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It would seem that the doctors in the public health sector have rediscovered their mission which has always been to betray poor people. In the years of the anti-apartheid struggle medical doctors were not, necessarily, part of the political work to bring democracy and health rights for all.

There were very few of them who engaged in the selfless struggle that brought about a just society for those who are marginalised.

If the truth is to be told, medical doctors have always mistaken to be part of the ruling elite because of their qualifications, skills, money and status.

They must rid themselves of the delusion that their strike action aims to contribute to transformation and equal access to health for all, especially the poor and marginalised.

General society must be wary of hooting in support of striking doctors or showing sympathy and solidarity for their so-called struggle. All that they are interested in is more money, more money and more money for themselves simply because they went to university for six years and did two or three years of community service.

They feel that this new government has reduced them to paupers by not paying them like they are cabinet ministers, engineers or accountants.

The empty echoes of their struggle reveal their preoccupation with selfishness, greed and desire for material things.

There is very little that resounds with the power of a moral force that wants to see the health sector transformed so that it can provide quality of service for all.

It is all about the alleged poor salaries that medical doctors and only medical doctors get.

Well, what about their colleagues who are administrators, clerks, cleaners, drivers, nurses and others in the emergency services? There is something that is fundamentally wrong when medical doctors abandon wards with sick and dying people simply because they want more money.

This is nothing else but cheap heroism that reveals the content of the character of medical doctors as people who are not better than other money mongers and material worshippers.

It is never enough for any professional, especially medical doctors, to go out on strike simply because they want more money for themselves.

It smacks of political opportunism and short-sightedness.

These are supposedly highly educated men and women.

Above all, they have largely been funded through taxpayers’ money for them to acquire the not-so-great expertise and skills they hold. It would have been much better if they showed a different calibre of leadership which transcended their myopic individual interest to embrace a bigger “health for all” picture.

This would have seen them fashion their “revolution” with all their other colleagues in the health sector.

It would have made more sense if they joined hands with the administrators, cleaners, drivers, cookers, nurses and a host of others to make a resounding demand about the urgent need to transform the health sector.

Of course, it will need more than just medical doctors to say “we have had enough. Our public hospitals must not be places for a death sentence”.

But the doctors have decided to go it alone and strike for more money so that they can drive in BMWs, eat in fancy restaurants, live in posh suburbs, dress in designer labels and wallow in luxury.

Their newly discovered historic mission is just to demand to be treated like the elites who have no genuine concern for the greater good.

The fundamental problem with the doctors’ strike is that it is not part of the struggle to make this a better society.

In fact, it is disappointing to realise that the doctors’ approach to their issues is no different to that of taxi drivers or any other semi-literate workers.

Yet doctors, because of their so-called high education and insight into life, should have used alternative means to pursue their struggle and set an example to the lowly like taxi drivers and semi-literate workers on how to use negotiations skills to get what they want.

Perhaps there is nothing wrong for them to demand more money, if they need it.

But what we should be concerned with is that doctors lack a vision that can contribute to the radical transformation of the health sector and society in general.

Their struggle is about money and yet doctors earning more money is not going to fundamentally change things in the health sector.

They must go back to the drawing board to reconsider what their struggle should be about.

The truth is they cannot afford to bite the government hand that feeds them.

It is time they showed that they will not put poor folks’ lives at risk for the love of money.




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47 Responses to “The doctors’ hypocritical oath”

Do you know any state hospital doctors personally? If so ask them about the terrible working conditions in State hospitals and offer to accompany them 24/7 for just a week and see what they have to put up with whilst the health administrators wallow in sloth and mis-management. Then write your moralistic cheap shots from experience.

Brent

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brent on July 1st, 2009 at 2:37 pm

It’s not the doctors who have failed the people - It’s (once again) the government. Their inability to manage anything that involves foresight and finance. Their own greed and corruption has failed their own people and with the typical African victim mentality, it’s someone else’s fault. State doctors at Barra have opened a web site appealing to the private sector to help them attain supplies and equipment because of government’s ineptitude. What an indictment. The doctors have my vote.

