Taib Must Go Fanpage at Facebook.

This page is created by caring citizen of Sarawak, Malaysia as a response to Sarawak Chief Minister Tan Sri Taib Mahmud statement on Utusan Borneo (Aug 25, 2010). The state daily closely linked to Taib said:

“Taib had wanted to step down in 2006, but the people ‘rakyat’ of Sarawak want him to stay, so he had no choice but to stay.

Perhaps that is Taib’s perceptions, which obviously not reflecting the growing sentiment of all Sarawakians including those in his own party PBB – that he must go….

Facebook Page: http://www.facebook.com/taibmustgo ]]> http://www.ngkimho.com/?feed=rss2&p=4797 0 http://www.ngkimho.com/?p=4786 http://www.ngkimho.com/?p=4786#comments Thu, 02 Sep 2010 03:11:58 +0000 admin http://www.ngkimho.com/?p=4786

One is corrupt and live a flamboyant life style, while the other lead a simple life style.

All Bidayuh supporters of UMNO-PBB-Sarawak Barisan Nasional should now realise, who Michael Manyin is and how for the past few months he has been blackmailing the Dayak Community, besides shooting himselves on his foot base on the argument in the following article which appeared in Malaysian Mirror.

Public Scoundrel in Sarawak, Abdul Taib Mahmud and Tok Guru Nik Aziz the Revered and Well Loved Mentri Besar of Kelantan. Even UMNO supporters loves him.

On 30 August, the state of Kelantan sued the national oil corporation Petronas, for alleged breach of a contract that had been signed between Kelantan and Petronas, in 1975. With Kelantan deprived of oil royalties, its people were robbed of the benefits that could have improved their lives.

If this is the federal government’s way of punishing the Kelantan people for voting PAS at the state level, then BN is defeated even before it has begun. Isn’t BN bothered that it is also punishing its own supporters in Kelantan?

The federal government treats Petronas like its personal kitty – a cash cow with which it can dip its grubby paws into, to reward those states which are compliant. The federal government is acting irresponsibly, by being spiteful and therefore, is unfit to govern.

Kelantan (population 2,100,000) is the poorest state; Sarawak (2,500,000) is the next poorest. Both Sarawak and Kelantan are blessed with oil reserves and timber, but they remain poor. Their poverty is because of different reasons.

Sarawak’s abundance of liquefied petroleum gas and petroleum is the mainstay of the Federal government’s economy and yet it receives only 5% royalty. Its state sanctioned logging and oil-palm industries, has resulted in massive deforestation. Only 5% of virgin jungle remains.

Despite the relative economic growth from timber, oil palm and oil, Sarawak still lags markedly behind the rest of the other states, bar Kelantan.

These two states have in common, elderly leaders who have been at the helm for decades: Taib Mahmud led Sarawak for 30 years whilst Nik Abdul Aziz Nik Mat served Kelantan since 1990.

But the two men, who are in their seventies, are like chalk and cheese. Taib belongs to BN whereas Nik Aziz is with PAS.

Apparently, after filing the suit against Petronas, Kelantan menteri besar Nik Aziz led 200 supporters in a solat hajat (prayer of need) at the nearby Federal Territory Mosque. Nik Aziz is famed for commanding support from non-Muslims in Malaysia and is instrumental in playing a leading role for the increase in popularity of PAS among non-Muslims.

However, the only recent suit we remember involving Taib Mahmud was the white one he wore (complete with red bow tie) on the night of the glittering high society banquet of the Islamic Fashion Festival (IFF) Charity Gala Dinner in Monaco-Monte Carlo.

Together with various members of Malaysian royalty and 600 guests from Monaco’s high society, Taib watched as Malaysia’s “First Lady” Rosmah Mansor, the IFF patron, donated 270,000 euros (RM1,120,961) to the Prince Albert II Foundation of Monaco. The money had been raised from the promotion of Sarawak tourism, and an auction of items including a framed signed photo of Prince Albert

Tok Guru, as Nik Aziz, is affectionately called, commands huge respect from several people. He interacts well with non-Muslims, because they admire him for his honesty, views on moral issues and his candour.

They may not agree with all of his policies, but he is valued for his wisdom and his courage. How many in the Umno camp can match up to Tok Guru?

Taib Mahmud on the other hand, raised the ire of many, including a group of foreigners who joined a protest in Oxford when he went to the United Kingdom to woo investors with the ‘Sarawak Corridor of Renewable Energy’ (SCORE).

They were protesting at the destruction of the rainforests of Sarawak, the denial of justice for the Penan and also the construction of the 12 mega-dams project which will displace the indigenous people living in the affected areas.

The contrast between the two men continues on a personal level.

Nik Aziz lives in a modest wooden house which has no elaborate fencing, no ornate gate with security features and no sentries. His has been known to carry and use the same BIC ballpoint pen and travels in the official Proton Perdana, official registration number DBA 8668.

Home for Taib Mahmud is a grand riverside mansion overlooking the Sarawak River, stuffed with gilt-edged ‘Louis-Farouk’ style furniture. He, and his son, own a fleet of luxury cars including a Rolls Royce.

Taib has no need for car registration-number plates – those are for ordinary folk. His official car is a Mercedes 600 SEL which has no number plates, only a ‘YAB KETUA MENTERI SARAWAK’. His travelling needs would not be complete without the helicopters and a jet belonging to Hornbill Airways, specifically for his use.

