Posted by: Narayangarh suburb November 5, 2008
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MOE has already started bonding for those who graduated under scholarship program of MOE to private medical college in Nepal and abroad. I guess its five years for now.
If you analyze the single face of the problem, yes, you are right. On this, I would like to thank you for pulling this immense issue here in sajha. However, I would like to expose another face of the reason why they migrate. As you said, government don't have enough openings for the medical graduates that mushrooming medical schools produce every year. They must move abroad. Regardless of the country's need and situation they must move abroad. This gives me the belief:
1. Paramedics have been providing extensive health care services in Nepal. In another term they are called "quack". They are taught symptoms, prevention, Control and generic and brand name of the drugs and its doses. Few keeps information about side effects and all with their own interest.
2. The economic situation of overall Nepali is low, they can't afford 500 NRs for general treatment. Yes, they do spent thousands and even lakh Rs for Major problems of surgery and etc but there are people who die of "Diarrhea" and "Cold" flu what we call it here in US.
3. The government health services ( health posts, One in every VDC, may be not in all) has very few stock of medicine and vaccines to be given free. Paramedics can give you the drug in health post. Observing signs and hearing symptoms is not a big job ( believe me its not a big job, i had tried it on me). Same is prescribing drug.
People can't afford for serology and blood histochemistry. Don't even dream about PCR and Blot that are modern tool of confirmatory diagnosis. Then why do you need a MBBS? They are pushed to the Uraban regions.
4. In urban region, they do have serology, imaging and blood histochemistry faciltiy where interested doctors and make use of the knowledge they have. Yet, they don't have PCR and such. Governement have one or 2 hospital (District and Regional) which will consume 20-25 doctors each. Now, there are few medical colleges and nursing homes in big cities which consumes 100 doctors in each. Yet, production is more then that. They must move abroad.
Why graduates from MOE scholarship scheme and IOM move abroad?
1. They are competant.
2. The private nursing homes and Health Research Centre( I read somewhere that they write at the end in order to escape from tax repsonsibility) are owned by MONEYMEN and obviously employ there kids (mostly) who graduate from KU medical colleges, china, russia and pakistan.
Who is left? a competant graduate from IOM and other who graduate under MOE scholarship.
Are graduates from KU medical colleges good?
My ans is YES. How?
1. KU syllabus is also good, they do have hospitals to practice.
2 They pass Nepal Medical Coucil exam, if you believe in that.
Oh ya! I forgot to mention one more thing. We have doctors coming from foregin country whom we belive more than our own doctors. and I believe our own sajha doctor like Bikash KC moved to US for advancement of his knowledge and use his skill to full potential.
How can you keep Medical graduates in country?
You can't. Why? let me frame like this:
1. All above reasons.
2. You can't keep them from earning and having luxurious life as other graduates like IT, Sciences, Vet,Forestry, agriculture, engineering and so on. Governement spends for them as well.
Is this a problem?
NO. and never.
Then what we do to improve health care in Nepal?
Make health service affordable. Give subsidy. Provide cheap health insurance. Is it possible? Yes, if we have something like SSN. Is it possible? Yes, if we can maintain law and order? Is it possible? Yes, if we can counter check leaders and beureacracy. Is it possible? Yes, if people are not corrupt? Is it possible? Yes, we can provide basic needs for everyone and make them equally capable. Is it possible? yes, if we provide education and link each part of the country.
So, first lets make roadways to every corner of the country and educate people. Everyone will have excess to education and can go abroad and in 10-15 years we can start our own in Nepal. See, indian people go back to india after graduation.
Is this possible? Yes, we CAN and everything is possible if Nepali people stope acting DUMB and running after few leaders and asking for superiority over the one who deserves.
Unfortunately, I don't see it happening. Why?
Nepali people acted DUMB recently and voted Prachande et al..........and continued the Indian supremacy in the country.
If you analyze the single face of the problem, yes, you are right. On this, I would like to thank you for pulling this immense issue here in sajha. However, I would like to expose another face of the reason why they migrate. As you said, government don't have enough openings for the medical graduates that mushrooming medical schools produce every year. They must move abroad. Regardless of the country's need and situation they must move abroad. This gives me the belief:
1. Paramedics have been providing extensive health care services in Nepal. In another term they are called "quack". They are taught symptoms, prevention, Control and generic and brand name of the drugs and its doses. Few keeps information about side effects and all with their own interest.
2. The economic situation of overall Nepali is low, they can't afford 500 NRs for general treatment. Yes, they do spent thousands and even lakh Rs for Major problems of surgery and etc but there are people who die of "Diarrhea" and "Cold" flu what we call it here in US.
3. The government health services ( health posts, One in every VDC, may be not in all) has very few stock of medicine and vaccines to be given free. Paramedics can give you the drug in health post. Observing signs and hearing symptoms is not a big job ( believe me its not a big job, i had tried it on me). Same is prescribing drug.
People can't afford for serology and blood histochemistry. Don't even dream about PCR and Blot that are modern tool of confirmatory diagnosis. Then why do you need a MBBS? They are pushed to the Uraban regions.
4. In urban region, they do have serology, imaging and blood histochemistry faciltiy where interested doctors and make use of the knowledge they have. Yet, they don't have PCR and such. Governement have one or 2 hospital (District and Regional) which will consume 20-25 doctors each. Now, there are few medical colleges and nursing homes in big cities which consumes 100 doctors in each. Yet, production is more then that. They must move abroad.
Why graduates from MOE scholarship scheme and IOM move abroad?
1. They are competant.
2. The private nursing homes and Health Research Centre( I read somewhere that they write at the end in order to escape from tax repsonsibility) are owned by MONEYMEN and obviously employ there kids (mostly) who graduate from KU medical colleges, china, russia and pakistan.
Who is left? a competant graduate from IOM and other who graduate under MOE scholarship.
Are graduates from KU medical colleges good?
My ans is YES. How?
1. KU syllabus is also good, they do have hospitals to practice.
2 They pass Nepal Medical Coucil exam, if you believe in that.
Oh ya! I forgot to mention one more thing. We have doctors coming from foregin country whom we belive more than our own doctors. and I believe our own sajha doctor like Bikash KC moved to US for advancement of his knowledge and use his skill to full potential.
How can you keep Medical graduates in country?
You can't. Why? let me frame like this:
1. All above reasons.
2. You can't keep them from earning and having luxurious life as other graduates like IT, Sciences, Vet,Forestry, agriculture, engineering and so on. Governement spends for them as well.
Is this a problem?
NO. and never.
Then what we do to improve health care in Nepal?
Make health service affordable. Give subsidy. Provide cheap health insurance. Is it possible? Yes, if we have something like SSN. Is it possible? Yes, if we can maintain law and order? Is it possible? Yes, if we can counter check leaders and beureacracy. Is it possible? Yes, if people are not corrupt? Is it possible? Yes, we can provide basic needs for everyone and make them equally capable. Is it possible? yes, if we provide education and link each part of the country.
So, first lets make roadways to every corner of the country and educate people. Everyone will have excess to education and can go abroad and in 10-15 years we can start our own in Nepal. See, indian people go back to india after graduation.
Is this possible? Yes, we CAN and everything is possible if Nepali people stope acting DUMB and running after few leaders and asking for superiority over the one who deserves.
Unfortunately, I don't see it happening. Why?
Nepali people acted DUMB recently and voted Prachande et al..........and continued the Indian supremacy in the country.