And Along Came the Doctor’s Structure…

Indhira Gandhi Memorial Hospital

Indhira Gandhi Memorial Hospital

Today, I reached a new ‘high’ in the world of social media. Some might even say its an ‘achievement’ that few would attain by being as outspoken as I am with my thoughts and views on the social media.

What I found out today was that my thoughts which I share freely on twitter, and on Facebook to the limited audience of my friends has a ‘huge’ impact in shaping the policies that govern this country. Now who’d have thought huh? I definitely wouldn’t have. And didn’t. Until I received messages from two different individuals regarding my Facebook post that went together with the Haveeru news article on the implementation of the new job structure for doctors and just how disappointed most of them were about it.

Don’t get me wrong. Doctors are all the rage and all that. And at some point or the other we all owe our wellbeing and lives to one of them brilliant people. And there are those few doctors who continue to serve the public to the best of their ability all throughout their life that earns my wholehearted appreciation and gratitude.

My point of contention when it comes to doctors in this country begins with the fact that most of them just manipulate the system in place to achieve their personal financial goals in life. The government spends tons of money on their education, most of them requiring 5 to 6 years to complete their M.B.B.S and another 4 years to get specialized in an area of interest to them. And just like many of the public servants who study at the expense of the state and sign a bond agreement that they’d serve in the public sector at least for the specified duration of time, doctors too follow the majority and try and evade the system in place that SHOULD hold them accountable.

What one should realize when it comes to the public service is that it is pointless working in the sector thinking you’d attain financial security of the kind the rich and elite enjoy. Public service is not about how much money you earn. Rather it is about your contribution towards the betterment of your country. Towards keeping the machine that is the government working so that the public who receive essential services from it don’t have to resort to corruption and whatnot in order to get them. And I think the quote which I will write below taken from a report of a Commission to Enquire into Matters Affecting the Integrity of the Public Service in 1955 in the Malaysian government sums my thoughts up best.

“The fundamental principle of employment in the civil establishments is that a man devotes the whole of his working life to the public service in return for emoluments which are proportionate to his status and with a pension to provide for his old age. He can never acquire wealth but he is not exposed to unemployment or to the other risks of commercial life.”

I know better than most on exactly what I’m talking about when it comes to the public service. I have devoted more than 8 years of my life serving in the mechanics that govern the system. I also know the extent of corruption and mismanagement that has riddled one of the largest sectors in the public service of this country to date, a sector that has been pretty much neglected to wither and decay away on its own, regardless of the governments that have come and gone in the past couple of years. The issue that not all doctors are treated the same, of course owing to the ‘connections’ some have within the top layer of the government in place is one of the major issues faced by not just doctors but almost all public servants who come back from their studies. When the time comes to give back to the state, most of them, especially the ones who become specialized in various sub specialities tend to work in a way that maximizes their profits while the public who needs their service are practically leeched dry from the private clinics where these doctors see the maximum number of patients.

I’ve heard this tale many a time. It is impossible to get an appointment at IGMH, it is impossible to get the medicines required under the health insurance scheme ‘Aasandha’ etc. Nasheed’s government tried to implement the health insurance policy for everyone which ‘guaranteed’ that no one would have to pay out of their own pockets for medical expenses. Turned out that the National Social Protection Agency couldn’t keep up with the payments and one by one most of the private clinics that sees the bulk of patients visiting specialist doctors dropped out of the scheme rendering Aasandha mostly ineffective, unless you’re willing to wait around for more than a week to see your doctor at the government hospital.

My ire arises from this. I’ve heard from many within the sector, just how notoriously some of these specialists work the system so that they see only around 5-10 patients at the hospital during their O.P.D hours and then go on to see 20 or so patients at the clinics from whom they charge an amount equivalent to MVR 300.00 from most clinics. And specialists like those in cardiology, the last time I took my father in law to see one, I was charged MVR 400.00 to see him. That is bloody expensive when you take into account just how much of a hand to mouth existence most people live in.