Back in Kelantan, Nik Aziz’s religious background is complete with a religious school owned by his family, but Taib Mahmud’s greed, knows no boundaries.

He and his family own various multimillion properties and companies in Sarawak, the USA, the UK, Canada and Australia. These were allegedly built from the proceeds of the lucrative business deals exploiting Sarawak’s natural resources.

Awangku Jinal Pengiran Jawa, the PBB Youth leader said last week, that they would “vigorously oppose” any attempt to pressure Taib Mahmud to retire and that the ‘provocations and pressure’ on Taib should stop. He also questioned why people were picking on Taib when ‘other old leaders and poverty in places such as Kelantan were never questioned by certain quarters’.

Many people have, only he was not listening.

Of the two poorest states in Malaysia, one receives oil royalties, the other does not. But whilst the Chief Minister of Sarawak manages to lead a life that is way beyond his official ***RM13,000 salary and is alleged to have built a multi-million fortune and stashed it abroad, the Menteri Besar of Kelantan lives a modest life, one that speaks volumes of the man.

Nik Aziz, the spiritual leader of PAS, does not receive any oil royalty. Taib Mahmud who belongs to BN, does.

Are Malaysians, principally the Sarawak people, content to gawp at the opulence and grand lifestyle of Taib Mahmud? Are they happy with the breach of trust?

Taib Mahmud is a perfect example that the route to wealth in Sarawak, (and Malaysia) is by entering politics and remaining subservient to those at the ‘peak’, unless one is at the ‘peak’, as Taib is.

Sadly, when they’re there, they can be a law unto themselves.

Marian Mokhtar @ Malaysian Mirror ]]> http://www.ngkimho.com/?feed=rss2&p=4786 0 http://www.ngkimho.com/?p=4783 http://www.ngkimho.com/?p=4783#comments Tue, 31 Aug 2010 17:27:41 +0000 admin http://www.ngkimho.com/?p=4783 人民公正党浮罗岸州立法议员黄锦河律师再次呼吁联邦政府承认9月16日为全国的国庆，以实现国家真正的独立日为国庆日，符合马来西亚在1963年成立的历史真相，并认同与尊重砂拉越，沙巴与马来亚共同成立大马的同等地位。

他建议将9月16日成为马来西亚的国庆日列入砂拉越宪法，以立法肯定砂拉越在大马的地位，把有关真相写入历史。

他说，8月31日可以继续成为全国的假期，以让西马人民纪念马来亚联合邦的独立日。

砂拉越与沙巴人民也可和西马人民同享8月31日假期，以表尊重西马的独立日。

黄锦河今日发表2010年国庆日献词，并发表有关的言论。

他强调，9月16日必须取代8月31日成为马来西亚的国庆，因为9月16日才是马来西亚真正的独立日。

8月31日是马来亚联合邦的独立日，马来亚联合邦于1957年8月31日获得独立，东姑阿都拉曼为马来亚联邦首相。当我国前首相东姑阿都拉曼在1957年8月31日在吉隆坡独立广场高喊“默迪卡”时，砂拉越和沙巴并没有包括在联合邦内。

黄锦河指出，马来亚联合邦首相东姑阿都拉曼在1957年8月31日在宣读“独立宣言”，并在宣言中宣布：“从1957年8月31日起，马来土地联邦，包括柔佛，彭亨，森美兰，雪兰莪，吉打，玻璃示，吉兰丹，丁加奴，霹雳，马六甲及槟城等州，在上苍之原则下，永远致力于其人民之福利与幸福，并为维护各国间公正之和平而努力。”。

历史已经证明，1957年8月31日是马来亚联合邦的独立日，并不包括砂拉越和沙巴。

历史同时记载着，1963年9月16日，砂拉越连同马来亚，沙巴与新加坡（后来退出大马）共同成立马来西亚，因此916是马来西亚真正达致东西马全民统合及领土完整而宣告成立。

