Hi Sean
No worries, civil discussion and debates are always welcome. We can all work together to educate others.
Salary is obviously a sensitive issue to many, and a closely guarded secret... so getting accurate information is difficult. Doctors like many professionals generally don't report to job websites or openly discuss it in forums (they are usually too busy anyway) so theres little first hand knowledge on the income scale. Only LHDN has all the details..

no joke,, they really know everything LOL.
Without going to specifics....generally majoirty of Doctors in private after a few years established will fall into the range or RM50-80K / month. Larger centres with higher volume will reach 100-120K ...
200-300K/ month definitely exist , but less common but you've got to be good in your field and good in marketing yourself. I won't go into the details of who and what field here.
The discussion of whether they should be allowed to earn that much is another sensitive subject. Limiting income is a communistic approach, it disincentivises work and innovation. you risk falling into public sector mentality - don't look for too much work and go home on time eveyday, use all your MC and AL allowances
I totally agree that healthcare is a human right. I don't think anyone should doubt this fact.
The reality is who pays the bill for this free healthcare ? .. and to what level can we realistically provide free or cheap healthcare to everyone?
The rate at which medical technology is moving is shocking... so is the cost escalation due to this advancement. Who pays for it? Increase income tax further ? take the budget from other departments? The NHS is probably the best example of a comprehensive free public health system. Their budget was over GBP 130bil in 2019 , which is nearly our entire budget. The ENTIRE budget on healthcare. And even then they are not coping. Waiting list for elective ops are over getting longer and longer. Emergency departments waiting times are over 4 hours and transferring patients to other hospitals around the region to offload. They restrict usage of high end drugs and cutting edge treatments as well to those they deem most needing, even though less severe cases will benefit as well. Its all based on cost benefit ratios rather than just pure benefit.
The American (or rather republican) view is that everyone should buy insurance to cover themselves to get the best treatment when they need it. Rather than everyone pay into and inefficient public system. This obviously has many of its own problems as you rightfully pointed out. But Cost benefit is not an issue in this model.. you get the best current treatment for your condition. period. (I'm going to go into defensive medicine and litigation of the US system here).
Example: If you were admitted with an illness. There are 2 options, Treatment A : has the best outcomes with least side effects or Treatment B: older method, but results are generally good as well.
which do you want ? The reality would be in most public places you will get Treatment B due to good result at cheaper cost. Then people get angry and complain they can't get good treatment in GH.
Basically everyone wants the best, but no one wants to pay.
Another fact is, the vast proportion of your medical bills are from the cost of medication and equipment charged by the hospital and companies.. not the Dr. A doctors fee is usually less than 10-20% of the total bill.
Also, the private sector takes the load off the public sector, not the other way around. We are literally getting patients requesting to transfer into private because the GH waiting times for procedures are too long.
in my own opinion, the ideal situation is a balance between public and private hospitals. Public hospitals should be able to cater for basic healthcare needs and public specialized centers for advanced specialities/ procedures (these are usually the university hospitals) that doesn't overwhelm the public funds. The private centres will fill the gap for those can can afford/ have insurance or where the public cannot offer the same services. You must remember, every self paying patient or insured patient is saving the public funds by not using it - even though they have paid the tax.
Trying to restrict Dr income based arbitrarily on the fact they don't need to earn so much is a communistic approach. Then you can apply it to sportsmen, businessmen, entertainment personalities...
The government needs to address this issue by increasing the public doctor salary and making it more attractive to stay in public service.. not by restricting the private sector. this protective mentality does not work. e.g : proton, TM, and every Crony company... Government intervention in private enterprises never works out well. If the public hospitals are more attractive, then more people would stay and the service can be improved.. resulting in more patients being treated effectively in public hospitals. As they say, water will find its own level.
this is way toooo long...

Thanks for understanding man, appreciate it. I am of the opinion that the majority of doctors in private hospitals earn rm50-80k, as only a select few would be able to break the rm100k ceiling if they are well-known and really good. I do agree that limiting a doctor's income would be a communalistic approach and it disincentives hardwork, but I have come across many stories, and I have experienced it myself, of some private doctors pushing medications and recommending unnecessary procedures the moment that they know you have insurance. This is not how a healthcare system should be run because it adversely impacts a patient's wellbeing too if the doctor only has money in mind. Majority of doctors enter private practice to earn more, and certainly these unethical practices is not something that Malaysians should condone.
The bad thing about our public sector is the severe underfunding that we have, as you have rightfully pointed out. However, doctors in public sector would definitely only do the needful pertaining to the patient's condition as money is not the primary goal. I agree with your treatment A and B example, but I am afraid that due to overcharging in private hospitals (due to overclaiming on insured patients and general costs of procedures), Malaysians who can't afford will only be able to go to public hospitals. It's a double edged sword, what more with the government removing the ceiling price for doctor's consultation fees. Malaysia still has a sizeable B40 population, and moving anywhere close towards the US healthcare system will be detrimental. I personally highly disagree with the US model on healthcare, and like you have rightfully said the UK's NHS is one of the best public healthcare model around.
I agree with you that if you want the best treatment, then you would have to pay for it. But like I said earlier in another post healthcare should not be run like a traditional business. Prices should be kept in check by gov to ensure that private hospital services will not reach a price point that is only affordable to the super rich or insured patients. Its through this lens that I raised this income issue because if left unchecked, doctors will just be greedier and try to make more as healthcare is not something that we can take for granted. I wholeheartedly agree with you on the public-private model, but it seems like our government is shifting further away from this ideal. Its a completely parallel systems now. However we should also note that private hospitals do not deal with complex cases amd in the end those cases will end up at the public hospitals. That's why as you have said, the government should increase the pay of public doctors to make it more attractive for them to stay, and also to reflect their workload and the complexity of cases they attend to.
Private hospitals is morphing into a system where profits come first and patient's wellbeing second. This is what I disagree with strongly and hence why doctors fees should not be allowed to reach a ridiculous level. To be honest, even earning rm50-80k will place them within the top 1% of earners in Malaysia. I wonder what it takes for those doctors that earn rm100-200k, but im sure not many actually reach that level. And hopefully not by unethical practices! Ok now my post is too long too! Hahah😅 Let me know what you think!