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Quenton on July 1st, 2009 at 3:32 pm

If indeed they are oportunists and are only doing this for the money, they would have done this a long time ago.
Fact is they were promised better working conditions and this never materialised, so now they’re doing something about it.

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Muhweleli on July 1st, 2009 at 3:36 pm

While I agree with you that I don’t think striking will solve the fundamental problem, I think you’re in gross error to judge them as being greedy. Until we start to pay our civil servants properly (doctors and teachers being uppermost in my mind) our society will never take these professions seriously. Until we take these professions seriously, money will never be made available to upgrade the department and make it a world-class institution. Until that happens, the poor will continue to suffer. It’s not just about greed.

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Nixgrim on July 1st, 2009 at 3:50 pm

Agreed Brent - a 36 hour shift where you have to make shift amongst dirt and squalor, broken equipment and lack of drugs, should give you a thorough view of a doctor’s job. Of course the threat of rape if you are a female doctor is also part of the job description as is being robbed. Sandile, the government has let all the health workers down. Some just attend work and do nothing. Doctors are striking because they have been working and no-one helps them do the job they want to do nor pays them adqequately - most are paying back study loans in the R100 000s on minute salaries.

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Judith on July 1st, 2009 at 4:00 pm

And why shouldn’t they earn a decent wage?
Have you ever worked a 110 hour week, exposed yourself to a risk of contracting HIV and slept fleetingly on a dirty casualty stretcher before morning ward rounds?
But then you probably have a Medical Aid and don’t associate yourself with State Health care. Don’t be so ignorant.
JQD

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jqd on July 1st, 2009 at 4:03 pm

Scapegoating doctors for the state of out medical system is like saying priests are responsible for the crime situation in SA. I think you’ve lost the plot Sandile.

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Dave Harris on July 1st, 2009 at 5:34 pm

Let us call the poor people and let them vote on who should earn a higher salary. Sandile or the doctors.

I was in Zimbabwe, Botswana and Zambia the other two weeks and citizens of those countries watch SABC, ETV among a host of stations. Most people were actually shocked that doctors in South Africa are so lowly regarded in the government scheme of things. The other issue is that perhaps Doctors have figured that what works for teachers could work for them of course without the attendant violence.

Someone who is said to be taking a hypocritical oath is one who swears to or professes values that he or she actually despises. There are so many people like that out there but not the doctors whom Sandile wants to blackmail. Actually watching Asikhulume the other week the majority of those who sent their opinions were in support of the doctors.

“So called higher education” is such disdain for the qualifications of doctors that would be frowned on in most countries that value academic excellence and whose products have benefited South Africa

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Bravo on July 1st, 2009 at 5:43 pm

Selfserving greedy professionals. Dr Christiaan Barnard’s corpse should be turning sideways in desbelief…this is not what he stood for.

:(

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Siphiwo Siphiwo on July 1st, 2009 at 6:26 pm

What a load of uninformed garbage

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anton kleinschmidt on July 1st, 2009 at 7:57 pm

sandile:

yet another missive full of fail. i’m guessing that you haven’t been in a state hospital lately.

i’ve only been on the inside of a state hospital exactly twice in the 4.5 years i’ve been in cape town, and i hope that i never have to do so again.

you have got it so, so, so wrong. as usual.

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mundundu on July 1st, 2009 at 8:13 pm

Thanks for being so honest. Although i agree that the strike will amount to nothing, i warn you against lumping all doctors as greedy. Majority are not striking and are currently working even longer shifts to try and see the most numbers possible. But these are stories left untold coz they just don’t sell newspapers. You are a journalist, and i believe your job entails informing people of the facts as they come; and not publishing biased views. Some doctors are greedy - this does not mean all are. If they were then they would all go work in foreign lands or go private.

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isa on July 1st, 2009 at 8:27 pm

Hi Sandile, I agree with what those before me have said. Your judgment on this matter is very bias and incorrect.

