jamplu wrote:Doctors deserve better pay but they also need to guarantee Kenyans they will dedicate all their time in their Public hospital stations if their demands are met.
What you are seeing is actually a mini civil war between the doctors. You have a small group of established consultants who are against the system changing and maintaining the status quo. I will explain the status quo later. On the other side of this war is the young doctors and all doctors(young and old) disenfranchised by the system and this doesn't involve pay only.
The status quo is work for the Government for several years, after 3-5 years being paid peanuts in hard to reach areas with professional and personal isolation you can qualify for a government sponsorship.
You do you master in surgery, paediatrics, medicine etc. then you work for the government. This can be anywhere from the cities to major towns rarely the hard to reach areas. Once you get registered as a consultant you finally get back to a big town or city and establish your clinic. You now have the opportunity to make cash. Majority the "private" doctors middle class nairobians and kenyans in general see are masquerading GoK doctors. But do you blame him he has been waiting for 5 years med school+4-5 years as a medical officer+ 4 years post med school + 4-5 years master + 4 years as a consultant. 20-25 years after finishing form 4 is when he starts earning 300K- 500K when you are in your mid to late 40s.
PS: to get here you have been using loans to fund your postgraduate studies and living and life in general. Your up to your neck in debt and people are surprised when a Doctor ask for 400K for an operation. Its wrong to charge exorbitantly and isn't it surprising that most doctors can't even afford to get treated in some of the hospitals they work eg nairobi hospital and aga khan at health insurance is out of reach.
What the strike is really advocating for is a different way of doing things. First improve services in the shags and doctors wont mind working and living there infact majority of people would love to work and live outside Nairobi. Introduce new ways training that does not involve coming to KNH for 5 year and probably train from the districts. If that cant happen then pay the doctors who work in KNH doing their master. 80% of this student work for 0 shillings per month and pay fees to UON. Please note this is not a full time job it is a life draining job where you work day and night and read in the remaining time.
If services and training improve, the chances of a doctor settling in Kitale or even Lodwar for that matter increase.
If the salary improves you wont have to masquerade in private practice at all PS:Moonlighting is also another life draining activity that doctors have to go through to make ends meet. and private hospitals also exploit the same doctors cause they know the doctors don't have an alternative.
Therefore salaries are not the only thing doctors are fighting for and it is not the key to the problem.