黄锦河说，1963年9月16日之前马来西亚还未成立，因此今年大马才独立了47年，而不是53年。

2009年10月19日，联邦政府宣布从2010年开始，9月16日将成为全国假期。使马来西亚独立了47年后，真正的独立日才受到肯定。

这是人民公正党多年来努力不懈的捍卫 916 精神与历史价值的成果，使这个砂拉越历史最有意义的日子终于得到官方的认同，而回归他原本应有的地位。

黄锦河说：【 我们还是希望9月16日能受到联邦政府的承认而成为马来西亚的国庆日，以符合9月16日是真正的马来西亚独立日的历史真相。】。

他也吁请砂州政府将有关建议提呈予联邦，以使马来西亚国庆日是9月16日，而不再是8月31日。

他说，一个国家只有一个国庆日，而让真正的独立日成为国家的国庆日除了对历史负责外，也符合真理原则。

黄锦河恭贺西马的同胞2010年8月31日国庆日快乐。

他说，众所周知，国阵成员党各代表各个族群而成立联合政府，如果这个联合政府的最高领袖都不明白各族群的权益，这个联合政府肯定出了大问题。

砂州群众也难以对一个内部出现大问题的联合政府再寄以厚望，因此同样的，砂州国阵也应该随着最高领袖的引退而下台。

黄锦河今日针对砂州首席部长丕显斯里泰益玛目的去留问题发表他的意见。

他认为，砂拉越最高层领袖不了解各族群权益，不仅是砂国阵各成员党的党内沟通问题这么简单。

黄锦河说，这是砂国阵各成员党之间的权利分配出现极大悬殊，造成一党或一人独大的现象。

他说，如果一个联合政府，各成员党没有平起平坐的执政权，或将沦为独裁政权，不利于民主政治的发展。

尤其是国阵，各成员党代表各族群，如土著保守党代表马来族，砂人民党与砂民主进步党代表砂州的达雅族群，而人联党代表砂州华人参政。

目前的砂国阵政府，表明上看来是联合所有族群代表性政党，来组成的联合政府，说的好听是联合所有族群组成的政府。

实际上，这种联合没有超越种族政党政治，反而是有成立一个新的种族政治团队之嫌。

黄锦河说，有种族政治团队之嫌的联合政府，为了巩固选票基础，仍然难逃各成员党只捍卫各代表族群的权益。

这种国阵联合政府的方程式，还是把砂拉越族群分而治之或各自争之，并不符合马来西亚及砂拉越多元种族，多元文化的实质。

他强调，经过了47年的独立，马来西亚人民还要面对种族斗争局面，距离多元种族社会与全民团结渐行渐远，这不是砂拉越人民所要看到的独立成果。

任何造成种族斗争的联合政府，是否能确保所有族群利益？这是受到质疑的，尤其是联合政府有一党独大的现象，成员党在当家不当权的窘境，很难有效为他们的族群争取权益。

在这种执政权力分配不均的制度下，会出现砂拉越某一族群的权益，包括华人所要的都不被砂国阵高层所了解，这是不会令人惊奇的。

黄锦河指出，简单的说，一党独大的国阵政府只有联合政府之名，却没有联合政府之实，有名无实的联合政府不能为所有族群带来基本利益。

除非联合政府所有成员党都享有平等的权利分配，平起平坐，各族群的权益才能受到平等对待。

但在目前的砂州国阵联合政府内，看不到有平等执政权利的分配。

黄锦河认为，因此才造成某一成员党在联合政府内没有实权，也才会导致该成员党所代表的族群权益不受到关注与重视。

如果让这个一党独大的执政团队继续领导砂拉越，砂州的种族斗争将更恶化，真正多元族群社会的目标将更遥远。

为了砂拉越的多元种族及全民团结的前途，首席部长必须引退，这个一党独大的国阵政府必须下台。

人民公正党砂州财政王焕友表示欣慰，石角张君光大桥扩建计划终于在该党的施压下开始动工。

他同时吁请砂州政府能督促发展商加速进行，以确保该大桥的双程大道能早日完成，一劳永逸的纾解该大桥两岸道路的交通阻塞现况。

王焕友日前在人民公正党古晋区部署理主席杨森泉的陪同下前往石角张君光大桥探讨观察工程是否有进行，并发表上述的言论。

他发现石角大桥的工地已经有动工的迹象，有开始进行挖掘及进行打地基的工作。

他也在现场遇见有关的工程师，并和他交谈以了解大桥扩建的情况。

王焕友指出，他从工程师获悉，石角大桥的扩建工程已经全面动工，如果一切顺利，会在1年后完工。

他说，他从工程师了解到，有鉴于河边的地势问题，或会造成打地基工程带来大桥扩建工程的拖延。

王焕有表示，石角张君光大桥在1995年落成，但早在2000年就已经不足应付时代发展的需求。

因为近10年来，石角张君光大桥的两岸，私人界房屋发展迅速，商业和住宅区日益增加，车辆也随着激增，造成该区交通阻塞日益严重。

尤其是近年来,石角卫星市的发展，导致人口与车辆的增加，石角张君光大桥已经不足予负担日益升高的车流。

王焕友说，在2001年，当时的砂州资源管理及策划部助理部长叶金来就有披露，政府考虑扩建石角张君光大桥，并表示已经将上述工程列入第8大马计划中。

在2005年4月，当时的首长署助理部长兼城市发展助理部长拿督叶金来又有表示，他将在第9个大马计划下，争取扩建石角张君光大桥。

一直进入第10个大马计划，石角张君光大桥扩建工程才千呼万唤始出来。

石角张君光大桥扩建计划已经拖延了十多年，也拖越了两个大马计划，不能在拖拉下去。

王焕友表示，人民公正党有多次公开呼吁联邦与州国阵政府立即开工扩建石角张君光大桥，不要一拖再拖，现在该党的努力施压终见有成果。

他希望石角大桥工程能早日完成，并实现大桥的双程大道，以纾解大桥两岸交通拥挤的现象。

图1(P1060891.JPG)示王焕友（右）日前在人民公正党古晋区部署理主席杨森泉（左）的陪同下前往石角张君光大桥探讨观察工程是否有进行。

图2(P1060883.JPG)示王焕友（右2）在石角大桥扩建工程工地与有关工程师（右1）交谈，以了解大桥扩建的状况。

人民公正党浮罗岸州立法议员黄锦河律师吁请古晋各市政局每逢要进行封锁任何道路时，应该事前公开通知古晋人民，同时在有关大路两边入口处安置告示牌，以避免市车主及市民跑冤枉路。

