The House of Representatives may, on resumption from its Christmas and New Year recess, examine a bill prohibiting strike for medical professionals in the enrolment of the three tiers of government. The bill, if passed, will facilitate administrative and judicial processes for resolving trade disputes involving medical practitioners in government employment.
It is entitled: “An Act to Amend the Trade Disputes Act Cap T8, Laws of the Federation of Nigeria 2004 to Prohibit Medical Practitioners in the Employment of Federal, State, and Local Governments (as employees in the essential service sector) from Embarking on Strike and to Accelerate Administrative and Judicial Proceedings in the Determination of Trade Disputes Involving Them and Related Matters.”
Sponsored by Rep Simon Chukwuemeka Atigwe (PDP, Enugu), the bill, which is entered on the House Journal as House Bill (HB) 1618, had earlier scaled first reading in the House and is thought to be scheduled for second reading which is the debate on the general principles of the bill before it goes for public hearing.
Reacting to the proposed law, the Nigerian Association of Resident Doctors (NARD) and the Joint Health Sector Union (JOHESU) knocked members of the House of Representatives over plans to proscribe strikes in the health sector. The bodies described a bill to that effect as draconian and an onslaught on the democratic rights of employees.
Recall that doctors and other health workers frequently get involved in industrial actions, which have paralysed the health system in the country. In 2021, for example, the NARD were on strike for 63 days because the government was unable to meet its demands. The National Association of Nigerian Nurses and Midwives, Lagos State chapter, is also proposing to go on a strike by January 10 over the failure of the state government to meet its demands.
There is no doubt that this move by the legislators will amount to a gross violation of the rights of the medical workers to declare their grievances with amicable negotiation and, as a last resort, launching industrial action. The right to strike is a universal democratic right of all employees, regardless of their workplace – whether private or public.
Our legislators must recognise that industrial actions or strikes are not undertaken for nothing; some issues contribute to them. If there must be a law to ban strikes in the medical sector, then, the House of Representatives should first promulgate a law that will inhibit the government from reneging on several agreements it enters into with health employees.
Furthermore, there should be laws to prevent the government from delays in payment of salaries, pensions and gratuities, promotion and disbursement of entitlements of workers. They should pass legislation that requires us to improve the infrastructure in our hospitals and ensure that consumables are available at all times.
Anything short of that as preconditions to the law to prohibit strikes by health workers means the government wants to arm-twist, gag and turn health providers in Nigeria into captives and lame ducks. The result of this will particularly be a spike in the already colossal migration of the workers to other countries with better service conditions, where their efforts, abilities, and expertise are better recognised.
Indeed, the bill is tumultuous and runs counter to the freedom of expression of health workers. Instead of creating a system in which medical workers do not have to go on strike, the Federal Government seeks to infringe on their rights to declare their resentment. Unfortunately, these legislators fail to understand the privileges that democracy confers. Why would legislators, who are supposed to sympathise with Nigerians as representatives of the people, come forward with such a bill? Shame!
Medical and health workers’ strikes are a global phenomenon, reported in both remarkably developed and progressive countries. Strikes by health workers are of increasing concern for international and local health authorities. They are an obstacle to achieving the universal health coverage contemplated by the World Health Organisation.
However, while the right to strike is regarded a fundamental one, medical workers in Nigeria, notably doctors, must realise that they have a moral duty to adhere to the Hippocratic tenets of the medical profession and fiduciary obligation to their patients. Under Hippocrates oath, doctors are deemed to be in a social contract and obliged to treat a patient’s health and life as a preference over everything else and going on strike may be seen as a contravention of such contract.
As essential workers, Nigerian doctors and health care providers should invariably strike a balance between improved health care services for patients and the need to press for justifiable wages for themselves to fulfill their primary human needs like everyone. So, we advise health workers in this country to act in the best interests of patients and make their health and their lives a priority above all else.
Resolving persistent strikes in the health sector calls for fiscal and ethical solutions and a moral commitment to promoting the health and welfare of Nigerians. All stakeholders involved in the management of the medical profession in this country are required to come to the negotiating table. A conference between health workers’ unions and associations and the Nigerian government is long overdue. Instead of banning strikes in the sector, a work system must be established where medical staff see no reason to declare a collective action.