By: Sarah Toms
BBC Correspondent in Manila
13 September 2004
Many Filipinos even want to work in Iraq, despite the risks. The millions of Filipinos working overseas make a huge financial differenceto the lives of their families back home - the difference between basic survival and a better life.
But there is a social cost too, as children grow up without their parents.
Thirteen-year-old Marc Anthony Terencio has never met his American father,and it has been two years since his mother left to work as a domestic help in Saudi Arabia. He is being brought up by his weathered but sprightly grandmother, in a Manila neighbourhood made up of a warren of shacks. "My mother went abroad to earn a living to support school expenses and other basic needs," he said. "We eat good food a lot, and our house has been improved, like the floor got cemented."
Brain Drain
There are millions of children like Marc Anthony, being raised by a relative because one or both parents work overseas. With an unemployment rate that is usually above 10%, the search for opportunities has taken eight million Filipinos - a tenth of the population- away from their country and their families.
"I am used to her being away and I appreciate having extra money. But I wish she would come home because I need a mother."
The $8bn they send home each year helps their relatives and gives vital support to an economy burdened by debt, corruption, tax evasion and poverty. But it also creates other problems, such as a loss of skills in their home country.
"At least 73% of workers are women, and the jobs they go into are usually in the service sector," said Malou Alcid, who teaches social work at the University of the Philippines. "Many of them are college graduates, so you have over-qualified women taking on domestic work because the salary is better than what they would get here as a teacher or an engineer."
Mia Nabulenai, who has three children and a husband with no job, is a case in point. She used to be a supervisor at a hotel, but decided to go to an overseas employment agency in Manila in the hope of getting work as a laundry woman at one of the US military bases in Iraq. "It will give a nice future to my children," she said. "Sometimes the people here don't get meals three times a day. A lot of people are applying to this agency. They sleep overnight in the street."
Many Filipinos want to go to Iraq, despite the risks, and nearly every week hundreds of workers like Mrs Nabulenai stage noisy protests calling on President Gloria Arroyo to lift the ban on Filipinos working there. The government stopped its citizens from taking work in Iraq after aFilipino lorry driver was taken hostage by militants in July. He was released two weeks later but the ban remains, as officials study whether it is safe to go back there.
Psychological Scars
According to Connie Bragas-Regalado of Migrante, a lobby group for overseas workers, it is not just the loss of talented Filipinos that is of concern. Angelo de la Cruz, who was held hostage in Iraq, is a father of eight "We have many cases of broken families, and children are dropouts atschool," she said. "So if you look at the economic benefits and if you look at the socialcosts, it's really not compensating. But then we have no other option."
Studies have shown that children can have behavioural problems at school because of the absence of one or two parents, said Ms Alcid of the University of the Philippines. "One academic has used the term emotional orphans to describe the children of overseas workers," she said. "They fall into bad company, so they get into drugs. Some of the girls get pregnant. They are looking for acceptance, for love. They are looking for people to care for them."
In the alley outside his two-room house, Marc Anthony bounces a basketballas his grandmother sits on a wooden bed inside. His mother has worked in Saudi Arabia for two years, but there is still not enough money for a mattress or glass in the windows.
"I am used to her being away and I appreciate having extra money," Marc Anthony said. "But I wish she would come home because I need a mother."
Saturday, November 20, 2004
Sunday, November 14, 2004
Belgian Doctor Treads Paths Least Traveled
In one ironic twist, while many of the country’s medical doctors are leaving for abroad for lack of better career opportunities at home, one foreign doctor – a Belgian – has been in the country as a medical volunteer. He stayed for eight years and he leaves some valuable lessons not only to Filipinos doctors but health authorities as well.
BY RONALYN V. OLEA
Bulatlat
In one ironic twist, while many of the country’s medical doctors are leaving for abroad for lack of better career opportunities at home, one foreign doctor – a Belgian – has been in the country as a medical volunteer. He stayed for eight years and he leaves some valuable lessons not only to Filipinos doctors but health authorities as well.