他指出，有关当局在黄土路与盟都路第二巷交接处封锁了黄土路，导致车主必须右转入盟都路第二巷路才能进入盟都路及其他道路。

黄锦河说，很多车主不知道黄土路的半路被封锁事件，因此致使车主们必须转一个大圈，浪费了车主的车油与时间。

他也吁请市政局督促有关发展商加速完成黄土路的沟渠系统的工程，除了能让当地居民早日避免水灾外，也为公众人士带来交通方便。

黄锦河日前在古晋人民的投诉下，而率领人民公正党领袖包括砂州青年团副团长黄良兴与该党古晋区部署理主席杨森泉前往黄土路观察情况，并作出上述的呼吁。

他发现有关当局是在黄土路进行沟渠系统工程，而封锁了黄土路，以方便工程的进行。

黄土路是古晋城市中心的重要道路，可通往盟都路及诏安路，再直上可通往古晋国际机场，也可通往实加玛路及朋领路。

而从另一边，黄土路可通往中央路，德圣路，万福路及古晋市中心。

他说，很多车主是驾至道路封锁处才发现道路的封锁，致使他们必须跑远路以达到目的地。

尤其是对于一些载孩子上学的家长非常的不方便，如在中华小学第五小的学生家长原本可从黄土路直往五小，黄土路的封锁致使家长们必须绕一个大圈，因而或会影响孩子的准时上课。

而突然间的道路封锁也为上班族带来不便，也或将影响他们准时上班时间。

黄锦河说，跑马场路原本有几条路可通往整条的黄土路，但目前只有一条路可从跑马场路通往一边的黄土路，而这条路也只能通往盟都路与实加玛路的交接处，亦即表示，目前跑马场路没有一条路可通往另一端可直往中央路的黄土路，影响了跑马场路一带居民的交通来往。

而在跑马场路有几间中小学，包括浮罗岸中学及跑马场国民小学，黄土路的长期封路对家长与学生们也很不方便。

黄锦河特前往黄土路两边的入口处，并发现包括从中央路进入黄土路以及从盟都路与黄土路交接的入口处都没有设立告示牌，这导致车主们直往到道路封锁处，才知道黄土路封路的情况发生。

他因此建议市政局在黄土路两边大路入口处，包括中央路转入黄土路的转弯处以及盟都路与黄土路的入口处安置告示牌，以通知车主有道路封锁的现象，避免车主跑更长的路。

他认为，其实任何的封锁道路行动应该在封路前在报章公布有关的措施，以让市民事前了解封路行动，解决了很多交通问题。

他说，最近在古晋中央排污系统的工程下，古晋各街道到处被挖掘大小坑洞，已经足够导致车辆阻塞及排车龙的交通问题，而道路的封锁更加剧交通的混乱。

黄锦河表示，没有人反对任何改善沟渠系统的发展，但希望在工程的过程中也应关注交通的问题，不要为了本身的方便而引发多数人的不便。

他吁请有关当局能督促发展商加速进行黄土路沟渠系统的工程，以确保能早日完成，让封路的解除，解决交通难题，更能让黄土路及盟都路一带的居民早日摆脱年年水患的恶梦。

图1(P1060922.JPG)示黄锦河（左）指很多车主不知道黄土路的半路被封锁，因此致使车主们必须转一个大圈，浪费了车主的车油与时间。

图2(P1060936.JPG)示黄土路被封锁，导致目前只有一条路可从跑马场路通往一边的黄土路。

图3(P1060939.JPG)及图4(P1060941.JPG)示中央路进入黄土路以及从盟都路与黄土路交接的入口处都没有设立告示牌，这导致车主们直往到道路封锁处，才知道黄土路封路的情况发生。

UNMET HEALTH CARE NEEDS, SARAWAK, 2010

PARTI KEADILAN RAKYAT : ACT NOW ON MEDICAL SERVICES IN SARAWAK —-HOSPITALS !

SUMMARY: In a second part discussion paper, Parti KeAdilan Rakyat in Sarawak has demanded that several new hospital projects be approved for Greater Kuching and Bandar Sri Aman under the 10th Malaysia Plan, and to be carried over into the 11th Malaysia Plan. Further Sibu GH and Miri GH should be upgraded to Central Region and Northern Region, Regional Hospitals on par with Sarawak General Hospital. Several other Divisional and District Hospitals should provided the minimal resident Specialist services within 3-5 years.

A total developmental allocation of RM 1.5 billion is sought, and increased annual operating expenditure of new and upgraded hospitals will have to be budgeted accordingly. This estimate is in addition to development and operational funds needed for new and better polyclinics proposed in the first part of the discussion paper released recently.

PART 2: HOSPITAL /INPATIENT SERVICES

Dr. Francis H.H. Ngu, Kuching.

Health Services and Welfare Bureau,
Parti Keadilan Rakyat in Sarawak

For media release.

25th August, 2010

New hospital projects and upgrade of services of existing divisional and district hospitals have been successively canvassed by Parti KeAdilan Rakyat in Sarawak since 2006, both inside and outside Dewan Undangan Negeri. We have even appealed for fast-tracked budgetary approval, but other than the ON-OFF promise for PetraJaya GH, there has been no meaningful and substantive response from State and Federal Governments.

A. New general hospital projects needed:

Greater Kuching:

PetraJaya-Bako-Santubong : 400 beds
Batu Kawa-Moyan : 250 beds
Padawan- Siburan : 350 beds
“SIMC” Samarahan : increase from 200 to 350 beds is sought.

Sri Aman Division
Sri Aman 300 beds, option to increase to 400.

B. Up-grade of Sibu and Miri General Hospital
Upgrade to function as Regional Referral Hospitals providing tertiary services.

C. Divisional and District Hospitals upgrade
Upgrade to provide bare minimal Specialist services:
Sri Aman, Sarikei, Kapit, Mukah, Limbang
Serian, Marudi.

