Are the doctors at private hospitals primarily motivated by patients or profits? Photo: Silvia Razgova / The National
Are the doctors at private hospitals primarily motivated by patients or profits? Photo: Silvia Razgova / The National

Are we getting an unhealthy dose of health care?



You can expect fancy coffee shops, free Wi-Fi, welcome juices, dedicated relationship officers and much more when you visit some of Abu Dhabi’s best-known private hospitals. From the moment you walk through their sliding doors, you are greeted as a cherished guest and guided with courtesy and professionalism to your clinic of choice. In fact, the entire experience from the moment you park your car – or use the valet parking service – until you enter your doctor’s office is one of peace and tranquillity.

Those of us who remember the very limited options that were once available in Abu Dhabi appreciate just how far the private health care sector has come in terms of customer service, equipment and availability of medication.

In the past, when a medical condition was considered serious, plans to travel abroad to seek medical attention were immediately put in place, usually with assistance from the government. Now, the UAE has become a destination of choice for medical care for many people in the region and beyond.

Yet, the privatisation of medical care has brought with it the bean counters of the hospital finance departments whose profitability targets put pressure on the way physicians deal with their patients and has affected the quality of medical staff.

I recently visited what is considered to be one of Abu Dhabi’s best private hospitals to seek treatment for an old but serious back injury. It resulted in a five-minute consultation with a doctor who conducted a knee reflex test and immediately decided to recommended surgery. Knowing full well the history of my injury and that surgery was far from what I needed, I decided to collect my papers and move on to what I understood to be the second-best hospital in the capital.

This time, the physician decided to skip the physical check-up entirely and took only three minutes to recommend surgery. I debated the issue with him and we later agreed that anti-inflammatory medication, bed rest and some physiotherapy would suffice.

Many people I know have had similar experiences where the patient ends up bargaining with the doctor, almost pleading for him or her to push aside the need to make a profit through surgery and focus on a suitable alternative diagnosis. There are even horror stories of children being put through unnecessary surgeries, perfectly healthy teeth being removed and, of course, bags and bags of unnecessary medication being prescribed.

Even with this in mind, many of us still opt for private care over government hospitals. Childbirth is a perfect example. While it is widely understood that government hospitals offer far better medical equipment to deal with difficult deliveries, many couples still choose to deliver their children in private hospitals. Why? Because anyone whose child was born in a government hospital can tell you that the process is like being on a factory line.

Many countries have implemented private health care to offer services that are not available in the government sector. But we are fortunate enough to live in a country where the government spares no expense in aiming for world-class standards in all sectors, including health. Our government hospitals offer some of the most advanced medical equipment, facilities and personnel the world has to offer. Health tourism is rising rapidly in the country and the Health Authority Abu Dhabi is working wonders. So why do we turn to private hospitals?

To start with, it’s the shorter waiting time to see physicians – though this seems to be getting worse in some private hospitals, particularly to see paediatricians. Also, waiting lists for appointments can be horrendous in government hospitals. For example, it is absolutely normal to wait three months for your next dental appointment in the government sector. And, of course, the overall ambience of government hospitals, as in countries all over the world, is not appealing. The interior designs are outdated, with awful bland colours, and often the civil servants who assist you in your visit to the hospital are not very friendly.

Things are improving all the time in the government health sector but they are still losing the race to private sector hospitals whose hotel-style management and facilities are popping up all over Abu Dhabi – even in malls, to make your shopping experience richer.

With the private sector – and this is the same in hospitals worldwide – it is a business. We have to ask: are we now receiving too much health care with too many pills, too many tests and far too many visits?

I think we need to push the envelope even further in our government health care, offering more facilities, better management, and more clinics and physicians to ensure that they are our first choice before we automatically look towards those who will profit from our illness.

Taryam Al Subaihi is a political and social commentator who specialises in media and communications

On Twitter: @TaryamAlSubaihi

TO A LAND UNKNOWN

Director: Mahdi Fleifel

Starring: Mahmoud Bakri, Aram Sabbah, Mohammad Alsurafa

Rating: 4.5/5

Email sent to Uber team from chief executive Dara Khosrowshahi

From: Dara

To: Team@

Date: March 25, 2019 at 11:45pm PT

Subj: Accelerating in the Middle East

Five years ago, Uber launched in the Middle East. It was the start of an incredible journey, with millions of riders and drivers finding new ways to move and work in a dynamic region that’s become so important to Uber. Now Pakistan is one of our fastest-growing markets in the world, women are driving with Uber across Saudi Arabia, and we chose Cairo to launch our first Uber Bus product late last year.

Today we are taking the next step in this journey—well, it’s more like a leap, and a big one: in a few minutes, we’ll announce that we’ve agreed to acquire Careem. Importantly, we intend to operate Careem independently, under the leadership of co-founder and current CEO Mudassir Sheikha. I’ve gotten to know both co-founders, Mudassir and Magnus Olsson, and what they have built is truly extraordinary. They are first-class entrepreneurs who share our platform vision and, like us, have launched a wide range of products—from digital payments to food delivery—to serve consumers.

I expect many of you will ask how we arrived at this structure, meaning allowing Careem to maintain an independent brand and operate separately. After careful consideration, we decided that this framework has the advantage of letting us build new products and try new ideas across not one, but two, strong brands, with strong operators within each. Over time, by integrating parts of our networks, we can operate more efficiently, achieve even lower wait times, expand new products like high-capacity vehicles and payments, and quicken the already remarkable pace of innovation in the region.

This acquisition is subject to regulatory approval in various countries, which we don’t expect before Q1 2020. Until then, nothing changes. And since both companies will continue to largely operate separately after the acquisition, very little will change in either teams’ day-to-day operations post-close. Today’s news is a testament to the incredible business our team has worked so hard to build.

It’s a great day for the Middle East, for the region’s thriving tech sector, for Careem, and for Uber.

Uber on,

Dara

Company%20Profile
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Company name: Play:Date

Launched: March 2017 on UAE Mother’s Day

Founder: Shamim Kassibawi

Based: Dubai with operations in the UAE and US

Sector: Tech 

Size: 20 employees

Stage of funding: Seed

Investors: Three founders (two silent co-founders) and one venture capital fund