| The foreign grass
is not always greener.
Hoping for a better future abroad, medical board exam
topnotcher Elmer Jacinto left his homeland to work as
a nurse in the United States.
Upon arriving in New York, however, Jacinto discovered
that his contract was breached by the Sentosa Recruitment
Agency (SRA). He was assigned to a different nursing
facility and did not receive the agreed salary of 21
to 35 dollars an hour. Aside from being underpaid, he
was also required to attend to 35 patients round the
clock-- a far cry from the agreed ratio of six patients
per nurse.
Thus, Jacinto, along with nine other Filipino nurses,
resigned from their work at the Avalon Gardens in Long
Island, a nursing facility for terminally-ill children
and disabled persons. A few weeks after their resignation,
they were indicted by Sentosa Care LLC and its owner
Brent Philipson, for conspiracy and gross neclect of
duty. The nurses now face criminal charges for “patient
endangerment,” and subsequently, a possible one
year detention, cancellation of nursing license and
deportation.
Prior to their resignation, the Avalon nurses, together
with 17 other Fiipinos from other Sentosa-owned facilities,
filed discrimination charges against Philipson for unfair
labor practices. Atty. Felix Vinluan, the nurses’
lawyer, denied Philipson’s allegations saying
that the nurses “finished their shifts before
submitting their resignation letters.” The filed
criminal charges, Vinluan adds, is Philipson’s
retaliation against the nurses for filing the now-dismissed
discrimination complaints.
Meanwhile, the Avalon nurses’ trial was moved
from January 28 to March 10. According to Maita Santiago,
secretary general of migrant workers alliance Migrante
International, these are delaying tactics by Sentosa
to “demoralize the nurses.” Migrante also
expressed concern over the alleged intervention of US
Senator Charles Schummer in the nurses’ case.
Schummer, said to be allied with Philipson, earlier
wrote letters to President Arroyo that led to the lifting
of the suspension order against SRA.
Fifty-fifty
While the government is espousing the myth of a better
life abroad, particularly in the United States, health
workers actually face discrimination and unfair labor
conditions in other countries. The Health Alliance for
Democracy (HEAD), an alliance of health professionals,
estimates that 85 percent of employed Filipino nurses
are working outside of the country, making the Philippines
the top exporter of health workers.
The massive exportation of human labor started in 1974
when President Ferdinand Marcos revised the Labor Code
and created the Overseas Employment Development Board
to address rising unemployment rates, seek dollars for
the ballooning foreign debt, and suppress the rising
social unrest. Through state exactions (see sidebar
1) and remittances (see sidebar 2), dollar reserves
were provided for debt servicing. Currently, up to 50
percent of the national budget is used for the debt
service burden.
Amidst this backdrop, the Marcos regime became heavily
dependent on foreign aid and OFW remittances to prop
up the economy. Although the Migrant Workers and Overseas
Act of 1995 states that “the State does not promote
overseas employment as a means to sustain economic growth
and achieve national development,” succeeding
administrations also adhered to a labor export policy
(LEP), making the government the “biggest recruitment
agency” in the country. The $15 billion OFW contributions
in 2007 already comprise 9.8 percent of the GDP, accounting
for what Gloria Arroyo called a “strong economy.”
Since health workers constitute a huge percent in the
total OFW population and receive relatively higher wages,
they constitute at least 30 percent of OFW remittances
since 2004, making them the biggest source of remittances.
Although the Migrant Workers and Overseas Act of 1995
states that “the State does not promote overseas
employment as a means to sustain economic growth and
achieve national development,” current trends
testify to the rampant emigration of Filipino health
workers in order to compensate the weakening and dependent
economy of the Philippines.
Systematic syndrome
HEAD Deputy Secretary General Dr. Geneve Rivera says
“First world countries have old populations and
so the demand for nurses and caregivers are understandably
high.” In Japan’s case, only a few enter
the nursing profession since it is “physically
and emotionally draining,” Rivera adds. People
from developed countries also tend to gear towards the
establishment of businesses instead of joining the service
sector.
Thus, the role of the Philippines is to satisfy the
demand for service workers, including nurses. In the
international division of labor, the Philippines provide
the global market with cheap labor by exporting skilled
and semi-skilled workers. Santiago says that under the
“scheme of the neoliberal globalization... there
is a design to keep the Philippines underdeveloped and
backward because it will always be a source of cheap
labor.”
The very structure of our labor department promotes
cheap labor export since five of its agencies focus
on overseas employment (see sidebar 3). Rivera says
that “there is a need to have [various] agencies
to handle the burden of overseas employment work.”
Such agencies function to regulate the workforce to
be exported. The Technical Education and Skills Development
Authority, for instance, regularly releases a Labor
Market Intelligence Report, indicating the type of workers
needed by particular countries.
Deteriorating Conditions
Meanwhile, in the domestic scene, 200 hospitals have
already closed down since 2003 and eight hundred have
partially closed due to shortage of health employees.
The nurse-to-patient ratio in provincial and district
hospitals now stands between 1:40-1:60 as opposed to
the ideal international standard of 1:4.
Despite domestic shortage, the government remains preoccupied
with satisfying global demand. According to Rivera,
the Commission on Higher Education reduced its standards
for the creation of learning centers, which triggered
the mushrooming of nursing schools. “If you have
a dean, a faculty, an infrastructure, and fifteen enrollees,
you can already apply for a permit to operate,”
she said.
However, Santiago says the exportation of cheap human
labor itself is a faulty scheme. “The LEP doesn’t
and will never develop the country to attain what Arroyo
says as the First World status. It is never going to
fundamentally improve the long term conditions of the
people.”
Despite the economy’s instability, it is the
workers who are responsible for sustaining it this long.
Yet, instead of upholding their rights, the government
perpetuates the eschewed labor policy. So long as the
conditions remain the same, the nation’s brightest
will be lured abroad only to experience further exploitation.
# Philippine Collegian
References:
Philippine Legislators’ Committee on Population
and Development Foundation, Inc. From Brain Drain to
National Hemorrhage: A Primer on the Migration of Health
Workers. January 2007.
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