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Sebastian Aubrey on July 1st, 2009 at 9:23 pm

Sandile clearly knows a few doctors that are ripping the public off in private practice….and thinks the dear souls in the state hospitals are as well off. The state doctors are amongst the most ALTRUISTIC beings that exist. Yet the state could not care less. My doctor friends regularly go above and beyond normal duty to ensure the wellbeing of an ungrateful and self-gratifying public. If Sandile truely believes what he has produced here, my father- in- law is a psychiatrist…only thing is that he is in state practice, and Sandile will have to wait about 4 months for an appointment.

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Zulu on my Stoep on July 1st, 2009 at 9:59 pm

In as much as its true that strike does not necessarilly address the plight of the poor, there had been careful thought of these labour intensive processes and effects thereof. It is no secret that the govt does not have a forum to discuss health issues. To put their issues into the bargaining chamber is nothing less that a deaf ear.
More so the letter as written is certainly not short of selfishness and with a complete myopic view of the facts. How nice would it be to get the thoughts of the consumers of the public health system. The current situation is a very fertile groung to culture the most selfish health professionals who can never be patriotic about thier country.

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GMT on July 1st, 2009 at 11:16 pm

remuneration and poor working conditions are the primary reasons for doctor’s shortage and brain drain the government is failing to address and a clown comes and insult the few that we have. i guess your access to internet keeps you away from the realities the doctors and public face in the morturies(hospitals) everyday. the failure of the politically appointed unqualified hospital and district health managers who are unable to spend the given budget by the treasury are responsible for the people dying in the lengthy queues and dysfuctional emergency departments. i will be sad if i knew you personally. and you and your lousy government go and fire 300 doctors as if your women produce doctors. hospitals are going to remain closed and more doctors are going to join the strike. foreign work-force also need functional system to operate and if you think they will come and comply with your nonsense ,they too will join the strike. Watch and learn you disgracful Memela!

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tsametse on July 1st, 2009 at 11:51 pm

This article has left me speechless…Sometimes you really suck the hind teet for an article Sandile and this one smacks of ignorance to the highest degree. Do you write some of your articles just to see how many comments you can get or do you actually believe what you are writing?

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Themba Tantrum on July 2nd, 2009 at 6:02 am

Mamelang - doctors have been involved in the struggle to bring health care to all since long before 1992. Unfortunately their efforts are now hindered, often by the selfless individuals to whom you refer.

Get the chip off your shoulder …

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Mark on July 2nd, 2009 at 6:50 am

If doctors had the status, salary, and working hours of MPs or MECs there would be no problem would there?

But the ANC only pays its own fatcats.

The doctors are given the wages of workers not the salaries of the ANC politicians.

And the ANC has killed hundreds of thousands with its neglect of the hospitals and the health service and its Aids denialism.

If they doctors had not gone on strike the ANC would happily have let this total negligence and loss of lives go on indefinately.

How many died just from the ANC refusal to roll out ARVs, and to allow mother to child treatment? And how many more because the equipment is broken?

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Lyndall Beddy on July 2nd, 2009 at 7:18 am

It is with dismay that I read the above article. While I respect Mr Memela’s opinion, it is without question misinformed and ill-directed.
The intention of the OSD tabled at present is to retain & more importantly to bolster the ranks of health care professionals in South Africa. This ranges from doctors to pharmacists, OT’s, physio’s and pre-hospital emergency care workers. Without the appropriate skills set & necessary remuneration, experienced health care providers are lost from the public sector. The current ill-health of the medical fraternity at present is the result of 15 yrs of chronic underspending, gross mismanagement, negligence and general disinterest in the health of the nation. Bearing witness to this is the complete failure of the TB clinic system in Kwazulu Natal with rates of multidrug resistent TB hitting the 15% mark.
Clearly there has been a policy shift in the Department of Health since 2005 in an effort to improve the current state of affairs. However repsonsibility for the HIV Pandemeic decimating South Africa, the burden of MDR & XDR TB fuelling the crisis..in essence, the disgrace of a health system must lie squarely at the foot of those charged with the responisiblity of ensuring the health of the nation, namely the Departmetn itself.

