They are occupying juicy & well-paying positions, yet they are always devising ways to STEAL from the system.
Where at all do you want to take all those monies...???? You will surely die and leave everything wae. And the ... read full comment
They are occupying juicy & well-paying positions, yet they are always devising ways to STEAL from the system.
Where at all do you want to take all those monies...???? You will surely die and leave everything wae. And the sad truth is that, no stolen monies left behind for wives and children will ever last. They will always find ways to vanish into thin air.
Game Changer +447935009178 3 days ago
This is an organised crime boldly instituted by vampires. This is cruelty! The President must step in fast and totally abolish that evil medical regime.
This is an organised crime boldly instituted by vampires. This is cruelty! The President must step in fast and totally abolish that evil medical regime.
AKABENEZER 3 days ago
Pay-to-jump-the-queue? Really? What happened to triage? The most corrupt criminals in Ghana are not in prison.
Pay-to-jump-the-queue? Really? What happened to triage? The most corrupt criminals in Ghana are not in prison.
AGBESI KWASI 3 days ago
You see the Korle Bu buildings in delapidated states. All that the specialists and management do is to use the facilities for private work. When the equipment breakdown they have no money to service them or replace them with ... read full comment
You see the Korle Bu buildings in delapidated states. All that the specialists and management do is to use the facilities for private work. When the equipment breakdown they have no money to service them or replace them with new ones. Korle Bu is a crime site.
FACTS ARE SACRED 3 days ago
@AGBESI KWASI
YES, Agbesi, Korle Bu is a crime SCENE.
The last time i was there, about a decade ago, i couldn't believe how rundown most of the places were!.
The buildings themselves are still SOLID. But the rooms, offices ... read full comment
@AGBESI KWASI
YES, Agbesi, Korle Bu is a crime SCENE.
The last time i was there, about a decade ago, i couldn't believe how rundown most of the places were!.
The buildings themselves are still SOLID. But the rooms, offices, dormitories etc were an ugly site. We know the reasons why though, it is not a secret.
Test2 3 days ago
YET MAHAMA DIDN'T SEE THIS BUT RATHER BUILDING HOTEL AT THE AIRPORT WHERE HE WILL COLLECT HIS COMMISION OF MILLIONS OF DOLLARS FROM THE CONTRACTS THATS WHY YOU SEE ALL THESE DEMOLITION ALL OVER THE COUNTRY
CALLECTION OF C ... read full comment
YET MAHAMA DIDN'T SEE THIS BUT RATHER BUILDING HOTEL AT THE AIRPORT WHERE HE WILL COLLECT HIS COMMISION OF MILLIONS OF DOLLARS FROM THE CONTRACTS THATS WHY YOU SEE ALL THESE DEMOLITION ALL OVER THE COUNTRY
CALLECTION OF COMMISSIONS ON COTRACTS MILLIONS OF DOLLARS LIKE THE AIRBUS AND AKSA ENERGY CONTRACTS
Kofi 23 hours ago
You are a big fool
You are a big fool
Blaze Word Assem. 3 days ago
Greediness is a spirit, same as all other vices, you're caught up in it, takes the grace of GOD, blood and the Holy Spirit to deliver you. That man should be held accountable for his crimes.
Greediness is a spirit, same as all other vices, you're caught up in it, takes the grace of GOD, blood and the Holy Spirit to deliver you. That man should be held accountable for his crimes.
NPP supporter 3 days ago
The Herald has become competent nowadays oooo. Please we are sorry to be insulting your newspaper in the past
The Herald has become competent nowadays oooo. Please we are sorry to be insulting your newspaper in the past
Zionism is racism 3 days ago
Ghana has become a cruel country.
Ghana has become a cruel country.
AKABENEZER 3 days ago
You mean a crime scene.
You mean a crime scene.
