{"id":342,"date":"2017-12-21T12:33:38","date_gmt":"2017-12-21T11:33:38","guid":{"rendered":"https:\/\/www.masina.rs\/eng\/?p=342"},"modified":"2017-12-21T12:43:45","modified_gmt":"2017-12-21T11:43:45","slug":"pack-your-stethoscope","status":"publish","type":"post","link":"https:\/\/www.masina.rs\/eng\/pack-your-stethoscope\/","title":{"rendered":"Pack your stethoscope: hundreds of doctors migrating from Serbia to Germany"},"content":{"rendered":"
\"\"<\/a>
Charit\u00e9 University Hospital Berlin after renovation in 2016; Source: Wikipedia<\/figcaption><\/figure>\n

Pauperised Serbia pays exuberant amounts for educating doctors who end up a number in the Bureau of Labour registers or find employment in the West; affluent Germany systematically educates fewer doctors than it needs because it will always be able to recruit them from countries that \u201chave not made it\u201d in their transition to capitalism.<\/strong><\/p>\n

The trick of globalisation lies in the fact that it ends immediately after its four famous pillars, upon which today\u2019s EU is also built \u2014 free flows of people, goods, capital and services. The final sum in this game amounts to nothing but zero, which means that the goods someone exports have to be imported by someone else, or that labour force that is somewhere welcomed with open arms probably leaves an empty hole where it comes from. While migration of unemployed or unqualified masses from the periphery to the centre of capitalist system can at least theoretically be justified as export of unemployment<\/em>, when these masses comprise of experts whose education is both expensive and long \u2013 lasting, then we are dealing with a more complex situation.<\/p>\n

We can make two hypotheses based on the analysis of the state of affairs in Serbian and German healthcare systems: pauperised Serbia pays enormous amounts for educating doctors who end up either in the Bureau of Labour registers or find employment in the West, most often in Germany; affluent Germany systematically educates fewer doctors than its new demographic structure really needs because it will always be able to recruit them from countries that \u201chave not made it\u201d in their transition.<\/p>\n

Standing conference of German Medical schools, it was estimated that German universities offer only nine to ten thousand places for medical students, even though six times more candidates apply each year. Admission is reserved only for the best high school students with grades between 1 and 1.2 (the highest grade in Germany being 1 and the lowest 5). According to<\/a> the OECD, Germany has only 11,3 medical graduates per 100,000 of its residents\u2014by far fewer than Serbia (17). When university places are concerned \u2014 let us use the neoliberal discourse so widely adopted in Germany \u2014 the supply is significantly lower than the demand.<\/p>\n

What advice would we be given by an economist or a demographer in any other case? To enhance capacities, of course. Some of the like voices can indeed be heard and are strengthened by occasional students\u2019 protests and doctors\u2019 appeals.<\/span>1<\/sup><\/a><\/span> We are still no witnesses of significant changes in that regard because, at the same time, there are 288 doctors per 100,000 residents of Serbia, but 410 per 100,000 in Germany. Nevertheless, unlike in Serbia, doctors in Germany can work part-time if they want to.<\/p>\n

The conclusion we can make from all that is more than obvious \u2014 Germany\u2019s healthcare system\u2019s shortages are compensated by recruiting doctors from the periphery of the capitalist system or even from the countries with ongoing war exoduses. According to the German Medical Association, 46,721 doctors working in Germany are holders of foreign passports (excluding those who have meanwhile gotten German citizenship). Among those who started working only last year are 218 doctors from Serbia.<\/span>2<\/sup><\/a><\/span><\/p>\n

Decent salary<\/strong><\/p>\n

German taxpayers, i.e. potential patients, pay 200,000 EUR for educating a single doctor at a public university, where tuition fees are not covered by students, but by the State. Bringing doctors from abroad is, thus, an exercise in austerity \u2014 favourite German discipline.<\/p>\n

Even though there are some systematic qualities to it, the recruitment of the necessary medical professionals from abroad is carried out neither openly nor according to a strict plan. The ruling Christian Democratic Union of Angela Merkel (CDU\/CSU) has impeded passing a so-called immigration law for years, which would clearly define the needs of the labour market, reduce barriers and introduce a points-based system for potential immigrants, such as CRS in Canada, for instance. Within the conservative circles, it is rather unpopular to pass such a law and thus admit that Germany has been an immigration country for a long time, even though it started its Wirtschaftswunder<\/em> in the fifties with millions of gastarbeiters<\/em> (eng. guest workers).<\/p>\n

Even without that kind of law, passive recruitment of medical professionals can be observed from numerous sources \u2014 unemployment statistics, salaries in both countries have long been subjects of countless forums and Facebook groups where Serbian medical professional seek and exchange information on living conditions in the \u201cpromised land.\u201d Regardless of the growing gap between the rich and the poor and precarisation of some jobs, when we look at the salaries in the medical sector in Germany, we can see that the Article 1 of its Basic Law (i.e. constitutional law) holds its ground \u2014 human dignity is inviolable<\/em>.<\/span>3<\/sup><\/a><\/span><\/p>\n

