Friday, April 26, 2024


The Oppenheimer Omission


 
 APRIL 26, 2024
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Oppenheimer and Lawrence at the 184-inch cyclotron, University of California (Berkeley) Radiation Laboratory. Photo: US Department of Energy.

University of California administration swelled with pride after producer Christopher Nolan shot scenes for his Academy Award-winning blockbuster Oppenheimer on the Berkeley campus, but that was not always the case.  In doing so Nolan gave the campus star billing in the epochal drive to build the atomic bomb before the film’s main action moved on to Los Alamos.

As an undergraduate at UC in the late 60s, I wondered why the name of one of the world’s greatest physicists who had worked there was absent, whereas that of his colleague, Ernest O. Lawrence, had been affixed to the sprawling Lawrence Radiation Laboratory and the Lawrence Hall of Science on the hill above campus as well as to the Lawrence National Laboratory in Livermore south of Berkeley.  A prestigious award and endowed lectureship also bore his name which features prominently in The Centennial Record of the University of California in contrast with that of Oppenheimer who gets scant mention. My U.C. dissertation and bookImperial San Francisco: Urban Power, Earthly Ruin, suggests that the omission of Oppenheimer was not accidental, for the “Father of the Atomic Bomb” was once an embarrassment to a university so intimately tied to its production and promotion as well as to subsequent generations of omnicidal weapons.

Nordically tall, blond, and Midwestern, Ernest Lawrence (played in the movie by Josh Hartnett) won the University’s first Nobel Prize for his co-invention with graduate student M. Stanley Livingston of the cyclotron which would lead to the Bomb. Unlike his leftish and cerebral Jewish colleague Oppenheimer — whom the brilliant physicist Hans Bethe said could make anyone, including himself, feel a fool — Lawrence put at ease the Regents and wealthy businessmen whom he needed to finance his and Livingston’s ever-larger atom-smashers. After his early death in 1958, the Regents commissioned a hagiography of Lawrence titled An American Genius and raised funds for the namesake Hall of Science adjacent to his 184-inch cyclotron where Lawrence’s team began the separation of Uranium-235 needed for “The Gadget.” When the hall was completed, curators placed the illuminated portraits of twenty-six Great Men of Science near the entrance that began with Hippocrates and culminated with Berkeley’s Nobel Laureate.

The absence of Oppenheimer from the Gallery of Greats and the shrine-like Memorial Hall once at its center was only one of several holes in the building’s historical record, for Lawrence’s work on the atomic bomb was given little mention and none was given to his enthusiasm for the hydrogen bomb for which the national laboratory at Livermore was built, while Oppenheimer appeared with him in only one photograph. Such omissions were likely not accidental, for the university’s close involvement with superweapons gave it adverse publicity at a time when indiscriminate fallout from nuclear tests and the prospect of fiery annihilation tarnished its reputation for disinterested research.

Lawrence’s declassified papers reveal that a top-secret Committee on Planning for Army and Navy Research met more than a year before the first atomic explosion to plan the university’s continued involvement in weapons work. After years of stringency, Dr. Lawrence was keenly interested in finding ways by which nuclear research and the funding necessary for it could continue after the war. His friend Dr. Merle Tuve submitted notes on how to assure that funding. Those present at the meeting understood that an appearance of civilian control would have to be given to the program to deflect public criticism of “Big Navy” or “Big Army,” so good public relations was essential. Tuve wrote that “If the attitudes are right, the funds will be forthcoming with little difficulty. The continuity of funds for research is far more important than the magnitude of the funds” A gusher, however, would not be unwelcome.