A Ghanaian Doctor in UK 3 days ago
Intramural Practice at Korle Bu: The Other Side of the Story
The article, “Money Buying Faster Healthcare at Korle Bu Teaching Hospital,” raises legitimate questions about equity, transparency and access to specialist he ... read full comment
Intramural Practice at Korle Bu: The Other Side of the Story
The article, “Money Buying Faster Healthcare at Korle Bu Teaching Hospital,” raises legitimate questions about equity, transparency and access to specialist healthcare. These are matters that every public hospital should take seriously. However, the discussion would be incomplete without considering why intramural practice exists and the problem it was designed to address.
Korle Bu Teaching Hospital is home to some of Ghana’s most highly trained specialist and subspecialist teams. Their expertise is scarce, expensive to develop and increasingly sought after by private hospitals.
This creates a difficult problem for a major public teaching hospital.
Private hospitals can engage these specialists and pay them substantially for their services. The private institution benefits from expertise developed over many years, often through public investment in training and within the teaching hospital system.
If this continues without an appropriate response from the public sector, the eventual outcome is predictable. Specialists will spend increasing amounts of their professional time in private facilities or may leave the public hospital altogether.
Who suffers most when that happens?
It is not the wealthy patient. That patient can follow the specialist into private practice or, increasingly, seek treatment outside Ghana. International hospitals and medical tourism companies actively market specialist healthcare to patients who have the means to travel.
The person who suffers most is the patient who cannot afford private healthcare.
That is the central issue that must form part of any discussion about intramural practice.
Why intramural practice exists
Intramural practice provides a regulated mechanism through which specialists can offer additional paid services while remaining within the public hospital.
The objective should be threefold: retain highly trained specialists within the public institution, generate additional revenue for the hospital, and make specialist expertise available to patients who can pay for an additional service without removing that expertise from patients who depend entirely on the public system.
Seen from this perspective, intramural practice is not necessarily a competition between rich and poor patients. It can be a means by which the public hospital competes with the private sector for its own highly skilled workforce.
Without such a system, the alternative is not automatically that every patient receives the same service at the same speed. The alternative may be that specialists increasingly provide their additional services outside Korle Bu, with the income going to private hospitals while Korle Bu retains the workload, infrastructure costs and patients who cannot pay.
That outcome does little to promote equity.
The real question is how the system is regulated
This does not mean every concern raised about intramural practice should be dismissed.
No emergency patient should wait because another patient has paid an intramural fee. Clinical urgency must remain the basis for prioritising emergency and time-sensitive care. A patient should never be deliberately denied or delayed ordinary public care to create an incentive to pay for intramural treatment.
There should also be clear rules governing fees, theatre allocation, use of hospital equipment, staff participation, accounting for revenue and the relationship between regular and intramural services.
If individuals abuse the system, those abuses should be investigated and addressed.
But abuse of a system is different from the purpose of the system itself.
The appropriate response to weaknesses in intramural practice is therefore stronger governance, transparency and accountability, rather than dismantling a mechanism that may help public hospitals retain scarce expertise.
This is not peculiar to Ghana
The coexistence of public and private medical practice is not unusual internationally.
In the United Kingdom, for example, consultants working in the National Health Service may also undertake private practice. UK government guidance specifically provides for circumstances in which private care may take place within NHS facilities, with rules governing the use of NHS staff and resources and the separation of private and NHS care.
The important principle is not that every patient must use exactly the same pathway. It is that the existence of a private pathway must not deprive the public patient of the care to which he or she is entitled.
Ghana faces the same policy question, but under greater resource constraints.
Who benefits if the specialists leave?
This is perhaps the question missing from the current debate.
Suppose Korle Bu abolishes intramural practice tomorrow.
Will patients who can afford GH¢30,000 for specialist treatment suddenly join the ordinary queue?
Some will. Others will go to private hospitals. Some will travel abroad. The specialist may follow them into the private sector because that is where the opportunity to earn additional professional income now exists.
