My Take | Latest hospital blunder shows Scrooges are to blame for Hong Kong's ailing health system

It never rains but it pours. The Hospital Authority must be feeling like the weather these days. First there was a fungal outbreak at Queen Mary Hospital that could be linked to the deaths of two patients. Now nearly 10,000 patients may have been affected in a massive blunder at Tuen Mun Hospital, where medical personnel misread readings of liver enzymes from a machine.

We don't know exactly who or what caused the most recent well-publicised blunders at our public hospitals. But it's hard not to worry that chronic lack of investment and insufficient funding over the past decade is causing serious damage.

Declining service quality, longer waiting times and more and more exclusion charges for new drugs and treatments have become the norm in our public health sector. Overseas, they are the characteristics of a public sector running out of money. In Hong Kong, we are sitting on a massive reserve of trillions. So those shortfalls, as economist and former Central Policy Unit chief Leo Goodstadt has argued, are introduced by design.

It's because government policymakers and the business elites disdain anything that resembles "welfarism".

The results? In 2003, the Hospital Authority warned of funding shortfalls leading to longer waiting times and poorer services. In 2005, it warned treatments might be rationed to patients with urgent conditions, while quality might be compromised because of resource limitation.

In 2007, it said inadequate budgets had led to "limiting or refusing … new technologies and pharmaceuticals", and delays in the replacement of new equipment. The following year, it acknowledged queuing times for all specialties had lengthened since the 1997 handover, especially in surgeries.