemanship performance.. Now a lazy MO.. Just focus on your work efenem.. A muslim doctor should have work harder.. Jangan jadi bahan lawak orang ramai..
Good Morning, Dr Paga! 😀
Good morning!
Arabs and Jews are descendent of Ismail and Isaac, both were sons of Abraham. When God sees the brothers killing the brothers, I wonder how He will judge?
Of course what you wrote become reality, doctor. I agree with most of your medical education and medical profession analysis. But have you done anything about it? If you do, any results have come out of it? Sure DG read your blog. Good for you. Acknowledgement is good, you can receive an award for that! Now ask najib why he didnt sanction syria. Start educating malaysians that syrians are also being killed and we have to help them. Maybe that is better than rants, no?
I started with the disagreement with your remark that muslims are being killed more than muslims. And i plan to correct your analysis. You are wrong in this, you didnt get your facts right and i dont know where you got your statistics. Thus, that feels wee bit offensive.
as for ctong, dr. Paga can continue ranting, not apologizing as he wishes. Its his blog, his realm, his ego. He can even delete my comments if he wants. But please question this “are my facts right?” And “can my rants make things better or just an old man’s rants?”
As I said, you don’t know me well and what I have done! The problem is our government do not listen to the people! Racial and religious politics become more important than the future of this country. But who voted for them?
I standby with what I said because many of the killings that happens never appears in news because it is considered as internal issue of the country. Thus killings that happens in Libya, Sudan, Pakistan, Afghanistan etc never appears. That is what I am saying. No point talking about emotions. It will never get you anywhere.
Everyone complains about west and US but why are they so powerful. Why did the Muslim countries which once was a big empire went downhill? We can talk till the cow come home but till we stop blaming others for our shortfalls, nothing will change!
Ah blame the government as always and the people who voted them. Even with your statistics wrong(about the killings of muslims) you stood by what you said.
I truly feel sorry for you doctor.
I guess that’s what rheumatologists are. They rarely get sued. Despite overanalyzing, overinvestigating, your patients keep getting worse. And you blame the disease rather than your management. Of course most of the time, its the disease progression. I for one, know a consultant rheumatologist who continued anti tb meds in a rheumato patient with apparent clinical jaundice and worsening LFT. I guess you are only right in the analysis of worsening quality of doctors nowadays.
Result is the same. Remission abit. Then became worse. Then come back.
No conflict for a while. Then conflict again. Result? More death.
Good life, doctor.
Yes, I have always talked about worsening qualities. There are no cures for any chronic illnesses! We can control but never cure. Your example of the Rheumatologist is what I have tried to tell. NOT all doctors are saint!
OKlahDr Paga..
The cows already came home a long time ago… heh
efenem86: The moment you started attacking Dr Paga as a rheumatologist,you lost the battle. For an keyboard warrior, you hide behind anonymity and attack his qualifications. No one knows your name,whether even if you’re a doctor,a med student, an anarchist, a troll, a clown perhaps. Most likely a house officer with the amount of free time you spend posting here.
Perhaps you should just do what you do best,rant over here,other blogs and Facebook,demanding people show you more respect and are apologetic towards you because you champion the Gaza cause. And whilst the whole darn country and world can go to hell as long YOUR cause stands.
Dear ctong,
I dont plan to start no battle. If you feel this is a battle i feel sorry for you. I never commented doctor paga’s blog posts until today, because i feel his analysis is wrong. Label me however you like because you yourself are just another keyboard warrior.
Dr. Paga conveniently quoted 170000 syrians and asked me to see beyond 50 years, when he himself only saw 1000 palestinians killed in 4 weeks.
Unlike dr paga, who said “we shouldnt blame anybody for our shortfalls”, he kept on and on with his rants blaming the government. Maybe he likes to side with the wrong party i dont know. Pakatan with the unkept promises, internal bickering, power grab here and there, clear cut nepotisme.
kononnya umno memperbodohkan rakyat. I dont see pakatan memperpandaikan saya pun. LoL. Anyhow DAP sides with the governmnt in condemning israel killing civilians, so i dont knw whats the issue here.