When the Atomic Energy Commission’s first chairman, David E. Lilienthal wrote that “The doors of the treasury swung open and the money poured out,” he foresaw what President Eisenhower would later call the Military-Industrial Complex, but Eisenhower neglected to add academia to the Complex for its eager acceptance of available funds. Those on the ground floor and with the inside track stood to profit handsomely as a little-known archipelago of mining, research, and production sites devoted to nuclear weapons development sprang up across the nation and beyond. Professor Lawrence himself advised or sat on the boards of corporations heavily invested in weapons and reactor production while advising top government officials about the nation’s needs. Having known him well, Lilienthal was unimpressed by the objectivity of U.C.’s star physicist. He called Lawrence “the salesman” or “Madison Avenue-type” of scientist in his diary and bemoaned the institutionalized legacy of his promotional skills.

The Brookings Institution in 1998 attempted for the first time to determine how much the nuclear arms race had cost U.S. taxpayers. Its Atomic Audit estimated the 70,000 nuclear weapons manufactured to that point had cost more than $5 trillion of which only a small fraction was ever made public. The biological and psychic cost of the bombs was incalculable as were the public benefits that had to be sacrificed to its voracious demands. Proud as the University of California may now be of Oppenheimer’s presence on the Berkeley campus thanks to Nolan’s film, its official history should be amended to explain its own role in the aftermath of the work that he and Lawrence once did here.

Gray Brechin, Ph.D, is a geographer and the author of Imperial San Francisco: Urban Power, Earthly Ruin (University of California Press 1999 and 2006.) The audiobook is now available.

Moving to Universal Health Care, Beginning in the States



 
 APRIL 26, 2024
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One of the greatest systemic failures in the U.S. is healthcare. Even after the 2010 passage of the Affordable Care Act:

+ 26 million Americans, or 7.9% of the population, still lack health insurance.

+ 51% of working age adults have difficulties affording health insurance.

+ 38% of working age adults delayed or skipped needed medical care or prescriptions over the year before polling was conducted in 2023 because they couldn’t afford it, while 57% of those who did reported their medical problem became worse.

+ 41% of adults are carrying medical debt, amounting to 100 million Americans, with a quarter of those owing $5,000 or more, while 1 in 7 of those in debt have been turned away from medical care because of unpaid bills.

The problem is high monthly payments and high deductibles, which Obamacare did not solve. Across the U.S., many are working for the obvious answer, genuine universal health care through single-payer health insurance, which cuts out private health insurance entirely with its bloated administrative costs, not to mention how it often cheapskates on needed care.

Failure to make progress at the national level has moved the center of action to the states. Many states are seeing movement to single payer. It is a key example of building the future in place, of working at the grassroots to provide solutions for systemic failures by building models that eventually can be adopted at broader levels, in this case the national. States are an appropriate place-based venue to begin building health-care solutions because they have sufficient scale to create trust funds that manage medical payments.

Among standouts in state action:

+ The Oregon Legislature last year created a governing board to design a universal health care plan for introduction to the 2025 session and implementation in 2026. Under the plan a state health care trust fund would be established.

+ California has created a process to apply for a federal waiver allowing it to implement a single-payer plan. A bill with the design of the system was introduced into the most recent legislative session, but is not expected to move forward until a waiver is granted. Then funding will require passage by a ballot initiative.

State plans will require federal waivers. Currently federal law prohibits states from pooling Medicare, Medicaid and other insurance funds into a singular state systems. A bill introduced by Rep. Ro Khanna (D-CA) in 2023, the State-Based Universal Health Care Act(HB6270), provides a pathway to gaining waivers.

Working in Washington State

I recently sat down with Carey Wallace, board chair of Whole Washington (WW), one of the groups working toward universal health care in my home state, to talk about grassroots organizing efforts going on here. WW, led by healthcare providers, has a board substantially made up of nurses. Wallace is one herself, with over 20 years’ experience, so she has seen upfront how deficiencies in the current health care system affect people’s lives.