Korle Bu loses revenue. The specialist spends less time within the institution. The private sector gains the income. And the patient who cannot afford private care may have even less access to that specialist.
That would hardly be a victory for equity.
A better policy is to retain the specialist, retain part of the paying patient market within the public institution, generate revenue for the hospital and use the same specialist capacity to continue caring for patients who cannot afford additional fees.
The measure of success
The Herald asks an important question: Can a Ghanaian who cannot afford to pay extra still receive timely, dignified and quality care at Korle Bu?
The answer must be yes.
But there is another question that deserves equal attention:
How do we keep Ghana's highly trained specialists within public hospitals so that the Ghanaian who cannot afford private healthcare continues to have access to them?
Intramural practice is one attempt to answer that question.
The discussion should therefore move beyond the simple narrative of “paying to jump the queue.” We should examine the evidence: Has intramural practice increased or reduced overall waiting times? How much revenue does it generate for the hospital? How much of the specialist's time remains available to ordinary patients? Are emergencies and clinically urgent patients protected? What proportion of intramural income goes to the institution? Has the system helped retain specialists who might otherwise have moved substantially into private practice?
These are measurable questions.
If the evidence identifies abuse, correct it. If the governance framework has weaknesses, strengthen it. If fees or revenue-sharing arrangements require review, review them.
But Ghana should be careful not to solve one perceived inequality by creating a much greater one: a public health system that trains highly skilled specialists but cannot retain them, leaving their expertise increasingly available only to those who can afford private hospitals or treatment abroad.
The objective of a properly regulated intramural system should be simple: allow the public hospital to retain its specialists, generate additional institutional revenue and preserve specialist care for the patients who need the public system most.
That is the wider conversation Ghana needs to have.
Peter 3 days ago
The UK system is just not what to compare with. Do doctors in the UK pay hefty amounts of money for their training?
The UK system is just not what to compare with. Do doctors in the UK pay hefty amounts of money for their training?
Kwaku 3 days ago
Is there any other services to which this long thesis cannot be applied? You go explain taya. We know what it is.
There is private practice and services and there is the public ones. We are not confused.
Is there any other services to which this long thesis cannot be applied? You go explain taya. We know what it is.
There is private practice and services and there is the public ones. We are not confused.
BNI 3 days ago
Let's be honest. No private hospital can pay a specialist fulltime in Ghana. They treasure their govt salaries paaa that's why they won't resign.
The risks of loosing the specialist to private sector is zero so KORLE BU s ... read full comment
Let's be honest. No private hospital can pay a specialist fulltime in Ghana. They treasure their govt salaries paaa that's why they won't resign.
The risks of loosing the specialist to private sector is zero so KORLE BU should instead focus on making sure doctors are doing their hours fully.
The problem with our hospitals is that we put doctors who themselves did corrupt stuff and so find it difficult to whip their colleagues in line.
Appoint a respected non doctor as CEO and he would prioritize patient health of wealth
Peter 3 days ago
Why don't these doctors go set up their own private practice for specialized care instead of using state resources to ebrich themselves
Why don't these doctors go set up their own private practice for specialized care instead of using state resources to ebrich themselves
Peter 3 days ago
The Ghanaian doctor wants to win both ways. He spends very little of his own resources or family resources to medical school. Gets public money for advanced training then decided to use the public system he works into make su ... read full comment
The Ghanaian doctor wants to win both ways. He spends very little of his own resources or family resources to medical school. Gets public money for advanced training then decided to use the public system he works into make super normal returns on his medical education. They forget that their counterparts in the US where they often compare with spend a lot on their medical education.
GOLDEN 3 days ago
TRANSPARENCY,TRANSPARENCY,TRANSPARENCY,PLUS STRICT ACCOUNTABILITY!!!!!!!!
WITHOUT THE ABOVE RULES TO FOLLOW,DECADES OF MISMANAGEMENT,INTERNAL CORRUPTION ETC CONTINUES,TIME FOR THE GOVERNMENT TO WAKE UP,PERIOD!!!!!!!