Rheumatologist or not, he is a doctor with mistakes in his analysis. Apology or not, up to him. As i said, its his blog, his realm, his pride, his ego.
But when he is wrong, i speak up.
Dr M once said ‘ you get the government that you choose”. That’s exactly what I said. The government is to be blamed but the shortfall is, we voted for this government. So I am not wrong with what I said. Oh my, where do UMNO, PKR etc coming into the picture? Off topic!
As for the statistics you quoted, I am talking about the last 2 years. More people have died in Syria including children but no big hoo hah as this. We should condemn all atrocities and not selected few.
Everyone is free to speak up. I never censor any of the comment unless you use unwarranted languages
http://www.themalaysianinsider.com/sideviews/article/where-were-you-omar-kutty. My exact views!
whenever, whichever, whatever, the word muslim is touched, lots of people with the spirit of Perang Jihad will come after you. I just wonder is it really The God call for the war or People used the God name to call for wars which never ends
Dear Dr. Pagalavan, who are the ones who decide on matters pertaining to Drs? For eg the APC fees, NSR etc. Are these people from MOH? Are doctors consulted for an input before decissions are made?
Thank you
MMC And it consists of doctors
Hello everyone,it’s sad that war happens but please stick to comments on medical issues.Lets keep politics and religion out of medicine and all should be fine.
This efenem86 guy has really made my day. Blatant disrespect and glaring attitude issues. Sad, he’s the prime example of our current generations of doctors. Have you notice that Dr.Paga never even once bother to launch a scathing attack on you? There lies the difference between a matured man and and person like you. Stop garnering attention for your blog and own up to your mistakes. Apologize!
Nothing new. I have had this type of attacks from the younger generations many times before. I blame the education system. Emotions does not take you anywhere
What goes around comes around.
Dr. Paga has generously giving out criticisms to many people like theres no tomorrow, i am sure he is ready to take few criticisms himself. I dont blindly respect or blatantly disrespect anybody.
Again, i want to be very clear, this is dr. Paga’s quote that drives me to write in his blog :
“Historically, more Muslims have killed Muslims compared by anyone else”
If it were to come from a small fry, i wont be bothered. But this comes from a so-called respected rheumatologist. I had respected dr. Paga for his medical profession analysis over the years which have become very true. But the respect earned can simply be thrown out the window with quotes like above.
If he were to write just about the changing landscape of medical profession, i would just read and laugh it off. If he were to say “recently” instead of “historically”, probably i wouldnt even start to write. But he wrote that muslims kill muslims more. Meaning to say that he labeled my generation, my father’s generation and my grandfather, great grandfather’s generations of muslims – likely to be killers.
No particular race or religion like to be labeled killers, or “likely-killers” or terrorists, dr. Paga. As much as you hate racism and bigotry, i suggest you walk the talk. And i dont think i am misquoting you out of context, as what you wrote is crystal clear. Unless you mean something else, which you totally need to explain.
So it is not a blatant disrespect. I have my reasons. While dr. Paga’s research about medical profession and rheumatology might have been very extensive, his analysis about conflicts involving muslims have been shortsighted by few articles he read here and there.
Its not the first time i am being labeled emotional. I have been labeled worse – pro israel (wth!?) among my more conservative circle of muslim groups few years ago. Usually this happens when someone has nothing else to argue about. I dont know.
efenem86, your comments are mostly provocative to the extent you even misconceive and self label your own generations as killers. You’re the type of person who usually runs amok with so much of your own interpretation.
As I said, anyone can write or comment anything in this blog. I never blocked anyone!I maintain what I said because as far as I am concerned I had made it very clear. The whole issue is the fact that no one talks about Muslims killing Muslims but only bothers when non-muslims kill Muslims. Historically, more muslims have died in the hands of muslims than non muslims. Of course, most of this never published in major medias. Just yesterday, 100 died in Libya and hundreds of soldiers killed in Iraq. I hope I have made it very clear. THUS, we should condemn every atrocities that happens and not selected few. When Malala was shot by Taliban in broad daylight, did anyone bothered or collected donations? who saved her , the british! That is what I am saying. This is nothing to do with labelling anyone “killers” . That is your interpretation!Killers exist in every race or religion!