Wim De Ceukelaire, a Belgian doctor, came to the Philippines in January 1996. He was sent by New World, a non-government organization supporting struggles of different countries in Asia and Africa for food security.
In his eight years of stay in the Philippines, Wim, as friends and colleagues would call him, has seen the country as one of the best examples of the negative impact of globalization on health. “[The Philippines is] remodeling to the needs of rich countries,” he told Bulatlat in an interview last week. “Rich countries need cheaply trained but highly qualified doctors, nurses and other health professionals. Pharmaceutical transnational corporations (TNCs) need market.”
He said that medicines in the Philippines are one of the most expensive in Asia, second only to Japan. The country, he said, is also among the top five countries exporting cheap labor of health professionals.
Witness
From the year he stepped foot on the Philippines in 1996, the Belgian doctor, who’s 36, worked for the Council for Health and Development (CHD), a national organization of community-based health programs (CBHPs) until 2001. Wim helped in CHD’s research work and international networking. He joined medical missions and trainings and visited community based health programs (CBHP) all over the country.
Looking back, Wim said, “Providing services is important. [But] my role as a witness is even more important. It strengthens the morale of the people, signifies to those in power and to the big companies that people have support even from other countries.”
Community-based health programs
Wim has seen the work of the CBHPs as unique. “The approach of the CBHPs strongly asserts that health is in the hands of the people, not dependent on TNCs, high technology or highly qualified doctors. The people can take charge of most of their health needs.” He mentioned some basic requirements to enable people to manage their health needs. “The people must be united, organized. They should analyze their health situation in the right context.”
To illustrate, he cited the health problems of the children related to malnutrition. Wim said that the right answer to malnutrition is not food supplements. “The right answer is basically the improvement of livelihood of the people … When you speak of livelihood, you’re talking about land ownership and the problems of high costs of farming inputs, usury, among others.”
He said health problems are analyzed in a comprehensive way, within social and economic contexts. “[From there, the people] unite and take action accordingly.”
“People themselves take charge of their development, their food security, their health or economic progress. That is the real meaning of community-based,” he said. While other non-government organizations are claiming they are grassroots-oriented, he said it was just a flavoring.
Among the peasants
While still working for the CHD, Wim also did work for the Kilusang Magbubukid ng Pilipinas (KMP), a national organization of peasants. “I saw the importance of working with the rural community.”
He was involved in strengthening peasant organizations and research work, some of which were health-related like studies on the effects of genetically-modified organisms (GMOs) and pesticides.
“I’ve learned most from the ordinary people, from sharings with farmers, indigenous [people],” Wim continued.
Wim related an incident where he was greeted by the indigenous people with in one barrio, “Dati, galit na galit ako sa mga puti.” (Before, I’m very angry with the white people.)” He said he has learned more from them about colonialism, imperialism than from books.
At the KMP, Wim said he learned so much. “I’m very proud that I had discussions with Ka Daning and Ka Paeng,” he said of the two peasant leaders. “The way they analyze problems is so sharp—GMOs, pesticides, high-breed rice, trade liberalization. Everything I cannot achieve despite my supposed scientific background and years in the university. Ka Paeng is a scientist even though he did not finish college. Alam niya lahat. (He knows everything) and I have to read many books on GMOs to keep up with him.”
Ka Daning Ramos is the current KMP chair while Ka Paeng Mariano, who also served as KMP chair, is now AnakPawis representative in Congress.
Besides Ka Daning and Ka Paeng, Wim said he had met so many interesting and inspiring people. “Ka Dan Vizmanos who was proud that he was born on the same year as Che Guevarra. He is already part of Philippine history. EdVil (Prof. Edilberto Villegas), Rey Casambre, mga matatanda (older people) who already earned their mark in Philippine history.“ He said he was able to discuss with them political and economic problems in the Philippines. Those he mentioned are fellows of the Center for Anti-Imperialist Studies (CAIS).
Mindanao
Asked what place he likes best in the Philippines, Wim answered, “So many. It’s a very beautiful country. In general, Mindanao is my favorite.” He explained that his love for Mindanao stems not only from the beauty of its natural resources but also because of its people. “It is like a melting pot. Foreigners are easily accepted.”
