Change, Commitment, and Corruption – Take 1
Newspaper banner headlines are screaming the latest corruption crisis here in the Philippines – the First Family is/is not involved in bribery/kickbacks in a telecommunications project. Specifically, the “First Gentleman” is/is not involved in a major way; meanwhile, the opposition’s chief witness and his family is living in a church for protection between days of testimony in the senate.
All of the above isn’t affecting us in any directly. Manny believes that the crisis will die of its own weight – that the real intent of the opposition is to embarrass the President so that in 2010 — the next elections — her party will be defeated. She herself cannot run again because of term limits, but term limits are notoriously resolved in this country by running a spouse, a child, a parent whose job is to just hold the seat until the incumbent can legally run again.
Manny also noted that EDSA 1 and EDSA 2, the last “street” revolutions, have been replaced by “intellectual” revolutions, in which masses and statements by intellectuals supersede marches by hundreds of thousands of Filipinos. So if political change is in the wind, it’s all happening rather sedately.
The Philippines isn’t the only country undergoing change. We woke this morning to CNN’s report that after 49 years and counting, Fidel Castro has “resigned” from the Cuban presidency. It’s a bit unclear what will happen next; what is clear is that a Cuba without Castro has long been in the offing and that a Castro-free Cuba is happening too late to matter to many of the “exiles” in Florida who have never known anything but life in the United States.
And then there’s the US presidential campaign, which has engendered as much interest from our hosts as I anticipated, but not nearly the knowledge level that I expected. It’s a bit unnerving to have all one’s election information derived from CNN and MSNBC headlines. How about some analysis, please?
Marty – Change, Commitment and Corruption – Take 2
Juliette and I spent our first vocational day together, visiting two government hospitals. She went as a nurse; I because both facilities have benefited from Rotary Club involvement and the facilities clearly want more.
I’ve never visited a hospital in a developing nation before, but I have heard plenty of Rotary talks about Rotaplast and other medical experiences in developing nations. Invariably, the speaker talks about hard-working, dedicated medical professionals working amid appalling conditions, so I guess that’s what I expected.
Well, the second part of the equation proved correct.
The first hospital we visited was the major military hospital, serving military personal and their dependents. It took me awhile to catch on, but the Philippine army is experiencing casualties from both Communist and insurrectionist guerrilla forces, mostly in Mindanao. We were met and welcomed by the commanding officer, a colonel, and his staff, which seemed to be top-heavy with colonels. After a briefing and a meal, we received a tour of the facility.
The tour quickly turned into a trip onto the set of “The English Patient.” Equipment and building were aging; nothing was sanitized or clean to modern medical standards. In fact, we never once saw medical personnel wearing gloves or surgical masks. Soap seemed non-existent; clean rooms even more so. Juliette warned me not to touch anything long after I had realized that something was very, very wrong.
The facility had a fair amount of expensive equipment – CT scanner, X-ray equipment, hyperbaric chamber, stuff described by initials that meant nothing to me. However, the vast majority of the hardware sat deserted – broken or in need of a part or just plain non-functional. When I asked about replacement parts or training for operators to run the equipment more effectively, I was told that the money just wasn’t in the budget.
We visited a section that makes prosthetics for both children and military casualties, and the aroma of glue used in the fiberglass hung heavy in the air, with no fan or other way to disperse it.
I won’t go on. The medical personnel we spoke with may well be as hard-working as I had imagined, but they certainly have allowed lax standards to prevail. Knowing what we know about the high quality of medical training in the Philippines, it can only be assumed that this is an option, not a matter of not knowing any better.
Meanwhile, we were told that army physicians make one-tenth of what their counterparts can earn in private practice, and much, much less than what they could make if they emigrated to the US or Britain or Australia. They remain in the army for the commitment to their work, we were told.
Later, we spoke to several Rotarian doctors about what we had seen. They explained that the problem is not budget, but rather corruption. The corruption starts at the top, they said, but also exists at the hospital level itself. If there is no budget for soap or gloves or training or equipment maintenance, it is because the budget is going into the pockets of a very few individuals rather than being used to support the patients.
None of which surprised me, I am sad to say. What did surprise me is that our medical hosts actually thought that this tour would motivate me to agree to a Rotary Foundation grant.
Nothing could be further from my mind.