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 will pharmacist gain dispensing right in Malaysia?, what you think?

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TStaiko88
post Nov 30 2008, 12:34 AM, updated 17y ago

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Hello i am a pharmacy student.And i am curious that is the MOH in Malaysia will let the pharmacist have back their dispensing right back?I heard some thing about pilot trial or something haha....dont know true onot...
hypermax
post Nov 30 2008, 12:42 AM

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hmm, i think not for the next 10 years, as the doctors are not willing to let go the dispensing right. Also, the number of pharmacists in our country is still lacking.
Maverick Wil
post Nov 30 2008, 01:29 AM

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They've been saying this for years. The doctors have too much to lose and like hypermax said, there just aren't enough pharmacists. It's not going to happen anytime soon.
TStaiko88
post Nov 30 2008, 02:53 AM

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really but i think in KL alone we have anough already right?And if the doctor keep taking the dispensing right the economically wont favour to the pharmacy...then how are they going to expandleh...Those doctor can get medicine way cheaper than pharmacy wanleh....
SUSOptiplex330
post Nov 30 2008, 05:56 AM

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QUOTE(hypermax @ Nov 30 2008, 12:42 AM)
hmm, i think not for the next 10 years, as the doctors are not willing to let go the dispensing right. Also, the number of pharmacists in our country is still lacking.
*
There are still not enough doctors in our country so does that means doctors should not have sole diagnostic and prescribing right as well? So why the double standard?


Added on November 30, 2008, 5:58 am
QUOTE(taiko88 @ Nov 30 2008, 12:34 AM)
Hello i am a pharmacy student.And i am curious that is the MOH in Malaysia will let the pharmacist have back their dispensing right back?I heard some thing about pilot trial or something haha....dont know true onot...
*
There were indeed supposed to be a pilot run of dispensing by pharmacist in the Klang valley. But DAP complained like hell so was scrapped. All they know is oppose everything, good or bad.


This post has been edited by Optiplex330: Nov 30 2008, 05:58 AM
mr lappy
post Nov 30 2008, 07:17 AM

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its all about the revenue really. a big chunk of the doctors income comes from the meds they give out.

provided m`sia adopt something like the NHS system in uk, i dont see how things will change, unless some1 really powerful push it.

something to ponder...
how would the docs justify charging 30 bucks or however much they charge to the patient by just 'consulting' them? do you think the members of public would take it?
SUSOptiplex330
post Nov 30 2008, 08:46 AM

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If you do not want to pay that 30 bucks, you can always pay nothing and consult the stranger on the street. Or may be the cleaner about your diabetes? Or the taxi driver for your heart condition?

But if you want to consult someone with many years of hard study and money (RM1 million if overseas) in university about human disease/sickness, you will have to pay that 30 bucks. In other word, you should pay for his knowledge. There is no free lunch in this world.

This post has been edited by Optiplex330: Nov 30 2008, 08:48 AM
SUSSeLrAhC
post Nov 30 2008, 12:32 PM

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ermm.. docs losing rights will jack the price of medicine up... however i do support the need to give it over to the pharmacist... just takes time..
TStaiko88
post Nov 30 2008, 04:28 PM

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how long is the problem....it have been 20 years man...Why the hell doctor wants to take all the duties?i think alot of them worry about their children as most the GREEDY doctor will definitely push their kids to be doctor and continue to earn...some even unethically...
i really hope that malaysia will act liek the UK NHS system which everybody plays their own role...In malaysia the doctor wants take the most profits..then become so rich..then the youngster will lure to become one not for the passion to medicine but for the money more....so dissapointed with the healthcare system.Or as usual we have to wait singapore do it first then we follow like a little puppy...

This post has been edited by taiko88: Nov 30 2008, 10:10 PM
mr lappy
post Nov 30 2008, 10:47 PM

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QUOTE(Optiplex330 @ Nov 30 2008, 08:46 AM)
If you do not want to pay that 30 bucks, you can always pay nothing and consult the stranger on the street. Or may be the cleaner about your diabetes? Or the taxi driver for your heart condition?

But if you want to consult someone with many years of hard study and money (RM1 million if overseas) in university about human disease/sickness, you will have to pay that 30 bucks. In other word, you should pay for his knowledge. There is no free lunch in this world.
*
well, as much as i agree with you, the fact is the general public do not. i foresee that there will be a general shift/push to self medication if that happens. which is what the uk is doing as well to reduce the gp's load. but it means the pharmacist will take up more roles.

QUOTE(taiko88 @ Nov 30 2008, 04:28 PM)
how long is the problem....it have been 20 years man...Why the hell doctor wants to take all the duties?i think alot of them worry about their children as most the GREEDY doctor will definitely push their kids to be doctor and continue to earn...some even unethically...
i really hope that malaysia will act liek the UK NHS system which everybody plays their own role...In malaysia the doctor wants take the most profits..then become so rich..then the youngster will lure to become one not for the passion to medicine but for the money more....so dissapointed with the healthcare system.Or as usual we have to wait singapore do it first then we follow like a little puppy...
*
well, this i was told it has been going on for really donkey years, i think more than 20...
maybe this time round the 'npa' of m`sia is more proactive and aggressive in getting things done...

