Lack of money enough to make doctors sick
“We are twice as poor than we were in 1981,” said Dr Colin Furlonge, Head of the Medical Professionals Association of TT (MPATT) last Thursday at a media briefing at Kam Po Restaurant, Chaguanas to give a rationale for the salary package doctors are seeking from the Regional Health Authorities.
To illustrate his statement Furlonge provided the 1981 salaries for doctors and the “buying equivalent.” Specialist Medical Officers earned $6,785, Registrars $5,913; House Officer $4,881 and Interns $3,377. The “buying equivalent” of the SMO salary was $3,049, Registrars $2,785 House Officers $2,346 and Interns $1,466. To keep up with inflation from 1981 Furlonge said in 2003 the basic salary for SMO should be $22,000, Registrar $19,000, House Officers $16,000 and Intern $10,000. Including overtime (an additional 8 hours, or 16 hours for senior doctors) doctors’ basic salary would be higher. “Our basic salary is much less in terms of what we can buy, and even with overtime we are paid, we are way below in our buying power we have lost in the last 20 years 50 percent of our buying power,” said Furlonge.
A comparison with the salaries in the legal profession also showed a disparity which has widened since the 1980s. Doctors are seeking salary parity with other professions, and with their colleagues in Tobago and other islands like Barbados and Jamaica. Citing overtime, Furlonge said, community doctors and those who worked in Accident and Emergency Departments in Tobago received 14 hours guaranteed overtime. A&E doctors in Triniad were only guaranteed for seven (eight-hour) sessions ie — they are paid whether or not they worked all the sessions. The overtime rate is 1.5 the normal rate.
“So you work 40 hours and you get paid seven guaranteed sessions, whereas doctors on the ward who are not dealing with immediate emergencies every minute of the day have to work the seven sessions but you are guaranteed that because hospitals are short staffed.” Furlonge said the RHAs have put out inaccurate misleading figures in the newspaper stating that doctors were offered 14 hours guaranteed overtime at $26,000. He said the offer to House Officers (junior doctors) for 2003 was $17,180 (with seven guaranteed sessions). Doctors in Barbados are earning more than $18,000 and Jamaica $25,000.
He questioned which doctor would return to this country at current salaries with the disrespect they received from the public. He accused the Ministry and RHAs of causing animosity between patients and doctors. “Which doctor wants to come back to work in a situation where the Ministry is taking a stand of forcing the public to look on doctors as the evil people in society, when the true fault has been their underspending in the health sector.” Furlonge said public health care spending must be significantly increased and the authorities should not continually look for the cheapest labour and cheapest facilities.
Asserting that insufficient money was spent in health care (2.5 percent of Gross Domestic Product), he said even when money is allocated, the full amount is not utilised. “Every year since 1990 to now almost $200 million and in some cases much more that was supposed to be spent on health care is not utilised.” Furlonge added that this money was not spent to hire personnel or equip facilities. He said with globalisation, doctors could work anywhere and the salaries given should encourage them to stay. Doctors undergo expensive training which lasts five years and postgraduate training which ranges between three and 10 years depending on the speciality. He said if doctors were really greedy they would be working for more money abroad. “Many of us want to provide our service because this is our country, but if we are forced out, many of us will go.”