WW’s proposal, similar to other states, is to create a health care trust fund.  Under the proposal, employers would be mandated to provide health care coverage, while all state residents would be eligible for coverage through the trust fund. So even when unemployed people would still be insured. The trust fund would pay all bills, eliminating co-pays, premiums, deductibles, out-of-network charges, and high prescription costs.. Coverage would be comprehensive including dental and vision. WW estimates the plan will save 7,000 lives annually while preventing 6,000-7,000 medical bankruptcies each year, at the same time shaving $5-$13 billion off healthcare expenses by reducing administrative costs.

The plan would start as a public option. The opt-in feature is designed to overcome potential legal challenges that would rise if private health insurers were mandated to join. Healthy San Francisco, working toward universal health care in that city, overcame a similar legal challenge. The federal waiver would resolve this issue, and the system could move to full statewide coverage

In 2021 the Washington Legislature created the Universal Health Care Commission to design a system. But progress has been slow, with no consensus on a single-payer design and “no sense of urgency,” Wallace says. “It was kind of set up to fail. I think we knew going in it wasn’t going to get us where we wanted to go, but it was a really good platform to push the issue.”

Health care advocates were also disappointed by the failure of the most recent legislative session to pass even a memorial supporting universal health care.

“What makes this arrangement so unfortunate is that SJM.8006 was a concession bill given to the universal healthcare movement to quell their discontent that SB.5335 — a real single-payer universal healthcare bill — would not be given a hearing in the state Senate,” writes WW Executive Director Andre Stackhouse.

“We were told that while everyone . . . agrees about the importance of universal healthcare, that SB.5335 was not ready for a hearing, that it needed to be vetted through Washington’s Universal Health Care Commission, and that a joint memorial was a more achievable next step.”

So facing what looks like a chicken and egg problem, WW continues efforts to put a universal health care measure on the ballot, aiming at a 2025 run. The group has tried to gain the 400,000 needed signatures three times over recent years, but its purely volunteer efforts always topped out around 100,000. It is virtually impossible to place an initiative on the ballot without paid signature gatherers, Wallace notes.

WW’s run at the ballot in 2020 was interrupted by the Covid outbreak. In 2022, when it tried again, “It was hard to reconnect,”  Wallace says. That seems to be a story across many forms of activism. “We can get our people out, but getting outside of our silo has been difficult. We recognized we need to do other things to reconnect.”

Staging town meetings

So WW with other groups are taking it on the road in town meetings across the state. WW will present its proposal over the first 20 minutes and then ask people to present their own healthcare stories. The first will take place in Olympia April 25 in alliance with Washington Physicians for Social Responsibility and RIP Medical Debt. The three groups will also stage town meetings May 4 in Tacoma and June 1 in Seattle. The theme will be Healthcare Not Warfare, in tune with WPSR’s peace mission. WW will also hold a number of town meetings on its own and with other groups in a range of urban and rural communities. For more on the times and locations, the schedule is here.

Through the town meetings and other organizing efforts, WW hopes to build the grassroots base and financial capacity to mount the 2025 initiative effort. Health insurance and privately owned health care organizations will mount a ferocious campaign against an initiative, so it will take a widespread effort with substantial financial backing to pass it.

WW was inspired in this effort by a successful Michigan campaign to place and pass a 2018 ballot measure creating an independent redistricting commission. It took the job of drawing legislative district boundaries out of the hands of the legislature in order to prevent gerrymandering. The group that forwarded the initiative, Voters Not Politicians, staged 33 town meetings in 33 days. Starting with limited resources, it managed to obtain the needed signatures to place the initiative on the ballot and then win a victory.

“Getting in front of real people was really helpful to them,” Wallace says. She hopes for similar success in Washington state. “There’s a lot of ways what we’re doing is the same. This is a nonpartisan dialogue. This is not a Republican or Democrat issue.”

Building a future with decent and affordable healthcare for all is a steep climb. Efforts spanning many decades have failed to achieve it at the national level. The best chance to eventually achieve that is to work in specific places, in states with favorable political climates, by building grassroots momentum to create universal health care systems. In Washington, as in other states, that is exactly what is happening. As with so many other issues where action is stalled at the national level, we can begin to make change where we live. We can build the future in place.

