Tuesday, September 11, 2012

Blame it on Poverty

When we debate about making some changes in Nepal, our default tendency is to put blame on the lack of resources. It is easy, and natural, because we are a poor country. But I have noticed that this default mode is somehow crippling. We have learned to postpone our responsibilities and put blame on our poverty for problems and inefficiencies in our system. 

Obviously my experience is primarily limited to the public hospital where I work. Here, I see several opportunities to facilitate patient care without any additional resources. It is a question of organizing things better. Most likely, we won't be even working harder than what we are doing. Yet, do it in a more gratifying and meaningful ways.

The challenge is for the people to see and accept the alternative forms. There is a natural reluctance to change. It is not unique to Nepalis, I had noticed the same while in North America and working as a chief resident. The challenge for anyone who wants to better the system is to be able to negotiate, convince and get people on board.

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