Tuesday, January 31, 2017

Why Are Doctors Their Own Second Worst Enemies?


Ever since the start of the #LipaKamaTender doctors strike in Kenya, I have called on the government and all stakeholders to take up negotiations and seek a solution to the industrial action and steps to reform our health system. Doctors have fought a brave battle together with all the Kenyans of goodwill giving the team moral support in pursuit of better healthcare service provision.


Sorry to say this but doctors have been burning bridges instead of building alliances. They have sought an insular cause where they have surrounded themselves with groupthink and see themselves as the only players and only viable option. This “god-complex” among doctors has been characterized by their perception of all other Kenyans commenting on the issue as less intelligent than them. Media reports have shown instances where doctors have failed to give their version of the story because they feel the questioners to be of lesser intellect than themselves. This Icarus effect could cause them to lose moral support due to being seen as aloof and domineering. This lack of social skills is common in knowledge workers whose profession has a meritocracy-based hierarchy with a black and white view of facts with no grey hues. The lack of diplomacy and negotiation skills may partly to blame for the lack of progress in negotiations on implementation of the CBA.


A robust, resilient health system is not anchored on only doctors but all health workers and the community too. As the head of clinical care teams, doctors are entrusted to make the best decisions on behalf of the team but not in isolation. Doctors cannot claim to be the only right solution to the jigsaw. They need to realize that their colleagues in the medical profession, nurses, clinical officers, occupational therapists and allied health professionals too have a voice in the success of the system

In haphazardly arranged protest marches and petition presentations, they risk exposing themselves as just another interested party to healthcare challenges. The petition march scheduled for later this morning from Milimani courts towards a yet unpublicized location does not include other stakeholders and is one of the cases of unilateral moves that risk putting the credibility of the doctors union on the line.


I had noted that the cessation of the strike by the National Union of Nurses (KNUN) was a pivotal point in the doctors’ strike, as it allowed the government a room to maneuver out of the chokehold of a health workers strike. This sigh of relief (albeit temporary) by the government in feeling the wrath of the populace on the #HealthCrisisKE was visible as it gave the establishment leeway to concentrate on politicking and electioneering at the expense of settling the matter of industrial action. But with the possibility of a resumption of the strike by nurses on Tuesday if their promised allowances are not remitted will reinvigorate the #HealthworkersStrike and force the government back to the negotiation table on the back foot and ready to settle the matter.


We can argue that the possible resumption of nurses’ strike justifies the doctors’ lack of trust in the system to meet its end of the bargain and you won’t be faulted in thinking that way. The hypocrisy in the government negotiation team is evident and a radical move by both the executive and council of governors to reconstitute their teams to have better negotiators would help to give fresh impetus to the talks for implementation of the doctors demands and fresh nurses demands.

The doctors however need to realize they have to be accommodative to building a viable coalition of health workers and other stakeholders who can jointly demand for better terms of service and working conditions. They also need to focus on a negotiated mutually agreeable return to work formula that would ensure implementation of the CBA in phases and save Kenya the headache of #HealthCrisisKE. Failure to this will just result in greater suffering to the people of Kenya.

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