Salaries of medical staff in Germany are five to six times higher than those in Serbia, meaning that they offer them three to four times greater purchasing power. Doctors working in public healthcare system in Serbia earn between 500 and 700 EUR per month (net), and nurses around 250 EUR \u2014 these are the sums that do not provide one with a minimum needed to satisfy basic human needs, just like most other jobs in Serbia. The very possibility for one to have normal living and working conditions and the opportunity to earn enough money seem to be crucial for many. As put by a medical technician who moved from Ni\u0161 to Rostock: \u201cI feel like a human being in Germany.\u201d<\/p>\n

\"\"<\/a>
Photo: V\u00edctor Santa Mar\u00eda \/ Wikimedia Commons<\/figcaption><\/figure>\n

Enough reasons to depart<\/strong><\/p>\n

According to the study<\/a> carried out by Healthgrouper<\/em> in 2015, three\u2013quarters of doctors in Serbia thoroughly considered or are still considering leaving the country. Around 60% of participants in the survey cite working conditions and salary amounts as potential reasons for emigration, the first one being more prevalent than the other, interestingly. A smaller proportion of them states they would pack their suitcases because of the political situation in the country and partocracy which, nota bene<\/em>, Berlin and other Western capitals proverbially support up to the point that this phenomenon has gotten its own name: stabilocracy<\/em>. Civilians in Balkan stabilocracies may not be sent to war anymore, but they sit on their suitcases or talk to their children on Skype.<\/p>\n

Healthcare sector \u2014 as a system of unquestionable public interest that has not been totally privatised and completely left out of State control even in capitalist Meccas \u2014 is by far more susceptible to migrations than education or security system sectors, for instance. A biology teacher from Po\u017earevac cannot simply go and teach in Wuppertal \u2014 even though Germany lacks teachers, especially in the field of natural sciences \u2014 nor can a policeman from Leskovac simply put on a German uniform and patrol Nuremberg.<\/p>\n

At the same time, medical workers can do all that with just basic knowledge of German language and will moreover be offered free language courses by intermediary agencies in order to improve it. Furthermore, employers in German clinics and nursing homes praise Serbian education for medical professionals because it resembles their own.<\/span>4<\/sup><\/a><\/span><\/p>\n

What does the white coat exodus leave in Serbia? According to<\/a> the National Employment Service, there are almost 3,000 unemployed doctors in Serbia, among which only 98 specialists. Media sometimes report on dramatic lack of specialists in certain fields, most often in anesthesiology and radiology. Anyone who has had the misfortune of needing to consult a specialist or undergo a surgery knows quite well that sometimes death can come quicker than the waiting list can reach its end. For that we can only thank insane restriction in awarding doctors specialisation certificates as well as to barriers to getting employment \u2014 which can be bypassed, as is widely known, with party membership.<\/p>\n

Obviously, funding education of doctors with public money is not in the best interest of citizens of Serbia \u2014 if these doctors end up treating Germans, the Swiss or Norwegians. Clearly do the wealthier countries draw human resources from poorer ones in the same way as they take away mineral resources with the help of imposed land concessions. Moreover, we obviously cannot resent those that pack their stethoscopes and leave for having given up \u2014 their experience shows them that the crisis on the periphery is permanent, that it can only be ended individually by moving to the centre. Rather than becoming old waiting for the world revolution to come, they go to Germany where shift handovers are already being carried out in Serbian.<\/p>\n

Translation from Serbian: Ivana An\u0111elkovi\u0107<\/p>\n

This article was originally published<\/a> in Serbian on December\u00a012, 2017.<\/p>\n","protected":false},"excerpt":{"rendered":"

Pauperised Serbia pays exuberant amounts for educating doctors who end up a number in the Bureau of Labour registers or find employment in the West; affluent Germany systematically educates fewer doctors than it needs because it will always be able to recruit them from countries that \u201chave not made it\u201d in their transition to capitalism.<\/p>\n","protected":false},"author":16,"featured_media":347,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[47,48,28],"form":[],"concept":[],"contents":[],"coauthors":[46],"class_list":["post-342","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-eu","tag-healthcare","tag-migration","infinite-scroll-item","generate-columns","tablet-grid-50","mobile-grid-100","grid-parent","grid-25"],"acf":[],"yoast_head":"\nPack your stethoscope: hundreds of doctors migrating from Serbia to Germany - Ma\u0161ina English<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.masina.rs\/eng\/pack-your-stethoscope\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pack your stethoscope: hundreds of doctors migrating from Serbia to Germany - Ma\u0161ina English\" \/>\n<meta property=\"og:description\" content=\"Pauperised Serbia pays exuberant amounts for educating doctors who end up a number in the Bureau of Labour registers or find employment in the West; 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