dubem orakwe

[dubem orakwe @orakled]

@ThecruiseDoc I'm not seeing any life achievements on his profile. am I blind?

[Tuchel @Officially_Kriz]

Atedo Peterside, the founder of IBTC Bank (now Stanbic IBTC), says that society is rigged against young people. Rules have been put in place so they don't succeed.

Nigerians, as they got older, kept on changing the rules to make sure young people didn't repeat what they did.

[dubem orakwe @orakled]

@RBDRKING @Coolborn4 You guys will never get it... Not enough staff is not an excuse to place such a burden on an inexperienced intern. Supervision prevents stupid things from happening, like time wasting irrelevant questions, delayed therapy and rancour. Enough said

[dubem orakwe @orakled]

@RBDRKING @Coolborn4 This attitude of 'being realistic' is why things go south & why unnecessary conflicts arise. It's healthcare not sport, what must be must be. An intern must be supervised or seek it. When the law comes, it's not that one you will be hearing. Be advised.

[dubem orakwe @orakled]

@RBDRKING @Coolborn4 If the supervisor is not present, call the person. Don't excuse inappropriate behavior or communication level. Docs call themselves & refer all the time. Officially, No intern is capable of independent practice, that's the law & why that position exists.

[dubem orakwe @orakled]

@RBDRKING @Coolborn4 Interns work under supervision, it's not her job she's doing by bypassing her superiors who know better. That's the problem on x, too many neonates talking with no supervision

[dubem orakwe @orakled]

@FinPlanKaluAja1 The bigger the project, the bigger the loot to be diverted. That's the main motivation. Add on other selfish motivations like having it closer to your village like the former governor & it's complete

[dubem orakwe @orakled]

@Mikeliberation So many advice from the mentally morose on this thread. What's with you guys & med lab scientists? Your cousin's left kidney is counting down to irreversible damage & you're here receiving advice from quacks. The knowledge gap is actually very wide. A clear demonstration

[dubem orakwe @orakled]

@Sai_Ishaya_ 👌 let's preach more of this. This is why trying to apply so called 'international best' this & that fail here. No understanding of the people & how they move. Companies apply this already with the CAGE distance framework.

[dubem orakwe @orakled]

@grok @RealDoctorBarn Great... I guess that also shows my perspective. That so called consumer behavior will disappear once financial barriers go, and not by healthcare providers bearing further costs and incurring losses.

[dubem orakwe @orakled]

@RealDoctorBarn @grok Grok doesn't think for anyone... My take is that the direction of your solution to this consumer behavior issue is pointed the wrong way. Experienced people in the field know this. Consumer behavior that was spurred by poverty will never go based on your solution.

[dubem orakwe @orakled]

@RealDoctorBarn ... Be studied to get to that point. Based on current realities, a 10,000 naira consultation fee cannot sustain a standard specialist practice. Going for cheaper care fills the gap but kills slowly on the long-term. Asking HCWs to compromise leads to substandard care.

[dubem orakwe @orakled]

@RealDoctorBarn Paying healthcare insurance on a massive scale eliminates whatever concern the patient has towards costs like consultation fee at point of care. Will eliminate most of the financial related hesitancy in seeking care. His HMO deals with that...Finis. consumer behavior should...

[dubem orakwe @orakled]

@RealDoctorBarn The focus should be on how to use cultural intelligence to change consumer behavior which has it's roots in culture. This recent tax bill was a missed opportunity to make health insurance payments tax deductible & compulsory.We are a people in love with palliatives,not solutions

[dubem orakwe @orakled]

@RealDoctorBarn It felt like it started with consumer behavior & ended with healthcare providers doing all the bending back & carry the cost of care. Value exists only if it's paid for, standard healthcare is expensive to deliver. We want world class healthcare but curiously don't want to pay

[dubem orakwe @orakled]

@RealDoctorBarn Yes, you're very right, it's really all about ability to pay & perception. I was not agreeing with the 'free' part though, healthcare is expensive & that won't solve the problem. 'subsidized & affordable'? Yes... Via mass insurance.many issues will disappear once this is sorted.

[dubem orakwe @orakled]

@RealDoctorBarn Consumer behavior should in this context change with the consumer & how they finance their https://t.co/Zr95fPCXmP pricing was never up for discussion, the focus is healthcare financing.The government can prepare jingles to help them, but talking about 'free' care is naive.

[dubem orakwe @orakled]

@RealDoctorBarn ... Then mass insurance makes every healthcare service at point of care seem 'free'- I'm guessing that's your perception. Their healthcare providers get adequately paid for their highly skilled service. Why do you want naija HCWs to carry this load? Why not work on the public?

[dubem orakwe @orakled]

@RealDoctorBarn I'm not trying to switch the conversation in any way. What do you mean by 'truly affordable'? How is healthcare delivery supposed to be free when it uses resources & incurs costs? What's your criteria for basic cases? The countries we hold high pay heavily via their paychecks...