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Greg on July 2nd, 2009 at 9:21 am

I think Sandile has a point. The major focus of the Drs strike seems to be higher salaries (interns earning R300K PA is by no means meagre), the issue of better working conditions appears to be secondary. What intrigues me is that if a highly skilled professional is unhappy with their pay, shouldnt they quitely change jobs or company (the Drs at Sunninghill Hospital seem to be doing alright financially) rather than toyi-toyi…Just a thought.

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KG on July 2nd, 2009 at 9:37 am

Once again, first class rubbish from the “government funk”. Try justifying the filthy lucre that your bosses in the political classes wallow in, instead.

In fact, start by revealing the cost of having 2 bloated bureacracies that the ANC has saddled us with; one in Pretoria and one in Luthuli House.

THEN I for one might take you seriously.

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Spaghetti on July 2nd, 2009 at 10:00 am

Your opinion is completely misinformed.

Truth is, its only because of the doctors that this country has any public health system to talk of in the first place. The administration of the system is a complete failure. The doctors put up with horrific conditions and complete administrative ineptitude and make do without even basic supplies and fundamental hygiene. They work unbelievable hours and are continually frustrated in their attempts to serve the people by the beuracratic disaster we call the Dept. of Health.

This strike is not for the sake of the doctors but necessary for the people and for the sake of a better society. The fact that not every doctor has left the public health system to work in private or to immigrate is an indication that these men and women care far more for our people than themselves.

The most fundamental aspect of any health system is the doctors themselves and if they are not being looked after the entire system will collapse. It doesn’t take a genius to realise this.

The picture i have is of the doctors holding up this massive burden which is the well-being of this country and begging the fat, lazy government for help. The government is sitting amongst piles of paper, playing with a toy car and yawning, muttering - “oh we’re too busy, we’ll get around to it when we have a chance”. The situation is desperate. Desperate measures are required to force the government to wake-up.

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Phil on July 2nd, 2009 at 10:27 am

So, THIS is what hot air looks like in writing…

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Epiphany on July 2nd, 2009 at 10:49 am

My ex is a state medical doctor. She is certainly not wallowing in luxury. With a modest house and one financed second hand car, she is actually struggling to make ends meet. It is the private practice doctors who are wallowing in luxury, and if the government is not careful, they may lose their doctors to the private sector or the overseas workforce. Doctors make a huge investment in their education and workload, and deserve to be paid better that any other government workers.

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Andrew Slaughter on July 2nd, 2009 at 11:05 am

Sandile,

My wife is a specialist doctor in public health, so I speak with some knowledge on this subject. She loves her work and is completely dedicated to her patients. She has never and will never consider going on strike. She often works full days despite her half day position. Since the start of this strike she has been working even longer hours to ensure that patient health is not compromised. Every additional hour at work costs us R50 in child-minder fees to cover at home.
She was promised an increase in 2007. It never materialised. Her revised salary offer now is a 4% increase. She takes home R12,000 p/m and receives no benefits.
I think she is insane. If she was the primary bread winner in our home, we could not afford our basic middle-class existence. I think she is a scab to her more militant colleagues, a traitor to the cause of improved health care for all. It is because of dedicated people like her with an over-developed sense of responsibility that the public health system is functional at all. Her and her colleague’s over-commitment prevents the total collapse of the system and is merely propping up where meltdown is inevitable. The system ultimately would be better served if they allowed it to collapse, forcing a reaction from government while there is still something to salvage.

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Carl on July 2nd, 2009 at 11:40 am

utter rubbish you have written on this page sir

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Phoebe on July 2nd, 2009 at 12:26 pm

I have always thought that there are two professions a government cannot afford to pay poorly; doctors and teachers. This is only my opinion of course. But these are professionals any country cannot do without and to mess around with their salsries is stupid and blind. The South Afrian government needs glasses because what it pays its doctors and its teachers is atrocious and irresponsible.

