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 Medical specialist salary in Malaysia, How much do specialists earn in private

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TSsean15 P
post Jan 26 2020, 12:01 PM, updated 4y ago

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Many Malaysians are now pursuing medicine due to the perceived good life that they will have in the future, i.e. moving to private sector where they will earn big bucks. Eventhough the situation in the public hospitals are overwhelming, they always convince themselves that once they join the private sector, they will lead a comfortable life raking in big money.

My question I would like to post is, does anyone know how much these specialists can earn in private, like say KPJ or Pantai hospitals? Some say more than RM100k a month, some say reaching RM40k is also considered good. So let's have a discussion on this so that we would have future doctors who enter the profession for passion, not just money per se. Appreciate any input that you guys might have! Thanks smile.gif
TSsean15 P
post Jan 26 2020, 02:34 PM

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QUOTE(BerusGigi @ Jan 26 2020, 01:49 PM)
My boss is a surgeon at gleaneagles and hukm rake in 400k++ per month
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How is that even possible?? How many surgeries can a doctor do in month🤔
TSsean15 P
post Jan 26 2020, 02:35 PM

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QUOTE(lagista @ Jan 26 2020, 01:35 PM)
some get Rm150k-300k per month  smile.gif
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Really? How do you know that? Any source that you care to share with us? smile.gif
TSsean15 P
post Jan 27 2020, 04:14 AM

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QUOTE(pgsiemkia @ Jan 26 2020, 02:51 PM)
Never pay tax can la...ask hospital to underpay then balance send to own consultation. My friend specialist OBYGN told me that. But 300k a month is over stated, 100-150k a month gross maybe, its the profit sharing end of year and bonus can earn you 500k-2m depending on jow high and femes you are. Another friend in a specialist center near St Georges school is a prof and dato also gets high profit sharing but monthly less than 200k. Perks are better if you are consultant specialists and above.
IRB going after these surgeons anyway..
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This is actually quite shocking to hear. I thought that specialists in private are undercutting each other and its a stiff competition. But getting rm150k a month is crazy amount of money! So whats the reality out there?
TSsean15 P
post Jan 27 2020, 04:16 AM

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QUOTE(wild_card_my @ Jan 26 2020, 03:28 PM)
I have a good number of clients who are medical specialists. They start from RM40k a month and up
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Hi there. Care to share the industry you in and how are you aware of the salary of medical specialists in the private sector? Its good to know so that everyone is informed. Thanks a lot!
TSsean15 P
post Jan 27 2020, 04:17 AM

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QUOTE(ikankering @ Jan 26 2020, 12:10 PM)
great. meaning malaysian income now rm 100k a month?

because malaysian use generalization to think.
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What do you mean by that? Seems like many posts in this thread validates the perception of the majority that these medical specialists are raking in the moolah in the private sector!
TSsean15 P
post Jan 27 2020, 04:50 PM

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QUOTE(wild_card_my @ Jan 27 2020, 04:28 AM)
You can start here: I am a service provider in the finance industry, so I get to see people's financial details

Medical specialists really start with RM40k in the private industries; but they are akin to running a business within the hospital, so their income can fluctuate quite a bit. Currently I am doing a service for a specialist, she earns about RM20k plus in her first month in the private sector after about 15 years in the public sector, and hey highest in come so far is RM60k.
You are right, medical specialists really do make money. Those who do not have first-hand knowledge/experience should not talk nonsense they do not know about; I am at the forfront of people's finances, I know more about my clients' finances than their own spouses laugh.gif
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That was very informative! Thx for the insight. But do all medical specialists earn that amount though in the private sector? I know they do make money but what is the average? With your experience I'm sure you would be able to give us some insight smile.gif Yes I am aware that it's on a profit sharing model with the hospitals, and they do not get paid a salary.

