Many of them were saying they felt at a loss. They had been told the hospital budget had run so low that, over several weeks, treatment had been suspended for many common illnesses because there was “no more budget” to buy basic medicines.

Several patients reported that they had been forced to buy their own medicines in private pharmacies.

One patient said she had been asked to pay for a standard blood test to measure calcium, because the hospital laboratory had no more money to run the test.

According to a staff member, the hospital had suspended up to twenty different basic blood tests, including tests for the kidneys and liver function, thyroid hormones, and blood markers to detect heart attacks, over the past few weeks.

A patient told me that ‘non-emergency’ operations had been cancelled because of a lack of resources. One staff member said the hospital had run out of money to buy the inhaled gas medicine needed to make patients unconscious for surgery: the operating theatre had literally “run out of gas”.

Another care-giver said the operating theatre was also experiencing severe shortages of gloves, plastic tubes for giving drips, and even tubes that allowed patients to breathe when they were asleep during surgery. All the resources had to be saved for emergency operations.

As a result, a number of patients with cancer said they had had their cancer surgery postponed indefinitely. When the patients asked when their surgery would be done, they were unable to obtain a firm date, because it was unclear when a new budget would become available.

One patient said her doctor offered her an operation in Seremban instead of Johor Bahru.

A member of staff mentioned that such budget shortages are commonplace at the end of every year, in most government hospitals around the country.

But this year’s problems were particularly severe because of drastic budget cuts. The patients and staff were extremely unhappy, but apparently felt helpless.

I understand the hospitals must be facing a squeeze because of our national budget deficit. But is there not some way to ensure our resources are prioritised appropriately?

Can we not ensure some safeguard so that our government hospital patients are not put at risk, and forced to seek treatment or blood tests in private medical facilities? Many of the patients I saw on the ward were elderly and poor.

Why have our medical and nursing professions failed to speak up against these injustices? Why has our mass media failed to highlight these problems faced by ill patients?
 

Several factors are deterrents to a larger number of German investors putting their money into Malaysia, and top of the list is the lack of a qualified workforce.

“Malaysia doesn’t need Nobel laureates or a man who can go to the moon but qualified, hands-on people to raise their level of competence,” said German Ambassador to Malaysia, Dr Guenter Georg Gruber.

He said Malaysians appear to have the notion that an engineer’s work is to get suited up and sit in the office all day.

“Nobody in Germany does that. A qualified engineer goes down to the pits and repair the machines himself, if need be, and he is respected for the willingness to get his hands dirty. Here, the engineers are … different.”

He said this boils down to the lack of emphasis and importance placed in vocational training.

Possibly, it stems from the lack of social acceptance of a person who works with his hands here, Gruber told Business Times in an interview in conjunction with the 20th anniversary of the reunification of East and West Germany tomorrow.

Social acceptance is equally high in Germany whether you are a painter, an electrician or an engineer – as long as you are a master of your craft. “In fact, if you are a good electrician, you will be highly respected and earn good money.”

This appreciation of applied knowledge is probably what propelled Germany to become a world leader in innovation, science and technology today.

As a case in point, he cited his two brothers: one who is a painter and the other, an electrician. Both earn more than he does.

Malaysians are too engrossed in the paper chase that they forget about skill acquisition. Parents’ role in this obsession cannot be downplayed, Gruber said.

“You should always ask what the industry needs. But here, parents only want to send their children abroad, (probably) to some third-class university to get a foreign degree.”

Another factor which he feels is holding back German investors is the Bumiputera equity policy.

Germany’s “hidden champions” – the powerful, often family-owned small- and medium-scale enterprises (SMEs) – are keen to invest here, but are wary of having to give up a substantial share of their business to a “complete foreigner”.

“These are often businesses which have been kept in the family for possibly hundreds of years. They would not want to share their company with someone they don’t know.”

Although they have heard of many positive news from the government on reducing the equity quota, Gruber said that many were still hesitant and adopting a “wait and see” attitude to assess how the new policies would be implemented.

One major German SME which is already here, B-Braun Medical Supplies Sdn Bhd, is currently suffering from market access problems due to the Bumiputera issue, he disclosed.

B-Braun is a company with worldwide presence and an established history of supplying medical solutions in the surgical, pharmaceutical and healthcare management fields.

It does not have a Bumiputera partner, which prevents the company from bidding for government contracts.

“B-Braun has been investing since 1972 because they have had good experience here and want to continue. But they are being excluded in public tendering because of the Bumiputera issue,” said Gruber.

Although this was initially regarded as a “small issue”, it is now becoming a sore point for the company as a new Asean rule states that any company excluded from public tender in an Asean member’s market “would be excluded from all Asean markets”.

“This is not a very positive image for Malaysia if you want to attract more foreign investments,” Gruber said.

Germany has long been recognised for its “highly specialised small and medium enterprises” segment. They are often called “hidden champions” because most produce inconspicuous products but are global market leaders in their own segments.

“We don’t want to impose any ideas on the Malaysian government. They have to choose for themselves whether they want to evolve to remain competitive. Malaysia is doing a lot of reforms as we speak and many initiatives are laudable and fantastic. But implementation, as always, has been a bit of an issue here.”

Germany is one of the top four investors in Malaysia in terms of cumulative investment value, currently at more than RM16 billion.

Even during times ofeconomic crisis, such as last year, when overall foreign direct investments into Malaysia dwindled considerably, fresh money was still coming in from Germany of about RM200 million.

Gruber said that although German investments have remained quite constant, Malaysia has to work harder to stay competitive.

“We have to be frank. A lot of investment goes to China now and to be and remain a world-class leader, Malaysia has to find its niche.”

He suggested that the country look at expending its efforts in developing the renewable energy and pharmaceutical sectors.

“Malaysia is uniquely blessed with many renewable energy sources – palm oil, biomass, sun, water – but it has not fully capitalised on them,” Gruber said. 

Read more: Skills, equity hurdles to investment http://www.btimes.com.my/Current_News/BTIMES/articles/jermani-2/Article/index_html#ixzz11CCaxiLL

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.