around once that door to i have to be part of the journey. all the plans is to play in advance to be able to visit the house of god and show my daughter the beauty around policemen and hopping deployed seas. early morning, as clouds of worship is gone, the full fly day brands the saw the with hold with these unexpected, almost 3 medium worship is what the school, the 9th of degree is the highlights over a month on and as the sun sets. and to begin, as long as healthy as night worship is we'd be devoted to prayers as defense, inflation, almost loans from all of of the well, it's a rad privilege being here. then those say to replace the journey is bought from over as well. ship is with them the entire day and night here, pray. remembering loved ones and hoping once this is over, there was get a chance to start a new life. just the unity of people on the divest,

see on how everyone's together is the higher ups as those papers with the same amount. but as one of the comes to a close in a few days, did grooms take a few moments between the prize to buy gifts and symphony as i'm to high look has been selling for a few for 40 years. he hopes for more customers this year. i am looking for precious gifts for my kids in it's in and my parents and no julia. i'm sure they will love it. the areas around the heart of them is lambs, most sacred side. i've packed all my life as an optional pilgrimage. but over the last few decades, the number of muslims traveling to mac, i during ramadan, has been pushing my apologies, 0, mike, mount. edna a need to these captivating visitors with a display of volcanic full text rings, the natural phenomena and only appears when they are specific conditions along with

the concept release of vapors and gases. mount aetna emits move or text rings and any other volcano. in the 1st space woman from bella, luce is back on earth, along with another female asked or not, who's american and a russian man there. so use capsule touch down in cosmic sine after a trip to the international space station arena. bodies to kaya was a cabin crew attendant and a flight instructor from a better russian airline before winning a competition to go into space. and that is in use for now on algae, sierra darby and applegate. i will have him use our for you after the street, the the the

the center. i bet the data. have you ever had trouble seeing a doctor? well, it's a global issue with the w right. so, estimating the destitute of health care professionals to be in the 1000000 to solve this problem in some countries have come up with plans to expand also alternative to medical university. but not old offices are happy about it. so there is nothing enough to have access to health care. what is really going on and is our health in

space. i'm mary, impossible, and this is the street the by 2050 the wealth population of people age 60 and i will double and will bring with it double buttons to national health systems as well. health care needs increase. government is trying to find ways to address this new main crisis in south korea, the government has proposed increasing the enrollment cap and the u. k. has introduced applying for a paid apprenticeship that would result in the same qualification of traditional medical schools. controversial, many young doctors certainly thanks for. joining us to discuss this, all adults is from across the world to alice tongue and internal medicine specialist. joining us from sole and nairobi, kenya is don't say that she busy of solo from national secretary general m. c. a of

the can yet medical practitioners, pharmacists and dentists union and doctor have be that of mine, a cardiology registrar, joining us from london and welcome to you all. now this is a global problem with multiple routes to it's. so what is going on? i spoke with dr. lou zane, i look forward, many president of the well medical association about the state of health care. the world today is still missing about 10000000 health care professionals. but did you know that for the same time there is a growing unemployment rate amongst physicians and other health professionals due to fragile health care systems? so the problem is not just, we are missing the number of positions that you need to have more and more medical students who graduation medical schools. we really need to address that which causes and the health care systems. and as i said before, is the having a um, a safe working environment,

having policies that protect the safety of health care professionals provide them what they need with the development opportunities having an equal therapy. so all of these factors needs to be considered just not just about, let's just increase the number and let's have more and more doctors and in already week unsustainable and fragile health care system. dr. heavy but of man, a junior doctors in the k all striking full of attend this time and they're ongoing dispute with the governments. what is going on in the u. k? well, i would say um, it's best frame does a about a struggle for democracy in the u. k already. and that's the best thing, which i think 8 should be find doctors a work has to. and that has been increasing the democratic action from work as it relates to the guy from various different sections. and we just happen to be one of them. and, and what exactly all the grounds of the dispute gives us

a sense for those who are unfamiliar with the situation in the u. k. as well as it since the mid to thousands. we've had a freeze and all pay which as everyone knows to pay for ease of something and. ready word for pay costs because it means that you'll pay is not much to inflation . so the suggestion that we're actually offering for a pay wise is kind of a me misconstrued if the whole, the, the, the facts of the matter. but simply asking for a pay to be restored to what it was back in the mid to thousands. i'm to try and address the need some more doses. the u. k. government has introduced alternative pathways into the profession. check this out. in the future, we're gonna have doctors, he have to differentiate doctors who have come to university to study. but i think the traditional way and the doctors have gone to medical school. the traditional way will have that some student loans to pay by wants to talk to stop going through that friendship rates will be that phrase,