TSsean15 P
post Jan 27 2020, 04:52 PM

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QUOTE(ladytarot99 @ Jan 27 2020, 04:52 AM)
My Brother inlaw Cardiac Surgeon +-RM280K/month, My sis in law Family Physician RM 12k/month.
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Rm280k a month??? That's alot! Are you sure they earn that amount? What does it take to make that amount in a month?
TSsean15 P
post Jan 27 2020, 04:53 PM

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QUOTE(Asgaard @ Jan 26 2020, 03:01 PM)
100k+average in private hospital per month
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Any source for your info? Thanks smile.gif
TSsean15 P
post Jan 28 2020, 02:40 PM

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QUOTE(Py80 @ Jan 28 2020, 11:57 AM)
Anyway, I think the whole thread has run off topic..

hope the info helps any budding doctor out there or those thinking about a career in medicine.

Holidays over, no time to reply now.. Take care guys.

I am happy to take PMs if anyone has any burning questions.
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Hi Py80. I started the thread but I missed your deleted post. Care to explain what you wrote because you said it drew a lot of flak but I genuinely want to know more about the question I posed so appreciate if you could pm me. Thanks a bunch!
TSsean15 P
post Jan 28 2020, 02:47 PM

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QUOTE(wild_card_my @ Jan 27 2020, 06:45 PM)
Im currently servicing a medical specialist client, last year she was drawing RM9k basic with fixed allowances that brought her total gross monthly income to RM18k

She got into private hospital in the same year and now earns on average 40k a month on a 6-months payment vouchers. Not bad if I can say so myself

They should all leave GH!! laugh.gif
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I was of the notion that not all private specialists are earning big bucks due to the competition and the proliferation of private hospitals in Malaysia. It can't be that all doctors in private sector are earning 100-200k right? Otherwise all doctors would be waiting to run away from government! Have you met any specialists or know of anyone who actually makes that amount of money? For me seems to be obscenely paid and I don't want our healthcare market to resemble that of the US.

TSsean15 P
post Jan 28 2020, 02:52 PM

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QUOTE(ngohieng @ Jan 27 2020, 06:29 PM)
Depends on how popular the medical Center and how popular the specialist is.
Lowest I heard of is less than 15k during bad month like during Chinese New Year.
Average in medium-sized town is30-40k for non-surgical based. Surgical based usually double the amount. Popular surgeons easily 150-200k in medium sized cities
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All surgeons earn that amount?? Then definitely we not going to stop the glut of medical graduates in our country! These figures are based on people you know?
TSsean15 P
post Jan 29 2020, 09:02 AM

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QUOTE(wild_card_my @ Jan 28 2020, 02:50 PM)
What do you mean have I met? I just wrote that I am currently servicing her finances, and I get to see her latest 6 months payment voucher

So have I met people like her? Errr.... Yes? I have indeed met her
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Sorry boss guess I wasn't clear with my statement. Understood on the example of your client, but I was asking have you come across those that are earning on the higher end like some people have highlighted in this thread, which is rm100-200k per month. Sorry for the confusion

TSsean15 P
post Jan 29 2020, 09:10 AM

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QUOTE(Py80 @ Jan 28 2020, 03:38 PM)
Hmm.. here's the thing.. What is it to anyone how much a private surgeon can earn ?

If he has good results and people want him to operate, then he deserves the business he gets. If he does the job he gets the pay.

Fee wise, there is a limit set by the MMA/ MOH .. unlike singapore where they literally charge anything they want.

There are smaller centres that are cheaper and the Dr may discount more as well, so there are options out there... but the big centres won't really go down the discount game.. its a race to the bottom.

One of the reasons why high earners don't reveal their income (except all the /K heroes  laugh.gif  laugh.gif ) .. is they draw too much flak and people questioning why they should earn so much etc etc...
Thats why i decided to delete the post earlier on income.
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Hey man, sorry if came across as questioning the amount these surgeons earn. I started this thread for two reasons, namely for those medical graduates who blindly think they can just leave MOH and move to private to earn big bucks, and also to ensure that our private medical costs don't skyrocket till it becomes untenable, like what is currently happening in the US. As you may know the gov has removed the price ceilings for consultation fees for doctors in private sector, so we are moving towards the Singapore model.