Wim believes though that in Manila, people know so little about what’s happening in Mindanao.
He said he has been in Pikit, North Cotabato twice. The first time was in 1998 during the major offensives of the AFP against the Moro Islamic Liberation Front (MILF). Wim went to Camp Rajamuda and found it was not a military camp at all. “Rajamuda is just a barangay (village) with school building, houses, palengke (market). But we are made to believe it’s a military target.”
In 2003, he also went to Buliok Complex. Again, he said, “There is no such thing as Buliok Complex…no military installations, just another barangay.” He said that what people see on television, read in papers is not always the truth.”
He recounted that in Buliok, some media people were saying, “We are sorry but we are sure it won’t get through Manila.” Wim deems they practice self-censorship. “I don’t blame them. They know their editors will kill their stories.”
Significant experience
Wim recounted a fact finding and medical mission in a community of B’laan, indigenous people in South Cotabato, sometime in late 1996. It was his first encounter with victims of human rights violations. The area was being claimed by the Western Mining Corporation, an Australian firm, and the AFP was protecting the company’s interest.
Wim said, “They knew exactly what the military took away from them, how many plates, spoons. Nagtaka ako kung bakit. (I was surprised why) I realized that’s all they have.”
“In hindsight, it was even more significant for me. The mining company pulled out two or three years later because of the resistance of the people. Our efforts, especially of the B’laan people, were not in vain. It was a sad experience but had a happy ending.”
International solidarity
Since 2001 until before leaving the Philippines last week, Wim served as the country representative of New World and International Action for Liberation (Intal). Intal is focused on health.
He coordinated partnerships, solidarity work. Every two weeks, he would dispatch news briefs on the Philippines.
He would also email a monthly newsletter, with links for people who want to know more. He said some articles were taken from Bulatlat. These publications are read by people in Belgium and the Netherlands who are interested in the Philippines.
Pinoy culture
During his stay, he does not think he acquired any trait of Pinoy culture. He related that last year, there was a balut- eating contest for non-Filipinos. “I just finished the duck egg’s soup.”
Wim said that in the community though, he just eats what they serve. “Rice with salt, there’s nothing else. It’s a good experience after all to eat rice and salt once in a while… to remind us that there are people who do not have any other ulam (viand) but asin (salt).”
Wim also appreciates the Filipinos’ happy disposition, “European culture is actually the opposite. Even in the best of circumstances, what is seen there are the weaknesses, the bad side. Dito baligtad (Here, it’s the other way around). Even if everything looks black, people will find a bright spot somewhere.”
He admitted that in the beginning of his stay, it was very hard for him. When he was first asked,“Saan ka galing?” (Where did you come from?) His first reaction was, “Why do you want to know?”
Before eating, his officemates would ask, “Anong ulam mo?” (What’s your viand). “People decide whose ulam they will collectivize. I just find someone eating on my plate.”
The People’s movement
“Since 1996, I have only seen the advance of the people’s movement. Pataas nang pataas. (Ever advancing)… I witnessed the expansion of people’s organizations and other manifestations of the growth of the people’s movement. We even have progressive congressmen today.”
Wim said with certainty, “In the near future, if the progressive movement builds further on that, there will be major developments here that I’m going to miss. The people’s movement is stronger after ousting Estrada in 2001. There will be defining moments in Philippine history and the people’s movement will have a significant role. I will monitor that, of course. I know what I’ll miss.” Bulatlat
© 2004 Bulatlat ■ Alipato Publications
BY RONALYN V. OLEA
Bulatlat
In one ironic twist, while many of the country’s medical doctors are leaving for abroad for lack of better career opportunities at home, one foreign doctor – a Belgian – has been in the country as a medical volunteer. He stayed for eight years and he leaves some valuable lessons not only to Filipinos doctors but health authorities as well.
Wim De Ceukelaire, a Belgian doctor, came to the Philippines in January 1996. He was sent by New World, a non-government organization supporting struggles of different countries in Asia and Africa for food security.
