HE vast majority of Fili-pino health
professionals abroad are competent, caring, honorable and often distinguished
men and women held in high regard by their adopted communities and institutions.
In medicine, quite a few Filipinos have held positions of honor in highly
regarded medical centers in recognition of their skills and competencies in
fields such as cardiology and cardiovascular surgery, anesthesiology, medical
and pediatric subspecialties and others.
In Canada, a grateful community even elected their Filipino
doctor to the parliament where he distinguished himself as a leader of his
political party.
Sadly, there have been occasions in the past when one or two
– at most a handful – of Filipino medical practitioners have behaved in a manner
that tarnished the reputation of the rest of their compatriots. In the mid-70s,
among the first physicians to be charged with large scale federal medical
insurance fraud was a Filipino. Nevertheless, these instances have been few and
far between.
Recently however, the Philippines as a whole is struggling
with its image as a society able to take care of its own and at the same time
share medical talent with other countries. The Cebu incident two weeks ago
indicated a major flaw in our system of inculcating the kind of human values
that would prevent health professionals from behaving in a inhumane manner
towards another Filipino whose preferences had gotten him into trouble.
And now comes the 100 million dollar US veterans’ health
insurance reimbursement scam. It appears that for over a decade, a hospital or
group of hospitals in the Philippines and their medical staff have been
conniving with resident American veterans and groups in the United States to
claim millions of dollars as payment for health care services that were either
never rendered or grossly overstated.
In a report published in a Philippine daily, the leader of
the infamous Private Hospitals Association of the Philippines (PHAP for short
but not to be confused with the Pharmaceutical and Healthcare Association of the
Philippines) blamed the American funding agency for the occurrence saying, "For
me, it’s their fault. They should have accredited reputable health service
providers and strictly monitored the program." This may have some truth but in
fact it sounds much like blaming a car-owner for having his vehicle carnapped.
The fact is that Philippine institutions regulated by
Philippine agencies and staffed by Philippine health professionals were involved
in lying, cheating and stealing. Unfortunately, the entire country, not just the
doctors or other health professionals, should share in the shame if not the
blame for these incidents. Even more unfortunately, we must also bear the brunt
of the fallout in the form of loss of face and damaged reputation of Filipino
health professionals.
The situation really calls for an in-depth review of our
system for educating health professionals and accrediting academic and service
health institutions. It is not enough to simply help in identifying responsible
individuals in the veterans’ fraud case. It is not enough to remove licenses and
mete individual professional sanctions.
We must revisit the very basis for our medical and nursing
school systems. When the government relinquished regulatory control over these,
"market forces" were allowed to determine the appropriate quantity and quality
of their products. Unfortunately, the driving principle behind so-called "market
forces" is profit or greed. Unless the systems for teaching our health
professionals are thoroughly revamped, the best that our regulatory agencies
from the Department of Health to the Professional Regulatory Commission can hope
for is to "regulate their greed."
***
Conservative Catholic theoreticians have not changed their
ways much since the Middle Ages when they were wont to engage in endless debates
on the question of how many angels could stand on the tip of a needle. These
discussions were so important to such great thinkers that neither famine nor
plague nor any other disaster could dissuade them to pause and consider the
plight of suffering human beings for a while.
At the last board meeting of the Population Commission of the
Philippines (POPCOM), a member appointed by Malacañang who also happens to be
with the Opus Dei (of The Da Vinci Code fame) entertained his fellow
commissioners with a fanciful calculation of the Philippines’ true population
growth rate (PGR).
"The National Statistics Office is wrong," he declared. "The
true Philippine PGR is not 2.04 but 1.74 percent!" It is for this reason (namely
that our PGR is not so high after all) that these religious zealots believe that
the country should be more concerned with the high fatality rates from vehicular
accidents than the fact that our maternal mortality rate is at the same level as
that of least developed countries.
Meanwhile, poor Filipino families with six or seven children continue to
struggle to survive with the price of food steadily rising, the environment
continuously deteriorating, and preventable and curable diseases unremittingly
taking their toll on chronically malnourished bodies.