Reminding the Ministry of health to prepare for few problems if they give in to the RICH and POWERFUL lobby of greedy Pharmacists

Reminding the Ministry of health to prepare for few problems if they give in to the RICH and POWERFUL lobby of greedy Pharmacists.

1/ Clinics will no more need to employ many staff, many Clinic Assistants will lost the job. In the whole Malaysia roughly 100,000 persons will lost the jobs.

(Doctors could run the clinic with one assistant only.)

2/ Please do not simply say that these Clinic Assistants could be absorbed by Pharmacies. As they are not Pharmacists if they are allowed to handle and dispense the medicine. (Now Pharmacies claimed that they could describe the dose, effects and side-effects.) Then…what is the difference? Not allowed to do the same job in the clinic but if allowed in of doctors could even sue all the relevant persons.

Doctors could hire the Private Investigators to spy on the Pharmacies about whether there is enough Pharmacists for full time, dispensing done by themselves or others, and about selling or treating without the doctor’s prescription.

3/ Consultation fees would be definitely increased.

4/ One good thing is we all could write the best and most expensive medicines. IF Pharmacies have no stock or could not cover the expenses it is not the doctors’ problem.

Ministry of Health is seemed to be pressured by rich and politically well connected very powerful people who own the Pharmacies.

Who are they?

Doctors and people need to find out and expose this corruption.


One Response to “Reminding the Ministry of health to prepare for few problems if they give in to the RICH and POWERFUL lobby of greedy Pharmacists”

  1. drkokogyi Says:

    Doctors’ right to dispense drugs @
    THE Health Ministry (MOH) is considering implementing sole dispensing rights to pharmacists. This will cause a lot of problems as Malaysia is not ready for this.

    Doctors and patients feel that the present method of doctors dispensing medicines for their patients should continue.

    This system has served the patients and doctors well. For the patient it is convenient, economical and entails a lower risk of mistakes, as doctors usually prescribe drugs they are familiar with and thus keep sufficient stock.

    Supplying the medicines is part of the total care of the patient. It provides convenience and care continuity expected by the patient.

    Doctors being responsible for diagnosis would be more knowledgeable about the most appropriate medication and their method of use in tailoring the treatment regime. During follow-up, doctors will also be aware if the patient is taking the medicines as directed.

    Treatment includes giving the appropriate medicine. Therefore, doctors have every right to dispense medicines if they choose to do so.

    On the other hand, pharmacists are not qualified to diagnose and treat. They can only supply scheduled drugs with a doctor’s prescription.

    It is important that pharmacists working in private pharmacies be ethical and willing to work with and not against or compete with doctors.

    There have been many complaints that some pharmacists have been practising like doctors. They not only take blood pressure readings and do blood glucose and cholesterol tests, but also give advise on treatment to their clients.

    Some pharmacists even sell scheduled medicines such as antibiotics and those for diabetes, hypertension and high cholesterol, without a doctor’s prescription.

    Pharmacists must also not give repeats without the approval of the prescribing physician.

    Regular follow-up by the doctor is very important to ensure that his patient’s illness is under control without any complications, including side effects, from the medication taken.

    Those who try to save by not seeing a doctor usually end up spending more when they develop medical problems due to poor control of their medical condition. Having to be admitted into a private hospital will cost them even more.

    At the moment, there are too few pharmacies in the country and most are concentrated in cities and town areas.

    In Malaysia, we have a good system that is convenient for the patients and should be maintained.

    If dispensing is to be done by pharmacists it will be very impractical. After seeing a doctor, the patient will have to search for a pharmacy to buy the medicine.

    This will be difficult in rural areas and if the patient needs the medicines urgently. Traffic jams and parking problems will add to this inconvenience.

    Healthcare costs will also increase drastically if the MOH implements this plan.

    Doctors will then have to charge a higher consultation fee to be able to maintain their clinics.

    Presently, most general practitioners (GP) are charging a lower consultation fee than they are entitled to.

    Buying medicine from pharmacists will also cost much more since pharmacists will have to make profit from their sales.

    Usually, doctors charge less than pharmacies for medicine, though I agree that there are some unscrupulous doctors who are charging more for medicines. But this is an exception rather than the rule.

    Pharmacists may not have the drugs the doctor has prescribed which may cause more delay and inconvenience to the patient.

    Every doctor has his favourite medicines, which they use more often because they are more familiar with them and have faith in them.

    The doctor’s dispensary will definitely have in stock the medicine the doctor uses and is familiar with.

    If the pharmacist does not have certain medications prescribed, the patient will have to go back to the doctor for a change of prescription or will have to go hunting for another pharmacy that has the medicines.

    Furthermore, the brand of the particular medicine the pharmacist has in stock may not be acceptable to the doctor who prescribes it. He may doubt its potency, efficacy and reliability.

    Before the dispensing rights can be taken from doctors, all salient points raised must be closely looked into and corrected if necessary or the public will lose out.

    The time is definitely not right for the pharmacists to take over completely the dispensing of medicines.

    However, I agree that sooner or later this may happen, but only when patients can benefit from such an arrangement. It is still a long way off judging from the present scenario. It should not be politically motivated.

    The increase in the number of laws against the private healthcare sector such as the Private Health Care Bill has already made it difficult for family doctors and with rising costs of hiring clinic assistants and rental, GPs are already finding it difficult to run clinics and serve the public efficiently.

    The role of GPs as healthcare providers is very important and with all these obstacles they are facing, they are finding it difficult to make ends meet.

    Soon family doctors will be obsolete and Malaysians will have to go straight to hospitals and specialists which will make healthcare costs even higher and unaffordable.

    General practice plays a very important role in any healthcare system and the authorities shouldpromote it.



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