In his eight years of stay in the Philippines, Wim, as friends and colleagues would call him, has seen the country as one of the best examples of the negative impact of globalization on health. “[The Philippines is] remodeling to the needs of rich countries,” he told Bulatlat in an interview last week. “Rich countries need cheaply trained but highly qualified doctors, nurses and other health professionals. Pharmaceutical transnational corporations (TNCs) need market.”
He said that medicines in the Philippines are one of the most expensive in Asia, second only to Japan. The country, he said, is also among the top five countries exporting cheap labor of health professionals.
Witness
From the year he stepped foot on the Philippines in 1996, the Belgian doctor, who’s 36, worked for the Council for Health and Development (CHD), a national organization of community-based health programs (CBHPs) until 2001. Wim helped in CHD’s research work and international networking. He joined medical missions and trainings and visited community based health programs (CBHP) all over the country.
Looking back, Wim said, “Providing services is important. [But] my role as a witness is even more important. It strengthens the morale of the people, signifies to those in power and to the big companies that people have support even from other countries.”
Community-based health programs
Wim has seen the work of the CBHPs as unique. “The approach of the CBHPs strongly asserts that health is in the hands of the people, not dependent on TNCs, high technology or highly qualified doctors. The people can take charge of most of their health needs.” He mentioned some basic requirements to enable people to manage their health needs. “The people must be united, organized. They should analyze their health situation in the right context.”
To illustrate, he cited the health problems of the children related to malnutrition. Wim said that the right answer to malnutrition is not food supplements. “The right answer is basically the improvement of livelihood of the people … When you speak of livelihood, you’re talking about land ownership and the problems of high costs of farming inputs, usury, among others.”
He said health problems are analyzed in a comprehensive way, within social and economic contexts. “[From there, the people] unite and take action accordingly.”
“People themselves take charge of their development, their food security, their health or economic progress. That is the real meaning of community-based,” he said. While other non-government organizations are claiming they are grassroots-oriented, he said it was just a flavoring.
Among the peasants
While still working for the CHD, Wim also did work for the Kilusang Magbubukid ng Pilipinas (KMP), a national organization of peasants. “I saw the importance of working with the rural community.”
He was involved in strengthening peasant organizations and research work, some of which were health-related like studies on the effects of genetically-modified organisms (GMOs) and pesticides.
“I’ve learned most from the ordinary people, from sharings with farmers, indigenous [people],” Wim continued.
Wim related an incident where he was greeted by the indigenous people with in one barrio, “Dati, galit na galit ako sa mga puti.” (Before, I’m very angry with the white people.)” He said he has learned more from them about colonialism, imperialism than from books.
At the KMP, Wim said he learned so much. “I’m very proud that I had discussions with Ka Daning and Ka Paeng,” he said of the two peasant leaders. “The way they analyze problems is so sharp—GMOs, pesticides, high-breed rice, trade liberalization. Everything I cannot achieve despite my supposed scientific background and years in the university. Ka Paeng is a scientist even though he did not finish college. Alam niya lahat. (He knows everything) and I have to read many books on GMOs to keep up with him.”
Ka Daning Ramos is the current KMP chair while Ka Paeng Mariano, who also served as KMP chair, is now AnakPawis representative in Congress.
Besides Ka Daning and Ka Paeng, Wim said he had met so many interesting and inspiring people. “Ka Dan Vizmanos who was proud that he was born on the same year as Che Guevarra. He is already part of Philippine history. EdVil (Prof. Edilberto Villegas), Rey Casambre, mga matatanda (older people) who already earned their mark in Philippine history.“ He said he was able to discuss with them political and economic problems in the Philippines. Those he mentioned are fellows of the Center for Anti-Imperialist Studies (CAIS).
Mindanao
Asked what place he likes best in the Philippines, Wim answered, “So many. It’s a very beautiful country. In general, Mindanao is my favorite.” He explained that his love for Mindanao stems not only from the beauty of its natural resources but also because of its people. “It is like a melting pot. Foreigners are easily accepted.”
