QUOTE(limeuu @ Oct 31 2011, 08:40 PM)
i am against the commercialisation of medical education, and russia is the epitome of this....their sole purpose for their english language medical programmes (nobody speaks english there, think about it...) is to earn money from foreigners, and since nobody stays back to work, they don't care what quality of 'doctors' they produce....
there is no regard for standards, and thus takes in anybody, including arts students.....it's a corrupt system, where you can buy passes from your teachers.....
the product of this system is obvious when students return and start work....half of them cannot function, and have to be taught all over again like a 1st year medical student....
the mmc guideline is too lax, in my opinion.....the way spm is dumbed down, nobody with less than straight a's should be allowed to take medicine...(the pre-u guideline doesn't work, as many people going to russia just do a 'foundation' somewhere after spm, and they can all be given bbb.....)
I came across this very interesting article published in the American Journal of Public Health detailing health care in the Soviet Union and the years after its collapse.
I would like to highlight several excerpts:
"Government leaders placed heavy emphasis on training large numbers of doctors and providing large numbers of hospital beds. In this rush to expand the system, however, the leaders paid little attention to the quality of personnel or facilities. As part of the overall scarcity of consumer goods and services that developed in the Soviet economy, there also developed an elaborate system of stratification in the availability and quality of health care services. The best care was reserved for those of the highest occupation or political rank."
Anyone notice the similarity to our situation? But, wait there's more...
"
Although the Soviet Union boasted more physicians and hospital beds (both absolutely and per capita) than any other country, Chazov (Gorbachev’s first health minister) often found their quality to be abysmal, well below world standards. Corruption, including bribery in the admission and graduation of physicians (a shocking proportion of whom could not perform the simplest medical procedures), had permeated the entire system. Largely as a result of the very low salaries they drew, some health personnel demanded large sums of money from patients to provide services they were supposed to provide for free. A shortage of pharmaceuticals and other medical supplies intensified, leading often to gray or black markets. And on top of all this, the system was paralyzed by a suffocating bureaucracy and a command mentality."
"While physicians were plentiful in number before 1992, their typical skill levels were rudimentary by Western standards. With physicians' professional associations outlawed, there was no system to monitor the quality of care. Physicians
worked for salaries less than that of a typical factory worker. Today there still is no effective organization of physicians in Russia, and physicians' attempts to win concessions from the government through organized work stoppages have been largely unsuccessful."
The MMA may not have been outlawed in Malaysia, but they're almost completely useless/helpless in this regard...
"Physicians have nowhere to go; most of them are civil servants, live on patients' tips, and keep quiet."
Now, my guess is that's the fate awaiting Malaysian medical graduates, if it hasn't already begun...
Source: The Current State of Health Care in the Former Soviet Union: Implications for Health Care Policy and Reform by
Donald A. Barr, MD, PhD, and Mark G. Field, PhD 
Oct 31 2011, 04:12 PM, updated 15y ago
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