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Construction crew or demolition squad? Part 2

• Let’s work hard together, Ghana

In part one of this article, I recalled the days of yore when Ghanaian pupils in the elementary school studied civics. For the benefit of those who had no idea about the subject, I explained that the course was all about responsibilities and obligations of the citizens of a country, usually categorised into the good and the bad, depending on their behaviour. Then, I inferred that the whole concept boiled down to the idea of the Construction Crew and the Demolition Squad. Beginning with the government, the article dealt with the various instances of injustice that most Ghanaians, especially the rural folk, are made to endure perennially by government after government. I paraphrased George Orwell’s satirical novel – Animal Farm – juxtaposed it with the situation in Ghana and submitted that after independence our motto, Freedom and Justice seems like a mirage. It is still my contention that justice has taken a back seat and the motto has remained, at best, a mere rhetoric. I continue from where I left off.

In the previous article, I asked three questions and I repeat them. Does Animal Farm ring a bell in Africa? Does it sound familiar in Ghana? Do you see those who have now put on airs?

Just a casual glance around the corridors of the Ghanaian society is enough to reveal that themes of Animal Farm continue to reverberate in every aspect of our body politic. Where is the justice when scholarships meant for poor and brilliant students somehow find their way to children of the rich who can afford everything without sweat? I am not talking about free senior high school.

It is on record that the Scholarship Secretariat has now decentralised its operations, initially, to the regional level in the 2018/2019 academic year, and then all the way down to the Metropolitan, Municipal and District levels in the 2019/2020 academic year. Good enough, at least, on paper!

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According to the Secretariat, this has led to “significant strides or achievement in the increase of scholarships awarded to Ghanaian students pursuing higher education in the local tertiary institutions, both public and private. More than thirty thousand (30,000) Ghanaian students in the locally accredited tertiary institutions benefitted from the scheme in the 2019/2020 academic year.”

Now, the question is: How many of those 30,000 scholarships were given to applicants under the categories of Merit Awards, Hardship Awards (that is, for needy but brilliant students), and the Presidential Independence Day Awards? And how many qualified from the districts? Are they not the children of rich politicians and other affluent people in the cities – those with connections – who still benefitted despite the noise about decentralisation?

If the process were transparent, the records would be readily available and easily accessible at the District, Municipal, and Metropolitan Assemblies for all to find. By the way, how many farmers in the villages have even been notified by their respective assemblies that they can access scholarships for their needy but brilliant children who qualify for such grants? Transparency, indeed!

Where is the justice when the rich get richer, and the poor get poorer? Is it not criminal that the poverty-stricken masses are saddled with loads of care in the form of high transportation cost, utility bills and other encumbrances while those who can virtually afford everything get them free of charge? Do not tell me they are the perks that accompany certain positions. The truth is these benefits are just an icing on the cake, yet majority of the citizens do not have any cake to eat at all. Dr. Martin Luther King Jr. said, and rightly so, that “Injustice anywhere is a threat to justice everywhere.”

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After cajoling the longsuffering masses to vote you into office, whether as Assembly Members, Union Leaders, Members of Parliament, or having been appointed Ministers, do you now behave like Napoleon the pig, (Animal Farm) and think only of your welfare and that of your family?

Are you accessible to your constituents? Can they reach you on your phone? No! And they can neither come to your house because the preventive duty of your trained, wild dog is well defined and noticeably advertised. Under the guise of deterring criminals from attempting any mischief against your property, you have conspicuously hung the sign: “Beware of wild dogs.” In reality, however, it is a coded message directed at perceived intruders from your constituency. The sign echoes an implicit message loudly: “Do not dare to approach this house; you are not welcome here.” How will anyone venture a visit under such circumstance?

These patient citizens live in resource-filled parts of the country yet do not have potable water in this day and age. Their school buildings are dilapidated and at the mercy of the elements. While their gas, oil, gold, bauxite, and other resources are extracted for the collective good of the country, they, as the custodians of these assets, have little or nothing to show for their potential prosperity all these years.

