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South Korean doctors strike in protest of plans to add more physicians

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Doctors staged rallies in Seoul last week protesting against the government's plan to bump up numbers (BBC)

South Korea’s government has ordered more than 1,000 junior doctors to return to work after many staged walk-outs in protest of plans to increase the number of doctors in the system.

More than 6,000 interns and residents had resigned on Monday, said officials.

South Korea has one of the lowest doctor-per-patient ratios among OECD countries so the government wants to add more medical school placements. But doctors oppose the prospect of greater competition, observers say.

South Korea has a highly privatised healthcare system where most procedures are tied to insurance payments, and more than 90% of hospitals are private.

Its doctors are among the best-paid in the world, with 2022 OECD data showing the average specialist at a public hospital receives nearly $200,000 (£159,000) a year; a salary far exceeding the national average pay.

But there are currently only 2.5 doctors per 1,000 people – the second lowest rate in the OECD group of nations after Mexico. “More doctors mean more competition and reduced income for them, that is why they are against the proposal to increase physician supply,” said Prof Soonman Kwon, a public health expert at Seoul National University.

Patients and health officials expressed concerns on Tuesday as reports emerged of doctors declining to come into hospitals across the country.

Junior doctors form a core contingent of staff in emergency wards, and local media reported that up to 37% of doctors could be affected at the biggest hospitals in Seoul.

The health ministry said 1,630 doctors had not shown up to work on Monday, amid a wider group of 6,415 who had submitted resignation letters. Organisers had pledged an all-out strike from Tuesday.

“We are deeply disappointed in the situation where trainee doctors are refusing to work,” Second Vice Health Minister Park Min-soo had told reporters earlier this week. He also warned that the government may resort to legal means to get doctors back to work.

Second Vice Health Minister Park Min-soo speaks during a press briefing
Minister Park has condemned the strike action by doctors (BBC)

 

Under the country’s Medical Services Act, authorities have the power to revoke a doctor’s practicing licence over an extended labour action which threatens the health care system. The country has attempted prosecutions before in relation to other doctor protests- which were later dropped.

“We earnestly ask the doctors to withdraw their decision to resign en masse,” Mr Park said.

The government has consistently condemned the doctors’ opposition. Prime Minister Han Duck-soo has said: “This is something that takes the lives and health of the people hostage”.

The extent of the strike’s impact so far is yet unclear, although officials had warned there could be delays to surgeries and gaps in care. Some hospitals have announced switching to contingency plans. The government has also fully expanded telehealth services.

The protests are similar to events in 2020, when up to 80% of junior doctors joined strikes against the government’s recruitment plans.

South Korean policy makers have tried for years to increase the number of trained doctors, as the country is dealing with a rapidly-ageing population which will put extra burden on the medical system. There’s a projected shortfall of 15,000 doctors by 2035.

The country also has critical gaps in care in remote areas, and in specialities such as paediatrics and obstetrics – which are seen as less lucrative fields compared to dermatology.

To combat this, President Yoon Suk-yeol has proposed adding 2,000 spots per year to medical schools – which currently take a cohort of just over 3,000 students every year – a rate that has not changed since 2006. It’s a policy very popular with the public – with local polls showing 70-80% of voters support it.

However the plan has been strongly opposed by the medical profession, with groups like the Korean Medical Association arguing an increase would be a strain on the money available under the national health insurance scheme.

The union has also argued that more doctors wouldn’t necessarily address the shortages in specific fields. It announced the strike action on Sunday after an emergency meeting with hospital representatives. While junior doctors are the first to strike there are fears that more across the profession will join too.

Doctors successfully staved off the government’s previous attempt to introduce more graduates in 2020. The government conceded at the time, partly due to the pressure of the Covid pandemic, commentators say.

“It is not easy to predict who will win this time,” said Prof Kwon. He noted that President Yoon “seems very determined” because the policy has provided a ratings-bump for an unpopular leader otherwise tarnished by some political scandals. “But a private sector dominated health system is quite vulnerable to physician strikes, i.e. it can be really shut down if doctors join full-scale strikes.”

(BBC)



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‘Notorious Tanzanian drug trafficker’ arrested during raid in Zambia

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Some of marijuana was found concealed in lorry wheels [BBC]

A “notorious” Tanzanian drug-trafficking kingpin has been arrested in Zambia during a raid, the Zambian Drug Enforcement Commission (DEC) has announced.

Ahmed Muharram was among several suspects detained in Zambia’s capital, Lusaka, along with large quantities of marijuana and cough syrup containing codeine in several drug busts on Tuesday, the authorities said.

“The suspect is a known transnational drug trafficker,” the DEC said, adding that the 40-year-old had long been on the anti-drug agency’s watch-list.