Wim believes though that in Manila, people know so little about what’s happening in Mindanao.
He said he has been in Pikit, North Cotabato twice. The first time was in 1998 during the major offensives of the AFP against the Moro Islamic Liberation Front (MILF). Wim went to Camp Rajamuda and found it was not a military camp at all. “Rajamuda is just a barangay (village) with school building, houses, palengke (market). But we are made to believe it’s a military target.”
In 2003, he also went to Buliok Complex. Again, he said, “There is no such thing as Buliok Complex…no military installations, just another barangay.” He said that what people see on television, read in papers is not always the truth.”
He recounted that in Buliok, some media people were saying, “We are sorry but we are sure it won’t get through Manila.” Wim deems they practice self-censorship. “I don’t blame them. They know their editors will kill their stories.”
Significant experience
Wim recounted a fact finding and medical mission in a community of B’laan, indigenous people in South Cotabato, sometime in late 1996. It was his first encounter with victims of human rights violations. The area was being claimed by the Western Mining Corporation, an Australian firm, and the AFP was protecting the company’s interest.
Wim said, “They knew exactly what the military took away from them, how many plates, spoons. Nagtaka ako kung bakit. (I was surprised why) I realized that’s all they have.”
“In hindsight, it was even more significant for me. The mining company pulled out two or three years later because of the resistance of the people. Our efforts, especially of the B’laan people, were not in vain. It was a sad experience but had a happy ending.”
International solidarity
Since 2001 until before leaving the Philippines last week, Wim served as the country representative of New World and International Action for Liberation (Intal). Intal is focused on health.
He coordinated partnerships, solidarity work. Every two weeks, he would dispatch news briefs on the Philippines.
He would also email a monthly newsletter, with links for people who want to know more. He said some articles were taken from Bulatlat. These publications are read by people in Belgium and the Netherlands who are interested in the Philippines.
Pinoy culture
During his stay, he does not think he acquired any trait of Pinoy culture. He related that last year, there was a balut- eating contest for non-Filipinos. “I just finished the duck egg’s soup.”
Wim said that in the community though, he just eats what they serve. “Rice with salt, there’s nothing else. It’s a good experience after all to eat rice and salt once in a while… to remind us that there are people who do not have any other ulam (viand) but asin (salt).”
Wim also appreciates the Filipinos’ happy disposition, “European culture is actually the opposite. Even in the best of circumstances, what is seen there are the weaknesses, the bad side. Dito baligtad (Here, it’s the other way around). Even if everything looks black, people will find a bright spot somewhere.”
He admitted that in the beginning of his stay, it was very hard for him. When he was first asked,“Saan ka galing?” (Where did you come from?) His first reaction was, “Why do you want to know?”
Before eating, his officemates would ask, “Anong ulam mo?” (What’s your viand). “People decide whose ulam they will collectivize. I just find someone eating on my plate.”
The People’s movement
“Since 1996, I have only seen the advance of the people’s movement. Pataas nang pataas. (Ever advancing)… I witnessed the expansion of people’s organizations and other manifestations of the growth of the people’s movement. We even have progressive congressmen today.”
Wim said with certainty, “In the near future, if the progressive movement builds further on that, there will be major developments here that I’m going to miss. The people’s movement is stronger after ousting Estrada in 2001. There will be defining moments in Philippine history and the people’s movement will have a significant role. I will monitor that, of course. I know what I’ll miss.” Bulatlat
© 2004 Bulatlat ■ Alipato Publications
Monday, November 08, 2004
The Road To Perdition
Streetwise
by Carol P- Araullo
The Business World/5-6 November 2005
There's one crisis in our crisis-ridden country that I feel compelled to write about, setting aside the urge to comment on the electoral victory of George W. Bush, the man the rest of the world's peoples love to hate.
The brain drain in the health professions, specifically in nursing and medicine, has been going on since the 1960s as far as I can tell. Definitely, by the time my UP Medicine class of about 145 students graduated in 1979, more than half were destined to go abroad, at first to train, then to establish their practice and stay on. (I bet many of them got to vote in the last US presidential elections.)
