Corruption in the Government Hospitals - International Journal of ...

International Journal of Pathology; 2010; 8(2): 73-81 

Review Article 

Corruption in the Government Hospitals 

Anwar Ul Haque 

ABSTRACT 

Corruption in Government Hospitals is very common particularly in third world countries. Corruption starts from the 

top places. Corrupt elements in the Governments of powerful countries, World Health Organization (WHO), Local 

Governments, Ministry of Health, Multinational Companies, Non Governmental Organizations, Secret 

Organizations and powerful Media; all play their role in misdirecting the health budget of Government Hospitals 

toward rich and powerful and away from the poor and weak. They snatch away the big chunk of whatever little 

health budget is destined for the poor patients. Corrupt society leads to the appointments and assignments of 

corrupt, incompetent and impotent people who destroy the systems through their actions and inactions. Corruption 

in the Government Hospitals ravages and desolates the Pathology Department affecting its all activities! In order to 

have sound and blissful healthy systems there is dire need to fight materialism and greed by all sane and honest 

people of the society through instillation of high moral and ethical values at all levels and in all spheres of the 

society. This will Insha Allah improve the conditions of the Government Hospitals which are supposed to serve 

poor and middle class patients. 

Key words: Corruption, Government Hospitals, World Health Organization, Media, Multinational Companies 

Introduction 

The corruption in the Government Hospitals is 

ubiquitous. Lack of strict accountability, lazy 

atmosphere and active killing of merit in appointments, 

promotions and purchases etc at Government 

Institutions provide a fertile land and soil for corruption 

thus severely compromising the efficiency and good 

organizing of the Government Hospitals. Of course the 

magnitude and severity of the corruption varies at 

different institutions and in different sections of the 

same hospital. While there are corrupt elements in 

Government Hospitals there are also honest and hard 

working doctors, administrators and paramedical staff; 

albeit in small numbers. Because of these latter 

variable degrees of quality care is provided to the 

patients. Unfortunately corrupt elements also consume 

the energy, resources and time of the non corrupt 

elements. They therefore fail to deliver their maximal 

potential. On the top Very Important Person (VIP) 

Culture promotes transfer of meager resources at 

Government Hospital towards high Government 

officers, bureaucrats and politicians. Poor patients are 

again the main victims of the this corruption at the 

Government Hospitals. 

The author has worked in a tertiary care hospital for 

Correspondence Address 

Prof. Anwar Ul Haque: Department of Pathology, 

Pakistan institute of Medical Sciences, Islamabad 

Article Received : November 20, 2010 

Acceptance Date: January 31, 2011 

about 15 years and is close to retirement. He had been 

educated at government institutions at undergraduate 

and graduate level. He has observed and actively 

fought various forms and intensity of corruption at the 

Government Hospitals. He has also carried out many 

inquiries. Based on his personal observations and 

interactions following is written with intention to reform 

the society and situation in the hospitals so that the 

optimal and best possible management and treatment 

could be offered to the patients. 

Observations 

Corruption (Fassad in Arabic) is disruption of normal 

and healthy systems through willful abuse of human 

intellect. It is a pure “human phenomenon” and not 

seen elsewhere in entire universe. Abuse of intellect 

degrades human being to the lowest of the low status 

where no creature can reach. 1 In order to remain 

normal and to grow healthy one has to constantly 

purify himself. Inaction leads to dust, rust, ruin and 

decay. 2 Disruption of systems translates into 

inefficiency, incompetency, and loss of resources and 

peace. This in hospital means shoddy patient care, 

sloppy teaching, inferior training and trashy research. 

Needless to say that it causes frustrations among 

honest and competent people as they spend lot of time 

fighting corruption. 

Why a Pathology Journal talks about corruption in the 

Government Hospitals The answer is simple and 

straight forward; the corruption in the Government 

Hospitals devastatingly affects the pathology in all its 

dimensions and aspects. 3 To stop human beings from 

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Colour Page 

Figure III: Metronidazole tablets with faded 

colors 

Figure I: Markedly distorted discoloured Brufan 

tablets 

benefitting themselves and others from proper use of 

human intellect is a satanic phenomenon. It reflects 

open animosity toward humanity. 

Figure IV: Injection Adrenalin showing shades of 

colours 

intellect of human beings; they rather use these to 

create all sorts of corruption, violence, terror and 

destruction. Man before descending to earth had been 

shown a practical preview in paradise what he would 

face on earth! He lost the paradise by succumbing to 

satanic temptations and deception then and on earth 

Figure II: Fancy Design of B complex tablets 

Weakening of ethical values has led to corruption all 

over the world. This has badly affected the health 

sector too including the Government Hospitals. Satanic 

forces do not surrender to the knowledge and high 

74


he has lost many paradises too for the same reason! 5 

To begin with, the health budget in the “3rd r ” world 

countries is very small. Even most part of this lean 

budget is stolen away! For example useless and 

unwarranted vaccines like Swine Flu vaccines are sold 

to suck the budget intended for the poor patients 6‐30 . 