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Lee on July 2nd, 2009 at 12:28 pm

I think it’s time that cabinet ministers got paid peanuts instead of doctors. What do they need BMWs for anyway? And luxury homes? What service does a cabinet minister render to society?

C’mon, Sandile. Sell off *your* luxury car, you hypocrite.

(Report abuse)

PeterH on July 2nd, 2009 at 12:46 pm

lol Themba Tantrum.

I was initially going to take issue with the entitlement argument advanced by striking doctors until it occurred to me that Sandile probably earns quadruple-plus the lowest paid doctor’s wage…

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Frank Nnete on July 2nd, 2009 at 12:50 pm

I am shaking with anger and disbelief. This is the most ignorant and undermining article I have ever read on this subject. I challenge you to accompany a Doctor on duty in a State Hospital for 48hrs. I can bet you won’t last an hour…

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'Mo on July 2nd, 2009 at 1:33 pm

I personally know a lot of health professionals, and many of them concede that their calling was never to let patients die! Now we see reckless aand dangerous actions from the very same people whose calling is to save lives! How do they concile that people may die as a result of their greed? By their actions they are holding the poor and vulnerable to ransom and this cannot be allowed!

If people have to die because we have doctors who deliberately ignore the “so-called hippocratic oath”, then the time has come to fire the lot of them. Once they’ve seen the errors of their ways in the unemployed lines, the govt. should re-employ them on their old salaries! In other words let them go overseas and see how far they come!

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Bongo on July 2nd, 2009 at 1:45 pm

@ Frank N - But SM deserves his salary, he’s such a funky guy, unlike those lazy doctors treating everyone except of course the funks and fat cats in the ruling elite…

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spoiler on July 2nd, 2009 at 1:47 pm

What a load of rubbish from Samdile. The people to blame for this mess are first and foremost the previous two mimnisters of health or should we call them ministers of death. Nkososana Zuma started by getting rid of the experienced doctors and the general downgrade of the hospitals that used to be among the best in the world. Paying the salaries of the Gravy Train are more important than payinfg the life savers that slave in the hospitals for a pittance, ot in bad working conditions without adequate machinery or supplies. Thenn along came Manto who drove the final nails into the coffin and has reduced the health (death) system to the mess that it now is. Where are these two now? Off spoiling other things as is normal with the ANC for rewarding failure with promotion. We have a doctor shortage, we have pay disputes, we have hospitals that are not maintained and we have people who are dying. How many people died through the foolishness of the ANC and their appointees. Appoint a ignorant person to a goverment ministry and your get a ruined Eskom, ruined hospitals, ruined schools, ruined municipalities and the list is of every single thing in this coutry other than corruption which is our national sport. Don’t blame the overworked doctors - blame the fools that made the mess that will now, take many years to fix - if ever. The goverment made deals to pay the doctors faily and they faild - again.

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Peter Joffe on July 2nd, 2009 at 3:10 pm

“But the doctors have decided to go it alone and strike for more money so that they can drive in BMWs, eat in fancy restaurants, live in posh suburbs, dress in designer labels and wallow in luxury” - who do they think they are? Cabinet ministers?

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ian on July 2nd, 2009 at 4:00 pm

I don’t know anyone personally but I’ve heard negative feedbacks on how doctor’s deviate from what they learned ethically. They should change this attitude since they are dealing with people’s lives.

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Dominic Joelson on July 2nd, 2009 at 4:32 pm

Mamela Memela… I read this party-line diatribe in “your master’s voice” in the Daily Dispatch a few days ago, and was left aghast at your utter hypocrisy; when you yourself, for writing this twaddle, get paid at least 100% more than the professionals you are denigrating. At least we know the Dispatch and Times are part and parcel of Avusa and the abominable hegemony. Hartley, Trench and others obviously have little or no say in the propaganda^W articles they may and may not publish.