If doctors cannot survive with their take home pays higher than most public servants except of course the parliament who are in a league of their own, what are those who receive a take home pay of mostly MVR 5,000.00 to do to survive? Are they to wait eons in a queue to see a specialist doctor at the hospital while their ailment continues to escalate and bother them because doctors just don’t have enough time to see patients at the hospital in which they are supposed to serve when they come back from their studies? If everyone suddenly gives up on the country saying that nothing will ever be put to rights here, who on earth is going to come and put our affairs in order? Who can we count on but ourselves to know the flaws in our systems and propose ways to correct them and try and try even though it seems like a fight we’d never win? Sometimes I wonder whether investing in foreign doctors would yield better service for the people than investing in educating Maldivians who at best are so far removed from their ability to empathize, that most of them hardly care about their patients much less the system that does everyone wrong.

What tickled my funny bone today is the fact that apparently one of my Facebook ‘friends’ thought my posts on the issue, which I have to say were quite a few, were found to be ‘important’ enough to be discussed at a meeting held at the health ministry regarding the doctor’s new job structure. Rather than focus on the issue at hand, I bet now I have a “Hate” club of doctors who would practically find ways to murder me if they could get away with it.

My Facebook just like all my other social networking accounts, is my own. The opinions I express there are solely mine, they don’t in anyway reflect the place I work at nor can they impose their values and views on me. In other words, the Civil Service Commission doesn’t do my thinking for me. I’m not that senile yet, to not be able to think on my own. My parents spent a ton of money on my education just so that I’d turn into someone who doesn’t require anyone else to spoon feed thoughts and brainwash me into submission.

The fact that a fellow doctor went and blasted at my elder sister who herself is one, because of my opinions, shows just how professional a doctor the person is. If the ego in some of these doctors in the system lets them entertain the opinion that Maldivian doctors are such a special and privileged bunch, I have as much right to hold an opinion that veers in the opposite direction. What today’s actions prove is that I did hit somewhere it hurts when I said that most doctors of this country are not in sector to serve the public but rather themselves.

The point is that most people in this country just don’t bother commenting on any of the stuff that happens in this society because, either they have their connections that will see them through a tight spot, or they are just so fed up of the system that never changes regardless. I guess I always end up being the person who expresses the opinions held by many, which most just don’t want to come out with.

And to whoever it was that took screenshots of my Facebook statuses on the issue regarding the Maldivian doctors community, please do the needful and share this too so that you’d all have something to be righteously indignant about in the next meeting. And on that note, thank you for making me feel so important. You have no idea just how wonderfully wrong you are in assuming I have anything to do at the policy level where I work. Next time, get your facts straight before giving attitude to my family. If you have something to say, you’re most welcome to share your thoughts on your own accounts and even here by commenting if you may. And in the meantime, don’t kill anyone.

Ta!

Labor Rights & Sexual Harassment; Enough Is Enough

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This is a post that I have been meaning to write for quite a while. But I kept on hesitating for a lot of reasons. For one thing, its a sensitive subject in many ways. After all I am about to talk on the case of sexual harassment that was filed against the Chair of the Civil Service Commission Mr. Mohamed Fahmy Hassan during June last year. Furthermore, I am an employee of the said commission, which made it difficult for me to come out and say all that I wanted to say without “violating” any unwritten rules there might exist. And then there’s the point that this is an issue that deals with a colleague of mine who was so very brave in standing up for her rights from the many women who have faced similar situations of sexual harassment but never having had the sort of support required to come out, had stayed silent all throughout the years; a topic that is still brushed under the carpet most of the time. And then there’s the part of me that believed in the due process taking care of Fahmy, him being voted out in a no confidence motion against him which indeed did happen, but then I guess I should have known better than to believe in a system that has failed on us on so many levels.

I believe that I coincidentally got “involved” in this situation because the Almighty wanted someone whose conscience wouldn’t let her stay silent on this as many seem content to do so. The big fish i.e. the political figures at the forefront are more concerned with the political gain this situation would bring their way or the loss they would face if Fahmy were to be removed from the position of CSC Chair because it would mean power lost at the Judicial Service Commission itself. On top of that Maldivians are a bunch who have become desensitized in so many ways that it just shakes me to my very core to learn about some of the very pressing social issues that this country faces, many of which go unaddressed which is going to be the reason for the imminent collapse of this nation as a whole.