wants to want to do the traditional medical degree in the future. if they can do the friendship degrades. the current medical students up again to question my life decisions because did not go to medical school too heavy. i could've waited a couple of years. i'm studying for free up for the the aim of the cost is to why didn't access infestation and to make missing whatevers. but the practicalities of the course is so controversial. i'm basically so many question, though to be of the back of what we've just seen. do you have any specific concerns about some of the changes being proposed by the government in terms of bodies oversee the situation to doctors, but also the cat that patients might be receiving? what once again does not the decay i live in harry's from whence all these decisions are rising? it's sunny not coming from the medical profession, and it's not coming from the british people. these decisions are being made by politicians and careerist, you know that there, there's always going to be

a country of career wrist. you know, often we've academic interests who, who decided a natural scientists, puffy i paid on because the profession that has been that to serve to produce people for centuries. the coal issue i would say is why is that the doctors don't get to have a site and any of this me what i'm so that something the yes, i see your fellow panelists and nothing bad. well, it seems like there is a general sense of doctor's note feeling like that. what is being valued? dr. bella says, i am a doctor and i am living in a house with a leaking roof, a kitchen with no radiator on the bathrooms, which is basically an outdoor shed. and i can't afford to live anywhere else. don't tell me. i'm greedy. she is a british doctor, but i wanted to ask you, dr. it's all a is this an issue that canyon doctors might also recognize is actually the same scenario, independence context, the sounds. but we realize that we have the new graduates interns who need to be

posted for that he does jeep and the in the government decided to use those saturdays by 91 percent with outstanding consultation. and these was contributing an existing collective bargaining agreements that reside, assigned to the government, the purpose of it. and that's what we realize that there is no, any of adults, so any consultants would be safe. and that was the genesis of the industrial action that commenced on the 10th of this month. yeah, so i was saying you'll go back. so striking off. so what was a 100, a strike right back in 2017. so give us a sense of how much we may be, how little has changed for you within the profession to this is looking for the uh, on the be side recommends in december 2016 and ended march 2017 . was for the uh, government accept clicks but getting agreements with the adult. ready and studied

was the fault the lies that was acquired at that address. we bought a website, but then somebody has lives up. the government has not implemented a demand, particularly the basic 70 components of this particular cb it up to date. so. ready we, i've been having conversations on engagement, but still they do not implemented. instead of come into a freeze or the deals of pay benefits that you already at the beginning of each. and therefore there's no money that has improved. in fact, for the, for the, for the, as that's, we have seen that about 6 years now, they go to my, to employment of doctors to different public facilities of abuse. so he is, we have a shortage of about $50000.00 doctors that need to be employed at the same time. we have about 4000 employees. so our us some kind of deal with the didn't was the drugs are doing with the strict that's got on is to the mind, but the government must employ the unemployed doctors at the same time. the

government must not. you met somebody to do is your wages that i've been, i've been begins in collective bargaining agreement. so today is the day putting all that on a shutdown of all the public schools in the country, but even having engagements with government or getting bucks. so we said we may not need to go to a 100 days, but you lots of allow you to fill out and we'd already existing collective bargaining agreement. we need to get the wages bits up date and took up the website in the installation. instead of them bigger it progressive as the government's proposed. propose it. hm, well pay is clear, essential tear this. this tip top see this take talk seems to count to the mood among some physicians in kenya. right now. the doctor, it's how i want to ask you of the back of that overseas. you much to tell make an

important point that but what are some of the challenges which these dr shortages powers to patient care for? you and your colleagues. one thing is that uh the waiting time for the patients in the probably cost because uh it takes quite long is up to about 12 to 24 hours. so it definitely becomes very discredited to, for the, for the public to access the cast expected. so that's one of the big issues. then secondly, we are with us because we have looked at exist whether that are supported with the requirement that we did acquired reactions or they did that they made, it seems that was actually in the service provision. so most so we believe that when we assigned to cbs, then the doctors would be fine services window supported. not just to being in the hospital, it's just revise the depths. but then we realize that's for government to do a bit of budgets. oh, to get enough funds for us as far as getting set up, we actually have to do something. we have to make the most the 1st thing to do it

because we have seen the budget has been actually going down in the same care. now it's almost like a day of what we have when governments. yes, but we have almost 47 counties. that is each one of them managed differently. so we have trying to, uh, uh, push the government. so i certainly look for a national standard. you might need me to give me the time i want to bring you in now all way, just part of the issue. why don't says all striking in south korea right now. the wages are part of the issue. but another major issue is, as you mentioned, south korean government has decided to increase the medical school admission quoted by 2000 students, which is almost a 70 percent increase in the number of medical schools students who would be admitted. and the timeline for this is to get this implemented in less than one year, and many people in the medical community here in south korea. we acknowledge that