*no offence to the pharmacist reading*
from what i've experienced+what my friends experienced, pharmacist is just sitting in their shops and running it.... they do virtually nothing on the clinical side on it(even in the hospitals) and just disshing out meds like robots. when asked why this meds by a customer, the automatic answer would be 'the doc say so'. this should not be the way. and if this continues, your jobs could be replaced by a robot that can be programmed to check for interactions!

even the pharmacist in m`sia has some sort of campaingn like the uk's 'ask your pharmacist' its not done properly, i had a friend who had some questions about the medications she's taking, the answer she got was > go ask your doctors! how can this be? pharmacist are the 1 that is experts on meds, why are they giving the jobs to doctors?? did you spend 5 years doing a MPharm(or 4 if you are doing your degree somewhere else) so that you can give your roles to the doctors?
TStaiko88
post Dec 1 2008, 12:02 AM

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mr lappy are you a pharmacist?The government is made up of doctors...why dont some of the pharmacist go into politics?and fight for us??why dont pharmacist unite together and fight for the right?


Added on December 1, 2008, 3:32 amAnd since we dont have enough doctor...why dont just give the role of dispensing to the pharmacist?this will definitely reduce the workload of the doctors right?Or all the wordload mentioned is just to make the government increase their salary?which is RM6k.....WTH....

This post has been edited by taiko88: Dec 1 2008, 03:34 AM
mr lappy
post Dec 1 2008, 05:46 AM

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yes im a pharmacy student.
quite a few doctors are in politics. thats why you dont see this happening.
btw, shortage of doctors arent just in m`sia. its global.
why pharmacist dont have a centralised organisation to protect the pharmacist interest? that i would have to ask you since you are a student in malaysia you would know better and im not quite in touch on the malaysia side of things.
TStaiko88
post Dec 1 2008, 06:59 AM

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you are in UK now?are you a student as well?
SUSSeLrAhC
post Dec 1 2008, 10:09 AM

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i must agree, if the pharmacist can't perform it will be up to the doc, although docs are so called greedy.. i think the cost of med will rise even more with dispensing rights given to pharmacist... neway, with the price of medication that they charge... i dont think it is expensive at all...
TStaiko88
post Dec 1 2008, 03:29 PM

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you mean the doctor or the pharmacist's price?
SUSSeLrAhC
post Dec 1 2008, 03:46 PM

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QUOTE(taiko88 @ Dec 1 2008, 03:29 PM)
you mean the doctor or the pharmacist's price?
*
doc cheaper/pharmacist exp... most of the time docs will dispense generic drugs wherelese pharmacist will dispense the more profitable drug
TStaiko88
post Dec 1 2008, 11:01 PM

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due to our country mostly doctor dispense therefore they ask cheaper price from the manufacterer...tharefore...they got it at much lower cost compare to pharmacist...but pharmacist still try to sell it cheap...now you know how hard to run a pharmacy business...and also the doctor tend to sell generics which have a high profit margin...not cheap = he earn less de...
pyroboy1911
post Dec 1 2008, 11:05 PM

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while in other countries pharmacists are starting to apply for PRESCRIBING rights, in Malaysia they dun even have DISPENSING rights yet. a total joke..and as long as Datuk and MB's sons and daughters are being sent overseas for medicine program, i dont think it will change in the near future..
TStaiko88
post Dec 1 2008, 11:13 PM

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i agree....you check their conversations and blogs...all talk about money..cost...pride...all about themselves...will they see the whole picture?are our malaysian doctor think that they are in the third world country?i heard that some organizations had classed malaysia as third world country at first i dont agree...but now...sigh...in economically cost can reduce if we have good ministers...But their eyes is just covered with Money...what a pathetic professions in our country...doctor that only think of money...you go and check how many blogs online malaysian doctor talk about their paycheck...way more than talking about how they help the public?is that the attitude of a doctor?disgusting man...


Added on December 1, 2008, 11:14 pmpyroboy?are you a pharmacist?which country are you in now?

This post has been edited by taiko88: Dec 1 2008, 11:14 PM
mr lappy
post Dec 2 2008, 12:06 AM

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QUOTE(taiko88 @ Dec 1 2008, 11:01 PM)
due to our country mostly doctor dispense therefore they ask cheaper price from the manufacterer...tharefore...they got it at much lower cost compare to pharmacist...but pharmacist still try to sell it cheap...now you know how hard to run a pharmacy business...and also the doctor tend to sell generics which have a high profit margin...not cheap = he earn less de...
*
actually pharmacy also have 'squeezing' power as well, but unfortunately its only thoes large foreign chain that has em'... for eg. guardian(yes they arent m`sian own tongue.gif)

doctors taking generics and selling them at branded prices, thats why they have a huge profit margin.

do you know they get their stuff at pennies per tabs and sell them to you at 50sen ect/ tab?

and another thing that i dont understand is people wanting paracetamol tablets, but look at panadol(couple of bucks) and another generic that is say... 1 buck for instance and still willing to pay 2-4 times the price for somethign the same... although its the same...
the general public equate more expensive= better >_>
you are getting ripped off by the large multinationals!! shakehead.gif

QUOTE
while in other countries pharmacists are starting to apply for PRESCRIBING rights, in Malaysia they dun even have DISPENSING rights yet. a total joke..and as long as Datuk and MB's sons and daughters are being sent overseas for medicine program, i dont think it will change in the near future..

so true. now the 'in thing' would be specialist pharmacist prescribing rights where they can prescribe a range which is agreed with the nearby gp's and direct intervention on agreed patients in the attemp to off load the pressure...

well, we have to start somewhere, lets see how things goes...

*to the pharm students in m`sia, keep us peeps that are out of m`sia in the loop ! smile.gif

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