Top 5 at 5: Is Medical Tourism Actually Economically Beneficial?

This is a podcast from BFM89.9, the business station. Top 5 at 5 on BFM89.9 Good evening. It is 505 and you're with Li Trilin and Dasha Neuhan as we count down to the biggest story of the day. 5. Is craving a work-life balance a red flag? Well, some Fortune 500 CEO certainly seem to think so. Now, this opinion mainly come from Inaki Arreno, who is the Group CEO of Boopa, which is a British multinational health insurance and healthcare company. He believes that instead of feeling like your life needs balance from work, you should just love your job. Essentially, he thinks workers won't feel fulfilled if they are constantly counting down the hours till it hits the end of the day. Well, I mean, he benefits from people thinking that they should work all the time. So I feel like we need to acknowledge that right up top. To be fair, though in his case also, that cutoff doesn't exist in his own life. He admits to constantly thinking about work even when he's off at the gym or spending time with his son, answering emails on weekends, not a problem for him either. And that is a sentiment shared by other successful people too. Across the board from entertainers like, and this is a real range, like Taylor Swift and Will I Am to LinkedIn co-founder Reed Hoffman and Nvidia CEO Jensen Huang. They all believe you need to always be on and available. Barack Obama, I quote this too. He said, if you want a thriving career, you shouldn't expect to have a work-life balance. So their advice is to integrate, not separate, in an age where millennials and Gen Z are trying to prioritize mental health and find fulfillment outside of career markers. This is, I guess, something they want us to think about. I think, okay, let me try to be as balanced about this as I can be because I know that for a lot of people, advice from wildly successful people is not something to take for granted, right? I'm sure we are about to rant about billionaires and so on, but before we get there. Oh, I can't wait. I think you could already sense it coming from me. It is, it's flowing. But I do think that a lot of people do look at the wildly successful folks out there and think to themselves, okay, so what do you do? And there's a reason why their morning routines become so widely reported. It's why they write books, giving you tips on how to be successful like them. So I firstly want to say that I think it is something that so many successful people function this way. On the other hand, I don't know if this is reflective of how it feels if you are an office worker drone. If you are doing something that is very necessary in the company, but maybe not like your life's purpose. And that's, I think that's a lot of companies. Absolutely, right? Because a lot of times people who say these things, right, they come from working incredibly high-paying jobs or they own a part of what they are working on, right? So it's, of course, it can be like a fun time. I'm sure it's very stressful as well, but it is like a personal project you are working on, right? You get to see you nurture it, grow it, your other workers who have no breaks, which you think is a good thing, are generating income for your company. Grow that way. Now, imagine telling a regular salary employee, they need to work all day, every day for regular wages, not much fulfillment if you are cashier, if you are a grab driver, so on, so forth. And, you know, they can fire you at any time as well. We know a lot of big companies when it comes to like, you know, when it's time to balance the books, what they do is they fire a lot of employees to make their profit margins look better. I will say, okay, so having said all that, I think that if a lot of us were freed of the nine to five, nine to five, meaning the very strict you clock in at this time, you clock out at this time, but then oh, oh, wait, wait, sorry, sorry, we'll send you an email at nine. Oh, wait, wait, wait, wait, there might be a meeting on the weekend. So if you're freed from that, I think a lot of us might be more amenable to structuring our lives differently around work. So if I, for example, did not have a strict eight hours in a day in which I'm expected to be at my desk, but you allow me to work from eight to 10, go to the gym from 10 to 12, have lunch, come back and work from two to five cook dinner and then resume later from seven to nine. Let's say that that is the way in which work best fits around my life. Then I think integration makes sense, but a lot of companies again do not function like that. Yeah, and also, you know, sometimes when they give these advice, right, wake up 5 a.m. work on the weekends, the assumption is that the masses of people are not and that everybody is kind of like just having a great time and chilling, right? But I think most people, if it's I'm thinking like the majority, right, are waking up at 5 a.m. But not because they want to, it's out