The corrupt elements use the power and stature of 

World Health Organization (WHO) and armaments of 

sophisticated media to create panic to fool 

Governments and public into buying these vaccines on 

the expense of treatments for far more common 

diseases such as malaria, anemia, tuberculosis and 

malnourishment etc. Some manufacturer of Swine Flu 

vaccines had become the WHO “experts” and 

promoted the sale of the vaccines from the platform of 

WHO. In order to sale these unwarranted vaccines on 

mass level and thus earning billions o Euros they even 

changed the basic definition of pandemic. 27-31 The local 

indigenous industries and pharmacology companies 

are targeted to the extent that a pharmacy producing 

cheaper drugs in Sudan was blatantly attacked by 

cruise missiles by a salesman of the powerful 

industries. 32 

Corruption is omnipresent in health sectors. In 

Pakistan corruption lurks in all fields of Government 

and Government Hospitals. 33 Many hospital 

administrators are extremely corrupt and cooperate 

gladly with other higher, lower and at the same level 

corrupt elements. They for example facilitate dumping 

of the substandard medicines in the Government 

Hospitals (Figures 1-4). The medicines which should 

have been failed on any quality control checks and 

should have been discarded are allowed to be sold in 

the Government Hospitals. With active conniving of the 

corrupt pharmacology companies and the corrupt 

elements in the hospitals administration substandard 

medicines, equipments, reagents and other stuff are 

supplied. Corrupt elements in the departments support 

each other and receive huge kick backs and 

commissions. The “smart “administrators constitute 

committees comprised of majority of corrupt elements 

to “justify” the purchases of the supplies from corrupt 

companies. 

Unnecessary and expensive procedures are carried 

out fooling patients. Fancy terms are used to grab 

large fees plus commissions. This type of verbal and 

wordy gimmickry is common in plastic surgery to get 

most out of Blue Cross and Blue Shield for the 

cosmetic procedures. There is marked increase in 

unnecessary cesarean sections at some institution in 

otherwise fit and healthy women. 34 

Corrupt surgeons and other physicians perform 

operations in the private hospitals in the Government 

hospitals timings! Private hospital bills are sometimes 

accommodated from the budget of the Government 

Hospitals by creating ghost patients; of course with 

active collaboration of the account department. 

Some doctors come very late and leave early. Some 

are most of the time out of the country doing locum in 

European countries leaving their departments uncared. 

Some physicians are busy most of the time in WHO 

and related money making trips and so called courses 

severely affecting the supervision and performance of 

the departments. Unauthorized and even uninformed 

leaves are obtained. 

Unnecessary tests and other investigations are 

ordered either due to poor understanding or for earning 

kickbacks and commissions from the laboratories. 

There is serious conflict of interest for those working at 

the Government Hospitals and simultaneously doing 

private practices. Many working at the Government 

Hospitals have no respect for their time which they 

mostly spend in chatting and socializing. Some even 

do shopping, banking and attend funerals all the time 

in office time. 

Another grave source of huge corruption is transport 

where administrators use unauthorized hospital cars 

for their personal and their spouse’s uses. In the name 

of spare parts and service a large amount of money is 

embezzled. 

Outright thefts of medicines, equipments, supplies, 

reagents and other items of common use are quite 

common in Government Hospital! Quality and quantity 

of these goods are compromised badly affecting the 

overall quality management. Medicines, blood bags 

and other stuff are stolen through various mechanisms 

e.g. supplying the goods on paper only, recalculating 

the same supplies and forcing the substandard 

equipments and reagents. Dramas of theft are created 

to hide the paper frauds. The medicines stolen from 

the Government hospitals are sold to the private 

chemists. Some Government officers instead of buying 

the medicines trade the prescription slips for buying 

fashion and cosmetic goods etc and bill the 

Government for these items as medicines! A great part 

of energy, time and resources of honest and 

competent honest elements is wasted in fighting the 

corruption. 

At times honest and painstaking inquires are carried 

out but their recommendations are hardly 

implemented. Sometimes inquiries were ordered to be 

stopped in the middle when fingers were pointing to the 

powerful culprits who had connections with some 

powerful secret organizations. The corrupt protects the 

corrupt! Even black and white recommendations about 

a culprit person that he must never be put on any post 

where embezzlement could be easily carried out; are 

not implemented! Same person is found at the same 

position doing the same thing for years! Blame also 

goes to those coward officers who are made members 

of inquiry committees and they give protection to the 

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known corrupt ignoring all evidences. So called Annual 

Confidential Report (ACR) is a joke. How corrupt 

heads will report the corruption and incompetency of 

their juniors Some even blatantly refuse to even write 

ACRs on corrupt people or if they write they do not 

mention the corruption of the colleagues and 

subordinates thus enormously strengthening the 

vicious circle of the corruption. This cowardice is of 

course due to their weak faith and determination. 

