nowhere is sunshine and roses but at least the gov made an effort to make their job more efficient and more smooth
here it's not

do you wanna know how bad KKM today is right now?
KKM is so bad right now that we're not only losing our doctors to developed countries
some of our doctors rather go serve at laos also not willing to work for KKM...that's how bad it is today

and laos since yesterday no electricity and internet...but our doctors rather work there than malaysia


that's the biggest difference
you all move to a developed place...not the reverse

u don't ask your worker to move to a more rural place where everything is lacking without properly compensating them
don't say out of state
i remember few years ago KKM in sabah ask which nurse can volunteer to relocated and serve at a rural location for a "fair compensation"
guess what?...nobody volunteer because the extra compensation looks a lot but not enough to pay for everything at all...at the end you need to use your already lowly paid salary to tampal

that is just money, it hasn't include all of the connectivity/inconvenience issue where everything will be harder to get, u need to travel a long way just to get your groceries...etc etc

actually if gomen no enuf money to pay them, just give them perks, lower tax ke better loans ke

compensation can come in many forms

but again if this happens, other people sure red eye cakap eh saya pun nak claim

like how the "frontliner" vs "pantyliner" issue evolved during covid

I feel truly say this, that my concern is inadequate care and collapse of the national healthcare. Not a sole issue if my income.

84 hours lalamove can roughly get you RM1k

This post has been edited by msacras: Jun 14 2025, 09:44 PM

I think nobody is arguing that option for an easy life is available. People are concern that the national healthcare will collapse.

Most individuals between the ages of 30 to 45 feel stuck.

If they leave now, they definitely loss their pension, and their EPF will start from zero if they haven’t been contributing independently.

There are limited quotas for specialist positions or advancement opportunities. The government is reluctant to spend more—they expect senior Medical Officers (MOs) with low pay to perform specialist duties. They’ve even created a virtual role called “Registrar,” where the responsibilities mirror those of a specialist, but the pay remains at an MO level.

In hospitals located outside major cities or in rural areas, the government may allow you to progress to a specialist role—but you’re expected to handle the workload of a Houseman, MO, and Specialist all at once. Often, Heads of Department will delay your application for National Specialist Register (NSR) recognition to prevent you from leaving KKM and joining the private sector.

Internal Medicine remains the biggest stumbling block. Many choose not to advance into sub-specialties due to unattractive offers and heavy government bonds. They prefer to remain in Internal Medicine permanently and take on locum jobs outside to supplement their income. This bottleneck blocks junior MOs from progressing and reduces the number of specialist pathway opportunities. The government doesn’t see this as a problem, as it saves money by having senior MOs perform specialist roles and expanding the Registrar scheme.

On-call compensation is poorly paid—whether it's after hours or during public holidays. The government calculates on-call pay by averaging it into the monthly salary to get an hourly rate. It's like working in the private sector, complaining that your overtime pay is lower than your basic hourly rate, and the employer just averages everything out to justify it. Does that sound fair?

Younger doctors with no family or dependents can simply leave the country and pursue specialist training abroad. But those with family obligations cannot. In Malaysia, the only legal pathway to become a specialist is through KKM—so it’s not a matter of choice when people ask, “Why don’t they just leave KKM?”

root cause of all this, Government no money. they just keep sucking blood and forced laboring to cover your free healthcare.

my advice to those who just graduated, don't commit into a family and make sure you got no dependent (including ill old man in your house) until you officially become a NSR registered specialist if you want to settle down in Malaysia.

if you can move abroad , just straight move on abroad after graduated.

This post has been edited by Pain4UrsinZ: Jun 14 2025, 09:50 PM

If you talk about rural, it really depends. Pedalaman areas of Sabah & Sarawak, then I agree.

But some of them complain about relocating to other areas like Gua Musang or Grik or Kulim or Mentakab or Lumut. These are actually proper towns, just a one off inconvenience. There are also benefit in living in these areas, lower cost of living with real location allowance. What's there not to like? If I can live in one of those town and still get my celery as in KL, I would do it in a heartbeat.

problem is there is no relocation allowance, even if it is provided, they hesitated to go there also, it is like a war zone, 10 doctors facing 700 patient everyday. you can only sleep well once a week.

This post has been edited by Pain4UrsinZ: Jun 14 2025, 10:18 PM

From what I know, the working hours it's not 8am-5pm, 5 days a week.

How about the future? Continue to work for ppl for the rest of the career? Open clinic?
The market also saturated dy.

wont collapse
But we are silently moving towards privatisation.
Ada duit/insurance, sila pigi private.
Cannot afford, tunggu sekejap ya. Sabar.

Generally true. But I would only correct 1 thing.

I do not think it's government no money (I mean, look at their spending bro )

Government is not very willing to spend on you guys only

I mean, it's not like Drs are gonna protest?

Dulu also hangat2 tahi ayam only

cukurlah
now doc still got job
soon 20y later will replace by robot and ai

Private don't take everything

Quite often kena tendang pi gomen

Anyway

The video shows less and lesser people doing medicine

And people are leaving

Back in the day rich Asian parents send their kids to medicine

So quite fair bit of spoilt brats yes

But now they learnt it's an imploding area this medicine field

The video said 60% nursing vacancy

More and more people go to gomen due to cost of living issues

As the population age, and less young people to deal with it

Some one gotta eventually pay for it. Question is who

What you mean won't collapse. Moving to privatisation means abandoning national health care.
If the issue is waiting je nvm, the problem is subcare. And private doesn't cater to orang asli semua and the poor.

Have you seen our b40 numbers? M40 also likely

yea , i actually don't know why they are not protesting like HK and UK, for an issues has been decade, maybe due to the fact that Muslim has been generally more tolerant

Not so much on issue on mindset.
Purely as an outsider la, I see only the doctors can blame themselves.
I have a few cousins and friends who are doctors, all I hear all the time is the toxic work culture.
Then I ask them, not you guys ke yang make the toxic work culture?

Lots of fragile egos, community is not united, everyone is fragmented.
Everyone is literally taking care of themselves, no one is bothered to try to improve the system.
When the work force is that fractured. How to fight back against a higher body?

Oh and maybe dulu semua pelajar baik2 kat sekolah... maybe senang kena buli also kot.

It depends. As long as u have money or ur insurance coverage is sufficient, big private hospitals will happily take u in.

When u got in the only life u wished to save is your own life

I got relative 1 month baby rejected by a total of 5 private hospitals before they finally went to hukm

There was a total of 12 hours of delay there

We told them early rejection is most likely because the baby is ill impending death, they will come up with millions of excuses of not taking the baby. Only gov related places won't reject.

The baby passed away eventually

They are self made people, loaded with cash

Idk no idea private hospitals allergic to death statistics still the norm