Iam very impressed by your analysis in terms of the class struggle and the 
position of the doctors in respect of the two existing classes in our 
society.The majority of people think that doctors are not part of the working 
class including the doctors themselves,that is why doctors never 
belonged/organised under a labour union. SAMA was just a body of academics 
whose interest was just to discuss patient care and the issue of renumeration 
was never been on top of their agenda,reasons were being that they so 
disorganised and they were too individualistic the never shared their 
frustration of the working enviroment.Secondly they used to sustain their life 
style through credit which the financial instituition use to give them some 
priviledges due to their social status among the society that before the 
national credit act it was easier to access finance just for being a doctor and 
that has to change after the national credit act.Lastly  the formation of the
 bargaining chamber needed doctors to be organised,and to have a union which 
will represent them in the chamber.
 
Therefore let me praise COSATU by assisting in the transformation of SAMA from 
what it was before in terms of race composition and becoming a union for all 
South African doctors more over by ensuring that is not swallowed by the 
reactionary forces.This analysis brings to say this experience is new the union 
leadership that is why they are failing to be incharge of the situation,as any 
crises can be seen as an opportunity by others to demostrate their leadership 
by causing chaos or by bringing a solution and that is where we are in respect 
of the doctors and the union leadership,the union is not incharge of the 
situation new leaders have emerged and they have occupied the vaccum which was 
left SAMA and technology is playing a role in organising and constantly 
informing the grassroots about development.

You are correct,this are the outcomes of the JULY 2007 strike where the 
government commited itselve to improve the renumeration of the health care 
workers and other proffessionals in the public service.Let me summarise by 
saying OSD was the last hope for the health workers to improve their 
salaries,nurses were the first one to receive it,in the beginning there was a 
lot of excitement huge monies and salaries but at the end it was a chaos and 
has caused division amongst the workers.The DoH increased the salaries of the 
recent graduates(prof nurses) operational managers but failed to recognise the 
experience of the PROF NURSE  who were part of the system,that means those who 
suppose to supervise and teach the community nurses are earning like the new 
employees and this has cause a lot of friction and in some places has 
compromised the training the new graduates. Doctors hoped that the delays and 
postponement by the government was to rectify those short
 coming,while SAMA was busy researching the appropiate renumaration for doctor 
and it was discovered that doctors are underpaid by 70% when compared to other 
proffessionals who are having the equivalent qualification both in the private 
sector and the public sector therefore the call for the 50% emerged.The DoH 
made its offer of 0.5%- 5% and it was rejected because it was not improving 
their basic salaries.The minister presented the same document with few 
improvement namely by including the junior doctors who are classified as 
contract workers(interns & comm serv doctors ),registras(those who are 
specialising after completing their 6years degree + working 3years as a 
contract worke) but nothing much for the medical officers who suppose to teach 
and supervise the contract workers. The worst part of it is that ,they took the 
current allowances(scarces skill) and they included it as part of the package 
that means they took their current salary +the
 allowance to make a package then who is fooling who here.This means those who 
are in level 10 - 12 are currently earning better than what has been proposed 
by the DoH,remember that packege means you take 70% or75% as a basic and the 
rest is distributed over the allowances but unfortunate for doctors they do not 
qualify for car and house subsidies like the rest of the gov employees who are 
occupying the same level.
 
In summary this is what made doctors to be so angry and uncontrolable and that 
the goverment is undermining them because they can not take to the street like 
the rest of the workers furthermore the state went on public to give them the 
impression that doctors are not reasonable while the reality is different from 
what has been presented.Despite all these the is a feeling that the minister 
was misinformed by the officials and there is still a hope that matters can be 
resolved and it is unfortunately that the poor has become the victim on this 
whole sagga.
 
The progressive movement is suppose to assist SAMA and the gov  in resolving 
this matter but not ending there,as leaders of the working class we need to 
bring the class consciousness into this sector starting from the 
university.SASCO must play a crucial role in mobilising and politising them by 
organising political school during their electives.
 
AMANDLA!!!!
 
MAVIYO NDINISA 
 
 
 
 
 
On Fri, 6/26/09, Sikhumbuzo Mdlalose <[email protected]> 
wrote:


From: Sikhumbuzo Mdlalose <[email protected]>
Subject: [YCLSA Discussion] But the doctors on strike have taken it too far (2)
To: [email protected]
Date: Friday, June 26, 2009, 12:31 PM








…But the doctors on strike have taken it too far.
  
Haven’t we been here before? 
  
When the public service strike in July 2007 as led by COSATU took place, non of 
these doctors and their ‘unions’ participated. The issue of the OSD was one of 
the intrinsic packages contained in the wage demands. These doctors and their 
so-called unions reproached nurses and other workers on essential services for 
their ‘heartless’ conduct in participating on the strike while leaving the 
vulnerable patients in the hospital sick-beds. 
  
