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The Times – Cool heads and maturity needed to break impasse

Wed, Jul 1, 2009

Basic services, Health, Public sector

July 1st The Times

THE gloves are off! It is very disturbing that the politics of demonisation and threats have replaced common sense and understanding in the dispute involving the department of health and doctors. — Dr Lucas Ntyintyane, by e-mail

# Doctors strike despite new wage offer

Such brinkmanship is counterproductive. The loud noise emanating from both sides is distracting from the real issues. You cannot negotiate via the media.

The department’s intention is to portray doctors as greedy, selfish vultures, who have little regard for patients’ lives.

The health department is on the offensive, as demonstrated by this weekend’s missive to the City Press (28 June), penned by deputy director of communications Bhungani Ka Mzolo: “… these doctors are on strike because they are demanding to be paid more”.

Clearly, the department of health is misinformed about the underlying reasons for the discontent. Why are they attacking the doctors instead of addressing their grievances? Do Ka Mzolo’s comments reflect the department’s attitude towards doctors? I hope not. The minister of health has to distance himself from the insults coming from his office. Any attempt to reform the public health system without the doctors’ input is a waste of time.

We need responsible, conciliatory leaders to extract us from the quagmire. Insults will only harden attitudes. It is paramount to build bridges of understanding to close the political divide.

Unlike other public sectors, the public health sector does not have the luxury of engaging in prolonged industrial action. People’s lives are at risk.

It is critical to end the strike before any further damage is done. Let us not allow ourselves to be distracted by sideshows. Lest we forget, the ultimate objective is to create a quality health system that is affordable and accessible.

The R1-billion injection is a step in the right direction. It is a long-term investment to the public health system. However, it is not enough.

The health department is not doing doctors any favours. The R1-billion is long overdue, but it is peanuts compared with the bailouts granted other failing parastatals.

Improving the financial position of public health workers is essential.

The campaign of demonisation, orchestrated by the authorities, misses the point. Can you trust people who do not honour their words, but are hellbent on demonising you? The failure to implement the OSD is illustrative.

You cannot fault the doctors for being cautious. It is a case of once bitten, twice shy. Health Minister Aaron Motsoaledi must walk the talk. He has to earn the doctors’ trust. What is the way forward in resolving the impasse? Sanity must prevail.

There are harsh lessons to be learnt. Firstly, divisions and lack of leadership within the ranks of doctors are muddying the waters.

The South African Medical Association is not providing the necessary leadership.

The Health Professions Council of South Africa has to review its role in dealing with such matters. Its function cannot be just to protect the patients’ wellbeing. What about the doctors, who are constantly abused by the politicians?

The department must stop threatening to fire striking doctors — the apartheid regime tried, and failed. All that is needed is principled leadership by the minister.

The parties must rise above their sectarian interests and put patients first.

Both sides need each other to create a viable healthcare system that serves the needs of the public.

Political maturity and cool heads are required in this delicate stage of negotiations. Tone done the volume and up the reason.

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