This first appeared on The Raven.

U.S. Loses Soft Power Edge in Africa

China's popularity grows, while United States' wanes

BY BENEDICT VIGERS

This article is the second in a series detailing the results from the latest Rating World Leaders report, which analyzes trends in approval ratings of the leadership of the U.S., Germany, Russia and China in over 130 countries.

LONDON -- The United States lost its place as the most influential global power in Africa last year as its star status dimmed and other countries -- China in particular -- gained fans.

new Gallup report shows median approval ratings of Washington -- indicative of the country’s soft power -- slipped from 59% in 2022 to 56% in 2023. Of the four global powers asked about, the U.S. was the only one not to see its image improve across Africa in 2023. Meanwhile, China’s approval in the region rose six percentage points, from 52% in 2022 to 58% in 2023, two points ahead of the U.S.

Germany’s leadership image improved too, albeit only from 51% to 54%, placing it and the U.S. on similar footing. And after plummeting in 2022, Russia’s leadership remained the least popular, although its median approval rating increased by eight points in 2023 to 42% -- rebounding to its level in 2021, before the invasion of Ukraine.

How China's Image Improved in Africa

Last year, China recorded its highest leadership approval rating in Africa in a decade. In seven countries -- many in western Africa -- Beijing saw double-digit increases in approval compared with 2022. The largest of these came in Ghana (+15 points), Cote d’Ivoire and Senegal (+14 points each).

In all of these three countries, similar proportions of people disapproved of China’s leadership in 2022 and 2023. The decisive shift in approval came from a corresponding collapse in the proportion of people saying they did not have an opinion of Beijing.

In recent years, Chinese influence -- and investment -- on the African continent have soared. China is now Africa’s biggest single trading partner. Beijing’s Belt and Road Initiative spans a significant chunk of the continent and invests heavily in infrastructure projects.

Competition for Influence Gets Tighter for U.S.

Although median approval of the U.S. dipped by three points across Africa last year, Washington saw double-digit increases in approval ratings across seven countries -- Ghana (+14 points), Mauritania, Cote d’Ivoire (+13 points each), Tunisia (+12 points), Mozambique (+11 points), Senegal and Ethiopia (+10 points each) -- overlapping the approval gains China experienced.

Despite these increases, U.S. approval ratings fell sharply elsewhere -- in Uganda (-29 points), Gambia (-21 points) and Kenya (-14 points). Of these three, only ally Kenya maintained majority approval. Ratings of U.S. leadership were lowest in Libya (23%) and Somalia (25%).

The U.S. has had an advantage over China’s leadership across the continent in most years since 2007, although there was essential ratings parity between 2016 and 2019. But in 2023, China nudged ahead by two points over the U.S. Washington and Beijing’s rivalry on the continent is centered on many geopolitical issues, including a race to secure access to precious minerals and disputes over debt relief.

Russia’s Image Rebounds After Invasion

Since 2022, Moscow’s image in Africa has improved even more than China’s. When Russia invaded Ukraine in February 2022, it lost significant support across the continent, as it did across the rest of the world. But now that more than two years have passed since the war began, Moscow’s image has recovered. Median approval of Russian leadership now stands at 42%, up from 34% the previous year. It has not been higher since 2012 (47%).

Russia has seen double-digit increases in eight countries and equivalent decreases in just two: Uganda (-16 points) and Gambia (-11 points). But support remains strongest in countries in the Sahel, where Russia has a significant military presence through its mercenary Wagner Group, including Mali (89%), Burkina Faso (81%) and Chad (76%). In these three countries, Russia is the dominant power in terms of leadership approval ratings.

Bottom Line

Major global powers have increasingly shifted their focus to Africa in recent years, albeit for different reasons. Last year, the playing field changed. The United States’ slight drop in approval plus China’s gains have placed the latter’s ratings slightly above its Western rival’s. But in the grand scheme of things, median approval ratings of Washington, Beijing and Berlin are closely contested across much of the continent.