TRANSPARENCY,TRANSPARENCY,TRANSPARENCY,PLUS STRICT ACCOUNTABILITY!!!!!!!!
WITHOUT THE ABOVE RULES TO FOLLOW,DECADES OF MISMANAGEMENT,INTERNAL CORRUPTION ETC CONTINUES,TIME FOR THE GOVERNMENT TO WAKE UP,PERIOD!!!!!!!
Bone 3 days ago
Country called Ghana
Country called Ghana
Pelicles 3 days ago
Now, what about this? If Ghana has more facilities like Korle Bu, who will come to Korle Bu and pay extra while he/she come get the same treatment elsewhere?
As a nation, we cannot do the same thing and have different res ... read full comment
Now, what about this? If Ghana has more facilities like Korle Bu, who will come to Korle Bu and pay extra while he/she come get the same treatment elsewhere?
As a nation, we cannot do the same thing and have different result. Some of these people are thieves no matter how much they get paid so, we should build more hospitals across Ghana to equal what Korle Bu is doing to stop the rot going on at that facility.
Additionally, the physical cash system should be a thing of the past and should be replace with cards.
Peter 3 days ago
I agree with you. If cost about 300 million to set UGMC an additional three could be provided across Ghana.,one in Navrongo,, on Kadjebi and one in Enchi, people will travel there and go ernment will be compelled to develop t ... read full comment
I agree with you. If cost about 300 million to set UGMC an additional three could be provided across Ghana.,one in Navrongo,, on Kadjebi and one in Enchi, people will travel there and go ernment will be compelled to develop the roads.
AKABENEZER 3 days ago
It will not matter. The nurses/employees will steal and use corrupt means to bankrupt the system. And they wonder why no one wants to create jobs to employ them. You will be a fool to trust the average Ghanaian. Expecially, ... read full comment
It will not matter. The nurses/employees will steal and use corrupt means to bankrupt the system. And they wonder why no one wants to create jobs to employ them. You will be a fool to trust the average Ghanaian. Expecially, those from the bush.
Richard 3 days ago
Why should we accept this kind of jumping over the queue in our health care system? Why should money determine who will receive treatment first? What kind of country are we building for the future generation if after paying i ... read full comment
Why should we accept this kind of jumping over the queue in our health care system? Why should money determine who will receive treatment first? What kind of country are we building for the future generation if after paying income tax you still have to pay "a bribe" to get access to public services. Mahama you promised to reset the country. Please do what you have promised us.
Donatus 3 days ago
ORAL
ORAL
Togbi Gbagbladza 3 days ago
The lack of proper financial reporting at the nation's premier hospital didnt start today and won't end tomorrow unless the managers and the specialists eschew selfcenteredness and corruption to agree to properly account for ... read full comment
The lack of proper financial reporting at the nation's premier hospital didnt start today and won't end tomorrow unless the managers and the specialists eschew selfcenteredness and corruption to agree to properly account for every pesewa generated from their operations and how these pesewas are also disbursed.
We should all know that we will all die one day and leave all the material things behind.
Named we came named we shall return.
Amen
Mensahoo988 3 days ago
Plain & simple. Using government resources to enrich themselves. That is the strategy of the elite in Ghana. It is done in all government facilities, while they continue to amass more & more wealth.
Plain & simple. Using government resources to enrich themselves. That is the strategy of the elite in Ghana. It is done in all government facilities, while they continue to amass more & more wealth.