of necessity, right, wake up early in the morning, you get your kids ready for school, then you make breakfast for them, you send them to school, then you go to work, you come back, you don't have time. You don't have a driver, you don't have helpers, you don't have, you know, additional catakers and so on and so forth. They don't wake up at 5 a.m. to do yoga necessarily, right, or to do meditation for better career advancement and so on and so forth. And I think most people around the world also just they would love to they would love to do this advice that, you know, these big CEOs are giving right there would love to pursue their passion and then work on their personal projects, you know, as part of their work in that sense. But I think most people are just they take jobs that are available, they're constrained by wages, that family responsibilities, if you're an immigrant, I think that makes it all the more complicated. So we're talking today about advice from Inyaki Irreno, who is a fortune 500 CEO, who is saying that if you are craving work life balance, then that means you're not in the right job and that instead we should all just be in love with our jobs and therefore not feel the need to be out of it. Do you agree? That's this resonate with you. You can call us double seven double three to 900. You can also send a voice note or WhatsApp at our UMobile numbers 01878988989. Number four. Negri's Royal dispute is continuing. So just to recap, last weekend, the undan young on part of the recent bill and declared that the young de pertuan Baza, Tuanku Mouriz had been deposed and named Tuanku Naza Rudein Tuanku Jaffa as his replacement. Now, the state government immediately rejected this declaration saying one of the signatories, Datok Mubarak Doha of Sungai Ujong had been stripped of his position as undan nearly a year earlier, meaning he had no authority to sign anything. Since then, things have escalated. The spotlight was on the opening of the Negri's Sambilan State Legislative Assembly at which the ruler traditionally delivers a royal address to open proceedings. So it did go on this assembly with Tuanku Mouriz delivering a royal address as planned, but with the four undan's absent, the sitting had to be halted and the speaker said new dates would be set with the consent of Tuanku Mouriz. So in a joint statement, the four undan said they were boycotting the sitting and called for it to be postponed indefinitely until all customary and legal processes for the transfer of power to Tuanku Naza Rudein are completed. The undan's have also taken to social media to dispute a key claim that Mubarak's removal was never formally decided. And if true, that reopens the question of whether Mubarak was a legitimate undan when he signed the declaration. As you might have gathered from this whole description, this rundown, it is a complicated story. But constitutional lawyer, Dattok Malay-Mtia Sawa argues that Mubarak's legitimacy may be beside the point and an op-ed, he says the declaration fails on procedural grounds regardless of who signed it because Article X of the State Constitution requires a complete inquiry into the ruler's conduct with the ruler given notice and a right to be heard. And crucially, the declaration was never accompanied by a proclamation signed by the undan's and the Mandri Bossa as the Constitution requires on that basis. His conclusion is that there is in fact no constitutional crisis in the Greece and Milan. Even so, the State Assembly is in limbo right now. So to get a reading on what will happen next and what the limits of the undan's powers are, we reached out to constitutional lawyer Surin Rhaanand for his thoughts. And so first, the State Constitution is concerned. Legally speaking, the presence of the undan is not required for the purposes of the business of the State Assembly. What the law is clear about is that it is the ruler who summoned parox and dissolves the State Assembly. The ruler, me, if you wish wishes, deliver a message during the Assembly and this is normally done during the first day. The same practice is done in all other states and also at a federal level in parliament. Now because the Constitution does not require the undan's be present, neither are they involved legally in the business of the State Assembly. I think legally speaking, the State Assembly can conduct its business as per usual whether or not they are present. Now of course the undan's can do what they wish and from what I understand from public reports that presumably they were not present because they don't recognise the current ruler in his position given their decision to terminate him. the ruler and the stick. government take a different position, they don't agree with that termination and from what I understand this is primarily because there was no inquiry done within the meaning of the state constitution and from publicly available material there is no proclamation issued under the hands of