Though I’ve heard many accounts from my fellow colleagues of incidences where Fahmy has more than acted inappropriately towards them, its not my story to tell. Since I don’t hold any power over any of them coming forward with their stories, which I believe if they had or do even now would have changed this whole scenario from what it is right now, i.e. Fahmy finding it so easy to return back to work as he pleases even after being voted out by the Parliament twice. I am not going to talk about those incidences but rather the one “small” incident that marked him in mind as a man unfit to be in a position as such, a position that oversees the rights of around 20+ thousand employees of this country.

It was in the year 2008, when members were first appointed to the Civil Service Commission (CSC) and discussions were being held at different levels between the Public Service Division (PSD) of The President’s Office where I worked back then and the newly formed CSC under the Civil Service Act. That day was actually the very first day that I met Mr. Fahmy, who back then was just a member of the Commission. Since myself and a Director General were the focal points assigned to streamline the process of transferring the designated tasks from the PSD to CSC; I found myself at this meeting with Mr. Fahmy sitting right next to me.

I will deviate now into a little history lesson where I am concerned, just to lay out the background of my career. I was employed at the PSD in the year 2001 and went off for my higher studies in 2002. After returning to work in 2006, I had been working for around 2-3 years in the government by the time this meeting was to happen. Even then, verbal sexual harassment was commonplace, most people I don’t think even realized what they were doing because simply put there were no regulations or laws in place that protects an employee from any such incidences that they might encounter. Nevertheless, I had never been on the receiving end of such remarks from any of my coworkers, mainly maybe because I am someone who tends to keep to myself. The point that I want to drive home is that up until then I had never found myself in a situation even remotely like the incident that took place in that meeting. There was this point where everyone was fake laughing as if one of the members present at the meeting had just revealed the most hilarious joke in history and Fahmy while laughing, casually placed his left hand on my thigh as we were sitting right next to each other.

Maybe because my brain didn’t register at that moment what had actually taken place, I didn’t say anything then. It wasn’t until we walked out of the meeting and the Director General who was with me remarked angrily on Fahmy’s behavior that I realized what had happened. For those who think that, “Oh bullocks! It was just your thigh; what does it even matter? I’m sure it must have happened by accident.” etc. etc. the point that is of importance here is the fact that 1- he is a member of CSC, 2- there is no need for any form of inappropriate touching on anyone’s body part at work, and I am not talking about two people who get touchy-feely because they want to and out of mutual consent and 3- yes, it was way out of line and completely inappropriate. If the point of working in a mixed environment is to fall laughing into the lap of every employee of the opposite sex that sits next to you; oh well, then we would be better off with engaging in an orgy than turning up at work.

From that day onwards, I have always been leery of Fahmy; someone who cracks jokes that doesn’t bring a smile out of me because most of the time it is sexist in one way or the other and mostly I just had an inherent distrust for the man himself. I am certain some people are going to be clearly pissed off at me for writing this but then, high time don’t you think?

When the incident that propelled Parliament to take action against Fahmy happened, it was again by accident that I found myself entering the toilet where I found my colleague on the phone, crying. This was right after THE incident had happened in which Fahmy had caressed her tummy and commented on her body weight, which is yes again, highly inappropriate and wrong on so many levels. Since I wasn’t someone that close to her, I didn’t stop and ask her why she was crying, mainly because I had the feeling that she’d rather I didn’t at that moment. But I did later message a mutual friend of ours who said that something had happened and that she had gone home. I didn’t let it bother me overly much until I began to see Facebook statuses from some of my colleagues, most of them seething with anger and disgust, some of whom had been on the receiving end of such ‘tender’ unwanted affection from him. It didn’t take long for me to put two and two together and come up with what had happened which was soon revealed to the whole country; a case that in my opinion was a long time coming.

Ever since I was summoned to the Independent Institutions Committee of the Parliament regarding this issue because my name appeared in the timeline of events that took place that day, I have never looked back. My family and especially my father advised me that standing up for what’s right can never be wrong and that’s where I always find my source of strength whenever I find myself in despair over how casually people treat this incident and whether I should be worried about the fact that I cannot let this go. I was appalled at the level of apathy that most of the colleagues displayed. Some were disgusted because the one who stood up was ruining CSC’s image, others were of the mindset that she shouldn’t have made such a HUGE fuss and then there were those who thought and still thinks that Fahmy sports two wings and a halo over his head.