D. Promised Lawas Hospital extension, repeatedly delayed.
Promised SGH car park, deferred.

FUNDING NEEDED:

Costing: 4 New Specialist GH: RM 250-350 million each
Doubling the beds at “SIMC” RM 100-120 million
Upgrade of Sibu and Miri GH: RM 50-60 million each
Upgrade of Divisional and District Hospitals: RM 10-30 million each
Promised but delayed upgrade of Lawas Hospital RM 120 million

Total funding needed: Appox. RM 1.5 billion, spread over the project period of 10th and 11th Malaysia Plans.

(Prices barring further exceptional inflationary hikes; the cost could rise 20-30 % when universal minimal wage is adopted, GST kicks in and subsidies eliminated totally, in addition to foreign inflationary impact.)

The annual operational funding requirements for all hospitals in Sarawak following the commissioning of the new facilities and services would likely increase by 2-3 times from 2015-2020. For large hospitals, the operational cost would have outstripped capital cost in 3-4 years.

Our statement in April 2008 needs to be repeated: “The under-provision versus service needs in Kuching and other towns will get worse if no aggressive proactive planning is undertaken immediately. Apart from the rapid urban population growth which is underpinned by rural-urban migration, the slowly but steadily aging population adds to the service needs. Increasing morbidity from “lifestyle diseases”, cancer, road traffic accidents, geriatric states and mental states will stress both acute and chronic care services. The demographic and morbidity patterns as well as city development patterns have not been sufficiently attended to in public medical services planning and development.”

Sarawak covers an area larger than Peninsular Malaysia, but the single trunk road from Kuching to Miri is not up to the standard of an express highway. Some districts in the central and northern regions are each equivalent in size to several smaller states of peninsular Malaysia put together. This impedes even physical access to general hospitals, especially timely access in times of acute illnesses.

Physical access of rural remote communities by land and river transport to Sibu, Miri and Bintulu general hospitals are difficult enough, what more access to Sarawak GH in Kuching at the southern end of Sarawak.

The national doctor: population target is 1: 500, but in Sarawak it is 1: 1000+, this even a camouflage of the urban-rural disparity. The ratio is expected to greatly improve in 3-5 years, given the large numbers of medical graduates joining the service.

A. The Sarawak General Hospital is the sole regional referral hospital in Sarawak providing tertiary level care. The secondary regional needs of the South West , Central and Northern Regions of Sarawak are served by SGH, Sibu GH and Miri GH, all with large hinterland catchments respectively.

SARAWAK GENERAL HOSPITAL providing 800 beds is the State Hospital, also serving as the teaching hospital. Its congestion in recent years is evident in the wards, the Accidents and Emergency Department, the Specialist Out-patient Clinics, the hospital lobby, the Pharmacy, the service roads, the car parks, the public lifts, etc. Built in the late 1960s, it has undergone 2-3 major upgrades, with added services, clinic and ward blocks and an increase in beds from about 600 to 800.

(A multi-storey SGH car park costing RM 20 million put up under the 9th Plan was deferred to the 10th MPlan, due to urgent priorities at Kota Kinabalu).

While patients needing tertiary level care are sent in from the General Hospitals of Sibu, Miri and Bintulu, and also directly from some District Hospitals of Sarawak, some local Kuching patients are decanted off to the Sentosa Mental Hospital 6 miles away and the Rajah Charles Brooke Hospital, a disused leprosarium some 12 miles away. There were even occasional patients sent off to Serian District Hospital. These “decompression” maneuvers have expectedly impacted on operational cost and given considerable logistical pressure for the hospital administration, not to mention the hardship on patients and relatives.

The immediate primary and secondary catchment consists of the South West Region of Sarawak, namely the Kuching, Samarahan, Sri Aman and Betong Divisions.

The conversion of the failed Sarawak International Medical Centre at Kota Samarahan to a government tertiary specialist and general hospital will add another 200 beds to Greater Kuching It is expected to open in 2011, with emphasis on providing cardiology and cancer care.

The site has ample land space for future new services and wards blocks much needed. The fastest way to add beds to Kuching would indeed be to build additional ward blocks, increasing its bed strength to 300-350 beds. These additional blocks would be for standard general wards like maternity and paediatrics, surgery and orthopaedics, general medical etc. They may become operational 5-6 years after budget approval. (Technically, it may interest protagonists in the debate about cost per bed at SIMC, that doubling the bed strength would very substantially reduce the cost per bed to well below RM 2 million per bed, although RM 100 million or more new capital may need to be pumped in.)

The need for 3 other new general hospitals in Greater Kuching within the next 10-15 years run parallel to the need for primary care facilities outlined in Part 1.

The gestation period of hospitals is very long. A new general hospital project, if approved under the 10th Malaysia Plan (2011-2015), will only see its commissioning for public service in 2020, if not even later.

B. The 200 bedded Sri Aman Hospital built in the 1950s, is out-dated and cramped, even inadequate and unsatisfactory in the 1980s. Ambulances run several sorties to SGH in Kuching, on the bumpy 200 Km Sri Aman-Serian-Kuching Road. Ambulance runs are costly and personnel intensive (min.1 driver 1 medical staff to 1 patient), and the rough ride of 200Km endangering the critically ill patient.

In a recent communicable disease out-break, it has the notorious reputation of suspected victims being placed under a tent under a tree in the car park !