the undung and wentripesar to give effect to such termination. So as things stand, long story short, the sitting of the doon can go on as paranormal whether or not the undung's choose the boycott them or not as their presence is not legally required but of course this whole situation as to the termination of ruler it best that this be resolved for political purposes, the uncertainty will not do any party any good. That was constitutional lawyer Surandra Anand if you'd like to weigh in on this story or any other you can call double seven double three two 900 or send a voice note or WhatsApp 0187898888989 after this story number three on top five at five BFM 89.9. Be free minded BFM 89.9. It is just about 518 and you're listening to top five at five with Lin and Dash will be count down to the biggest story of the day. Story five, a fortune for 500 CEO calls work life balance a red flag for your job. Story four the continuation of the Nugri Sambilan Royal dispute. Number three calls grow louder to bring Dara, Amoy and Khaled home. Yeah so over the past few weeks many Malaysians have been speaking up about the three elephants who were sent from Malaysia to the Tenoji Zoo in Osaka and this was back in March. Now the move was meant to be part of a conservation and breeding program but concerns arose not long after they arrived. There were questions about the zoo's past track record with other elephants and then there were reports that could not chip to his tusk. There are now also new claims that he may have also injured his leg though again there hasn't been official confirmation on that. So the latest we are hearing is that NGO say document show these elephants actually grew up at the Kuala Gandhah Conservation Centre not typing zoo as previously stated and if that's true it raises serious questions about why animals from a rehabilitation centre were sent overseas at all. And public reaction has been growing stronger to this. There was a peaceful protest in Putrajaya this morning. A coalition of NGOs has also now given the government a three day deadline to respond and announce whether the elephants will be brought home. Online the pressure is just as intense with a petition crossing the hundred thousand mark calling for their return. So officials have maintained that this was a carefully planned collaboration. They've said the elephants remain under Malaysian ownership that their welfare is being monitored and that the move is meant to support conservation efforts including knowledge sharing which Japan. So I think there are a lot of questions and unknowns here right because the fact that we are now getting changing information about where exactly the elephants are from. That's one thing. The other thing is I'm curious about whether how much reassurance we would need to feel that the elephants were in fact doing well. Would videos cut it? Would a statement cut it? You know what would it take because it's quite different when you cannot go see them with your own eyes and I think also when the starting point for this collaboration has come with this amount of mistrust. So if there were to be a recovery right like like a way to say no look it's fine really it's okay. I wonder what that would take. Yeah and this is always you know it's a bit tricky right because again we are still waiting for more information to come out but we see these kinds of problems even when they do kind of let's say cross country animal diplomacy right when they send pandas overseas for example and you know there is always a kind of question about ethics whether this should be done in the first place right but I think of course there are certain instances where you can do certain things like that. Like in this case we do need to have more concrete I think updates right okay if this is going to be a conservation effort then are they really and what are the process that they're going to go through do the locals here do we get like regular updates like you said Lane whether it could be videos or it could be progress reports or anything and I think there is a question also about you know whether if it's from a zoo right where again there's you know I think zoos are problematic in general but let's say we go within that landscape and you're saying that okay just one animal or two animals we are going from a zoo to another zoo in another country I think that maybe changes the dynamics a bit but if it's actually from a conservation center right and this is meant to be a conservation program and then when we run into all these troubles I think that's when you know a lot of people feel very strongly about this. I think there's also something to be said about the fact that it's elephants in that elephants are they're a charismatic animal in other words they are the kind of animal that Malaysians relate to. I think they're also one of those where because they're so expressive people feel even more emotionally connected to their well-being and that