And after attacking Paga, this efenem86 will drive thru McD for the value meal lunch (becoz it’s the cheapest in town), and drink Diet Coke becoz of the lower sugar content, and drink Nestle product or eat Maggi mee when hungry. But being a keyboard warrior he dare not go to the Palestine frontline to help, neither does he criticize the crucifying terror act of those ISIS militants.
Dear zav and peace man,
Dr. Paga does not shy away from provocations as evident from his previous posts. I am sure he can handle a few from a small fry like me.
If i misinterpret and misquote his meaning, i would certainly like a better explanation. How else would you interpret, “Historically, more Muslims have killed Muslims compared by anyone else”. Bcause i find this quote provocative too. Not so much of a provocation that i would shout “alulululu kill all the infidels”.
Anyway, we are all keyboard warriors here with too much free time, including our respected rheumatologist. Its 2014 so dont be surprised lah. Only that some of us are bigots with distorted facts and views.
too much free time: must be you not me! I work 24hours a day! FYI, I am not a keyboard warrior, I have done more than what you know. The time based salary scale that you are enjoying now was single handedly written by me in 2006 and submitted to Minister!It’s just that I don’t boast about what I have done!
Lol peace man, efenem is a doctor himself.
dr. Pagalavane we are peace-loving malaysians. We hate killings in the name of Allah. you shouldnt believe what allthe western media feeds you. Manymalaysian muslims pray that al-Sisi and Assad stepped down, and many condemn ISIS and BOko HAram killing.
We care about Gaza more because humanity is not just about condemning killing. Occupying lands, chasing palestine from their homes, Firing rockets to hospitals and ciivilian houses, while strictly closing borders restricting movements, stopping food and medicine to Gaza are also humanitarian issue. Believe it or not it happened fo 66 year. the ultimate mockery is that it so happens during ramadhan and ongoing till syawal thats why we feel for them.
Be more compassionate. What if you was born unlucky to be palestine citizens.
YES, that is what I am saying !!
The Palestine-Israel issue will never end unless both side agrees for each others recognition. The southern border is closed by Egypt and not Israel but why no one discuses this with Egypt. The whole issue started after 1948 when british left but why there were no war (except some small civil wars) before that? The history of israel and palestine goes way beyond 1948 which many never bothered to read. Well, I do not want to go into that as people will say I support Israel. I will make it clear, NO ONE supports what Israel is doing.
ISIS issue is also becoming a territorial issue. They are chasing away Christian/Syias or be killed with the intention of forming their own borders and country. Eventually it will end up similar to Palestine/Israel issue with each killing each other.
another interesting comment in the Star. This is what I am trying to say!
http://www.thestar.com.my/News/Nation/2014/07/28/Sheer-vengeance-and-arrogance/
Pro-israel western medias have been using those ISIS, BOKO HARAM, syrian issues to downplay the atrocities they have done to the palestinians. On the other hand, the terrorists who uses the name of Islam (i refuse to call them muslim terrorists), grabbed this opportunity to kill civilians in the name of Allah, hoping the medias wont highlight so much of what they do.
There are many wars and conflicts happening this year, this past decade, past 50 years. Condemning all of them one by one is one hell of a task. However, the special thing about Palestine/israel conflict that makes the world so worked up, is that its more than just numbers being killed. Since 1948, israel zionists have been occupying lands, destroy palestinian homes, killing civilians, bombing public and private areas, building huge-ass wall, practicing apartheid, forbidding palestinians from passing through, deny freedom of religious exercise, and restricting food, water and medicine to come to Palestinian territories. Multiple human rights violation all in one tiny area! we know that israel is doing more than just killing – it’s a bloody psychological warfare!