Through their gesture, we were made to believe that they were more than being 
patriotic and caring in their conduct. When only devil was looking, these 
doctors went on the rampage and put the lives of the most vulnerable at stake. 
  
Correctly so, these workers have a right to partake on a strike as articulated 
in the Labour Relations Act. But theirs was illegal yet the employer, the 
State, did not dismiss them, but instead offered to increase their salaries on 
an unprecedented hike in the history of our country. 
May be we must put it on record that none of these doctors’ dominant unions 
have a history of fighting for workers rights in the context of our National 
Democratic Revolution. No wonder that some of them only came to be known during 
this strike, which is based on workerist and selfish interests. As much as we 
sympathized with their plight in terms of  their demeaning salaries, we must 
equally be able to identify elements of opportunistic tendencies that are at 
play in their continued ‘strike’. 
  
Working-class self-identity, more important than ever. 
  
In class terms, doctors are part of an important part of the working class, 
especially if we are to build a society where all shall work according to their 
abilities and be rewarded according to their needs. Doctors are not only a 
critical stratum of the working class towards ushering a truly democratic 
society where all shall have access to quality health care, but they are also 
part of the social forces that have to be politically mobilized as a collective 
towards partaking in the broader struggles of the working class. 
Their class-consciousness remains the core in persuading their practical 
engagement with the reality that they might seek to transform. Strikes and any 
form of mass action appear to be tactical instruments of drawing the attention 
of and compelling the employer to heed to the call of the workers demands. 
But in content, such tactics do not find appropriate expression unless they are 
confounded within the complex struggle for the emancipation of the working 
class from the yoke of the capitalists in overt or covert collaboration with 
the State. In Marxist terms, it has always been a concrete fact that in the 
capitalist economy “[t]he executive of the modern state is but a committee for 
managing the common affairs of the whole bourgeoisie.” Communist Manifesto, 
Chapter I, 1848, K. Marx and F.  Engels.. 
Indeed, the current South African state of affairs could be partly viewed 
differently since our democratic breakthrough came as a result of a concerted 
revolutionary sacrifice. To us as communists it was a blueprint towards 
building socialism. It was not a trickle-down from the bourgeoisie. To others 
it presented an unprecedented opportunity for capitalist accumulation, 
nationally and abroad. Again, to others it presented opportunities of being 
co-opted -via the political office- within the well established capitalist 
class, hence the correct categorisation of the comprador bourgeoisie by South 
African Communist Party’s Program of Action, South African Road to Socialism 
(SARS). Is the South African State , since 1994, quite different from any 
capitalist State? The answer is openly NO. In the war of position, the white 
capitalist class and the small black elite saw the light of day in the last 13 
years. The working class (not excluding doctors) did not
 allot significant benefits as compared to the white capitalist class and the 
small black elite since, albeit the remarkable achievements by the ANC-led 
government since 1994.   
      
  
  
 It is only when the working class (including doctors) become better enabled to 
comprehend and embrace the principle of collectivism as opposed to that of 
individualism that we can be in a position to intensify the struggle for more 
equitable society (Socialist South Africa). 
If we are to view the consequences of the current doctors strike in class terms 
yet again, we are to arrive at the conclusion that those who are going to bear 
the whiplashes in the end are the ‘poorest of the poor’, who rely on the 
services of the public hospitals for medicinal attention. 
If truth be told, it is not the rich (the minority) nor “[t]he executive of the 
modern state..., that will suffer the consequences but the most downtrodden 
stratum of the working class which are the sick and helpless in government 
hospitals. 
Non-antagonistic contradictions are instigated among the working class, and the 
other stratum of this class (doctors) appears to be convinced that their 
conduct will hit mostly against the employer whereas in actual fact it is the  
poor patients that are hardest-hit. Borrowing from Mao’s analysis on 
Contradictions Amongst the People, we are to learn that: 
“Contradiction and struggle are universal and absolute, but the methods of 
resolving contradictions, that is, the forms of struggle, differ according to 
the differences in the nature of the contradictions. Some contradictions are 
characterized by open antagonism and others are not. In accordance with the 
concrete development of things, some contradictions, which were originally 
non-antagonistic, develop into antagonistic ones, while others which were 
originally antagonistic develop into non-antagonistic ones…In ordinary 
circumstances, contradictions among the people are not antagonistic. However, 
if they are not handled properly, or if we relax our vigilance and lower our 
guard, antagonism may arise.” 
  
  
Time and time alone will tell as to whether these doctors are authentically on 
strike due to mere wage demands or due to other masked ulterior motives aimed 
at undermining the foolproof attempts by the government to address their 
plight. 
  
Sikhumbuzo Mdlalose 
  
       
  
               




      
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