Oh God, if this issue was raised in my Current Economic Problems essay exam during my uni days, 3 hours may not seem to be ample enough.
1) This is a problem of developing countries capitalism, which nowadays prevalently can be seen happening in our beloved nation. Free market or capitalism or laissers faire by default will always have problems, especially when market cannot correctly determine the price of goods efficiently by neglecting the marginal benefit or cost of an economic activity to the society. This is a very classic game of public goods externalities.
When free market should provide the best price to the consumer by the means of competition, peculiar in Malaysia, privatisation was done rampantly (reason being: to give doctors the best remuneration) but at the same time, monopolistic market is allowed to prevail(case in hand: the bloody shoddy proton). It is counter intuitive to see that on one hand, privatisation should make things more efficient, but on the other hand, the monopolistic power that the privatised company had, had rape and screwed the people to its glory.
It does not come to my surprise that when de Bladi Gubermen can spend billions of Ringgit on Monsoon Cup, Kristal Mosque, Youth Football Cup and gratuity payment to ex-judges, it is so stingy in paying the best rates to the doctors in IJN. After all, IJN is already an incorporated hospital, so why bother privatising it?
If we take hospital as a public goods in its literal term, output (here as the number of patients treated) will always be underproduced in free market as the producer (in this case Sime Darby) will fail to realised the marginal benefit that the hospital can produced to the greater part of the society, hence will treat lesser number of patients as compared to the optimal output when it is operated by the government. The failure of the capitalist to realise the marginal benefit to the society in monetary terms and rewards will again result in underproduction of output, as the capitalist now will restrict output to the point when the marginal cost would equal to the marginal benefit, where the highest profit could be obtained (standard industrial economics 101) .
2) Yes, I must admit that Najib said yesterday that the poor wouldn’t be ignored as specific measures can be taken so that IJN, which is then owned by Sime Darby, will not marginalise poor folks. The measure is again counter-intuitive. In the first place, the most basic reason for a company venturing into a business is to make money. Same case here, reason for Sime Darby entering into health sector: MONEY. So, what kind of measures that Wak Monggol was saying? Put policies and procedures to the doctors as to treat patient indifferently? Pressure the Board of Directors to retain the current level of service to the poor when their KPI is based on Dollar and cent?
Hmmm, looking at the low level of wisdom that this shortsighted government had, the most viable measures that I could think of as for now is again for the government to subsidise the medical cost of the poor who are treated at IJN. As what we had seen in the RM625 rebate, PLUS, LDP, Penang Bridge, IPP contract, Malaysia Airlines, KLIA, ERL, LRT, and Rapid to name a few, this measure does not really work. Billions of subsidy is being pump in to the companies, but again, people still feel being cheated. RM1 billion annual subsidy to KLIA? The complete sham WAU projects for MAS? Government guaranteed Prasarana Bonds for LRT? Billions of profit by PLUS? Wasted IPP unutilised power capacity?
As mentioned previously in this blog, doing business in Malaysia is pretty easy. Take the example of LRT project. At first it was owned by a company called XXX. Later, feeling the pinch on the profit due to high operational cost, the facility was then sold to the government at a large capital gain accrued to the company. The government later on, sold its Prasarana Bond to fund this facility acquisition. And later the strange thing is, the government leased the operation of the LRT back to the same f*cking company. The company will then on annual basis claim their operation and service fee from the government for managing the service (surely at profit) and the debt for the facilities is now owned by the people of Malaysia. What a nice way of making money in Malaysia.
The same story goes to Puspakom, where its monopoly was extended for another 5 years because the company had incurred RM13million investment in setting up inspection centre in Sabah. And the company’s profit for FYE07/08 is RM18m.
The same story goes to the double tracking project. Once quoted by one locally incorporated at RM7b, but when the tender was opened, the cost drastically reduced to only RM5b.
Looking at these wasted subsidies given to the cronies, I wonder why people do not asked the basic question to the government. WHY THE GOVERMENT IN THE FIRST PLACE DO NOT OPERATE OR AT LEAST CLOSELY MANAGE THE FACILITIES?
While the notion of ‘privatisation will improve efficiency’ might be correct in another countries, peculiar in Malaysia, this simply doesn’t work. It ends up with greater wastages.
For a Malay bourjois might say, "What the heck, at least Sime Darby is owned by PNB. The return from the investment will go back to the people. So why should you care?"
Correct, it will go back to the people, but exclusively to those who have capital in ASB, ASN and what not. And for the marhain , what is left is a slow/quick death while queuing for their turn at Hospital Sik, Kedah……