The whole world went beserk on this conflict. The UK even held a much larger and stronger protests against Israel, than what most malaysians did. You cant say the whole world is crazy, do you? Its two very powerful countries (US & Israel) ganging up on a displaced and small palestinian nation, with backing up of most european countries and most arab countries. Not to downplay what happened to other innocent muslims in other parts of the world, its just the world is tired of protesting against the same humanitarian issue over and over again for decades. Everyone wants the conflict to be over already.
Apart from the glaring human rights violation issue, it’s undeniably a religious issue too:
“I will establish your borders from the Red Sea to the Mediterranean Sea, and from the desert to the Euphrates River. I will give into your hands the people who live in the land, and you will drive them out before you. Do not make a covenant with them or with their gods.” – Exodus 23:31-32
I agree with you that muslims have failed muslims. Saudi, qatar, egypt join hands with israel. Syria has its own internal issues, unlikely to be bothered with palestinian brothers. Most muslim countries have multiple human rights violation, no need for a genius to figure that out, and certainly nothing new. However what drove people of the world crazy is the double standard practice of the human rights champion, uncle sam, backing up the atrocities committed by israel in broad daylight.
The US have killed more afghans, iraqi, iranian, arabs, africans, vietnamese, japanese, korean, german, red indians, their own american citizens and what say you more than anybody else in the world in the past century. We protest, we boycott, we condemn, but alas it still remains very powerful. And the highlight of more muslims killing muslims is certainly untrue and unappreciated.
Of course we young malaysian doctors thank you for what you have done for us. However, i doubt you have done anything much about world peace other than being cynical.
What I have done for world peace? As I said, you don’t know anything about me! I can ask the same question to you!
As I said earlier, muslims should look at themselves and ask why they are in this situation! Only then they will come out of the club of doom!
And don’t forget that we are enjoying everything that the west has created including every single medication that is being used to save millions of lifes!
This discussion has gone way focused on current middle east conflict issue… muslims are in deep shit now because of disunity and greed… arab leaders are getting fatter by the second, while their mouths and eyes shut… the problems with muslims is not well educated… only education can bring muslims out of doom…
everyone must do their part for world peace, including israel… they must be brought to world court for justice… its hard to achieve peace without justice to the war crimes committed by israel…
Can we just end the topic as it is? In short, people may be in denial of historical facts. While others sink in with their pragmatic beliefs and ideology. I agree with Dr. Paga alot of young Malaysians have no idea about history and yet they think they do. Just plain simple, go to a bookstore take a comparison of World History Textbook that is agreed on international standard, and compare with our own history syllabus. You can see the difference. At the end of the day, lets just keep the blog what it should be. i agree with K-Rin. Israel needs to be brought to world justice. Just a note, Malaysia is just a dot in a world map. there is nothing much we can do as we don’t have a say. (unless we have a trump card) then maybe the world may hear us. Till then.. I think the focus remains on how we can improve our country first rather than fight a war over the other side that we cant afford to fight to begin with.
Guys, Dr P is right, about 90 % terrorists are muslim and none of the developed nations are muslim country, statistic never lies:)) pls reflect rather than just blasting Dr P..
Then, I owe you a lot dr paga for the time based salary.the only thing that kept me working for the government.
For efenem86, just shut it up. I’m a Muslim, and I don think you’re helping much here rather than showing what a bigotry you are.
Everyone is entitled to his or her opinion. If you could show some respect emails your rankings to dr paga email than posting it here. Trying to humiliate your fellow colleague.
1) I would like to know if doctors working in non clinical fields like Pathology, Forensic, Pengarah Hospital, Public Health, Lecturer need to apply APC?
2) Lately with the news and outbreak of JE, Ebola. I am exploring the opportunity to work as CDC Epid officer in CPRC. However, I was told that the passing rate of Master in Public Health has nothing to shout about. Some reported not yet passed out when clinical friends already gazet as specialists.
Never knew public health can be so tough despite sitting in office and admin work.
Yes, every one need to have APC.