So the news that the Philippines has the dubious distinction of being the top exporter of nurses in the world is old hat. We used to be the No. 2 exporter of doctors, but maybe India has taken over considering the cost of medical education and the economic crunch that Filipinos have been living under for two and a half decades. What has got people sitting up to take notice is the fact that physicians are going back to school to become certified nurses. We're not just talking about fresh medical graduates either. Medical specialists who have been practicing five or more years are abandoning their hard-earned professions to work as nurses, mostly in the US and UK.
It doesn't take an economist to figure out why. One estimate is a stark US$400 working as a doctor in a Philippine state hospital versus $4,000 doing duty as a nurse in US hospitals (with immigrant status for family members to boot). I wager $400 is even on the high side since resident physicians, those doctors who are still undergoing specialty training, would be getting much less.
Consider the powerful cultural factors at play in making the switch from doctoring to nursing, but are easily swept aside by the economic imperatives: the general perception, correct or not, that becoming a nurse after having studied or worked hard as a doctor, constitutes a denigration of one's professional status. There is an implied intellectual superiority that derives from the assumption that it takes more brains to be a doctor than a nurse when in fact, in most instances, the more accurate premise is that it takes more money to go to medical school and thus the higher status has more to with socioeconomic class than anything else.
In our still macho society, the shift to nursing constitutes a double demotion on the part of male doctors. In the hierarchy of the health professions, the doctor is still the decision-maker, the leader of the health team, if not the undisputed "boss," while the nurse takes down the doctor's orders and implements these.
The implications of the continuing brain drain deserve to be confronted especially when our political leaders, the bureaucrats at DOLE, the recruitment agencies as well as owners of mushrooming nursing schools all over the country peddle the lie that the country has a net gain in exporting our human resources. They extol rather than decry the fact that we are spending scarce social capital on future doctors and nurses, only to lose them to richer societies that can afford to give them decent salaries and a modicum of respect, if not reward, after all the hard work and personal sacrifice.
This is the stark reality. The country has reached the point where there is now a developing scarcity in medical human power even in the cities, in tertiary care hospitals (i.e. those providing more specialized and expert medical care), and in the private sector. It used to be that scarcity was relative. It followed that doctors and nurses tended to be hospital-based, both to earn more as well as to be able to avail of the newer medical technology and convenience any health professional educated in the Western tradition looks for. It was to be expected that rural areas would have a difficult time attracting doctors and nurses to practice there because of the expected low paying capacity of its population, mostly farmers and small- to medium-size merchants. There were always vacancies in rural health centers and even secondary government hospitals especially in such far-flung areas like Samar, the Cordilleras and western Mindanao.
Metro Manila, on the other hand, had a surfeit not only of doctors, but of world-class physicians, you just had to be able to afford them or have the patience to queue up in the interminably long lines at the Outpatient Department of the University of the Philippines-Philippine General Hospital (UP-PGH). Thus, the crowding in the cities where not only the money is better, the schools for the children are more prestigious, the shopping malls are more complete and the general socioeconomic environs cum cultural life more upscale than anything a small town, much less a barrio could ever hope to offer.
But now, the telltale signs of a worse crisis to come are truly worrisome. Hospitals in Mindanao and Negros Oriental are facing closure because of a lack of doctors and nurses. UP-PGH, that venerable institution which produced the top-notch specialists practicing in the major urban centers of the country as well as top-rated US medical centers, is having difficulty attracting fresh graduates to fill up the slots in what used to be highly competitive residency programs. The high turnover of nurses has accelerated in the last decade with the huge number of nursing schools unable to churn out graduates fast enough to fill in the slots their more-honed predecessors left.
No doubt about it, what has been a long-running crisis in our low priority, under-financed and decaying health care system will soon become a full-blown emergency. It's just another example of how the myopic, or rather, head-in-the-sand attitude, of our political leaders promises to lead us to even greater perdition as a country. That's the fearsome scenario our young doctors and nurses are running away from, and who can blame them.
by Carol P- Araullo
The Business World/5-6 November 2005
There's one crisis in our crisis-ridden country that I feel compelled to write about, setting aside the urge to comment on the electoral victory of George W. Bush, the man the rest of the world's peoples love to hate.