Jefie 3 days ago
This is bad practice by KoleBu as major hospital in Ghana and who created this bogus practice to extort money from poor patients does the creator wants sick people to die because they can’t afford to pay healthcare cost thi ... read full comment
This is bad practice by KoleBu as major hospital in Ghana and who created this bogus practice to extort money from poor patients does the creator wants sick people to die because they can’t afford to pay healthcare cost this is shame to Ghana as a country
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We are sending wire transfer and direct flashing to any country
Chase bank
UBA bank
First bank
Capital one bank
PNC
Access bank
TD bank
And other banks accepted
Bank flashing to all countries
Bank flashing stays in the account for 28 days before it disappears and it's transferrable
We have a very experienced engineer working on these now
Bitcoin flashing to all countries
Crypto flash stays for 48 days before it disappears and it's transferrable and trade able
Blockchain Coinbase wallet binance wallet trust wallet
Usdt flash to all countries
Mt103 mt104 mt101 mt102 transfer
Wire check
Direct deposit bank loading to America, Asia Africa Europe Australia
Item order ;
We do car purchase online, iphone purchase online and many more
Bank Loading
Debit card and credit loading contact hamzaben
MO KWAME NKRUMAH NO 3 days ago
Aden otwa gu ne botom anaaa?
Aden otwa gu ne botom anaaa?
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A TRIAL WILL CONVINCES YOU
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1.Ferrari $ 20 million To $40 million
2.lamborghini $ 20 million To $ 50 million
3.rolls-Royce $ 18 million To $ 60 million
... read full comment
A TRIAL WILL CONVINCES YOU
We now have Ferrari, Rolls-Royce, lamborghini up for AUCTION
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YEN 3 days ago
What a way to run a teaching hospital?. Can Nawuni (GOD) help my poor country Ghana. YEN
What a way to run a teaching hospital?. Can Nawuni (GOD) help my poor country Ghana. YEN
ObuasiMan 3 days ago
These are greedy, selfish, bastards who should be jailed.
These are greedy, selfish, bastards who should be jailed.
The Devil’s Advocate 3 days ago
These private practice syndicates operate across all public health institutions throughout the country and have been even before the “cash and carry “ days.From administrative staff to specialists and down to dressers at ... read full comment
These private practice syndicates operate across all public health institutions throughout the country and have been even before the “cash and carry “ days.From administrative staff to specialists and down to dressers at health posts in villages. They are all at using public resources for their personal gain.If that’s not corruption tell me what is. A fish rots from the head down.
TAN 3 days ago
Just a tip of the iceberg. Scrutise all other directors in charge of finances within the civil service. There you’ll realise the monetary havoc. Hmm
Just a tip of the iceberg. Scrutise all other directors in charge of finances within the civil service. There you’ll realise the monetary havoc. Hmm
Ghana
Is this not corruption?
They are occupying juicy & well-paying positions, yet they are always devising ways to STEAL from the system.
Where at all do you want to take all those monies...???? You will surely die and leave everything wae. And the ...
read full comment
This is an organised crime boldly instituted by vampires. This is cruelty! The President must step in fast and totally abolish that evil medical regime.
Pay-to-jump-the-queue? Really? What happened to triage? The most corrupt criminals in Ghana are not in prison.
You see the Korle Bu buildings in delapidated states. All that the specialists and management do is to use the facilities for private work. When the equipment breakdown they have no money to service them or replace them with ...
read full comment
@AGBESI KWASI
YES, Agbesi, Korle Bu is a crime SCENE.
The last time i was there, about a decade ago, i couldn't believe how rundown most of the places were!.
The buildings themselves are still SOLID. But the rooms, offices ...
read full comment
YET MAHAMA DIDN'T SEE THIS BUT RATHER BUILDING HOTEL AT THE AIRPORT WHERE HE WILL COLLECT HIS COMMISION OF MILLIONS OF DOLLARS FROM THE CONTRACTS THATS WHY YOU SEE ALL THESE DEMOLITION ALL OVER THE COUNTRY
CALLECTION OF C ...
read full comment
You are a big fool
Greediness is a spirit, same as all other vices, you're caught up in it, takes the grace of GOD, blood and the Holy Spirit to deliver you. That man should be held accountable for his crimes.