The biggest change, however, was in perceptions of Russia. Although much of the world continues to view President Vladimir Putin and Russian leadership with disdain, Moscow’s popularity in Africa rose in 2023, recouping its losses after the invasion of Ukraine.

As Africa’s young population continues to grow, and with its importance on the global stage unlikely to wane, questions remain over whose approach to foreign policy in Africa will prove most effective at winning the hearts of its people in coming years.

Read the full report.

Coming soon: Inside the U.S. and China’s Competition for Hearts and Minds

To stay up to date with the latest Gallup News insights and updates, follow us on X.

For complete methodology and specific survey dates, please review Gallup's Country Data Set details.

Learn more about how the Gallup World Poll works.

Solar powered recycled plastic boat taxi trialled in Kenya

Plastic revolutionaries pave the way for zero-emission water transport in Kenya with a new taxi boat made from 100% recycled plastic waste and powered by an innovative solar engine.

By Dipesh Pabari

The Flipflopi Project, who built the world’s first 100% recycled plastic sailing dhow, have teamed up with Newcastle University engineering experts and ePropulsion, the makers of an innovative solar-electric propulsion system, to design and test their latest innovation.

The team have installed an innovative solar-electric engine to Flipflopi’s latest vessel, a boat taxi fabricated entirely from recycled plastic collected and manufactured on Lamu Island in Northern Kenya, now certified for sea-worthiness.

Over a month-long trial ferrying islanders on the solar-powered water taxi, the new eco-friendly system was found to match the speed of traditional petrol engines, while being substantially cheaper to run, and with zero emissions.

The water taxi is currently being used by the Flipflopi team for their daily transport since the electric engine is still in its pilot phase. This is the Flipflopi’s third boat that has been made from recycled plastics and they hope that the boat taxi and solar engine will create a coop model for youth where it will generate income for them and act as a service model. For example, they can lease the boat and engine and can charge and maintain it at an affordable price. The goal is to keep it as circular as possible!

The FlipFlopi boat made out of recycled plastic powered by solar engine ferrying the Flipflopi team

Dr Simon Benson, project lead at Newcastle University said“The pilot programme showed that electric propulsion is no longer just a climate solution for luxury cars, or for mass transit in high tech cities; it can contribute to solving environmental problems in lower resourced rural communities too. Since the solar panels can be fully recharged daily, on land and on the boat, this makes it a great option for short transit routes in coastal, lakeside and island communities across the world who use small open boats with outboard engines for fishing, cargo and passenger transport.”

The boat and its solar engine underwent this pilot as part of a broader Sustainable Manufacturing and Environmental Pollution (SMEP) programme that is supporting the Flipflopi to research community-centered circular solutions including heritage boatbuilding to help solve the waste management and plastic pollution problem in peri-urban shoreline communities.

The recycled plastic water taxi was built out of 1.2 tonnes of HDPE plastic that was recovered by the community-centered programme, and would otherwise have been burnt, dumped or destined for the ocean.

The Flipflopi manufactures high-quality plastic lumber at the Lamu-based recovery and recycling centre which is then hand-crafted using traditional boat-building techniques by local craftsmen combined with new appropriate technology.

Ali Skanda, Co-Founder of The Flipflopi Project, said; “Our mission is to help solve the plastic pollution crisis by supporting circular solutions in low-income maritime communities like ours. With our recycling and heritage boatbuilding centre, we are exploring how to create viable boat prototypes from plastic waste and preserving the indigenous craftsmanship of boatbuilding and furniture making for generations to come. If we can also adopt solar powered engines, we start to realise even greater opportunities for a greener and more sustainable future.”