I think is also part of why this is happening. Yeah absolutely right and and so I don't know it's always difficult but I don't honestly I don't feel very reassured right so far with what we've been already what we've already been talking about I completely understand the frustration that the protesters are expressing they want the animals to come back they want to ensure it's safety so unless we can be convinced otherwise I think personally I kind of lean towards that as well. To us bringing them back yeah let us know how you feel about this you can call us double seven double three two nine hundred you can also of course send us a voice note or WhatsApp 018789 double eight double nine. Number two the government is going to reverse their ban on some of the recently prohibited books. So for now this looks like the conclusion to the reason book banning saga that's been happening over the past couple of weeks we have been covering this extensively. The whole ministry initially said they were banning a series of books including the memoir of Shamsia Fake and the Malay translation of an academic book on Mausudong. Now they have gone back on that statement according to the whole minister that was resided for the Nasr Tion Ismail they are in the process of revoking the bans on these titles they are now waiting on feedback from the attorney general's chambers to finalize the decision. And this follows backlash from the public and from the academic community on the dangers of arbitrarily imposing bans on historical works. The minister said he was often forced to deal with the backlash after the bans had already been enforced and that put him in a reactive position. So now the mechanism is that the minister will review ban proposals before they are enforced and that's going to be paired with communication with the respective publishers. Now it's important to note that all the announced books will be unbanned not all not all the announced books will be unbanned right because local Tamil writer M Navin's novel Sigandi which is about an impoverished 17 year old Tamil youth who descends into KL Keral Keral's criminal underworld will still remain banned. Now this was done without official reason provided by the whole ministry. So we decided to reach out to Navin himself to get his read on the ban. He also gives us a short summary about his novel. This novel speaks about the lives of Indian transgender individuals living in Malaysia. Additionally, it introduced Malaysians underworld through the characters of Deepen. The lives of Indian transgender people are unique from those of other transgender communities. All Tamil transgender individuals cross the globe share a common deity. Spending years researching and writing about a marginalized group like the Indian transgender community in Malaysia require a lot of emotional and intellectual labour. To have the effort white away by a legal order feels like a huge loss for literature and social visibility. So there were also rumors that Navin's novel was actually reported to the whole ministry by a member of the Tamil writing community. Here he is clarifying the rumours. Four years a specific group of commercial writers has claimed to represent Malaysian literature. As a critic, I hold everyone accountable from authors to politicians and editors. It is a fact that an Indian faction able to challenge me intellectually are camped into ban my first novel by Chi. While I am unsure who is behind the ban on security. I refuse to be bothered by it. I don't waste my time to weak minded provocateurs who like the capacity for real debate. Finally, Navin shares why he is not going to contest the whole ministry's ruling. In today's context, banning a book is certainly a threatening move. However, modern technology makes it possible to bypass such restrictions. My novel page is now fully available in audiobook format and international readers are accessing it via Amazon. As a government employee, it is not advisable for me to raise my voice against the ban. Nevertheless, I maintain absolute honesty in my writing. The universe does not abutn those who remain truthful. In a sense, these bands have only worked to my advantage. That was Local Writer Emnavin, if you'd like to weigh in on the story, call 00733-200 or send us a voice note or WhatsApp at our UMobile number 018-789-2899. This is top five at five. Keep it here for story number one on BFM 89.9. I have a dream. Be firmly motivated. BFM 89.9. It's coming up to 537 and this is top five at five with Lynn and Dersh, where we count down to the biggest story of the day. Story five. A fortune 500 CEO calls Work Life Balance a red flag for your job, saying that if you don't love it enough, then that's why you're counting down the hours. Story four, the continuation of the Nugri Sambilan Royal dispute. Story three calls grow to bring our elephants back from Osaka. Story two, the whole ministry has revoked a ban on some previously banned