The arrest of Muharram, who has not yet commented, was made possible thanks to a series of intelligence-led operations, the agency said.

Under Zambian law, marijuana is classed as a dangerous drug and is illegal to possess.

The trafficking, possession and use of illegal drugs such as cannabis is punishable by a fine or a prison sentence.

The southern Africa country struggles with drug abuse and trafficking, especially cannabis and heroin.

During Tuesday’s operations, the DEC said it had seized 221.2kg of cannabis hidden in a lorry in Lusaka’s Lilayi area.

The search was extended to Muharram’s residence in Lilayi, where officers discovered an additional 1,159.6kg of “high-grade” cannabis, bringing the total seizure to 1,380.8kg, the agency added.

A Zambian national who was also arrested is believed to be an accomplice in the organised drug-trafficking scheme.

The DEC said their operations also saw the arrests of:

  • A Zambian national for trafficking 55 boxes of Benylin containing codeine in Lusaka
  • Two other Zambians for trafficking cannabis concealed in their vehicle
  • Two Burundian nationals in the southern district of Chirundu for trafficking cannabis in separate vehicles: some was hidden inside a spare lorry tyre, some in gas compressors and additional cannabis was mixed with sugar, salt and paint and concealed in tins and buckets of paint.

“All suspects have since been detained in lawful custody and will appear in court soon,” DEC said in a statement.

The agency said it was committed to ensuring that Zambia was neither used as a corridor nor a destination for drug trafficking.

[BBC]

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Fearing Russia will seize her town, war widow moves husband’s grave to Kyiv

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Vitaly died fighting the Russians in 2022 [BBC]

The quiet of a Kyiv cemetery is broken by a trumpet salute, then a burst of rifle fire.

Soldiers stretch a Ukrainian flag over a shiny wooden coffin and stand silently alongside in the sparkling white snow. A woman cries, her face crumpling.

Natalia is burying her husband for the second time.

Vitaly was killed three years ago fighting in the eastern Donbas and his first grave was in their home town of Slovyansk. But Russian forces have advanced since then and the area is increasingly under attack.

So Natalia had her husband’s grave exhumed and Vitaly’s remains moved hundreds of miles to Ukraine’s capital.

“When we buried him in Slovyansk, land was being liberated and we thought the war would soon end,” Natalia explains, after the reburial ceremony conducted with military honours. “But the frontline is constantly moving closer and I was scared Vitaly might end up under occupation.”

Vitaly was a ceramics artist who volunteered to defend his country in the early days of Russia’s full-scale invasion in 2022.

“He didn’t want to, but he had do it. He was a patriot,” Natalia explains, through her tears. She was pregnant when her husband was killed and he never got to meet their daughter.

Matthew Goddard/BBC Natalia weeps by the grave of her husband in a snow-covered cemetery in Kyiv. She's dressed in a yellow jacket and a red beanie hat, and is holding a red rose.
Natalia says her husband never got to meet their daughter before he was killed [BBC]

The decision to move Vitaly’s body from the land where he was born and fought was extremely painful.

“It was very hard, emotionally. But it was the right decision,” Natalia is sure. “It would have been far harder to leave him, to know that he had stayed.”

Ukrainians are facing unimaginable choices now as the US tries to broker a peace deal between Moscow and Kyiv, but Russia pushes on with its invasion.

That includes massive aerial attacks against Ukraine’s energy system, against all rules of war.

Meanwhile, the most pressure for compromise is on Kyiv.

At some point, the US-led talks will hone in on the most sensitive issue of all: the status of land in the eastern Donbas region that so many men have died defending.

Ukraine still controls around a fifth of the area, including Slovyansk. But the town is close to the current frontline where Russian forces have been trying to push forward for months.

Kyiv proposes freezing the fighting there, ceding nothing more. But Moscow wants to be handed control over the rest of the region and the US is thought to agree.

That is far from Vladimir Putin’s original plan to take over all Ukraine – to “denazify” and “demilitarise” as he snarled at the time. But it would allow him to claim a victory for Russia of sorts.

“There are drones in the streets, hitting minibuses, and glide bombs fall in the city centre, leaving craters,” Natalia says, describing life in Slovyansk now, where her husband had been buried.

“A few months ago, the attacks were weekly. Now it’s every couple of days.”

North of Natalia’s hometown, up around the city of Kharkiv, there are more signs that the danger zone is spreading.

Workmen hammer stakes into the frozen ground to fit nets which they’ll then stretch over the road in a canopy as protection against Russian drones.

Not far away, in an unmarked spot, we visited a workshop for Ukraine’s own UAVs.

The soldiers of the Typhoon unit work in a basement filled with heaps of kit and cables, reached via a handmade wooden staircase. The men are responsible for repairing drones damaged at the frontline and for innovation: Ukraine needs every chance against an enemy with more men and more resources.

