Q What can be done to reduce the improper use of antibiotics?
I refer to 'When the drugs don't work' (City, February 13). One major problem in Hong Kong is the overuse of antibiotics compared with western countries. The reason is obvious and the solution is simple. Private physicians in Hong Kong prescribe antibiotics when there is no real need because they make money from selling antibiotics.
Most local health insurance policies keep a tight control on the maximum fee they reimburse per consultation, so physicians are forced to reduce their fees and offset this by, among other things, selling more antibiotics.
How to avoid it? The solution is simple. In most western countries with advanced medical health systems, doctors are forbidden from selling any medicine. They provide the prescriptions which are filled in drugstores. Thus physicians have no financial incentive to oversubscribe antibiotics (or any other drugs) and their prescriptions reflect the true medical need.
All the Hong Kong government needs to do is study this system, copy and implement it. And then Hong Kong will finally lose its position as a leader in the worldwide distribution of superbugs.
Miki Sivan, Sha Tin