to summarize in this, although you walk you through deals bus law is when fishermen at l file harbor unload the catch. the holes are small of these days. the result of the huge, you know, mary, time dispute an increasing number of fishermen, a looking for other work on a how did my job i quit because iranian, and created cost cutting patrols with beating us, you know, shooting at us and smashing all both the land for some of my colleagues is still suffering from the injured was the, this job is not safe in the bottle. fewer boats, me less proud use for c. that's market traders say the business used to be booming is now at a new stand is to, to send me a. so a ton of said, i've worked here for almost 20 years. we used to receive between 25 and 30 tons of fish a day. that's dropped to about 10 to 15 times in september iraq, supreme court, i'm all of

a decayed old agreement was quite on sharing the hold of the lowest away. the 2 countries only maritime linked to the gulf tension surrounding the shuttle out of river between either one on a rock which we get across to the war. in the 1980s also posed a threat. a fisherman here say they used to fish all across the gulf and beyond, but increasing aggression, an interception by weighty and a rainy and coast to go to the vessels aforesaid, hundreds of boats out of service. the dispute began after the fall of saddam hussein in 2003 and has worse and in recent years. now, the model, the number of fishing boats has dropped from really full 1000 to only a few 100 hundreds of fishermen of quit. and no official has boulder to come and ask about the problems with facing the land border between iraq and kuwait was

demarcated by the united nations in 1993. but the amount of time boundaries remain on resolved. and with them, the future of many, fisher mean would up do i just eat on a bus at all? southern iraq. and i was in captivating pictures from iceland showcasing to nature's mystic taylor events happening simultaneously. interrupting volcano and the northern lights, the volcano. this activity is said to be gradually decreasing, with just one crate at abruptly at the moment of silence as home to 33 active volcano assistance. the highest number in here from is the whole rahman list. per annum will have more news and half of the time the stream is next to announce the undercover reporting. exclusive stories explosive results,

which is 0 investigations. have you ever had trouble seeing a doctor? well, it's a global issue with the w right. so estimating the deficit of health care professionals to be in the many and to solve this program in some countries have come up with plans to a fund also alternatives to medical university, but not old offices. all happy about this. so there is lucky enough to have access to health care. what is really going on and is our health in space, huh. i'm very impossible. and this is the street the by 2050 the wells population of people age 60 and i will double. i'm will bring with it double buttons to national health systems as well. health care needs increase. government is a trying to find ways to address this new main crisis. in south korea,

the government has proposed increasing the enrollment caps 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 i'll talk to is from across the wild dr. alice tongue and internal medicine specialist joining us from sole and my rosary, kenya is don't say that she's been g, i'll follow from national secretary general m. c, a of the kenya 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. 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's a growing unemployment rate among younger 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 got you some 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 provides them what they need with to develop and approach trinity's having an equal therapy. so all of these factors needs to be considered as not just about, but just increase the number and let's have more and more doctors and already week unsustainable and fragile health care system. dr. heavy but mind a junior doses and e k, all striking full the 10s time in their ongoing dispute with the governments. what

is going on in the u. k? well, i would say um its best frame does uh about a struggle for democracy in the k realty, 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 well as the, 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 to a freeze and all pay which as everyone knows to pay for ease of some fee and how. ready to add for a 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 made misconstrued if the whole, the, the defects of the matter. but simply asking for a pay to be restored to what it was back in the mid to thousands. i'm so 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 depths and student loans to pay by last adults is come through that friendship rates will be that phrase why, what it wants to want to do to traditional medical degree in the future. if they can do the friendship degrades the current medical student obligate to question my life decisions because they don't go to medical school too heavy. i put a wizard a couple of years i'm studying for free. for me, the aim of the cost is why didn't access infestation and to make money in whatevers . but the practicalities of the cause 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 have been made by politicians and careerist. you know that there are, there's always going to be a country of career hist. yeah, often we've uh, academic interests who, who decided a natural fridays perfectly. okay. tom because the profession that has, 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 and 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 don't throw a tele, is this an issue that kenyan doctors might also recognize is actually the same scenario, independence context sounds good. so we realize that we have the new gadgets incomes who need to be posted for that he does cheap and the in the government decided to reduce the size of these by 91 percent with o staples edition. and these was contributing an existing collective bargaining agreements that reside, assigned to the government, the purpose of it. and therefore, 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 13th of this month. yeah, so i was saying you'll,

you'll back so striking off to 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 on the be side with comments in december 2016 and ended march 2017. was for the uh, government accept, i'd be the police about getting agreements with the doctors and the study towards the poppy lies that was it glad of that unless we, by that time, within so many as let's uh, the government has not implemented demands, particularly the basics of the components of this particular cb it up to date. so. ready we, i've been having conversations and engagement, but still they know it's implemented, it's, it said they've come into a freeze or the deals of pay benefits that you already at the beginning of each of