The brain drain in the health professions, specifically in nursing and medicine, has been going on since the 1960s as far as I can tell. Definitely, by the time my UP Medicine class of about 145 students graduated in 1979, more than half were destined to go abroad, at first to train, then to establish their practice and stay on. (I bet many of them got to vote in the last US presidential elections.)
So the news that the Philippines has the dubious distinction of being the top exporter of nurses in the world is old hat. We used to be the No. 2 exporter of doctors, but maybe India has taken over considering the cost of medical education and the economic crunch that Filipinos have been living under for two and a half decades. What has got people sitting up to take notice is the fact that physicians are going back to school to become certified nurses. We're not just talking about fresh medical graduates either. Medical specialists who have been practicing five or more years are abandoning their hard-earned professions to work as nurses, mostly in the US and UK.
It doesn't take an economist to figure out why. One estimate is a stark US$400 working as a doctor in a Philippine state hospital versus $4,000 doing duty as a nurse in US hospitals (with immigrant status for family members to boot). I wager $400 is even on the high side since resident physicians, those doctors who are still undergoing specialty training, would be getting much less.
Consider the powerful cultural factors at play in making the switch from doctoring to nursing, but are easily swept aside by the economic imperatives: the general perception, correct or not, that becoming a nurse after having studied or worked hard as a doctor, constitutes a denigration of one's professional status. There is an implied intellectual superiority that derives from the assumption that it takes more brains to be a doctor than a nurse when in fact, in most instances, the more accurate premise is that it takes more money to go to medical school and thus the higher status has more to with socioeconomic class than anything else.
In our still macho society, the shift to nursing constitutes a double demotion on the part of male doctors. In the hierarchy of the health professions, the doctor is still the decision-maker, the leader of the health team, if not the undisputed "boss," while the nurse takes down the doctor's orders and implements these.
The implications of the continuing brain drain deserve to be confronted especially when our political leaders, the bureaucrats at DOLE, the recruitment agencies as well as owners of mushrooming nursing schools all over the country peddle the lie that the country has a net gain in exporting our human resources. They extol rather than decry the fact that we are spending scarce social capital on future doctors and nurses, only to lose them to richer societies that can afford to give them decent salaries and a modicum of respect, if not reward, after all the hard work and personal sacrifice.
This is the stark reality. The country has reached the point where there is now a developing scarcity in medical human power even in the cities, in tertiary care hospitals (i.e. those providing more specialized and expert medical care), and in the private sector. It used to be that scarcity was relative. It followed that doctors and nurses tended to be hospital-based, both to earn more as well as to be able to avail of the newer medical technology and convenience any health professional educated in the Western tradition looks for. It was to be expected that rural areas would have a difficult time attracting doctors and nurses to practice there because of the expected low paying capacity of its population, mostly farmers and small- to medium-size merchants. There were always vacancies in rural health centers and even secondary government hospitals especially in such far-flung areas like Samar, the Cordilleras and western Mindanao.
Metro Manila, on the other hand, had a surfeit not only of doctors, but of world-class physicians, you just had to be able to afford them or have the patience to queue up in the interminably long lines at the Outpatient Department of the University of the Philippines-Philippine General Hospital (UP-PGH). Thus, the crowding in the cities where not only the money is better, the schools for the children are more prestigious, the shopping malls are more complete and the general socioeconomic environs cum cultural life more upscale than anything a small town, much less a barrio could ever hope to offer.
But now, the telltale signs of a worse crisis to come are truly worrisome. Hospitals in Mindanao and Negros Oriental are facing closure because of a lack of doctors and nurses. UP-PGH, that venerable institution which produced the top-notch specialists practicing in the major urban centers of the country as well as top-rated US medical centers, is having difficulty attracting fresh graduates to fill up the slots in what used to be highly competitive residency programs. The high turnover of nurses has accelerated in the last decade with the huge number of nursing schools unable to churn out graduates fast enough to fill in the slots their more-honed predecessors left.
