NMA And Her Egocentric Demands: The Height Of Gross Lawlessness, Impunity And Blackmail (2)



   10. NMA, with the huge sum they are paid, still wants adjustment in their specialist allowance to be paid to all doctors on CONMESS 3 and above, and must be paid its equivalent that is not less than 50% higher than what is paid to other Health Workers. How can NMA be the one to decide what other Health Workers get? NMA should go and read the Parable of one Talent Payment. 

   11. NMA is calling for Government to pay her members 100,000 naira every month as just hazard allowance. How can NMA be demanding for such, despite all she is already receiving? She is being too selfish/greedy in her demands. Even other workers with worse occupational hazards are not receiving such.

   12. NMA insists on immediate release of circulars on rural posting, teaching and other allowance which must include House Officers. Since 2009 NMA and her members have been collecting teaching allowance even though that teaching allowances as approved by the Government was for very Senior Medical Doctors (Consultants and very Senior Registrars)that are involved in teaching of doctors in training, especially the junior and senior interns. House officers are the junior interns while Resident doctors are senior interns doing a student fellowship to become a specialist .Now NMA is agitating that the interns who are still doctors in training should be paid teaching allowance. House officers and resident doctors by government circulars are not entitled to this payment; it is because of them that Government is paying the teaching allowance. How can the doctor in training be asking for teaching allowance when he is a trainee, and who is he teaching? Since the approval in 2009 and full implementation in 2010, House Officers and Resident Doctors who are NMA members, have been fraudulently collecting huge monthly teaching allowances which they are not entitled. There is no government circular or template that approved such payment. It was in this year 2014, that the Government through the Call Budget Circular from the Ministry of Finance opposed and stopped the payment of teaching allowance to interns. For five years members of NMA who were not entitled to teaching allowance have been defrauding the Government. He who comes to equity must come with clean hands.

13. NMA calls for immediate withdrawal of CBN circular authorizing the Medical Laboratory Science Council of Nigerian (MLSCN) to approve licenses for the importation of in vitro diagnostics (IVDS). It is so petty that NMA is going on strike because the Federal Government (which means well for Nigerians), has taken the bull by the horn to making sure that fake/ substandard diagnostic consumables are removed from the system, by effectively empowering MLSCN-the Agency who has the statutory function to do this job. Sections 4b, and 4e of MLSCN act 11 2003 provides- the function of the board are:
(a) Regulate the Practice of Medical Laboratory Science in Nigerian.
(b) Regulate the production, importation, sales, and stocking of diagnostic reagents and chemicals.

Section 19 of the MLSCN act mandates MLSCN Board to also make rules. Section 19(d) goes thus-the board may make rules for the maintenance of good standard of Medical Laboratory practice and services with respect to the regulation and control of private practice including statutory inspection, approval, and monitoring of all Medical Laboratories including those adjoined to Clinics, Private and Public Health Institutions. Instead of NMA to partner with MLSCN to kick fake diagnostics out of Nigeria, she is out there encouraging quackery and fighting a lost battle by being anti-Establishment.

 14. NMA wants immediate release of circular on retirement age: Dear Nigerians by increasing retirement age from 60 to more years how will it bring better productivity in the health sector? When within the next ten years of a doctor starting work ,he can get to the zenith of his career which work will he be doing? And when most of our consultants are part time doctors because they work and have Clinics days only once a week.

15. NMA , Residency and Oversee Training: NMA should look inwards and stop hiding under residency and oversee training to encourage medical tourism and waste of tax payers money. For self reliance and self determination the Alma Ata declaration has a lot to help a young economy like Nigeria. Health has a lot to do with socio-economic indices. Diseases in the tropics are not the same as in the temperate region. Alma Ata declaration of 1978, encourages young economies to look inwards locally in providing healthcare at low and affordable manner. All over the world it is not only one group in the health field that does residency. Veterinarians, Podiatrist, Medical Physicist, Optometrist, Pharmacist, Physical Therapist, Doctors of Ethnomedicine, Doctors of Holistic Medicine, Doctors of Natural Medicine etc all have residency program. Yet none of these group in Nigeria have gone on strike because of no oversee residency program. A privilege is not a right. There is no government law that says that Allopathic Doctors can only become good doctors only when they go oversee.NMA should stop encouraging this mentality that anything African is inferior.NMA should know that what they are asking is not part of the rules of engagement. This is the time for more humane and humble request. Indian doctors are becoming one of the best doctors in the world not because they are looking overseas but because they are looking inwards.