the $4.00. 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 might take employment of the 2 different public facilities of reduced. so here's, 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 them was the drugs are doing we district let's go on is to the mind that the government must employ the unemployed doctors at the same time. the government must not necessarily to do is the wages that i've been, i've been begins in collective bargaining agreement. so today is the day putting of the shutdown of all the public schools in the country, but even having engagement 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

a website in the installation instead of them bigger it progressive as the government's proposed. propose it? hm, well pay is clearly central to this mistake. don't see this tick tock seems to count to the mood among some positions in kenya. right now. the doctor, it's how i want to ask you on the back of that overseas you much to tell make an important point that but what are some of the challenges which these doctor shortages powers to patient care for you and your colleagues. one thing is that uh the waiting time for the patient in the probably cost me towards uh, tech squared loan is a promote total of 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 have that part because we have built that exist within that, all supported with the requirement that we did acquired the engines,

or they did that the made seems i 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 does to being in the hospital, it's just revise the data. but then we realize that for government will 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 do 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. i am a 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 rule 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 a 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 in 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. um there, there's a big shortage in pediatric trainees in south korea. we've had a shortage of cardio thoracic doctor's going into training programs. obee guide me and so likewise having 2000 more um medical school students doesn't guarantee that the students once they 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 in the eco system 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 a section crosses 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 at 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. so that's just gonna lead to a huge, huge surplus. 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 and training corps on strikes of 10000 residents and entrance on stripe. another reason why they are on stripe 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. and they've used authoritarian tactics. they've subjected some doctors to 14 hour police interrogations. they've rated offices and 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 to 10, yeah, isn't training, and the professors are 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 those are i tell them i also share some views concerning some of the hall should tactics that process so will processes have been met by you have your own story on this issue. i believe dr. itala, that is, i think i like fluids of any sort career because it's x 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 on the process to,

to create with randolph editions, to different governments. i think on the 29th of february, the governments uh through the police ups really targeted on the sort of my head on the pentode side. i don't think i had some big, you know, a mental mom and also a credit on folks. and this was because the trying to set down the, the changes to being 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 reduce the, all the crap. i tried easy because when the gets me on the 29th and now my did routine oil is an old scan actually. now given notice that there would be a strike effective the next week. and i being stuff uh from uh uh, from there from uh, 13 thing to dates. there has not been any due to a doctor and due to the country. so i think we have come to a point the is that we have to really inspired for the sins we have to fight for these dignity. otherwise this us 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, you know, why we, i just didn't want this issues. but we have money, it was okay, maybe the most the most visuals. yeah. most of it is you may and can. well, one of the challenges faced globally, of course, is of the brain drain of doctors. let's take a look at this. when you help i need to achieve that is very selfish, and that does not care about the people when you have people losing interest in their country. and this is what happens as you can see. so we are having a migration of this from junior to there with 2 other countries you outside 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 you case the 6 wealthiest economy in the world and yet is struggling to retain some of it. stokes is how is that happening? well, you know, the to put it in a nutshell. it's the case 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 a doctor. this is what it's 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, give them a better deal to work and conditions specify that they will leave. so there's plenty of doctors in the u. k. trained to maybe even born and raised here who decide to leave for the us. so for the for, for north america flush australasia and some. ready really we see a brain drain occurring from uh, yeah, african countries. um, in the middle east,

south asia to the u. k. so 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, agreements. we have u k, where the little masters that i'd be living, i think for the last, the last 2 or 3 years about about 30 percent of domestic population. they'd rather be in the country i've left to k, and i think major leads because of the wages and we just and also the unemployment of the country. and as i said earlier before, 2016, the adult as well. good thing i do immediately gets employed. but now that little frustrations that are coming up with the government because of the if i chose to do much of that, i've brought you realize that you dental of this study delays tend to of to fight overboard and strikes or promotions. you have to keep them for people in following

so many of the specialist doctors are 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 last to you don't mean to say 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, comes in probably them for give competitive wages or are you doing to find out the agreement then 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 more money to 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 that if you don't type stuff is doctors will

go home with a bigger paycheck. 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 doctors aren't paying tax. but the money they are missing out on is still less than the money that they would have to use from given to most of this non set of mine. could this be part of the solution? yeah, i think it's a great idea. um, but the, the, the reason why i think it's unlikely to the institute 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 away and chief 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's, that's the, the sticking point that they did. the, it's not, as i said earlier, it's not something that is just the effects in the medical set to is affecting so

many sectors in u. k. not just the public sector goes out of time. i went off to you about solutions of schools, south and south korea is also facing an issue of aging population, which we heard about. i mean, 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 in 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 our increasing aging population. makes sense, right now, for example, pediatrics. there are no young doctors who want to become pediatricians 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 and 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 firm in 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,

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