PMC really is the Way forward for PNGDecember 7 2010 at 1:11 PM
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|tjja tjja |
The pacific medical center to me is one of the wisest suggestions ever put forward by the Papua New Guinea government since independence. It is understandable the the public are now fooled into believing the money is needed else where. Somare seeing the majority has concieved a negative attitude towards the PMC project has decided to cancel funding it,this is basically for Political point scoring as he knows he can jet off anytime to an overseas medical center should he require medical attention. The benefits coming from the PMC would no only be better medical services. Our tourism authority can guaranteed first class medical attention to our tourist when they are in our country. Our neighbouring island nations can also fly to benefit from the advanced medical institution. This investment is a worthy one. With our country's corruption rate, there is no guarantee the money if diverted would indeed reach the rural people. It might be used even to give MPs more payrise I fear
PMC one of the stupidest suggestions ever proposed for PNGNo score for this post
|December 11 2010, 8:58 AM |
Once we can achieve keeping our rural aid posts supplied with something more than Panadol, then we can think about serving the expats and the elite or rich PNGeans through a white elephant like the PMC.
PMC is NOT whats need NOW!No score for this post
|December 12 2010, 2:14 PM |
tjja tjja, I doubt you are actually thinking straight, your justification for tourists and other islanders to benefit from this service is shallow! Tourists and other pacific islander are secondary, the people of Papua New Guinea should be top priority!
If Statistics were kept, I can almost guarantee that only a small percentage (0.1-0.5%) of our populations are living or dying from diseases that cannot be treated here. I cannot place a monetary value on human life (or the emotional drain families go through) and do see that even one person should be given the best treatment at home but if our existing health system were that good and we had all the money then PMC would be a viable project. We must look at the majority and address their needs first, those are decisions and sacrifices real leaders make in the best interest of the majority! But all hope is not lost, we can still seek overseas medical treatment for others.
Today as we type away on this forum, Papua New Guineans are dying from lack of basic medication (for curable diseases),lack of health workers and professionals or are being even diagnosed incorrectly and given wrong medication leading to complications and tragedy.
This is the problem, this is the main concern. This is what isalso driving POM to be overcrowded with people in search of better health and education, opportunities in life. They think it is all in POM!
What we need to realize is we have time bomb in our population growth rate, our population is growing at such an alarming rate everything else is lagging and cannot keep up. Coupled with indecisive and greedy leaders and beauracrats, we have a recipe for disaster.
Because we dont know our population growth rate and how to address this, problems with lack of hospitals, schools, roads and other basic services are the consequence.
We dont know how many doctors we need, nurses, teachers, police personnel and every other government workers. We will have food security issues in the not to distant future.
So people drift to the urban areas so we have people crowding around major towns and cities. What is the consequence of this Urban Drift? It has a chain reaction as some of us see:
1) Overcrowded schools and hospitals resulting in lack of proper development and learning
2) Overcrowded roads with cars that are unroadworth resulting in high accident rates that is already stressing the Emergency ward
3) Imbalance in the distribution of wealth resulting in escalating law and order problems and corruption
4) Continous 'Power Load Shedding and water restriction' by PNG Power and Eda Ranu, the power and water supply is at its limit. There is a high demand for power and water but the source can't keep up. In part, PNG Power and Eda Ranu are responsible for lack of planning and increasing their capacity but influx of people, industrialisation and demand for these resources is the main reason.
5) Demand on fuel and food etc results in increase of prices
WE need to plan for the populations, educate and bring more doctors, nurses and medical professional on stream so they can service these people, provide incentives (good housing, transport, good renumeration etc) so they will be motivated to go to the outskirts and motivated to stay onshore rather than take up good offers overseas. Stock up these hospitals and health centers with medecine. All of these require fundings and fundings in millions each year!!
Only when majority of the curable diseases that are wiping out our people are up to the point where there are manageable then should we start talking about PMC etc.
For cases like PMC, there is a capital cost to build the hospital and buy the expensive equipment/instruments to install and then you have the operating cost to keep the hospital going (electricity, water, salaries, maintenance etc). If you have enough people going there then it will be economical and the hospital makes money and pays for itself and its operation(return on investment) however, if there is a lack of patients then someone has to pay to keep it going which means future health fund will be diverted there.
PMC is planned as the Sir Sasa Zibe White Elephant Memorial HospitalNo score for this post
|December 14 2010, 8:21 AM |
Fix the rural services and people won't drift so much to the towns. Full stop. The majority of citizens still live in villages. Fix the health system for the majority of our people first.
PMC will be an important factor of changeNo score for this post
|December 20 2010, 2:13 PM |
Truth be told, the villagers and the rural majority are lazy and shortsighted, the fact remains they all dream of free handouts , which lead to unnecessary compo demands, and unlawful claims. The basic reason for this stone age mentality is because they haven't been exposed to the outside world, so for them to wake up from this foolish slumber, and the way to work this out is to ehanced and strenghten our tourism industry at all cost, which include builing a super-hospital. The truth is, we can't take the people to a morden culture, but we can bring the mordern culture to them. We can expect the rural people to dream when we don't give them something to dream about. We they start dreaming and no it is archivable then we will see a change in Papua New Guinea
Re: PMC will be an important factor of changeNo score for this post
|December 21 2010, 2:07 PM |
tjja tjja, the least of a tourist's worry is hospital and medication in a foreign country. Most are fit and healthy when they visit other countries.
there is no link in your shallow thought process promoting PMC.