16. NMA insist on payment of salaries of her member in Owerri: Her members should also meet part of their own responsibilities and agreement as workers. NMA must learn to obey constituent authority, and must make her members to be amenable to discipline.

17: NMA members and IPPIS platform. NMA has always shown double standard on this issue. Before now, members of NMA went on strike because of the Government policy that all worker must be on IPPIS platform. How come it is now that NMA is just waking up from sleep, to say that if her members are not on IPPIS she will call her members for indefinite strike? The Government policy is that if you are not on a pensionable appointment you cannot be on IPPIS. So how can house officers and residents be on IPPIS when their appointment is not permanent? Moreover the 2014 Call Budget Circular from the Ministry of Finance provides that you cannot hold more than one appointment and be placed in two places under IPPIS platform. When IPPIS came many members of NMA opposed it because it did not allow them to be on Government pay role in two places.

18. NMA wants to go on strike because House Officers are said not to be part of NARD-National Association of Resident Doctors. The big question here is, are house officers also paid the same as their senior residents? In as much that the House Officer is a junior resident while the doctor in training to become a specialist is a senior resident the duo cannot be part of any strike action even with their consultants, because they belong to an Association and not a trade Union.NMA is only calling for House Officers to be part of NARD for them to be part of their numerous illegal strike action.

19. NMA accuses Medical Laboratory Scientists of harasment.NMA has shown herself that she is a Joker. The world knows that it is the other way round. That it is members of NMA that are harassing Medical Laboratory Scientists in Nigerian. The number of Medical laboratory Scientist that NMA members have instigated their sack/termination of appointment/suspension is worrisome. But thanks are to the Most High for the Judiciary who brings hope for the common man, by setting aside most of the sack/termination/suspension. Medical laboratory Scientists are people who do not act on impulse, or with impunity. Why is NMA resorting to self help when issues she has with members of Association of Medical Laboratory Scientists of Nigerian are in court? Why is she the judge in her own case? The spirit of Medical Laboratory Scientists can never be broken. We shall always move with great crescendo to protect patients’ interest and the public at large, despite the provocation and lawlessness that is being perpetuated by members of NMA in the Health Sector. The laws of the land shall be our strength, for he who holds the mace of truth and justice can never falter. We cannot be intimidated by her Goliath posturing.

20. NMA says-‘the endless circles of incomplete salary payment to our members in many hospital in the name of short falls in personal cost must stop’. This is the only legitimate demand out of the 24 demands by NMA because the labourer is worthy of his wages. But NMA cannot call her members out for strike based on this, because she is not a registered Trade Union but a charity. This problem is not peculiar to only Allopathic Medical Doctors but to all personnel working in the Health Sector.

21. NMA in her number 21 demand states ‘universal application of all establishment circulars on remuneration and condition of service for doctors at all levels of Government must be guaranteed’. NMA is not justified here, because this borders on Constitutional Matter. And the Central Government has some limits to want they can impose on the State, bearing in mind that we are practicing a Federal System of Government, where power is shared among the three tiers of Government, the Federal, State and the Local Government. NMA members should come to terms that they are the employee and not the employer. It is very interesting to note, that NMA who champions the lost battle, insists that the approved Scheme of Service/circulars of other healthcare workers will never be implemented is the one now agitating that even things not given by any Scheme Service/circular must be implemented.


Written by Benjamin Chukwunonso Ajufo (click to continue reading and LIKE our Facebook page)


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