The hospital has a catchment population of about 200,000. Basic resident specialist services, perhaps 6-8 clinical disciplines are needed. However, the old ward blocks at a cramped site is not suitable for renovations to house modern specialist departments and service blocks, like A&E, ICU , operating suites, maternity suite and nursery, imaging department, physiotherapy department, etc.

C. Sibu General Hospital has a large catchment consisting of virtually the whole Rajang River (350Km) basin, the Rajang-Igan Delta and Coastal Mukah Division. Much of the SCORE activity is in the catchment.

D. Miri General Hospital has a similarly large catchment consisting of the Baram region and the Limbang Divisions. Much of the oil and gas activities fall within the catchment of Miri and Bintulu General Hospitals.

Basic specialist services are provided at Miri and Sibu Hospitals. Due to the size of the catchment population of between 500,000 to 1 million, the burden of disease figures, the inconvenience and increasing cost of air transport to go to Kuching for patients and escorts, they should be upgraded to Regional Hospitals providing comprehensive basic specialist services and tertiary care in more clinical disciplines. The growing population in the primary and secondary catchment areas means that new tertiary care services will have the economies of scale.

The tertiary services proposed should initially include cardiology, cancer and radiotherapy, nephrology and urology, psychological medicine, burns, neurology, gastroenterology, etc. Thus some of the medical technology now made available in Kuching should be similarly made available to residents of the Central and Northern Regions of Sarawak.

The gestation period for upgrading to tertiary and sub-specialiaty services would be about 5 years for them to be brought into service.

D. Bintulu GH to an extent serves the regional needs of Kemana, Tatau, Bakun. It should have the basic 8 or 9 clinical disciplines. A CAT scan privately donated is not being timely used due to absence of a specialist radiologist.

District and Divisional Hospital Upgrades

It must be noted that some District Hospitals in Peninsular Malaysia had a few minimal
resident Specialists even in the early to mid 1970s, certainly in such places as Banting, Batu Pahat and Kluang.

District and Divisional Hospitals in Sarawak are generally staffed by young doctors after 2-3 years of training, and are not expected to be able to handle a whole range of emergency conditions in the community. The hospitals are visited periodically by Specialists from general hospitals, but acute emergencies do not just happen during their visits! Moreover the specialists may not themselves be able to deal fully with some of the emergencies in district hospitals, lacking equipment and facilities, as well as the necessary treatment teams.

Initially, Serian and Sarikei should set up Medical, general surgical, OBGY, Paediatrics Departments with resident specialists, and Kapit, Mukah, Marudi, and Limbang, just Medical and General Surgical Departments. Renal dialysis needs will have to be separately assessed at Divisional and some district hospitals, as the need is increasing rapidly.

Further service needs at other district hospitals have yet to be assessed by us in terms of potential workload and respective economy of scale.

The posting of specialist doctors to Divisional Hospitals generally raises both clinical, nursing and ancillary service standards at these hospitals. Continuing medical education and on-job training of junior medical staff is enhanced.

Adoption of the above proposals would go a long way to address the inpatient care needs of Sarawak for the next 2 decades or more, this barring exceptional population increases arising from non-medical macro-policies.

Services would thus have been upgraded in terms of quality and depth, as well as scope, throughout the major regions of Sarawak, based on regional and local population needs. In so doing, the government of the day would be advancing an important principle in health care, that of more equitable distribution of health care resources, at both national and state levels.

( It is realized that there is need to provide for other residential/inpatient services or expanding their scope, including in psychological medicine, and rehabilitative and nursing homes, but these are large subjects, better dealt with at another time.)

吴希贤今日继续发表第二部分的“全民卫生保健”的文稿中作出上述的重点。

他今天评估第二部分即“医院住院服务”。

吴希贤的“全民卫生保健”的文稿的第二部分全文如下：

【 砂拉越人民公正党要求在第10大马计划在古晋与斯里阿曼市批准及全面推行新医院计划，也同时在第11大马计划继续兴建这些新医院。

砂拉越中区与北区如诗巫与美里的中央医院必须提升，以赶上与古晋中央医院同样的服务水准，而省及县的医院也应该拥有基本的专科部门。

我们需要15亿的医务发展拨款预算案，以实行提升砂拉越现有的大小医院。

在新的中央医院发展计划中，新医院的发展有必要从速以应付病床不足的需求：

（一）古晋
柏特再也-巴哥-山都望需要400张床；
石角-味源港需要250张床；
巴达旺-新生村350床；

而三马拉汉的国际医务中心能增加至350张病床能够协助解决问题。

斯里阿曼省应增加至400张床。

（二）提升诗巫及美里中央医院

（三）提升省及县医院的服务
确保以下省县医院能拥有基本的专业服务：
斯里阿曼，泗里街，加帛，木胶，林梦，西连及马鲁第。

（四）立即落实老越医院的扩充，它就像古晋中央医院的停车场一样，已经拖延太久了。

因此我们需要以下的拨款：

4间专业医院-每间需要2.5亿至3.5亿；
国际医务中心增加两倍的病床-1亿至1.2亿之间；
诗巫及美里医院的提升-每间5千万至6千万；
提升省及县医院的服务-每间1千万至3千万；
老越医院的扩充-1.2亿。