DEAR Tgk Suzana,I suggest you to apply for a short attachment in CPRC before making any conclusion on the nature of work. Do tag along the Epid officer or the head of health inspector in Putrajaya. Just see how they work.
If you go to Putrajaya and you notice the receptionist is busy playing facebook, DONT assume all the officers in the Putrajaya do the same. No doubt, there are bad apples and dead wood in the system but there are good ones who keep on fighting and moving forward. I sincerely hope you are one of the few ones.
As for the passing rate of MPH-I guess you were referring to the new DrPh specialist programme. It all depends on which Uni one choose to enroll into. If you made an unwise choice, you are at the mercy of the Uni besides your very own supervisors. Whether you graduated from the World Top 100 Uni or some Local Jaguh Kampung, KKM is not going to reward you more or pay you more extra elaun. Even your gazzetment is not going to be anything different. But, the main different is of course, like you said delayed in starting your gazzetment.
You are not the only one asked this Q, many had asked and some just got frustrated on the forever changing system/requirements by the Uni.
Again, never consider that as your last option or thinking its just a office job-doing paper work. Such dead wood, we already have enough now.
Dear Dr. Pagalavan，i am Malaysian and gradurated from MMA medical uni in Russian which is recognised by the government. Recently i would like to do a housemanship at some EU country. They said with my diplome i should sit for their recognised exam. But before i apply for this exam i should get the letter from the malaysia that they recognised my russian diplome and could register as a doctor and working in the hospital. Where could i get this letter and how to do it ( i would not work in Malaysia now). Thanks you.
I have never heard of such thing except for those who are already working in Malaysia and applying overseas.
Okay, could i first register at MMC and without doing the housemanship in malaysia. Just to get a recognised letter from them?
They can’t give you any letter if you have not worked here. Even the registration will only be “temporary registration” . You only get your full registration once completed housemanship.
Dr Pagal, thank you for your patience and I sincerely hope it is infectious.
Hello Dr. Pagalavan,
I would like to ask for your opinion: After a doctor completed 2 years housemanship in Malaysia, can he/she apply for work in the UK? Does it require the PLAB exam?
Thank you for your insights.
NOPE for UK. However, Ireland do recognised housemanship training in Malaysia.
If your qualification is not recognised by the GMC and have not completed Housemanship, you will need to sit for the PLAB, and if successful, will be eligible to apply for FY in UK. If you have completed an approved Horsemanship somewhere, and passed the PLAB, you can get Full Registration. As to whether Malaysian Housemanship is ‘approved’, the GMC is non-specific other than it must be at least 10-12 months long, to include at least 3 months each in General Medicine and Surgery.
Hello Dr. Pagalavan,
I would like to ask for your opinion: After a doctor completed 2 years housemanship in Malaysia, can he/she apply for work in the UK? Does it require the PLAB exam?
Thank you for your insights.
Hello doctor. Im a malaysian and unrecognized graduate of medicine. I would like to ask your advise on the matter of what ways to register with mmc and alternative way like to be a lecturer in health science field. Tq
The only way to register with MMC is to sit and pass the MQE exams.
As for lecturer post, you can try applying to some of the private colleges for basic science teaching. However for medical schools, you need to have a postgraduate degree.
Some of the comments in this blog post make me grateful that I’m an atheist. Unfortunately they are the same comments that make me worry for humanity.
We now have the NSR.
But are the qualifications of all the specialists listed in it being verified for authentication?
Secondly, it seemed that some of those listed as specialists have rather low qualifications.
There is qualification verification from the original awarding bodies. In the original exercise, the existing doctors already practising and recognised as specialists are ‘grandfathered’ in, irrespective of their qualifications, recognising that some qualifications were in the past recognised as specialist qualifications, although they are not now. This is standard practice for new regulations, that it does NOT apply retrospectively. However, for all new applicants, the rules will apply strictly, although the Minister of Health has the power to approve insertion into the registry of anyone who do not comply with the requirements.
Yes, they are verified.
I don’t get why the Minister of Health has that power!
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