Four Thousand Cuban Doctors To Work In Brazil

The foreign doctors are on three-year contracts, and by 2017 the government hopes to see the fruits of its investment with 12,000 more Brazilians graduating from medical school. The goal is 20,500 practicing medical graduates by 2021. World Bank data shows Brazil currently lags behind other developed economies in terms of access medical care with 1.8 doctors for every 1,000 Brazilians. This doctor to patient ratio is below that of countries such as the United Kingdom (2.7), the United States (2.4), Portugal (4), and other Latin American nations like Argentina (3.2), and Mexico (2). Working ‘for love’ As Mr. Rodriguez stepped off the plane on Saturday, he and his colleagues waved both Cuban and Brazilian flags. We are very happy to be in Brazil, Rodriguez said at a press conference at the Recife airport. He and his colleagues will likely be placed in far-flung regions and in the impoverished outskirts of Brazilian cities, according to Padilha. None of the Cuban physicians have been given a choice in where they will be sent. All will have three weeks of cultural and medical training, as well as Portuguese language training. Brazil is large and beautiful.

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Doctors Peddle C-Sections For The Pay Bump, Study Says

In 1996, one in five babies was delivered via C-section. Today one in three babies are delivered through surgical childbirth. From 1996 to 2013, the cost of childbirth in the U.S. has grown $3 billion annually, according to NPR . Study authors and health care economists Erin Johnson and M. Marit Rehavia found that when n obstetrician is paid a flat rate with no incentive to perform surgery, they give fewer C-sections. They estimated that doctors might see a couple extra hundred dollars and hospitals a few thousand more dollars in the event a c-section is done. Johnson and Rehavia wondered is obstetricians would back off pushing for a c-section if they had a patient with significant medical expertise and knowledge. They decided to compare the birthing method for patients who knew little about health and those patients who were themselves physicians. “The idea is that physicians have medical knowledge,” said Johnson. “If the obstetrician is deviating from the best treatment because of their own financial incentive, the patient [who is a] doctor would be able to not have the medical knowledge to know whether or not this C-section is the appropriate [method of delivery] for them.” Pregnant physicians werent getting as many c-sections, when pay incentives were present. “We found that doctors are about 10 percent less likely to get C-sections,” Johnson said. “So obstetricians appear to be treating their physician patients differently than [they treat] their nonphysician patients.” When the C-section was scheduled in advance, however, the rates were the same between between physicians and nonphysician mothers.

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Doctors dine out on $9m of unlimited food

The free-lunch clause has caused a rift between hospitals and the junior doctors’ union, the Resident Doctors’ Association (RDA), which negotiates their multi-employer collective agreement (MECA). The hospitals say the clause is out of date and should have been scrapped when RMO hours were reduced, yet the union claims it is a cost-effective health and safety provision. The current MECA, due to expire in September, is under negotiation. Graham Dyer, chair of the DHBs’ employment relations strategy group, said many aspects of the RMO contract were “unwieldy and out of date”. Junior doctors no longer spend the majority of their lives in hospitals, he said. The maximum was now 72 hours a week and the Medical Council’s annual workforce report shows those hours continue to drop, with an average of 53 hours a week worked in 2011. RDA national president Dr Curtis Walker said the free meals were a “health and safety provision” for resident doctors who staff hospitals 24/7 and can work up to 12 days in a row. “The provision of a meal ensures that despite these demands on the doctors they get food and hydration during what are very long, physically and mentally demanding periods of duty. Money is no compensation for an unsafe workplace.” If the young doctors were entitled to a meal break, like most other employees, it would not only be more costly to DHBs but it would also mean doctors would have to hand over the care of their patients which could present clinical risks, he said. The union wants the meal clause to remain unchanged in the current negotiations but “if somebody winds up with a massive tab” they would be questioned by the union, Walker said. “Where cases of abuse are identified, we work with the DHBs to get to the bottom of it. We pull people into line because we don’t want to see it being abused.” Walker, who uses the meal provision, said he would usually get a hot meal or a sandwich, a piece of fruit and a bottle of drink for lunch, which he estimated cost about $12. “There is no such thing as a free lunch and this is not a free lunch,” he said. The Sunday Star-Times, visited Christchurch Hospital’s cafe and witnessed a resident doctor buying lunch. His deluxe corned beef sandwich, yoghurt, sausage roll, tomato sauce sachet, large chocolate-chip cookie and Diet Coke cost $17.80. He carried his tray over to a table and sat down with two other colleagues, one who was eating two mince pies and a peppermint slice, and the other who had picked up a chocolate muffin and a piece of banana cake.



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