我们再次强调，在古晋及其他城镇医务短缺的问题如果不立即解决，情况会日益的恶化。尤其是乡区人口的涌入城市，导致城市人口的暴增，加剧医务的需求。医疗服务也面对文明病毒及疾病如癌症，老年症，心理病，甚至交通意外的增加的压力。砂州的医务发展不符合人口增长与疾病率高的模式，也不符合公共医疗服务计划和发展标准。
砂拉越的地理面积有西马半岛的两倍，但从古晋至美里的第一干路却不符合超级大道的标准。在砂州中部及北部的内陆地区面积是西马一些较小的州属加起来的总和。从乡区到省及县医院的距离对于乡区人民是很大的障碍与难题。

我国医生与人口比率目标是1对500人，但在砂拉越却是1对1000人，在砂州内陆的差距更大。随着一大批的医务毕业生参加服务，这种比率预料可以改善。

（一）砂拉越古晋中央医院

这是全砂最大医院，供应800张病床。但在意外及急救部门，专业门诊部，医院大厅，药剂部，公众电梯，甚至停车场都出现拥挤现象。中央医院有经过重要提升，包括医疗部门，医务大楼的设立，医务服务的提升，而病床也从600增加到800张。

但古晋以外，包括从诗巫，美里，民都鲁以及其他省县医院的病人也都送往古晋中央医院，逼使一些病人要送往距离古晋6哩的圣陶沙医院及离古晋12哩的布洛克医院，甚至送到西连医院。这种“畸形减压”措施预料同时给予医院行政以及病人及亲属更大的压力。

设立与三马拉汉的砂拉越国际医药中心的失败导致联邦的接管，而成为一政府专业医院，着重于心脏与癌症，将为古晋人民提供200张病床，预料在2011年投入服务。

国际医药中心有充足的土地面积以兴建新的医务大楼。兴建医务大楼能增加300到350张病床。新医务大楼能成为产科，儿科及骨科手术病房。

我们还是希望，在接着的10年内古晋能实现3间新公共医院，以应付基本的医疗保健需求。

（二）斯里阿曼新医院

在50年代建立并拥有200张病床的斯里阿曼医院，早在80年代就已经不符合时代的需求.该医院的救伤车还要驾驶200公里的古晋-斯里阿曼路巴病人送到古晋中央医院。这使救伤车服务费用高昂（还不包括1名司机，1位医务人员及病人的人力资源）而200公里路的坎坷路程也会加剧病人的病况。

斯里阿曼新医院是极需要的，以应付包括斯里阿曼附近一带居民约20万的人口，因此基本的医疗专业服务，包括6至8门的专业医疗部门的设立是急需的。旧有的医务楼房也未必适合装修来成为现代化专业部门及医务楼房，如紧急拯救部，手术室，妊娠护理及心理医疗等。

（三）诗巫中央医院
该医院服务所有拉让江盆地，拉让江-伊干三角州及木胶沿海省份的人民，也都是再生能源发展走廊的区域。

（四）美里中央医院
美里中央医院为巴南河域及林梦省一带人民服务。美里与民都鲁医院服务的范围包括石油与煤气出产的地区。
美里及诗巫医院的医疗专业必须提升以应付50至1百万的人口。

基本特专服务包括心脏病，癌症及。。治疗，肾脏病，泌尿科，心理治疗，烫伤，精神病及肠胃病等。

省县医院的提升。

在西马，早在70年代，在万金，巴都巴辖及居銮的县医院已经有基本的专业医疗服务。

在砂拉越的省及县医院都是由很年轻的医生管理运作，他们只有经过很短的两年至3年的受训。一些从城市中央医院的专业医生会访问省及县医院，但他们访问期间未必会有紧急病况的发生。

提升各省的大医院及小城镇医院是符合更公平的分配医务的资源与人力。

而上述的计划大体上可应付砂州20年的医院病床与临床服务的需求。】。

吴希贤表示，他的“全民卫生保健”的英文文稿全文的第一及第二部分，都有刊登Tindak Malaysia网站。

MACC Lawyer Abdul Razak Musa clowning in Court

In other countries the best brains, especially in law (judiciary) and economics work for the government.

In Malaysia, after watching the inquest and DPP Abdul Razak Musa (MACC’s lawyer) questioning Dr Pornthip, you decide whether in Malaysia, the government attract the best brains to serve or otherwise.

Since the hilarious questioning by DPP Abdul Razak Musa and Dr Pornthip’s testimony, the news, transcripts and video have been much sought after with searches coming in via google and from around the world. Overnight, DPP Abdul Razak Musa have become a celebrity, but for the wrong reason.

This has added another feather to MACC’s cap and illustrious reputation.

If justice must be seen to be delivered, DPP Abdul Razak Musa certainly have added a more charismatic twist to it with his near comical line of questioning to convince the Coroner that Dr Pornthip is not credible. Will he succeed? Remember we are in Boleh Land!

As it is Merdeka Holidays and to keep yourself entertained, why not we upload the full length video in 7 parts for Malaysians and our Visitors to enjoy.

If MACC and DPP Abdul Razak Musa have not brough shame to the Malaysian Government, we certainly felt the embarassement on behalf of the Malaysian Government.

In the last video, was it an “ash tray” or an “x-ray” he is holding. We heard him say “ash tray”.

Wondering where he got his law degree and certainly, if Dr Pornthip’s degree is not recognised, DPP Abdul Razak Musa’s degree is certainly only fit to qualify him as an office boy in a legal firm in Thailand.

The Courts have decided .. this is what Utusan Melayu, The Star, Malay Mail will scream when the verdit is delivered (anticipated) soon.