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jeff on July 2nd, 2009 at 6:22 pm

You clearly have no clue what you’re writing about. You are ignorant and misinformed and clearly lack the expertise to even formulate an opinion on this subject. Please research your subject matter.

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Doc on July 2nd, 2009 at 7:49 pm

Did U do any research or you just thumb sucked this article.”Your ignorance can harm those around You”.

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Rethabile Makhate on July 2nd, 2009 at 9:29 pm

I happen to know a doctor who was “in the struggle” and in exile as a member of PAC and treated like dirt by the ANC subsequent to “liberation”.

As far as I am concerned I find it sickening that R1 billion is all that can be afforded for doctors increases (after 4 years of inflation and 2 years of broken promises), while the same amount of R1 billion is “negligible” when Zuma wants an expanded cabinet.

I wonder if the ANC actually realise how much harm your drivel does to their image.

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Lyndall Beddy on July 3rd, 2009 at 2:57 am

This is clearly an empty vessel making the loudest noise…
I would think if you are a good journalist u’d want to be known for your factual reports.This sounds like township gossip.I wonder if you can afford a better health care for yourself,perhaps you don’t even know the kinda health services you deserve as an indivividual…well the content of your article tells me you never get any regular medical examinations,else u would appreciate the importance of a doctor.

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Judith on July 3rd, 2009 at 8:09 am

mamela - by your logic, we should condemn state health workers for striking regardless of compensation, simply because of this nebulous notion of a ‘hippocratic oath’. if this is the case, you render them powerless to resist whatever government manipulation is favoured on the day. of course, this also happens to be a ridiculous proposition. in other words, it is no less morally troubling that doctors strike than mine workers do. we should not hold health workers hostage to the fact that they care more about human well-being than the rest of us.

moreover, your assumption that health workers just wish to fill their pockets smacks of superiority. who on earth are you to make a moral judgment about people you do not know and about whose cause you simply specualte about for the convenience of writing an article that has the appearence of intelligent discussion. transparent, mamela. not all your readers are gullible and stupid.

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man on July 3rd, 2009 at 12:58 pm

It is so sad that you lump all doctors in one ball of condemnation.For starters, it would help you to learn that it is the doctors who feel the pinch. No one would ever strike for the fun of it,least of all doctors who offer essential service. Obviously,nobody would expect you to say that doctors are doing a great thing by striking. But then again,for you say they are motivated by ‘greed’ is rather out of line. Have you forgotten that we are in a recession and that everyone’s disposable income is dwindling? Maybe you have forgotten. Please spare a thought for doctors.

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lolonga tali on July 3rd, 2009 at 3:34 pm

So, what do you say to that?

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Jagabags on July 3rd, 2009 at 4:12 pm

Yep Sandile… and if you keep on kicking a well trained Labrador he will bite you anyway. What did the government expect from the doctors after they lied for them for so long.

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GS van Zyl on July 3rd, 2009 at 5:10 pm

It was 15 years ago when I came back from exile to serve transformation. By then I was a fully qualified public health specialist. I never got paid as such and I didn’t care. I had sweated through medical scholl when my dad went bankrupt and worked nights as a male nurse for 2 years.
I am now going to sue the Health Department for any years of underpayment. I have to admire the public doctors today who have stood up to the insults and crude slander from people like Mamela. Izwe Lethu!!!!!

(Report abuse)

Mafrofiro on July 4th, 2009 at 11:12 am

Thoughtleader, I am all for the expression of differing views, but this ‘contributor’ has lost the plot entirely. Please give us someone with a bit of insight.

(Report abuse)

Oscar on August 14th, 2009 at 7:55 pm

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Sandile Memela grew up in Soweto where he was groomed to live 'the life of the mind.'
He believes in freedom of expression and respects the right of those who do not agree with him.
He has worked as an editor, journalist, columnist and advertising strategist.
At the moment, he is a government funk.
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