there is a physicians shortage in our country. but simply raising the admission code up by 2000 does not address some very important issues. namely, there is a huge discrepancy in the decision density in our country. so in the capital region, there really isn't a physician this deficiency. there's no shortage in the capital region. the decision density is a $3.00 to $3.00 per $1000.00 people. however, when we go into the rural and remote areas of south korea, the physician density drops down to $1.00 per $1000.00 people which indicates a shortage of doctors. but simply saying having 2000 more of medical school students and therefore 2000 more uh, graduates does not necessarily mean that they will be going into the regions where

we are experiencing a shortage. also, our viewers should be aware that when we say doctor, we're talking a very about a heterogeneous profession, so you could have pediatricians. oh, be guy. any doctors, geriatrician, surgeons, physicians, people, and primary care. it's a very mixed bag of, of specialties here in south korea. there are certain specialties where uh, trainees are deciding they're just not going to pursue anymore. for example, um the actrix. so there there's a big shortage. and pediatric trainees in south korea. we've had a shortage of cardio thoracic doctor's going into training programs o be kind e a. and so likewise having 2000 more medical school students doesn't guarantee that the students once a graduate will go into the fields where we are experiencing shortages. and so

we're very concerned about this move of the government and also not only will it not address, are problems it could actually met make the medical and training infrastructure an ecosystem worse. i mean, you can just imagine if we have 70 percent more students within a short amount of time, medical colleges simply cannot get ready in time to have this expanded pool of students. so most people will know will be familiar with anatomy classes. i think in medical school and just having seen that in movies and tv shows, i mean having a 70 percent more students who need to have di, section classes who need to look under the microscope for pathology. we just don't have the teachers. we don't have the space to accommodate this increase. and then lastly, for 2024. there were uh,

3163 residency positions altogether in our country. there were 3385 candidates. in other words, there were 222 more candidates than there were positions for residency. if we add 2000 more candidates, that's just gonna lead to a huge, huge sir plus. and it could really um, negatively impact the quality of medical care. in our country and then lastly, the reason why the, the young doctors right now is the doctors in training or on strikes of 10000 residents and entrance on stripe. another reason why they are on strike or they resigned from their positions is because of the government's attitude toward health care reform. they've been very often and they've been very arrogant. they've used authoritarian tactics. they've subjected some doctors to 14 hour police

interrogations. they've rated offices in homes of physicians. they threaten to suspend medical licenses of these 10000 doctors and training. these also threatened jail time. so these kinds of tactics, of course, are not conducive to the open dialogue that we need, the collaborative environment that we need to really tackle health care reform in our country. it's really just caused anger and a lot of disappointment among the young doctors. and so, um, i think in a nutshell that's what's going on in south korea right now. the real problem though is not only do we have the 10 yeah. training and the professors are, be going on strike as well. so 2000 senior attending physicians has started to attend to their resignations as of this morning. okay. well i mean i think adults

are, i tell them i also share some views concerning some of the harsher tactics that process . so full processes have been met by you have your own story on this issue, i believe dr. atalla, that is i think i like fluids of any sort career because it really means that on to do the quality of care. and also the way that government is reacting to that to them when you're having the demonstration of the process to, to create a trend of additions to different governments. i think on the 29th of february, the governments uh through the police ups really to get it done, the sort of my head on the printer side. i don't think i had some to do a much on my and also a credit on folks. and this was because the trying to set down the, the changes that were bringing and they wanted to stop the, the, what you a judging for. but i think they came to realize that it's not really me as the

issue is just the oil look up. i tied into because when the gets me on for tonight and then i did routine oil is i'll scan actually. now you have, i noticed that there would be a strike effective the next week, and i being stuff from uh uh, from there from day to date. there has not been any due to a doctor and due to the country. so i think we have come to a point then we realize that we have to really inspired for this change. we have to fight for these dignity. otherwise this spot, us with the invitation would actually make them embroidered it. now to the point that i think you last week on past day, we meant to read the public service and tomorrow we have seen the president. instead of coming with the table to my discussion. yeah, no why we, i just didn't want this. this is what we have money, it was ok. maybe the most the most visuals. yeah. most of it gives you the antenna . well, one of the challenges faced globally, of course, is of the brain drain of doctors. let's take