Justice must be seen to be delivered and this may not be the case here.

Watch the the 7 part video here. Millions of netizens have watched it. Have you? ]]> http://www.ngkimho.com/?feed=rss2&p=4753 0 http://www.ngkimho.com/?p=4748 http://www.ngkimho.com/?p=4748#comments Sun, 29 Aug 2010 04:58:34 +0000 admin http://www.ngkimho.com/?p=4748

It is strange that in the 21st century, we are still having to face the problem of institutionalised racism.

OVER the past week or so, there have been some developments in our country which are more disturbing than usual.

In particular, the two cases of alleged racist remarks by school heads; the accusations that Penang mosques have replaced the Yang di-Pertuan Agong with the Chief Minister’s name in their prayers; and the continued insistence that Article 153 of the Constitution is equal to an inalienable right that could not be questioned.

These events are interrelated and it seems to me that they indicate that there is a battle of ideology going on in the country now.

On one side is the idea that a person’s ethnicity and religion entitles him to be treated better than anyone else who is different. On the other side is the idea that equality is an aspiration that is both noble and necessary for nation building.

It is strange that in the 21st century we are still having to face the problem of institutionalised racism.

Looking at our history, one can see why this has occurred. The combination of race-based politics and poorly interpreted constitutional provisions have meant that the idea of racial and religious superiority has been allowed to grow and become the norm rather than something undesirable and out of the ordinary.

How else can one explain the possibility that teachers, the very people to whom we entrust the education of our children, can have such warped values and also have the gall to express those views publicly?

How else can we explain the near rabid attack on the Penang Chief Minister for something which he and the state religious department have vehemently denied and in fact would have been insane to attempt?

Let’s analyse this one step at a time. When the dominant political parties in this country do not have any political ideology to speak of and are instead, based on the principle that each race-based component has a duty to safeguard the interest of its community, what one has is a recipe for the kind of policy and rhetoric that divides rather than unites.

Historically, one can see the reasons why the politics of the nation was forged in this way. It was a necessary evil in the face of the divide-and-rule policy by the British to show that even when separate, the three major communities of the nation can still work together politically.

However, it is an unsustainable model and what started life as a fairly rosy example of racial cooperation too easily descended into crude racialist type politics.

Which is why the early aspirations that our founding fathers had for a society treated with equality has now been all but buried by the idea that one race is superior to others and in fact is the only race with any right to be here in Malaysia.

This is because in the battlefields of politics, it is easiest to appeal to base racialist emotions, especially when without those types of ideas, a party based on race will have no collateral to work with.

In this kind of political atmosphere, it is of no surprise that what has been forgotten is that the basis of this nation was one of justice and equality. And the document that is meant to protect that, the Federal Constitution, has been misinterpreted to the extent that there is no longer any trace of this aspiration in the mainstream discourse of the day.

Let us be absolutely clear on this matter, the Constitution does give powers to the government to take affirmative action and it does acknowledge the fact that Islam has a special place in the public life of the nation.

What it does not intend to do however is create a perpetual system of ethnic-based favourable treatment nor does it advocate the idea that all other religious beliefs must be subservient to Islam.

However, instead of this reasonable position, what we have today is the idea that affirmative action for Malays is unquestionable and to be continued in perpetuity becoming the norm.

This cannot be further from the truth as there are no legal justification for it at all.

Article 153 of the Federal Constitution is seen as the holy grail for those who hold this view. However, if we examine the provision closely we will notice two things.

Firstly, affirmative action is not a Malay right. Article 153 does not endow a right. What it does is to merely give government the power to take affirmative action despite the overarching ideal of equality which is enshrined in Article 8 of the Constitution.

To support this contention, we see that Article 8 clearly states that all citizens in this country are equal except for situations specifically provided for in the Constitution. Those “specific provisions” are found in Article 153 and there are not many of them.

They include the power to establish quotas for the civil service, permits and licences, scholarships and education.

Therefore anything other than these areas should not be subjected to affirmative action.

Furthermore, any affirmative action has to be reasonable. The idea of what is reasonable must surely be open to research and debate otherwise there will always be the risk of abuse and wastage of resources.

This being the case, although questioning the existence of such a power to have affirmative action is moot, discussion on the efficacy of affirmative action policies and programmes surely is not.

The way the discourse is today, and not merely by the racialist fringe but by mainstream politicians in power, is that even the implementation of Article 153 is not to be questioned at all.

This is surely wrong based both on the meaning of the Constitution as well as the principle held by the founding fathers that Article 153 was an unfortunate but necessary aberration from the ideals of equality and that it was to be used not in perpetuity.

With these kinds of distortion of law, is it any wonder then that we still get people actually classifying whole swathes of the citizenry as having no right to be here?

Is it any wonder then that a crazy accusation against a Chief Minister whose government has given twice as much money to the Islamic bodies in the state than the previous administration, can give rise to the belief that he is a threat to the faith?

If this country is to have any future as a true nation, the time has come for those who believe in the ideals of equality, ideals which were held by the political founding fathers of the country as well as the traditional Rulers of that time, to stand up and be counted.

To not be cowed by the bigots and to say that this is our country and it stands on noble humanitarian ideals, not opportunistic racialist thinking.

BRAVE NEW WORLD By AZMI SHAROM

Related Article – Why I stand up? ]]> http://www.ngkimho.com/?feed=rss2&p=4748 0