The health of mothers has long been acknowledged to be a cornerstone of public health and attention to unacceptably high level of maternal mortality has been a feature of global health and development discussions since the 1980s.
However, although a few countries have made remarkable progress in recent years, the reality has not generally followed the rhetoric.
“A policeman’s lot is not a happy one.” Gilbert and Sullivan’s well-known conclusion from the Pirates of Penzance clearly applies to physicians as well – globally
The reasons are well known. Government, Private hospitals and insurance company edicts on how to treat patients, declining reimbursements, ever increasing costs to run a practice, endless paperwork requirements, constant time pressures and a hostile legal environment all combine to make the modern day physician’s lot a truly unhappy one of operatic proportions.
The impact of declining government-run health care has dis-empowered physicians, leaving them disillusioned.