books. Number one. Are there economic benefits to medical tourism and are they worth it? Yeah, so last year the Malaysia Health Care Travel Council, MHTC, launched the Malaysia Year of Medical Tourism 2026 to attract more international health care travelers. Now the initiative focuses on high-end medical services with a strategic goal of generating 12 billion in revenue by the year 2030. However, while there are proponents who cite a multiplier, multiplier effects, skeptics, such as Parti Socialist Malaysia, argue that the government funds, that the government funds and MHTC resources should be focused on fixing the public health care system rather than subsidizing private sector growth. So we have an interview coming up, but before that we do have a few comments from economist Jeffrey Williams who is listing out his concerns about the claims made in relation to the economic impact of medical tourism. He was unable to join us for an interview, hence you'll be hearing his answers in clip form. So first he addresses the revenue issue and how much of it is generated by medical tourism. The first is that the data that is being presented to us doesn't appear to support the idea of there being a big impact. For example, the direct revenue is about 3.3 billion ringgit and the number of patients is about 1.6 million patients. Well, if you divide those two numbers, you only get about 2,000 ringgit per patient and that doesn't appear to me to be a sufficient amount to justify the claim that there is a lot of high value high end private medicine going on because 2,000 ringgit isn't a great deal of money. What we also know is that the number of patients is increasing but it is not increasing at the same rate as the revenue and the revenue has increased from around 2.7 billion in 2024 or to around 3.3 billion in 2025. That's about a 22.8% increase but the number of patients paying the fees which lead to the revenue has been about the same. And what that means is that the increasing revenue is actually medical inflation. It's an increase in the cost of the private medical treatments. It's not necessarily an increase in the number of patients overall and as we know that medical inflation doesn't just affect foreign patients and medical tourists is affects Malaysians using private healthcare as well. In the next clip Jeffrey unpacks the claims about the sector's multiplier effects and the costs that may not be visible to us. Now the second point is in respect of the economic impact of that revenue and acclaim that the 3.3 billion in direct health tourism revenue leads to a 13 billion economic impact. Well, actually that's not exceptional because we have something called the economic multiplier and that would happen anyway in the economy. If we think about where these patients are coming from this 1.6 million it's much more likely that these figures are measuring not health tourists but foreign patients and many of these foreign patients are resident in Malaysia, their foreign workers or their expatriates or their long-term foreign residents like myself and that is all measured in the data as a foreign patient and the claims are often made that this represents health tourism and it doesn't represent health tourism and what that means is that there is no additionality actually for many of the foreign patients because they already living here so the knock-on benefits in terms of claims about staying in hotels and transport and food and spending whilst they're here which would come from normal tourism doesn't come necessarily from these claims of foreign medical tourism because they're actually not tourists, they're residents and the figure that is provided for this economic impact is a gross figure. It's not a net figure and we need to take out many of the costs. One cost of course is the increasing demand from foreigners on private health care in Malaysia which is pushing up medical inflation and that is a cost and another cost which is increasing is the cost of medical insurance and medical negligence claims. Foreign patients whether they are residents or tourists in the private health care system in Malaysia are at risk because of a very slack regulatory system. If they are foreign tourists coming here for treatment often the insurance that they have purchased in their home country doesn't cover treatment in a foreign country and if they buy Malaysian medical insurance in order to cover that as a foreigner then they will find often that they will not be able to make claims. For example Malaysian insurers will use litigation to deny or delay or defend any claim of negligence arising from medical treatments here and that means it's very difficult for foreigners to get protection from medical negligence. Now what this means is that health tourists as well as foreign residents here in Malaysia are at some degree of risk and that is a very big economic cost because if there are problems that arise out of treatment those costs have