The making of the Flipflopi boat using recycled plastic
The Flipflopi boat on the Indian Ocean before installation of the solar engine

The project is part of a wider set of objectives to determine the potential for holistic step-changes in addressing the environmental impact of working boats used in maritime and low-income communities like Lamu.

Former Minister of Environment to Kenya who is a member of the Flipflopi’s Advisory Board, Prof. Judi Wakhungu, said; East Africa has been leading the way on the climate agenda for many years now, and The Flipflopi Project is an excellent example of Kenyan organisations tackling the problem through a systemic approach with their hands on localized solutions for mitigating plastic pollution alongside spearheading a campaign to ban unnecessary single use plastics at the regional level.

“Now we have another first in Lamu with this recycled plastic boat powered by solar which not only reduces waste otherwise destined for the ocean, but also lowers carbon emissions, removes carbon fuel costs impacting local people, and reduces local environmental pollution. This is a powerful demonstration that lower-resourced communities can lead the world in driving policy agendas, and sustainability by innovating with combinations of low and high technologies such as artisanal boatbuilding, plastic recycling and renewable energy,” she added.

Read Also: The Flipflopi Dhow: Returning Home — Short Documentary

The project’s success demonstrates the potential for artisanal boats made from waste plastics and equipped with electric engines and boat-mounted solar charging systems, paving the way for zero-emission transportation solutions. The research also highlights the need for improved support systems such as maintenance and hire-schemes to help more places adopt this technology, ensuring a greener future for marine transportation.

The solar electric engine project was made possible with the support of maritime engineering experts at Newcastle University led by Dr Simon Benson with funding from the UK government’s International Science Partnerships Fund.

Flipflopi are supported by the Sustainable Manufacturing and Environmental Pollution (SMEP) Programme that enabled the design and build of the water taxi itself. The project was turned to reality through collaborative partnerships with UK based ePropulsion who supplied the battery powered engine, and Kenyan based Solagen who supplied the solar systems.

This story was produced by The Flipflopi
Poland in two minds over Ukraine’s efforts to bring conscription-age men home
Ukraine has banned consulates from renewing passports of military aged men living outside the country in an effort to get some of those that fled to return and join the army. / bne IntelliNews


By bne IntelliNews April 26, 2024

Poland is ready to help Ukraine bring conscription-age men home after Kyiv stepped up its mobilisation effort, a top government official said this week. But hundreds of thousands of people leaving Poland could be a huge problem for the economy, analysts say.

Some 300 Ukrainians blocked a passport service point in central Warsaw on April 24 in protest against what they say is their government trying to force them to fight Russia.

Ukraine has recently restricted consular services to men aged between 18 and 60 - the limits of conscription age - so that the only way for them to get their travel or other documents issued or renewed is to travel back to Ukraine, where a new mobilisation law enters force on May 18.

The lack of access to consular services means Ukrainian will now be unable to validate documents such as passports and driving licenses abroad. That, in turn, will make it next to impossible to find legal employment in the EU. Holders of valid passports who will not be able to renew their driving licenses will not find jobs as taxi drivers or truckers - both very popular with Ukrainians in Poland.

“I am not sending my son to become canon fodder,” a protesting Ukrainian woman told reporters at the protest. “You give me my documents and go away to Ukraine and fight!” another said to an employee of the passport service point.

Following Kyiv’s decision, Polish authorities have been caught between their pledges to help Ukraine fight off Russia’s aggression and the stark reality of Poland’s labour market, which lacks workers.

"Any support is possible," Poland’s deputy Prime Minister and Defence Minister Wladyslaw Kosiniak-Kamysz said in response to a question by Polsat News about what Poland would do if Ukraine asked for help with getting men who lose the right to remain in Poland after to return home.

“I think many Poles are outraged when they see young Ukrainian men in hotels and cafes, and they hear how much effort we have to make to help Ukraine,” Kosiniak-Kamysz also said.

From an economic standpoint, however, the matter is much less straightforward.