Paul Pradier/BBC Uniformed Ukrainians in a workshop repair drones for use on the battlefield
Ukrainians need to constantly innovate to stay in the fight against Russia, which has far more men to conscript [BBC]

The music playing as the team work is chirpy French pop, but the soldiers’ mood is mixed.

“We try not to discuss it here,” 29-year old Roman replies, when I ask about giving up territory in return for peace. “People quarrel and we don’t need that right now. We need to unite, and fight the Russians.”

Roman lost “a lot of guys”, he says, during his two years in the infantry, fighting in the Donbas.

No surprise that it’s far harder to recruit these days. Last month the country’s defence minister revealed that a staggering 200,000 soldiers were absent without leave.

But like many Ukrainians, Roman is sure that gifting the Donbas to Putin would not make Ukraine secure.

“The Russians will only come back for more,” he says.

Hunched over a laptop in the back room, another soldier admits that “victory” in this war looks very different these days.

“I would say our victory is in preserving our statehood,” Maksym argues, choosing his words carefully. “Even if we have three square kilometres of land, but we keep our constitution and our institutions, then this is still Ukraine.”

He thinks the soldiers should fight on, regardless.

“Russia is 10 times our size. But still we can’t surrender.”

Back in Kyiv, Natalia clings to the arm of a friend, as grave diggers shovel fresh earth onto her husband’s coffin then slot a wooden cross into place on top.

A photograph of Vitaly shows him smiling, posing beside a yellow sunflower.

Natalia is relieved to have her husband close again where she and their daughter, Vitalina, can visit his grave safely.

“She watches videos of him, looks at photos and she loves him very much even though they never met,” Natalia smiles.

She also hopes to tell her husband soon that she’s pregnant using the sperm the couple had frozen specially at a clinic, just a few days before Vitaliy was killed.

Many soldiers now do the same before heading for the front.

It’s a brutal fact, but Natalia says none of Vitaliy’s soldier friends made it to his reburial, because so many of them, too, are now dead.

Ukraine has paid an immense price already for four years of all-out war.

Ceding land to Russia that it already controls is one thing: an option now quietly accepted by many.

But Natalia can’t bear the thought of Russia taking more territory, including the town where she and Vitaly lived and were in love.

She has “no doubt” her husband would have wanted the army to fight on, not concede now.

“Russia may pause for a year, then there will be another breakthrough and they’ll be in Kharkiv,” Natalia says.

“I just don’t believe Russia will stop.”

[BBC]

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China executes four more Myanmar mafia members

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A Guangdong court convicted more than 20 of the Bai family's members and associates of fraud, homicide and injury (BBC)

China has executed four members of the Bai family mafia, one of the notorious dynasties that ran scam centres in Myanmar, state media report.

They were among 21 of the family’s members and associates who were convicted of fraud, homicide, injury and other crimes by a court in Guangdong province.

Last November the court sentenced five of them to death including the clan’s patriarch Bai Suocheng, who died of illness after his conviction, state media reported.

Last week, China executed 11 members of the Ming family mafia as part of its crackdown on scam operations in South East Asia that have entrapped thousands of Chinese victims.

For years, the Bais, Mings and several other families dominated Myanmar’s border town of Laukkaing, where they ran casinos, red-light districts and cyberscam operations.

Among the clans, the Bais were “number one”, Bai Suocheng’s son previously told state media after he was detained.

The Bais, who controlled their own militia, established 41 compounds to house cyberscam activities and casinos, authorities said. Within the walls of those compounds was a culture of violence, where beatings and torture were routine.

The Bai family’s criminal activities led to the deaths of six Chinese citizens, the suicide of one person and multiple injuries, the court said.

The Bais rose to power in Laukkaing in the early 2000s after the town’s then warlord was ousted in a military operation led by Min Aung Hlaing – who now leads Myanmar’s military government.

The military leader had been looking for co-operative allies, and Bai Suocheng – then a deputy of the warlord – fitted the bill.

But the families’ empires crashed in 2023, when Beijing became frustrated by the Myanmar military’s inaction on the scam operations and tacitly backed an offensive by ethnic insurgents in the area, which marked a turning point in Myanmar’s civil war.

That led to the capture of the scam mafias and their members were handed to Beijing.

In China, they became subjects of state documentaries which emphasised Chinese authorities’ resolve to eradicate the scam networks.

With these recent executions Beijing appears to be sending a message of deterrence to would-be scammers.

Hundreds of thousands of people have been trafficked to run online scams in Myanmar and elsewhere in South East Asia, according to estimates by the United Nations.

Among them are thousands of Chinese people, and their victims who they swindle billions of dollars from are mainly Chinese as well.

(BBC)

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