to be paid out of pocket by the patient or they involve very expensive litigation fees for which they may not be given adequate compensation. You just heard economists Jeffrey Williams sharing a few of his concerns about the growth of medical tourism in Malaysia joining us now to extend this conversation as Professor Emeritus that at Dr. Said Mohammed Al-Junit president of the Malaysian Health Economic Association Prof. Said thank you very much for speaking with us. Thank you thank you for inviting me to share my views on this. So the 3.34 billion generated by the medical tourism sector last year has been argued to be a major factor in the pros column for medical tourism. Do we know where this revenue goes and how much of it is kind of reinvested into developing our public health care system? Yeah thanks for very interesting figure that was actually also been commented by Prof. Williams just now. Actually if you look at the scenario in terms of the flow of fun normally in Malaysia if it is coming from the private sector especially private health sector I think we won't see that going to the public public health care facilities or public health system because all these resources if it is true that 3.4 billion was made last year it will go to the the taxation we go to the Ministry of Finance and Ministry of Health and other sectors health sector in Malaysia in the public sector would have to actually sort of get this funding back from Minister of Finance and there is no regulation at the moment to say that this revenue that they get from the private health sector from the health tourism is actually going to be a blowback to the public sector public health sector unless we have what we call the earmarked tax system like for example the tax for tobacco or tax for alcohol for example in some country that is being earmarked from the start otherwise the money will not come to the public health sector and public health care table will just stay be staying in the same station situation where there is not much resources that are available for the proper functioning of the public health services public health services in Malaysia. You know you previously when you came on a for an interview in BFM you also expressed the same concern and that was several years ago if things have not changed right now are you concerned that we are circling the same arguments without clarity or progress? Yeah basically when we look at this figure we are actually the public and the tax pay are actually subsidizing the foreign tourism to help tourism the country Malaysia how does it happen? Because many of these tourist health tourists actually came from our neighboring country like Indonesia and also other maybe small percentage come from the Middle East and all that. Why is it people from our neighboring country come to Malaysia for for three and one of the thing is that the Exesion scheme or the Exesion program in our neighboring country takes quite high on medical devices and also drugs Malaysia spends about 17 billion a year on drugs and the proper sector 70% dari 70 milen daripada perabuk sektor. Dan ini, kata-kata, saya harapkan kebanyakan, oleh kami, kami, kami, through a non-taxasi scheme yang kita ada. Dan apa kita tahu, itu, kata-kata, kata-kata, kata-kata, dia datang, dia datang ke 3-6 maen, dan mereka datang ke kembali ke ke kembali. Jadi, kita berdua di sini, ini, sekarang, dalam kata-kata, saja yang encore, Kami dah datang lapis itu. Gunakan dapat swapped uji borek. Belum ikian dengan di draining HOW ТORIST sector dough di peracakan anak-anak, conv Lance ke layak huj Being Khan was, hipimosia yang berasong, 연 kudan dan kon Lipї P站ang di perjagaan pula černi darj ke rela cutting oui. Saya harapkan kelihatan dari Malaysia, dari kandis lain, tapi sekarang, dalam kandis, mereka akan menjadi banyak kandis. Jadi, perjagaan pula, di perjagaan pula, pada saat itu, Kami dapat mencari ke dalam kandis, di perjagaan pula, di perjagaan pula, berjaga dengan kelihatan dengan kandis kelihatan. Jadi, di situ, MHDC juga berikan kandis di perjagaan pula, akan mencari kelihatan pula, kerana investi di dalam kandis, dan perjagaan yang diperlukan, berikan kelihatan pula, akan mencari kelihatan pula, di Malaysia, di situ, di perjagaan pula, di kandis di dalam kandis lain, tapi, seperti yang kamu berikan kandis, ini tidak berikan pula, pula, pula, pula, pula, pula. Apa senarit, kamu lihat kelihatan di sini, di sini lagi terkumpa? Ya, dalam kandis, banyak publik-pula, publik-pula, publik-pula, sebabkan kelihatan di perjagaan pula, sebabkan kelihatan di dalam kandis, dan, sebabkan kelihatan di perjagaan pula, ia akan berikan kelihatan di perjagaan pula, jadi, Pada orang yang berikan, 3, 4 bilen, ia akan berikan kelihatan dari kelihatan yang dapat mempunyai publik-pula, sangat mencari dan saya takkan, sebabkan kelihatan di dalam kandis, sebabkan kita menggunakan, dan bahawa, publik-pula, ia akan berikan banyak, sebabkan kelihatan di perjagaan pula, ia