If private doctors are already earning so much now, nothing is going to stop them from charging exorbitant rates and burdening our public hospitals with even more influx of patients. So yes, this issue has many ramifications actually. Malaysians should be more aware because healthcare cannot be run like a traditional business, as it is a basic human right. Thus appreciate if you could reiterate what you have deleted in your earlier post, or if you don't mind you could pm me. My end goal is to educate others about the reality out there. Income is definitely a major trump card so appreciate your insight smile.gif

TSsean15 P
post Jan 29 2020, 11:32 AM

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QUOTE(wild_card_my @ Jan 29 2020, 09:30 AM)
Yes I have. They are usually on the older side
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Then probably it's validated why Malaysia is seeing a huge influx of medical grads. They are all after the gold rush hahah. Although I opine those earning rm100-200k are the ones who are really good, so probably its more of an exception than a norm. Do correct me if I am wrong
TSsean15 P
post Jan 29 2020, 11:55 PM

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QUOTE(Py80 @ Jan 29 2020, 12:22 PM)
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..  laugh.gif  laugh.gif  laugh.gif  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 sweat.gif
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...  sweat.gif
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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!
TSsean15 P
post Jan 29 2020, 11:58 PM

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QUOTE(Liamness @ Jan 29 2020, 01:01 PM)
quoted for truth.. even General practitioners don't earn that much..

But once they become specialist, their salaries will soar..

But not easy being a specialist doctor.. Long hours, lots of patients, can't out-source.. have to have stable and sharp hand eye co-ordination (if doing surgery), have to constantly under-go training and upgrading of skills and knowledge for the rest of their lives, & etc.. once they stop working, that's it.. no more income..

Same goes for any chosen profession. My profession of choice, engineer, also has multiple specialization pathways to take.. You can become an Ir or PE, and your one signature can be worth hundreds of thousands if not millions, in the right chosen profession..

For instance, in Singapore & even in Malaysia, a PE or qualified person (QP) can only certify buildings as safe for occupation, or even work on the design of the buildings.. Every buildings is mandatory to seek a PE or QP engineer for approval prior to occupation.. Each time, the QP or PE will charge at least $20,000 SGD/RM. to $100,000 SGD/RM for their work, time and expertise. And there is no classification of prices to adhere or follow either.. You are solely at the mercy of how much the PE wants to charge. They can simply say, every building is different and require customized application.. boom.. $100k into the pocket of the PE..

Even the work load can be offloaded or outsourced to their junior engineers.. meanwhile, the QP or PE will focus on other things like buying a new landed house or new car or just relaxing playing golf.. lol. You can imagine, the PE just need 10-20 projects to earn $2 million.. most will handle at least 50-60 projects a year, so the amount they make can be tens of millions easily.. without additional need for support or work..

And the thing is, engineering is a far easier pathway to take than becoming a specialist doctor..  Also, to become a PE is just a matter of time spent working in the field, then applying for your PE certs and examination in-front of a board of engineers.. Pretty straight-forwards with little studying or even extra courses required.. Just working your normal job is sufficient & it only cost a few 1000s at most.. compared this to the hundreds of thousands spent to become a specialist doctor, not to mention, down-time, not making an income whilst you study to become a surgeon.. The engineer on pathway to PE is still working, still getting paid a salary & income. No need to take further degree or courses at all.. 4 year degree is enough.

Also, unlike businessman, Doc, Lawyer, Banker, & other professions that require clientele presentation, engineers don't need to 'flaunt' their wealth by buying a new merc, or a big bungalow.. because these are not good investments to make and is more for appearance sake than actual money making investments.

So most of the time, the Engineer who has become a PE, can keep their money in savings & investments.. Meanwhile,  drive an old corolla and live in a smaller house. At the end of the day, they are valued for their signature and it is mandatory by law to seek engineer signature already..
It's all relative really.. Even if you earn big bucks, if you are not saving 70% of that income, you will not retire early at all..