The Herald has become competent nowadays oooo. Please we are sorry to be insulting your newspaper in the past
Ghana has become a cruel country.
You mean a crime scene.
Intramural Practice at Korle Bu: The Other Side of the Story
The article, “Money Buying Faster Healthcare at Korle Bu Teaching Hospital,” raises legitimate questions about equity, transparency and access to specialist he ...
read full comment
The UK system is just not what to compare with. Do doctors in the UK pay hefty amounts of money for their training?
Is there any other services to which this long thesis cannot be applied? You go explain taya. We know what it is.
There is private practice and services and there is the public ones. We are not confused.
Let's be honest. No private hospital can pay a specialist fulltime in Ghana. They treasure their govt salaries paaa that's why they won't resign.
The risks of loosing the specialist to private sector is zero so KORLE BU s ...
read full comment
Why don't these doctors go set up their own private practice for specialized care instead of using state resources to ebrich themselves
The Ghanaian doctor wants to win both ways. He spends very little of his own resources or family resources to medical school. Gets public money for advanced training then decided to use the public system he works into make su ...
read full comment
TRANSPARENCY,TRANSPARENCY,TRANSPARENCY,PLUS STRICT ACCOUNTABILITY!!!!!!!!
WITHOUT THE ABOVE RULES TO FOLLOW,DECADES OF MISMANAGEMENT,INTERNAL CORRUPTION ETC CONTINUES,TIME FOR THE GOVERNMENT TO WAKE UP,PERIOD!!!!!!!
Country called Ghana
Now, what about this? If Ghana has more facilities like Korle Bu, who will come to Korle Bu and pay extra while he/she come get the same treatment elsewhere?
As a nation, we cannot do the same thing and have different res ...
read full comment
I agree with you. If cost about 300 million to set UGMC an additional three could be provided across Ghana.,one in Navrongo,, on Kadjebi and one in Enchi, people will travel there and go ernment will be compelled to develop t ...
read full comment
It will not matter. The nurses/employees will steal and use corrupt means to bankrupt the system. And they wonder why no one wants to create jobs to employ them. You will be a fool to trust the average Ghanaian. Expecially, ...
read full comment
Why should we accept this kind of jumping over the queue in our health care system? Why should money determine who will receive treatment first? What kind of country are we building for the future generation if after paying i ...
read full comment
ORAL
The lack of proper financial reporting at the nation's premier hospital didnt start today and won't end tomorrow unless the managers and the specialists eschew selfcenteredness and corruption to agree to properly account for ...
read full comment
Plain & simple. Using government resources to enrich themselves. That is the strategy of the elite in Ghana. It is done in all government facilities, while they continue to amass more & more wealth.
This is bad practice by KoleBu as major hospital in Ghana and who created this bogus practice to extort money from poor patients does the creator wants sick people to die because they can’t afford to pay healthcare cost thi ...
read full comment
Black Jesus: Bank wire transfer to all countries
We are sending wire transfer and direct wasap him hamzaben.d@ hackermail. Com email email me your number I will wasap u or lawyer@presidency.com flashing to any country
Ch ...
read full comment
Aden otwa gu ne botom anaaa?
A TRIAL WILL CONVINCES YOU
We now have Ferrari, Rolls-Royce, lamborghini up for AUCTION
1.Ferrari $ 20 million To $40 million
2.lamborghini $ 20 million To $ 50 million
3.rolls-Royce $ 18 million To $ 60 million
...
read full comment
What a way to run a teaching hospital?. Can Nawuni (GOD) help my poor country Ghana. YEN
These are greedy, selfish, bastards who should be jailed.
These private practice syndicates operate across all public health institutions throughout the country and have been even before the “cash and carry “ days.From administrative staff to specialists and down to dressers at ...
read full comment
Just a tip of the iceberg. Scrutise all other directors in charge of finances within the civil service. There you’ll realise the monetary havoc. Hmm