tidak berikan kelihatan di perjagaan, ia tidak berikan kelihatan di dalam kandis. Di dalam kandis, ia juga berikan kelihatan di dalam kandis, dan berikan kelihatan di dalam kandis, yang ada kelihatan di dalam kandis, di dalam kandis kita berikan kelihatan di dalam kandis, kandis, jaffri, bilums, ada sebabkan, sebabkan kelihatan ini sangat. sebabkan kelihatan ini sangat kelihatan di dalam kandis, jadi, apa yang kamu nak lihat untuk mempercayakan di dalam kandis, di dalam kandis, di dalam kandis, di dalam kandis, adalah untuk mempercayakan kelihatan di dalam kandis, untuk menitipu hackers tipu meladu lebih di mana. Kita perlu lihat apa-apa sustり cieras tanpa tigafinder schedule berjumpa untuk dengar hvad. Tak begitu, dalam link yang tentang Catalala An from BunaAPPLAUSE Dewa bentuk harga apakah anda fatto mungkinHHHHTC malamsuchama dan berbantung se原因 m adil hal pengapadaan di hospital patient apabila ك아서 camat. Apa你在 balat itu? Tak. saya tak minta maaf ni, perbuatan. OVER Al landedel ini seperti dah diperkenaan, bisog 1960LER pada utensil baru sekali dari mulai Tikner Total dari perbuatan, dan perbuatan. Bagaimana itu sebenarnya di mana, atau di situasi ini, atau di situasi di perbuatan? In fact, other scenario juga terjadi, karena waktu di perbuatan di rumah, saya akan mempunyai perbuatan 2 hari untuk mencoba lebih dari local population, karena ia akan mempunyai lebih dari local population. Dan pada risauyang, pelbagai masalahh более dua pilang duduk resauf, mereka mungkin takkan åkeria daripada risau ans reins ounce. Kita mengenai semasa suku captain siapa tepat kelas kehus lại bahan-buci in Olá betraysa rasa Oppa walai sebab mereka perempuan. Selepas Marketing attractive di pertanyaan perspektif untuk berehat kebesarieux, So when it comes to chronic disease and all that because chronic disease because it Nahan Ask to risky tho pética (setnax) Arafatikan Mädcing proceed So ternyata k graphic star Selamat dan rasikan kikanan palsai Moppy R Sahada ua buik publik embrace Bagus jika naveganya Angkat untuk pes tipuan , abang ke mana- Brussels Festiv system bersperiksa. WITHAM ZGAP Pro thinking should ask you something for clarity because earlier Jeffrey agree to consult tubuh bagian syarat prakt каким apa hekan suaslect Państwo käketapa gelernt kepada yang jijai pak cik permintaanun vehicle dimedikan banyak yang menyukainin dan我是biba salah luar kerja booster SUSH dan other in some countries, especially the European region, the purchase of medical equipment expensive health facilities, MRI, CT scan, is controlled by the certificate of need. Indonesia, any hospital can purchase that equipment. As a result, you might lead to overuse of these services and also situation where unatical practisman happen. So if this were to happen long term, we will have a lot more issues related to medical litigation. And this actually will lead to have some issues. We will have a lot of these issues in Malaysia. It might affect the population. It might affect the whole health sector in Malaysia. So unatical practice might happen if we don't have appropriate regulatory mechanism to control this, especially when we allow the hospital to acquire all sorts of equipment without appropriate control. We don't have a certificate of need. Any hospital can acquire any MRI, CT scan at the moment. There's no control for that. And they might misuse it on on on patient, especially if it is to help to this that a willing to pay for it. These unatical practice will expose the hospital to the medical litigation. And that will actually lead to checking up of the overall health care costs in the country. In closing, Prof. We have a health white paper that underscores the need to ensure sustainable and equitable health care funding. And this is part of long-term reforms. In light of this, should the government be playing such a major role in driving medical tourism or should there be a reprioritisation? Yeah. Under the four pillars of the health white paper, we don't actually focus at all on the health to resum. It was not even mentioned specifically in the health white paper. The focus is mainly to improve health care funding, which is the third pillar in the student to get more resources, which come from probably the existing and also some form of health financing schemes such as national health insurance or something. In order to increase our health spending or our health spend the expenditure to more than 5%. We are trailing between three to four percent and currently is 4.7%. The focus should be on that. And secondly, the second under the pillar number two and also pillar number three, the focus will be more on preventive services and also coordination between the public and the private sector. If the services that are being focused is actually to serve the tourist or health tourist from outside, I don't think that is in gel in line with whatever that is being planned under the health white paper. So we really have to look at if we spend a lot