Maybe, the right person is nominated for the position of M.C.E. or D.C.E. to help administer and, hopefully, transform the various constituencies.But as an assembly man or woman, you see the confirmation process as an opportunity to dig gold. You, therefore, insist on a token, a euphemism for bribe, else you would not vote to approve the nominee. Meanwhile, your constituents put you up there to help them get their fair share of the national cake. Where do you belong, the “Construction Crew” or the “Demolition Squad?” What happened to your civics lessons?

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Dear Civil Servant, thank you for all the hard work you put in despite the paltry salary. But I have a problem with those who pretend that somebody’s file is missing only for them to dramatically recover it from the “sinkhole” into which it dropped.

“Eureka! I have found it,” he would exclaim, just after his palms are not only greased, but lubricated well. Otherwise, not even the most powerful laser – Light Amplification by Simulated Emission of Radiation – can track and retrieve the missing document needed urgently to transact legitimate business for the mutual benefit of the client and the nation. This is the modus operandi of the “Demolition Squad.” No nation can develop with this attitude.

Sadly, this brazen exploitation has become so systemic that it has degenerated into a contagion of epidemic proportions permeating every fibre of the Ghanaian society. Just apply for a passport or try to register a company at the Registrar-General’s Department. You may also attempt to obtain a driver’s licence. You would not only understand what I am saying but you would also be amazed at the scope of rottenness prevailing in the system.

Issuance of passports was decentralised decades ago to enable Ghanaians to access travel documents easily, affordably, and speedily. But what was meant to be a division of labour to boost productivity, has evolved into the decentralisation of corruption. In the past only those in Accra had the chance to indulge in the practice. Now, it is “EGLE” – Every Ghanaian Living Everywhere. Did you know that once upon a time there was a political party by that name? Ei! Ghana! Trailblazers in everything!

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Anyway, at the various passport offices spread over the country, they have rates of bribe that applicants must pay before they secure their passports, depending on how badly they need them. The faster you want it, the more you pay. Now that new regions have been created, I would not be surprised if people have started lobbying to be sent there. And why not? After all, the fastest and easiest means to make it in Ghana is ready for grabs.

Mr. Immigration Officer and Matthew, (a customs officer who became Jesus’s disciple), why did you enter these service institutions, to join the Construction Crew or the Demolition Squad? Why do you insist that your pot must be sweetened before you do what you are paid to do? It is no longer a gift if you demand it. It becomes a bribe. Plain and simple! Matthew repented and became, not just a disciple but one of the twelve apostles. Over to you!

A stitch in time saves nine!

Contact: teepeejubilee@yahoo.co.uk

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BY TONY PREMPEH

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The global challenge of medical malpractice

 Introduction

Medical malpractice is a significant con­cern worldwide, with far-reaching consequences for patients, healthcare provid­ers, and the overall health­care system.

It is defined as a deviation from the standard of care that results in patient harm, and can take many forms, includ­ing misdiagnosis, surgical errors, medication mistakes, and inadequate patient care.

This article provides a comprehensive overview of the issues surrounding medical malpractice, its consequenc­es, and potential solutions.

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The prevalence of

medical malpractice.

Medical malpractice is a widespread problem that af­fects patients in many coun­tries. According to a study published in the Journal of Patient Safety, medical errors are the third leading cause of death in the United States, resulting in an estimated 251,000 deaths per year. Sim­ilarly, a study published in the British Medical Journal found that medical errors are a significant cause of morbidity and mortality in the UK.

Types of medical

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malpractice

Medical malpractice can take many forms, including:

1. Misdiagnosis: Failure to accurately diagnose a patient’s condition, leading to delayed or inappropriate treatment.

2. Surgical errors: Mistakes made during surgery, such as operating on the wrong body part or leaving instruments inside a patient.

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3. Medication errors: Pre­scribing or administering the wrong medication, dose, or route of administration.

4. Inadequate patient care: Failure to provide adequate care, including neglecting to monitor patients, provide nec­essary treatment, or respond to patient concerns.

Consequences of medi­cal malpractice:

Medical malpractice can have severe consequences for patients, including:

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1. Physical harm: Patients may experience pain, suf­fering, and long-term health consequences.

2. Emotional trauma: Patients and their families may experience anxiety, de­pression, and post-traumatic stress disorder (PTSD).