Fix the existing health system and infrastructure!
|Lik L:ik Doc|
To tjja tjja;No score for this post
|December 25 2010, 8:25 PM |
What a load of corn your trying to spin into bananas. The rural majority are all forgotten, they have to walk up and down mountains for days before they get to their health centre, which isnt stocked at all. I'd be surprised if you had even been passed Moresby City limits, because just outside you can see the wieght of their struggle. Ive gone to the bush of Goilala, and seen the rugged landscape and the single access point of Fane Airstrip, the rocky climb to the health centre that is almost as precarious as the illnesses they seek treatment for.
Here is one more reason the PMC is not a good idea at this time; Pacific International Hospital and Paradise Private Hospital, some private clinics and surgeries; provide terrible "gateway" care, that is emergency and outpatient care. I work at the PMGH 'Gateway' and though you may belittle us, we provide care as best we can with what little the Government provides us with. The point being that i have seen literally hundreds of cases where patients are not properly assessed and a bled dry of cash before being punted on to us. Some misdiagnoses are correctable, but some are infuriating, and dangerous. If you want a PMC to make money, will it provide the same type of 'Money-faced' care? A substandard money machine with no heart or soul?
Now the PMC is supposed to have outside experts from various fields, it is supposed to do transplants, cardiac bypass surgery, take care of critically ill patients who need ventilators, provide experts on diseases and illnesses that are not seen else where. Breaking it down; Transplants, where will the organs come from? Health donors are hard to come by, family members need to be genetically matched, we'll need to send samples overseas, will there be enough blood to transfuse, will the supply of immunosuppressive drugs last the life time of the patient, will they be available? Cardiac bypass surgery more of the same. Ventillators, very expensive machines and very high intensity care, one nurse per machine, etc, etc. But the main concern is, will patients be kept on the ventillator because they need it or because they are paying for it?
To conclude, the PMC will sap the finances of the country, it will remove the doctors from the wards of the Provincial Hospitals and Port Moresby General Hospital, it will increase the urban drift and will cause a total collapse of the PNG Health Care System as it stands. No PMC is not a good idea at the moment.
Re: To tjja tjja;No score for this post
|January 4 2011, 12:02 PM |
You speak like a doc who is afraid he might loose his job when more qualified officers are imported through the PMC project.. You should be ashamed of yourselves, you should try to aquire world class standards through competition than look for cheap reasons to aovid competition...PMC is the way forward..it will help maintain our rural hospitals when more qualified officer are released into rural locales..because from the way you current docs are performing PMGH has become a national shame
|Lik Lik Doc|
To Tjja TjjaNo score for this post
|January 4 2011, 6:50 PM |
You have no idea who i am or what im capable of professionally, here is a snap shot, in high school (Gr 12) i was placed in the top 4% of all queensland students, Ive a GPA 4.0 for 5 years at UPNG, i'm the most sought after medical officer to continue training in all fields. But, there is something about the fact that i watching people die from diseases that are curable. Malaria, pneumonia and diarrhoeal diseases kill more people every year than anyother, and they are simple to prevent. Bed nets, proper housing, safe clean drinking water and sanitation. Basic services that are not provided by the Government, simple things that would prevent so much heartache. The best medicine is preventative, when the government and the people are working to help protect themselves then the burden upon the existing health system will be lessened. Don't misunderstand my stance, im against the timing of the said PMC not it's concept. With a marked reduction of the disease burden, there will be adequate time and resources to treat and diagnose difficult cases. Right now there is no way of introducing the PMC without damaging the country's existing health system.
So dont think you are locking horns with a chicken and accusing me of being a coward, im on the frontline, trying to keep this country going.
Thanks Liklik DocNo score for this post
|March 5 2011, 7:28 AM |
Thanks Liklik Doc, you and your colleagues are doing a fantastic job under a harsh environment, Thumbs up and God bless!
Our health system has failed the rural peopleNo score for this post
|March 12 2011, 10:23 PM |
Wantok you are dead right. OUr government as billions more kina in its budget but less 60% of the aid post and rural medical clinics that were open at Independence our now closed.
We have become a country of white elephant projects that serve only the top 5% and forget the other 95%. PMC is another one of these white elephants. Meanwhile PMGH has no medicine and god knows what happens to its annual K50m allocation and the other main hospitals in the country are falling apart.
Health Minister Sasa Zibe should focus on fixing up the medical system to ensure that some form of basic medical services are accessible to 95% of our population and should forget about PMC.
Re: Our health system has failed the rural peopleNo score for this post
|April 8 2011, 1:25 AM |
Why build PMC when other hospitals in the country are not really up to standard yet.
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