No doubt about it, what has been a long-running crisis in our low priority, under-financed and decaying health care system will soon become a full-blown emergency. It's just another example of how the myopic, or rather, head-in-the-sand attitude, of our political leaders promises to lead us to even greater perdition as a country. That's the fearsome scenario our young doctors and nurses are running away from, and who can blame them.
Sunday, November 07, 2004
GMA: BRING CHRISTMAS CHEERS THROUGH PRICE ROLLBACKS, WAGE HIKES
PRESS RELEASE/November 7, 2004
Reference: Rev. Fr. Allan Jose Arcebuche, OFM
National Co-Chairperson
Contact: 4107623PCPR
The Promotion of Church People’s Response (PCPR) stated today that Malacañang can truly bring Christmas cheers by ordering price rollbacks especially on oil, power and water rates; substantial wage and salary hikes; re-channeling of the debt-service and military budgets to social services, tax reduction and other beneficial moves for the poor.
The activist church group criticized Malacañang for acting like a clown who expects the people to smile amidst intolerable economic hardships.
“How can jobless fathers and mothers bring cheers to their families in the face of dimmer prospects of stable incomes and the burden of eight new sinful taxes? There are tears and no cheers as many Filipinos can hardly cope with the ever increasing cost of living. We cannot be cheerful when despite the sacrifices of the poor, the shameless corruption of high government and military officials continue to worsen the country’s economic crisis,” Rev. Fr. Allan Jose Arcebuche, OFM, PCPR National Co-Chairperson stated.
“It’s so easy for the President and her spokespersons to say “cheers” as they don’t suffer the plight of many Filipinos who are doomed to spend Christmas with less paychecks and ever increasing debts,” the activist priest added. PCPR further decried the government’s ‘no permit, no rally’ policy and its increasing repression against workers groups rallying for wage hikes and other people’s organizations demanding urgent socio-economic reforms.
“Tomorrow, November 8, marks the death anniversary of Capt. Panfilo Villaruel – a man who was brutally killed by police agents under the orders of Malacañang officials who were not amused by his extra-ordinary expression of outrage against the corruption in government. We demand justice for Capt. Villaruel and all victims of police brutality as we continue to demand long-term resolutions of the main causes of the country’s economic crisis,” PCPR concluded.
Reference: Rev. Fr. Allan Jose Arcebuche, OFM
National Co-Chairperson
Contact: 4107623PCPR
The Promotion of Church People’s Response (PCPR) stated today that Malacañang can truly bring Christmas cheers by ordering price rollbacks especially on oil, power and water rates; substantial wage and salary hikes; re-channeling of the debt-service and military budgets to social services, tax reduction and other beneficial moves for the poor.
The activist church group criticized Malacañang for acting like a clown who expects the people to smile amidst intolerable economic hardships.
“How can jobless fathers and mothers bring cheers to their families in the face of dimmer prospects of stable incomes and the burden of eight new sinful taxes? There are tears and no cheers as many Filipinos can hardly cope with the ever increasing cost of living. We cannot be cheerful when despite the sacrifices of the poor, the shameless corruption of high government and military officials continue to worsen the country’s economic crisis,” Rev. Fr. Allan Jose Arcebuche, OFM, PCPR National Co-Chairperson stated.
“It’s so easy for the President and her spokespersons to say “cheers” as they don’t suffer the plight of many Filipinos who are doomed to spend Christmas with less paychecks and ever increasing debts,” the activist priest added. PCPR further decried the government’s ‘no permit, no rally’ policy and its increasing repression against workers groups rallying for wage hikes and other people’s organizations demanding urgent socio-economic reforms.
“Tomorrow, November 8, marks the death anniversary of Capt. Panfilo Villaruel – a man who was brutally killed by police agents under the orders of Malacañang officials who were not amused by his extra-ordinary expression of outrage against the corruption in government. We demand justice for Capt. Villaruel and all victims of police brutality as we continue to demand long-term resolutions of the main causes of the country’s economic crisis,” PCPR concluded.
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