3. Financial burden: Pa­tients may incur significant medical expenses, lost wages, and other costs.

Solutions to medical malpractice:

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To address the issue of medical malpractice, many countries have implemented reforms aimed at reducing the number of claims and im­proving patient safety. Some potential solutions include:

1. Tort reform: Limiting the amount of damages that can be awarded in medical malpractice cases.

2. Alternative dispute reso­lution: Using mediation or arbitration to resolve disputes outside of court.

3. Communication and Resolution Programs (CRPs): Encouraging open communi­cation between healthcare providers and patients, and providing fair compensation for injuries.

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Conclusion

Medical malpractice is a complex issue that requires a multifaceted approach to address.

By understanding the preva­lence, types, and consequenc­es of medical malpractice, we can work towards creating a safer and more compassionate healthcare system.

Potential solutions, such as tort reform, alternative dispute resolution, and CRPs, offer promising approaches to reducing medical malpractice claims and improving patient safety.

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References:

[1] Makary, M. A., & Daniel, M. (2016). Medical error—the third leading cause of death in the US. BMJ, 353, i2139.

[2] Vincent, C., Neale, G., & Woloshynowych, M. (2001). Adverse events in British hospitals: preliminary retro­spective record review. BMJ, 322(7285), 517-519.

By Robert Ekow Grimmond-Thompson

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Life is like a quiz competition

I watched a quiz show on TV last Sunday, between two schools, Okuapeman and I think University Practice. After the first round, Univer­sity Practice was leading with about 30 points and Okuape­man had nothing.

Then comes the second round of the intended four rounds of competition and at the end of the round, sur­prise, surprise, Okuapeman had 60 points and University Practice had either zero or 10.

In the final analysis, Okua­peman won the competition with 95 points to University Practice’s 90 or 93 points. Such is life and the mysteries of life, are difficult to fath­om.

There are classmates that we thought could not amount to much in life and yet we become pleasantly surprised as time passed, about the vast improvement in their lives.

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There were other mates who were obviously destined for the top, based on their academic prowess but be­came complete failures later on in life.

When I was in the primary school, there was a class­mate who most of the time came first in the end of term exams. He was very brilliant and so he going further up the academic ladder through Sec­ondary school, Sixth form and ending up at the University was a forgone conclusion.

However, life’s mystery set in and he ended up as a teacher in a technical school owned by his brother-in-law. He did not amount to much, became an alcoholic and eventually passed away.

The day I heard that he had passed away and his general circumstances, I felt so sad. Such is life and sometimes it is like the quiz competition I witnessed, full of uncertain­ties.

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There was another senior in Middle School, who also was very brilliant. In fact he got a score of 254 out of 300 in the Common Entrance Exam­ination. Many years later, in my early years at the Uni­versity, I met this guy at the Tarkwa Train Station and got the shock of my life. This guy was wearing a dirty, loosely fitting singlet and his state was pitiful.

Naturally after expressing pleasantries, I asked him what he was doing in Tarkwa after telling him that I was a student at the university. He then narrated how he was dismissed from the most prestigious Secondary School in the Kwahu area after some smoking and going out with­out exeat issue.

He further indicated that as a result, he was then hustling and doing Galam­sey to make ends meet. I would have had a hard time believing that he was doing Galamsey and not working in a reputable organisation or institution if it was told me by someone. Indeed life can sometimes be like a quiz competition, if God is not involved.

Since we are not God and therefore do not have knowl­edge of what the future holds, we need to treat people who come across our paths well because you never know.

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When I went for the fu­neral of one of my aunties, on my father side, with my SUV many years ago, a lot of my relatives were surprised because they never imagined that.

When it comes to say wealth, it has nothing to do with one’s academic qualifi­cations. We have some of the wealthiest people who were school dropouts and so we need to be careful how we treat people, because life is like a quiz competition and you never know until the com­petition comes to an end.

I have seen someone who was not that nice looking, the nose being flat and all, and then 12 years later, such a huge natural transformation; so never write anybody off, because life is like a quiz competition. God bless.

NB: ‘CHANGE KOTOKA INTERNATIONAL AIRPORT TO KOFI BAAKO INTERNATIONAL AIRPORT’

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By Laud Kissi-Mensah

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