“[Ukrainians’] contribution to the state budget is significant. Today, I cannot imagine the Polish labour market without Ukrainian citizens. I think this would be a very serious problem for us from the point of view of companies’ competitiveness,” deputy Home Affairs Minister Maciej Duszczyk told the parliament recently.

“The key is [to know] how many men who are professionally active in Poland have expiring residence permits or passports,” Andrzej Kubisiak, deputy head of the Polish Economic Institute, a state think-tank, told gazeta.pl.

It remains unclear what Poland can actually do once thousands of Ukrainian men lose their right to remain in Poland but not yield to their home country’s regulations.

Since Russia’s aggression of Ukraine in February 2022, Poland has granted temporary protection status to some 950,000 Ukrainians, the second-largest number after Germany, according to Eurostat data. Most of them are women and children.

According to data from Poland’s social insurance body ZUS, nearly 400,000 Ukrainian men work in Poland. Many of them had been living in Poland for years before the war.
Smaller towns in South Korea bear brunt of doctors’ shortage

South Korea has 2.6 doctors for every 1,000 people, one of the lowest rates among developed countries.

APR 26, 2024

INCHEON, South Korea – Hospitals in South Korea’s smaller cities are struggling with a lack of physicians, as a nationwide strike of trainee doctors enters its third month in protest against plans to tackle the shortage by boosting medical school admissions.

Seoul, the capital, boasts top-level hospitals, but smaller cities are starved of doctors in a trend experts say will only get worse as the population ages at one of the world’s fastest rates, while birth rates are the lowest in the world.

“Our artificial kidney room was closed for almost two years because we didn’t have a doctor and we couldn’t find one… but this is a national phenomenon,” said Dr Cho Seung-yeon, director of the Incheon Medical Centre in the port city.

The shortage is at the heart of government plans to add thousands of medical school students from 2025 that face stiff opposition from trainee doctors and some medical groups who doubt it will improve poor working conditions.

South Korea has 2.6 doctors for every 1,000 people, one of the lowest rates among developed countries, according to the Organisation of Economic Cooperation and Development. In contrast, top-ranked Austria has 5.5 for every 1,000 people.

“I hope the number of doctors will increase in the future due to our rapidly ageing society, which means more and more people will visit hospitals,” said Mr Yoo Byung-seon, 66, one of those being treated in the Incheon hospital.

Because it cannot find staff, the hospital’s cardiology department has resorted to using roving doctors from a nearby university hospital, Dr Cho added.

In a complaint this week, the Korea Medical Association, a leading critic of the government’s reforms, accused Dr Cho and another staffer of breaking the law by using unlicensed personnel for some medical procedures.

Dr Cho denies those claims, a hospital spokesperson told Reuters.

Medical interns and resident doctors who began their strike late in February say they are underpaid and overworked, conditions the government must tackle before adding more physicians.

Dr Cho acknowledged that policies must also change to ensure the new doctors work in underserved areas and do not just gravitate back to Seoul, but adding practitioners was a necessary first step.

The prolonged strike will only hurt physician assistants who often perform some of a doctor’s duties though without the same protection, said Ms Choi Hee-sun, president of the Korean Health and Medical Workers’ Union.

“It’s only doctors who say there is no shortage of doctors,” she said, faulting both the government and the striking doctors for early failures to strike up dialogue, where stalemate persists.

Medical outcomes can vary widely outside the capital, where government figures show there were 4.82 active doctors for every 1,000 people in 2022, compared to Incheon’s equivalent of 2.65.

The city racked up South Korea’s highest rate of avoidable deaths, an indicator of healthcare quality, at 51.49 per 100,000 people in 2021, while the corresponding rate for Seoul was 38.56, health ministry figures show.

One 82-year-old woman who spent a month at a hospital in Incheon, Madam Yoon Geum-ja, said she was satisfied with the healthcare system now, but added: “I’m worried there won’t be many doctors around in future.” 

REUTERS