The confidentiality of the report is often broken the 

moment report leaves the room of the writer. No matter 

how genuine are the remarks of the Head of the 

Department, the comments are sponged through 

connections. 

The patients have to pay the price for every act of 

incompetency, nepotism, corruption and lack of justice. 

To rub the cyanide in the wounds, the International 

advisors and organizers are invited to give big lectures 

and provide training which often go nowhere and serve 

no purpose! Of course these “great” experts collect big 

bucks from the health budget. A few bones are thrown 

at the local people who cooperate and facilitate this 

agenda. 

In the milieu of corruption almost everyone changes his 

color like chameleon. From top to bottom most get 

corrupted. Some steal time, some pinch energy, some 

nip resources, some take away material and some 

hard work of others! Some use Government Hospitals 

to shine their private practice. Some use hospital 

laboratories for their private patients. Some push the 

patients to their private clinics and laboratories for kick 

backs and commissions. Some write expensive 

medicines to get foreign trips etc. Greed kills the 

genuine research, quality education, strict supervision 

and optimal patient care. 35-97 

In some affluent Middle East countries the suppliers of 

the doctors and paramedical staff provide grossly 

incompetent and inadequate number of staff pocketing 

the huge share of the budget. These companies hire 

some effective and influential person as a sleeping 

partner who protects them from legal actions and 

fetches for them the huge contracts. 

Organ transplantation is another area of wide 

corruption where middlemen take advantage of poverty 

of very poor people. Most money does not go to the 

poor donors but to the middlemen. The phenomenon is 

quite rampant in many countries including Pakistan 

and India. 98-104 

The corruption is thus a big monster responsible for 

miseries in every sphere of patient management, 

training of new doctors, nurses, paramedics and 

research. It kills the true original research and 

promotes fake rubbish research such as simple 

statistics which even a 3 rd grade student can do “on a 

computer. As a result trash “research papers” are 

created and fill the tummies of garbage journals which 

find no place but the garbage cans! Unfortunately this 

junk “research” can serve as a ladder for promotion to 

the of incompetent and dishonest persons to the higher 

faculty positions. The occupation of these positions by 

incompetent, dishonest and corrupt elements further 

promotes corruption, destruction and devastation. 

Needless to say that these elements are supported 

and protected by corrupt high officials and sometimes 

by several “secret” and hidden satanic corrupt 

organizations with fancy names and claims! There are 

some teachers who will not take a single lecture for 

years and yet nothing could be done against thanks to 

their powerful connections and equally weak and 

coward administrators! 

No doubt Government Hospitals are still providing the 

valuable services to the poor and middle class 

patients. Strangely enough luxurious treatment is 

provided to the “VIPs” bureaucrats, politicians and 

other pompous influential people of the society again at 

the expense of poor patients. There is dire shortage of 

staff and relatively heavy workload on the honest and 

hard working doctors and paramedical staff thus 

depriving patients due attention and care. 

Discussion 

Corruption is ubiquitous in Government Hospitals all 

over the world. It is more common in the so called 3 rd 

world countries where systems are very weak. The 

Government Hospitals are directly affected by the 

prevailing situation in the society. Many countries 

despite claiming to be free are not free and are under 

control of special interest groups and neocolonial 

rulers. The policies and budget of these countries are 

therefore directed in the best interest of the rulers and 

certainly not in the best interest of the poor people who 

turn to the Government hospitals for their treatment. 

The institutions are built by human beings and not by 

cement and bricks. The loot and plunder requires a 

culture of incompetency and corruption at all levels 

particularly at top levels. The moral and ethical forces 

would definitely resist the abuse of power and authority 

and hence the sophisticated thieves and robbers 

encourage nepotism, incompetency and moral decay 

at all levels and in all spheres of the society. What a 

sharp contrast between true Muslim led golden age 

and the new dark ages now! 

What is the solution The answer is simple i.e. the 

ethical and moral fabric of the society must be 

strengthened. The moral immunity status of the society 

and individuals needs to be fortified and enhanced at 

every step from very early age at home. In the primary 

and high schools honesty, truth, trust, courage and 

selflessness should be inculcated. All stakeholders i.e. 

parents, teachers, health workers etc. must play their 

76


active role to fight the menace of corruption and to 

stand in front of corrupt elements. 