I was summoned to the Maldives Police Service as well as the Human Rights Commission (HRCM) to provide testimonies on what had happened, the HRCM being the agency that actually did the most thorough interviews to-date after being “harassed” by reporters as to why their investigation was being stalled for so long. They collected so many testimonies from different employees and thus it was a slap on the face to read their decision that there investigation hadn’t been enough to prove or disprove that the incident in question had happened; and this too rather helpfully right before the Parliament was to vote Fahmy out after giving him a grace period in which to resign and exit without making a fuss. But as the events that unfolded have shown, he didn’t, not surprising when he actually doesn’t believe that he did anything wrong!

November 20, 2012 was a day that I was proud of the members of the Parliament, a rare enough occurrence that deserves a mention. PPM was the only party that voted against the motion; not surprising when Fahmy is one of the founding members of the People’s Alliance registered as a political party on August 4, 2008, whose former leader is Abdulla Yameen, PPM’s current Presidential candidate. If you ask me, Fahmy deserves a thousand times worse than being voted out of his position for abusing his position of authority a million times over. If someone were to really probe into what happened; even write an investigative journalistic piece on him, they would find a lot of details that would really put this whole nation staying silent on this issue to shame. The relief felt by that those who believed he had done something wrong was short-lived as the tables once again turned around when on March 18, 2013, the Supreme Court totally proved themselves to be the hypocritical bunch they are and overturned the case of Parliament’s dismissal of the Chair of CSC. Thus began the “war” between the Parliament and the Supreme Court of the country. March 23, 2013 saw Fahmy resume office and later, on April 10, 2013, Fahmy was again voted out, this time the Parliament voting to replace Fahmy as a member of CSC. The bitch slap in the face was to hear that he had resumed coming to work again last week, a news that brought to home just how utterly shameless he really is.

So today, out of my frustration with everyone who was keeping silent and furthermore rallying behind him, for the very first time in my life, I joined the May Day rally (this is the first rally/protest that I have ever joined ever) which was organized by MDP. The last push needed came mainly with the news that the walk organized by CSC to commemorate CS day which coincides with Labor Day was led by Fahmy himself, a walk that was supposedly about the rights of the civil servants of this country. But what better way to mock the rights of the said employees than to let a man like himself lead the rally? But alas, no one seems that bothered about “trivial” issues such as this one. And whether you believe in coincidences or not, I was the one who ended up holding up the placard that says “Fahumy…OUT” (that’s a shot of myself holding the banner right after the rally ended) which if you think about it, is funny in one sense and then again exactly the point I want to drive across. The disappointing factor about the rally was that there was no chance to really vocally call out for his resignation and I think the rally was more focused on the upcoming elections than about labor rights apart from the short speeches that were delivered at the end. In the end I had to satisfy myself with the fact that at least MDP’s rally provided me with an opportunity to become more proactive in a cause that I believe in and helped me at least put the message across to those who have already forgotten.

Consequences for writing this post and participating in the rally is something I anticipate, but if anyone were to take steps against me because I stood up for something I believe in and wrote about the truth and nothing but the truth here, then Fahmy ought to go first. I’m willing to walk away from the position I hold at CSC because its an utter disappointment to work with people who actually have no qualms about him returning to work and resuming office like nothing ever happened. Its as if he went on a short leave of absence and returned to work. It shamed me to see my colleagues walk behind him and rally behind him today, holding up banners that called out for the rights of civil servants. But then again, I guess I shouldn’t expect a desensitized society to really care about the other person and truly empathize, because after all we are the people who would rather watch on a person being beaten to death than move in to help. We are after all the society that kept looking while police brutality rained down from left and right. Says it all doesn’t it?

If women want equal rights at the workplace and to be able to report to work without the fear of falling prey to some perverted male employee who isn’t getting enough; then its time to become proactive. I’m glad that MP Rozaina has put forward the Sexual Harassment Bill which is a direct effect of what happened with Fahmy playing peekaboo with the Parliament’s decision. I call out on women to stand up for your rights. Do what’s right. Doing what’s right now means you ensure the security and future of your own children who would tomorrow lead this nation. Nightmares wouldn’t be the only thing that would visit you when your own child grows up and walks out into a world filled with sexual predators left unchecked; and that’s the legacy you would leave behind if you don’t act now. If no one acts now, whatever leverage that we have on this issue will just disappear into thin air, never to be seen or heard of ever again.