Gratuity for doctors and medical ethics

The habit of giving a gratuity became so frequent at the end of the 1950's that counter-measures were enacted. These have been completely ineffective. Although granting and accepting gratuities is forbidden by law, the wages of doctors have been fixed since 1954, for so long that accepting gratuities has come to be considered part of the wages, even in semi-official comments and in the media. The author is of the opinion that, in view of this anomaly, a fundamental transformation of the health provision system (sickness insurance) is needed. The doctor should be paid according to the number of patients in his or her charge, instead of the mere number of the sick. By transforming the provision of medical care in this way, the giving and accepting of gratuities for doctors could be terminated, not only in law but also in the economy.