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By Dr Shakawan Ismaeel:
Kurdistan health care reform has been talked about for a very long time but the main ruling parties, PUK and KDP, have never put their full weight behind it.Mala Bakhtyar, the director of the PUK political bureau, has for the first time spoken about the status of the health system in Kurdistan and the need for reform.
In an open letter to Nechirvan Barzani, who is expected to be nominated to take over the premiership of the Kurdistan Regional Government (KRG), Mala Bakhtyar has put forward several areas of priorities for the upcoming cabinet led by KRG President Barzani.
In his second top priority Mr Bakhtyar is very critical of the current health system and calls for a modern system.
Although he is does not explain how to reform it, the very fact that he acknowledges the bad status of the current health system might help to raise the profile of healthcare reform from the top down.
For the reform to be effective, there has to be political will from top officials in the government and parliament.
Here is the full translation of the section about health system in his letter:
“Despite all the reforms that have been done, despite all the new small and big hospitals that are added and the quality of medicine that is of good standards, the health system is a backward system. Citizens are still ripped off by the private hospitals. Still bad quality medicines are in thousands of unlicensed pharmacies and in the hand of smugglers of medicines that have left Kurdish society (Kurdawary) with fatal and long term diseases. This is not to mention that the mortality rate is in part related to the systems of health, medicines and bad pharmacies. Because of this bad health system doctors are allowed, most of the time, to set prices as they wish. The pharmacies and laboratories are the same. And this is all at the expense of health security and sick citizens.
“However, if there is a modern health system, doctors, healthcare staff, pharmacies and all the other services within the health system will be assured of their rights, salaries, income and their consciences, according to their qualifications, hard work and their scientific and professional abilities.
“Where is the rationale that on a daily basis tonnes of expired food and medicine are seized, which is by all standards a huge crime against our national health security, but not even a single smuggler is put in prison because of this crime?! ”
The most important part of a modern health system is regulating all the services through establishing several regulatory bodies responsible for overseeing the overall health system. Without regulations, any attempt of reforms will not be successful.
Dr Shakawan Ismaeel is a consultant physician in acute medicine who writes about health issues in Kurdistan and around the world: Kurdistan is my home
Dear Dr. Shakahawan
In Sulaymanyeh, Mulla Bakhtyar specifically and his political party generally have had a very destructive rule in ruining everything related to health of the population by blindly creating and supporting bunch of ignorant paramedics in their so called “paramedic syndicate” whose rule is nothing but their submissive attitude to PUK orders. Also Hero Ibrahim Ahmed and her husband have chosen the most unbearable of the physicians to be in the forefront of health directories in our area and the sequence goes on by choosing unqualified submissive figures for all important positions. on the other hand, why Mulla did not tell his “liberal” colleague, Barham Salih, to do something in this regards for “shara hayataka” and stopping bringing such unqualified people into the forefront of the health system…For Hawler and Dhuk the situation is not much better because of similar and some other different reasons. Just do an assessment of all the politically rather than professionaly chosen ministers, department heads and the advisors in that ministry and you will find out why the system is so terrible, let alone the outmoded system!
Dear Nasik Xan
I fully understand your frustration about the state of the current health system I agree that politics is not only involved in who is in charge but the micromanagement of the system is politicized too.
This system needs to be radically changed and depoliticized which can only be achieved if we as professionals highlight all the defficiencies of the current system and press for reforms in all ways possible.
What was particularly interesting about this letter is that the currrent political players are no longer hidding how bad the sytem is and who is paying the high price ? which is sadly is the poor sick citizens.
I hope this is an indication that health reform will be higher on the agenda of the current ruling parties !!?