The state of Global Health in a radically unequal World: The Price of Civilization: Reawakening American Virtue and Prosperity. Mortality Rate from Tuberculosis in South Africa. The Deadly Ideas of Neoliberalism: A History of Inequality in South Africa University of Natal Press, N Engl J Med ; Will escalating spending on HIV treatment displace funding for treatment of other diseases?
S Afr Med J ; 1: Medical professionalism in a commercialized health care market. South African National Treasury. South African National Treasury, The self-destructing private sector is no less a blot on our health system than the crumbling public health system.
S Afr Med J ; Benatar SR, Upshur R. Int J Tuberc Lung Dis ;14 Global health and the global economic crisis. Am J Public Health ; 4: Benatar SR, Brock G, eds. Global Leadership, Ethics and Global Health: The search for New Paradigms. S Afr Med J ; 3: The challenges of health disparities in South Africa. South Africa does not appear to be one of them: Government is reluctant to admit all that is wrong with its health care system. If it cannot make its case in South African forums, there are international ones in which it can.
No other profession in this country is subject to the level of coercion and exploitation by the state to which medical interns and community service doctors are exposed. All state hospitals should install electronic time-recording systems to monitor and measure duty hours impartially and objectively, enabling the resource gap and cost overruns in the public health sector to be managed fairly.
Only then will the destructive cycle of belligerent resistance and reactionary coercion of doctors by the state end. Extra overtime worked must be rendered voluntarily and paid, or prohibited completely to avoid young, inexperienced interns being exploited by unscrupulous administrators. The maximum number of working hours that an intern may work without a sleep break should be limited to 16, 49 after considering the research on whether some sleep during a shift is better for doctors than none.
Moral integrity, coupled with respect for every human life, without regard to social origin, is essential for the achievement of our national health care ideals. The author comes from an extended family of nine medical practitioners and three nursing sisters, and has a personal interest in the subject matter. Sunday Times, 24 May Medunsa on its last legs? Medical Chronicle, 4 April Limpopo hospitals teeter as shock report reveals state of collapse.
Media24 Investigations, 17 February Nursing agencies in the spotlight. The nature and health system consequences of casualization. Nursing agencies and moonlighting in South Africa. Rural-proofing the commuted overtime policy for medical practitioners. Telemedicine in South Africa. Work satisfaction of professional nurses in South Africa: Human Resources for Health ;7: Article 2 1 Forced Labour Convention, No. C accessed 21 June Gauteng Province Media Statement.
Career plans of final-year medical students in South Africa. S Afr Med J ; 4: Analyzing the implementation of the rural allowance in hospitals in North West Province, South Africa. J Public Health Policy ;32 Suppl 1: Where did all the doctors go? Effects of sleep deprivation on performance: N Engl J Med ; Sleep deprivation biases the neural mechanisms underlying economic preferences. J Neurosci ;31 Effects of call on sleep and mood in internal medicine residents.
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