So yeah, get a 4 year degree, work a while, then go and become a specialist.. Do not think that becoming a doctor is the only pathway to riches..
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Wow I didn't know that being a PE could also afford you this much income! Guess Malaysians are still stuck with preconceived notions about certain jobs that we do not see the other opportunities around us. Seriously engineer can charge that much?? I never knew!
TSsean15 P
post Jan 30 2020, 12:03 AM

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QUOTE(tangtang22 @ Jan 29 2020, 01:50 PM)
The point is, private doctors (skewing towards specialists) are prone to over-charge, recommending unnecessary procedures just because the patient is covered by insurances, recommending medicines/treatments that are biased due to just got back from a conference sponsored by the supplier (think of the big pharma events) or simply pushy phara sales persons recommending the latest products, and a few more practices i feel repulsive of..

But oh well, I accept it as part of how it is over in Msia for private practitioners n tend to choose my doctors carefully.
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I totally agree with you! Not all doctors are like that for sure but I have experienced specialists like those you have mentioned above! I'm afraid this practice will become more rampant once competition gets tougher and specialists want to make more money! But we must not let this become a norm as our health is too important for it to be commercialized way too much. That's one of the reasons we need to know the reality and change the mindset in Malaysia that doctors is not always right. Thats why I made a post on income as I wanted to know if majority of doctors are earning on the high end, then something fishy is going on as in the corporate world, not all can become CEOs. So the same should apply to private hospitals as well.
TSsean15 P
post Jan 30 2020, 04:53 PM

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QUOTE(Py80 @ Jan 30 2020, 12:40 AM)
I share your views on most things.. however, restricting income still won't really address your concerns.

You will find that Doctors that are busy and earning a lot, will be less inclined to do unnecessary procedures.. why take the risk if you've got good business doing legitimate work?

Yes, there will be unscrupulous ones who want to do test and procedures just to earn money. We know this happens.. these are bad characters and restricting their income will not change their practise - they will just try to cheat harder - but in the process you will punish the smaller centres and honest guys instead.

We talk only about doctors trying to over treat and over charge,. but do you know how many patients are trying to abuse their insurance  ?

They expect the insurance to pay for tests and screening. and when it gets declined, they blame the hospital doctor for "not writing serious enough on the form" and even refuse to pay the initial consultation fee as they said it should have been covered by insurance after approved. They just leave without paying anything.
If the doctors blatantly lie to get the insurance claim through for the patient.. then they can get blacklisted from the insurance companies ? yes.. there are a quite a few of them already on that list.

There is a 3rd guilty party here that you have not mentioned yet... the insurance agents .. and what they tell their clients.
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Yup, I do agree that there are patients who abuse their insurance as well and I think the onus would then be on the doctors as the experienced ones to reject requests from patients that are unnecessary/detrimental. It will be tough, but doctors should be forthright in their interaction with patients.

I agree that restricting doctor's incomes is not the way, but with doctors being able to earn rm200-300k even with a fee schedule in place begs a lot of questions. I'm not saying that they don't deserve it, but many professions only pay those amount to a really select few, whereas I am getting the impression that many doctors in private sector is earning that amount. If that is the case, this is something that will become untenable at a point and healthcare would be commercialized to a point of no return.

Not really sure of how the insurance companies work though😅

TSsean15 P
post Jan 30 2020, 04:56 PM

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QUOTE(Py80 @ Jan 30 2020, 12:25 AM)
Not to dismiss your uncle's claim... but I agree with propofol, the numbers are slightly off.

250K with only consulting is tough to pull off. However, Gleneagles has a unique difference in that the clinics are privately owned. So he may be earning on the dispensing of medications as well. Also, depending on speciality, there may be clinic based minor outpatient procedures that he is doing as well.

That would make 200K possible on a 25 day month. Its still quite a stretch though...
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Isn't 200k just on consulting alone still obscenely high though? Considering just how many new patients a doctor can see daily. Then I assume these doctors who privately own their clinic are massively overcharging the medications that they prescribe. How does the system in Gleneagles work then? I still remember the case of the specialist in Gleneagles who dodged taxes on income of rm25mil earned over 5 years. This amount is baffling to say the least.

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