a look at this. when your help i need to achieve the disability says these, and that does not care about the people. when you have people losing interest in their country. this is what happens as you can see. so we are having a migration of the tests from junior to there with 2 other countries you out of the country. so i'm aware that the issue of the brain drain of doctors affects many countries. um, i want to 1st ask you, doctor, have even of mine because the u. k. the 6 wealthiest economy in the world and yet is struggling to retain some of it. stokes is how is that happening? well, uh, you know, the, to put it in a nutshell, it's because the medical workforce has been shown to validate by the, by the british government for such a long time. it's not a surprise that i talk to the suv. what for such a long time, both in the u. k. and i was trying the road if it gives an offer to look elsewhere

and get given that that to deal to working conditions specify that they will leave . so they're going to talk to is in the u. k, trying to maybe even born and raised here who decided to leave for the us. so for the, for, for north america flush, australasia, me and some. ready lee, we be see the brain drain occurring from uh, yeah, for can countries. um, in the middle east, south asia to the u. k. as well. yeah. what i wanted to pick up on that with you don't to tell it because i understand that kenya, news is many doctors and this is to the u. k. each. yea. and this is actually part of the government agreement. is it not? can you tell us about that? yeah, i think we have the domains or domains domains. we have u k, where the little masters that i'd be living, i think for the last. so the last 23 years about about 30 percent of domestic

population. they'd rather in the country i've left u k. i think major leads because of the wages that we just and also the unemployment of the country. and as i said earlier before, 2016, the doped as well. good you. it's united way immediately getting employed. but now that little frustrations that are coming up with the government because of the different those 2 dimensions that i've brought, you realize that you dental of this study delays tend to of, to fight overboard and strikes will promotions. you have to keep them for keep on following so many of the specific doctors actually leaving for you. okay. most of them do you okay. and to, to you is, but you can bring the, the dismissal for my daughter, 2 of them. and mostly it's not, they don't, you know, because mostly the ones are really specialized. i believe it comes. so to be honest, it's been the concern. i remember i lost the government was trying to come up with a policy that would prevent the trust from a good thing to leave the country. what do you ask the government that interests

you can employ them or give competitive uh wages or are you doing to point out the agreement that somebody has no otherwise, but to me that's talk solutions. this guy has a proposal. what do we think? so what if i said there's a simple solution that will give doctors moment each take home and the government will not have to pay a single penny extra. it sounds amazing, right? we will lose that talk. some doctors, if you don't type stuff to his doctors, we'll go home with a bigger paycheck. and at the same time the government doesn't have to pay an extra penny more. now. yes, they will receive slightly less income. the government because stuff is not paid tax. but the money they are missing out $1.00 is still less than the money that they would have to use from given to more doctors know sort of mind. could this be part of the solution? yeah, i think is it great i do. um, but the, the, the reason why i think it's unlikely to be instituted is because, you know,

we will know that this isn't an issue about money. there's plenty of money available. the government gives a way and she'd credit to big business all the time. and you know that this is basically an issue of whether or not it wishes to gave the british people what they're asking for. and that starts the, the sticking point down to the, the, it's not, as i said earlier, it's not something that it's just affecting the medical set to. it's affecting the so many sectors in u. k. not just the public sector goes out as time i went to ask you about solutions . of course, south and south korea is also facing an issue of aging population which we heard about. i mean, how. * how, you know, how is that meant to be address? do you have proposals as doctors for how to try and address that new main problem? all right, so you asked about, um seas and the financial aspect of what's going on. so i think coming up with

a rational fair reimbursement scheme that incentivizes doctors to go into primary care so that we can take care of are increasing aging population makes sense, right now for example, pediatrics. there are no young doctors who want to become communications because of the amount of money that you can make seeing $1.00 patient as a pediatric doctor comes out to about $8.00 per patient. and so it costs more to get your hair cut then for you to go and see your doctor. take your your child to see a pediatrician and south korea. it's really a shame. and so looking for reimbursement scheme that makes sense, that encourages doctors to go into the primary care fields that will address our aging population, i think makes sense. and also dealing with the medical legal issues, we need tort law farm and south korea so that doctors are not facing huge financial

risks when they pursue certain fields such as emergency medicine that have a high risk of, of medical, legal ramifications. understood. we'll look, thank you so much to all alice divers um have beam of goals. thank you for watching. if you have a comment about also talk to us on social media, and if you have a conversation that you would like to flag for us, this is also your show. use a hash tag, all the handle age ice cream and we will look into it. take care and i'll see you soon, the, the system a little boat is a mechanical or even that self driving train. the vehicle that androids today can be deal with a human only robot like me will be everywhere else has 0 documentary,

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