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Target equitable
health care for all
HEALTH-CARE tourism has ficult and many are falling back
raised concerns over its growth to the public health care sector
and the government’s policy for their medical needs. During
direction. When health care is challenging times like this, the
commercialised; packaged and government should be ever
promoted in the form of tourism more vigilant to fulfil its basic
packages, it is essentially creating obligations and responsibilities
and promoting a demand-driven to the rakyat in providing health
system that strays away from care to not just the poor, but also
needs-based priorities, diverting struggling middle-income earn-
from the fundamental principles ers and those uninsured.
of health rights and equity. The indications are emerging
It could substantially erode that Malaysia’s once equitable
the once equitable health-care health-care system may disap-
system that we have. The pear. We are witnessing the
growth of health tourism could privatisation of various areas in
also worsen the exodus of senior the public health-care system,
doctors, when the more lucra- with the recent being the estab-
tive private market expands. lishment of private wings. Priva-
Instead of focusing on expand- tisation will deny a majority of
ing the private health-care sec- the population access to health
tor through health tourism, the care. As a developing nation, we
Health Ministry should instead should be heading towards bet-
strive to optimise its resources to ter wealth distribution by pro-
improve the public health care viding equitable health care for
as its main priority. As the cost the people; not regressing into a
of health care continues to esca- neo-liberal health care structure
late, coupled with the crippling that is based on the ability to pay
impact of the global financial rather than the basis of need.
turmoil, the people’s depend-
ence on public health care will Cheah Chee Ho
be undoubtedly greater; when Fomca Policy and
livelihoods are increasingly dif- Research Manager