Rural doctors aren't helping | Bangkok Post: opinion

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Rural doctors aren't helping

The Rural Doctors Society has done the country a favour with its reminder that there are Thais who would have trouble scraping together 30 baht even in an emergency. But the group has gone much too far in its attempt to take the side of the rural poor in the healthcare system.

Society chairman Kriangsak Vatcharanukulkiat claimed recently that a majority of the country's citizens would go bankrupt if they had to pay 30 baht every time they sought medical treatment. This gross exaggeration is not helpful to those Thais who still need support in order to make healthcare universal. Far worse, it does nothing to assure the public that members of the RDS are dedicated to providing this universal care.The relaunch of the 30-baht health scheme _ first introduced by the Thaksin Shinawatra administration _ is a good policy. It was only a few short years ago that the Thaksin government dramatically moved the country towards universal healthcare. When that programme was started, there was strong opposition. In many hospitals, doctors and administrators actively opposed the 30-baht medical scheme. For years the clinics and hospitals claimed there was no way universal healthcare could be funded by a system wherein patients paid only 30 baht a visit.

Dr Kriangsak now claims the opposite _ that 30 baht is far too much for more than half the population to bear. The RDS has called on state-run hospitals to refuse to collect the 30-baht fee from patients. The group has also demanded that the government keep the National Health Security Office free from political interference _ which is ironic, since the RDS itself has now taken such a strong and controversial political viewpoint.

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Your comments

  • Discussion 7 : 09/02/2012 at 12:35 PM7

    "The 30-baht fee was, right from the start, primarily meant to remind patients that medical care is a finite national resource."
    I completely agree.

  • Discussion 6 : 09/02/2012 at 12:16 PM6

    Why 30 baht? 30 baht is not even going to pay for any medication. Make it free for those with an income below a certain level, and issue ID cards with the owner's photo and details on it. (I remember a health plan in the 1980s, where cards were given to the very poor for free medical treatment and ended up being sold to others to get cash in hand.)

  • Discussion 5 : 09/02/2012 at 11:24 AM5

    First of all. I have worked in the NHS in the uk for over 20 years. It can work and work very well. America is a system of the have's and have not's. But also many tests they do are just money making exercises also.In the uk now there are to many managers with little experience in the medical field,result a mess. graft should be stopped in the healthcare system here. departments should have there own budget allowcated to them.Certain healthcare professionals should have a say on budgets, even the 30 baht scheme. The manager of a dept should be a healthcare professional.
    The biggest expenditure in a hospital is in diagnostics and treatments , mainly radiology. ok i do think that the 30 baht will not bankrupt families. but what is needid then is an national health insurance deducted from peoples wage, amount related to wage.(ability to pay)

  • bula

    ThailandPost : 1,251

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    Discussion 4 : 09/02/2012 at 08:29 AM4

    Khun whatajoke #3
    The Dems did not introduce the Universal Healthcar. Thaksin introduced subsidized universal health care. He also introduced low-cost universal access to anti-retroviral HIV medication (ARVs).

  • Discussion 3 : 09/02/2012 at 07:53 AM3

    Like so many policies, schemes and laws introduced in this country, they have the best intentions but are simply not thought our deeply enough. Healthcare is a complex riddle of all nations, one that is splitting American in two (for example). Some people can afford it some can't, some expect a better quality than others and are willing to pay for it, but everyone needs it to ensure a healthy workforce and lessen the burden on society. Thaksin deserves credit IMO for finally introducing it, even if it was flawed, but we can refine that. I agree with 30 baht to 'put a price' on each visit to a doctor. But what use is healthcare which is underfunded, the initial problems of the 30-baht scheme are well documented, then came the Universal Health Care introduced by the Dems but as it turns out there were three schemes that were grossly imbalanced. As always abut 30% of the population here end up financing 70% of the scheme. If a family cannot afford 30 baht to visit a doctor then there really is something wrong with your economic structure. It seems you need a tiered system, where the lowest on the ladder are registered for free medical, others pay, those who contribute to social security get a fast-tracked service and a premium service is offered for those who can afford it, though it includes a levy to finance the poorest. Civil Servants and their families get it free as part of the package, but it is grossly abused and that needs to be stopped.

  • bula

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    Discussion 2 : 09/02/2012 at 07:30 AM2

    The editor is correct.
    "The doctors have a duty to make national healthcare work, instead of bringing up problems that interfere with such work."
    "No Thai should ever be turned away just because he or she does not have 30 baht. The government should address this flaw in the regulation immediately, and make it clear that those in need will get the same care as everyone else."
    "Dr Kriangsak's claim that half the country's families would go bankrupt paying the 30-baht medical treatment fee, is bizarre."

  • ggh

    ThailandPost : 361

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    Discussion 1 : 09/02/2012 at 05:30 AM1

    Wonder if the RDS could have any other financial motives here?

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