We have to actively fight all those forces and media 

who are injecting vulgarity and corruption of the mind in 

the youth and old through cartoons, vulgar movies and 

create frustration of the minds. Divine religious guide 

particularly unadulterated Islam in its final and totally 

protected form is a very effective weapon in fighting 

corruption. It is therefore no surprise to see the corrupt 

elements in media and elsewhere targeting and 

defaming these moral and ethics building forces. 

We can’t and must not please all people particularly 

the corrupt, incompetent and dishonest people no 

matter if they are our colleagues. We don’t want the 

unity of thieves, criminals and robbers. Quran lays 

down four criteria of success: A) True faith, B) 

Righteous deeds, C) Active spread of truth and D) 

Helping each other in patience and perseverance 

(105). We must have all these virtues to be successful. 

Without actively engaging in cleaning the society and 

supporting and encouraging each other on the difficult 

path of spreading truth, our faith and our personal good 

works will not make us a successful person. How tragic 

is to leave the world as a failed person! 

The most influential person of all times i.e. Mohammad 

(PBUH) has his house only about 100 sq. feet. Despite 

being the ruler of the Arabia with supreme respect in 

the hearts of his followers he had no possessions. He 

did have 16 swords reflecting his uncompromising 

struggle against corruption, tyranny and false gods. 

Great patron of education and sciences like Ma’moon 

Rashid, Mehmood Ghaznawi and Salahuddin Ayyubi 

had no greed. They spent freely and profusely on 

establishing educational and research institutes. Their 

inner strength created a just, peaceful and encouraging 

atmosphere for genuine research beneficial to all 

human beings and entire mankind. 

There had been many reforming movements in the 

history of mankind. Most important of these had been 

the true messengers of All Mighty Allah who through 

divine books worked hard to inculcate the high moral 

and ethical values and remove immorality and 

corruption from the society. The prominent 

messengers of Allah included Adam, Noah, Ibrahim 

(Abraham), Ismaeel (Ishmael), Ishaque (Isaac), 

Ya’qoob (Jacob), Yousuf, (Joseph), Moosa (Moses), 

Dawood (David), Sulaiman (Solmon), Issa (Jesus) and 

last and the final Mohammad (peace be upon all of 

them). They met variable worldly successes. Nations 

who did not adopt morality and ethics doomed e.g. 

nation of Noah and Loat etc. Prophet Mohammad 

(PBUH) got the highest success and regarded as the 

most influential person of all time. By strengthening 

the ethical and moral values the Last Prophet (PBUH) 

in his short prophetic life of only 23 years changed the 

world all together in the most positive way. With divine 

book i.e. Quran in his hand and by becoming a walking 

Quran through his actions, he lifted Muslims to the 

highest moral, ethical and just level; a paradise on 

earth as bible predicted was established with almost 

zero corruption and zero crime . 4 

Quran provided the stimulus to observe, work hard, 

discover, honesty, peace and selflessness which was 

a prerequisite to carry out the marvelous, splendid, 

stunning, astonishing and creative original work in all 

fields of life and science. This was with Quranic 

morality, courage, vision and wisdom which led them to 

lay down the foundations of all modern sciences. They 

pulled Europe out of darkness and led them to 

renaissance and industrial revolution. 

We have to follow the same path regardless of the 

outcome. One wonders if the staff was appointed on 

pure merit, strict accountability is carried out; honest 

and hard workers are rewarded while wicked and 

dishonest are punished and the stolen health budget 

by ultra smart thieves is used for the benefit of the 

suffering patients how great would be the impact! 

Certainly many Government Hospitals would do 

wonders if corruption is rooted out. 

Conclusion 

Corruption in Government Hospitals badly erodes the 

healthcare of the poor and middle class patients who 

can’t afford luxurious treatment at private hospitals. 

Lack of morality and ethics in the society helps this 

degradation and benefits those who eat away lion’s 

share of the health budget destined for poor patients. 

In order to provide high quality medical care we have 

to fight corruption in all its shades at all levels and in all 

spheres. For brining healthy change the doctors and 

other educated people of the society have to play their 

active role. Freedom of expression, honest and fair 

evaluation and strict continuing accountability must be 

put in place. We must actively engage in life long 

active war on corruption, which is the worst form of 

terrorism as it steals away health, peace, tranquility 

and overall well being of the patients and the people. 

Eradication of corruption can sharply improve the 

performance of the Government Hospitals which will 

not only be good for the common patients but also for 

the VIPs who may end up at the Government Hospitals 

at any stage of their lives! 

------------------------------------------------------------------------ 

*We thank Miss Sehris Sarfraz and Sumbal Wahid (M.Phil 

bio Chemistry Dept, Quaid‐e‐Azam University, Islamabad) 

for their help in computer search. We deeply thank Miss 

Gul‐e‐Nargis for providing us pictures of substandard 

drugs. 

77


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