of time to prepare the health white paper, we should take effort to make sure that all the four pillars in the hardware paper are being looked upon and then proper action is taken so that we will have enough resources, proper coordination of activities between the public and the private health sector in the country, and a lot more services in the form of preventive services will be given in a coordinated method, many, both for in the public and the private sector in order to reduce prevalence of chronic diseases such as cancers, diabetes, hypertension and also all these diseases we actually need long-term care. I think that should be the priority rather than putting a lot more effort on looking at the or promoting a lot more health tourism. And you must remember that countries that Indonesia are already in the process of trying to actually reduce this, their health tourist coming to Malaysia and there was some suggestions that the country might text them in the future if they were to actually come to take health care services in Malaysia and bring back the medicine to their country. So in the future, it is not easy. every country will try to make some measures so that they won't be out of law of resources from the country. So if we give too much emphasis on the tourism, the whole health sector in Malaysia will be affected. Prath, thank you very much for speaking with us today. Thank you. Thank you so much, Sam. That was Professor Emeritus, Dr. Dr. Said, Mohammed Al-Junit, President of the Malaysian Health Economic Association, giving us I think a really detailed picture of what some of the problems are with focusing on medical tourism. But let us know what you think. You can call us, double seven, double three, two, nine hundred. You can also send us a voice note or WhatsApp, zero one eight, seven eight nine, double eight, double nine. This is top five at five, BFM 89.9. Behold freedom, Malaysia, BFM 89.9, the business station. It's 557 and this is top five at five with Lynn and Dash. And we've got a trio of really interesting messages in relation to three separate stories. So let's begin with the most recent. On the subject of medical tourism, Maddie says it's ethically indefensible. So long as there are local citizens still unable to access supposedly universal health care funds should be invested in raising the standards of public health care services instead of capitalizing on the suffering of tourists and contributing to equity erosion. Maddie, I think you said it really, really well there. And I don't think it's about being binary, right? One or the other, but it's about priority. And right now, our public health care is going through so much problems over fund it is overcrowded. People are overworked and underpaid. And I think that should be the main focus. Meanwhile, on the subject of the book ban, copy the cat says, I'll say it again, books are the mirrors of the soul to ban them is to shatter the glass because you fear your own reflection. And I think this is a very apt quote because in many ways, the books that we're looking at are either about history or about marginalized communities. And so you have to ask yourself exactly what does what does it say when we are trying when we are trying to erase, you know, the the the voices of these people. In closing, though, we've got MZ on the subject of work, life balance who says, when I was younger, I saw my dad work six days a week, 18 hour days. I've grown up being taught that working hard is the norm to climb the ladder. I did just that most of my 20s and 30s until I was retrenched just recently in my early 40s. Thankfully, I made a lot of good decisions to allow me to say, make your own work, life balance today. Most employers may be excluding BFM, CU as a dispensable cog in their system, better for you to take charge of your life versus letting others tell you what work life is. Yeah, I mean, firstly, I think BFM in general does have very good benefits. So thank you for that. Thank you to my leg against the shout out. Yes, absolutely. But I do think, you know, in general, you know, some people, I think you bring up a great point, MZ because some people are lazy. Some people are not hardworking. Yeah, sure. But laziness is not an epidemic. The problem is that there are loads of hardworking people that cannot climb up the ladder and are not adequately compensated. They're just working their lives away and then, you know, getting no reward and no dignity out of it. MZ, I know that it took an event, right, for you to kind of reconfigure that. But I think people younger than us really, you, me, Dash, are all having from the starting point a really different relationship with work. And we're seeing that kind of tension and conflict play out in workplaces too. But I hope it is going to be to their benefit because I think a lot of us realise that maybe it ought to be this way. All right, that is all the time we have for top five. Do keep it here. BFM 89.9.