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Monday, August 25, 2025

Use diversity to unite, not hate

Making every small issue a racial one and promoting divisiveness is not good for the country. Those who use politics of identity as a weapon must be stopped.

Strength in diversity: There are hundreds of thousands of flags that have been correctly put up across the country, including in Chinese new villages like the Bukit Merah New Village in Ipoh and tourist spots like the Kuala Lumpur Library (below). — RONNIE CHIN/FAIHAN GHANI/The Star


MALAYSIA certainly deserves better as we celebrate 68 years of independence next week.

We remain stuck in the toxic politics of race and religion, with some politicians unable or unwilling to let go of these addictions.

Over the past one month, we have watched sadly deliberate provocations that keep race and religion at the heart of all political discourse.

It is not even subtle but an open incitement mainly aimed at winning the votes of the predominantly Malay audience.

For decades, political actors have skilfully used identity to entrench themselves in power, distract from governance failures, and stir emotional loyalty.

Today, the stakes are higher than ever because the Prime Minister leads a multiracial party, PKR, with the three main races represented in the top echelon. Unfortunately, though, it does not command the majority of seats in Parliament.

Datuk Seri Anwar Ibrahim is stuck in a difficult position of having to deal with partners in the unity government, which includes former opponents, some of whom have now started to test his leadership by taking shots at his government.

There is a general election in two years and these parties wish to remain relevant in the eyes of their members and voters.

There are Umno Youth leaders who have also crossed the red line with their constant intimidating postures and remarks.

The minority races, especially the Chinese and Indians, find these racial actions disturbing.

The series of incitements over upside down Jalur Gemilang in some shops, unfortunately owned by small-time Chinese traders, have marred this year’s celebrations.

Instead of advising these businessmen to put right the national flags, these people chose to confront them aggressively and angrily, to put up videos inviting racist comments, to lodge police reports, and stage protests.

This is not the first time that the Jalur Gemilang has been wrongly put up but this is probably the first time that we’re seeing such bullying tactics.

It is commendable that the Attorney General’s Chambers has warned Malaysians against vigilantism in cases involving the improper display of the Jalur Gemilang, amid the furore over Umno Youth’s protest in Kepala Batas, Penang, over the matter.

The AGC said vigilantism could include raiding premises, spreading personal details, or making unfounded accusations on social media.

The AGC also warned the public against provoking or issuing threats against the individuals or organisations concerned.

There are hundreds of thousands of flags that have been correctly put up across the country, including in Chinese new villages, Chinese associations, and Chinese vernacular schools, yet these political thugs chose to pick on a few wrong ones and amplify it to become an explosive issue.

It that were not enough, last week, we read of a Bersatu leader posting a “delayed” congratulatory post on the appointment of Comm Datuk M. Kumar as the director of Bukit Aman’s Criminal Investigation Department, saying “this shows that Malaysia has started to embrace the Malaysian Malaysia concept’’.

The politician also cited the promotion of Datuk Johnny Lim Eng Seng as a lieutenant general in the armed forces.

He claimed if the concept continued to be accepted by the government, Malaysia could soon have its first non-bumiputra Chief Justice, Armed Forces Chief and Inspector General of Police.

Anwar has rightly rebutted that, pointing out that the majority of high-ranking police officers are Malays, including the IGP, deputy IGP, and other directors of various departments.

Comm Kumar, who has an excellent track record, is just the CID chief and it is bewildering that he has been targeted.

How can we even encourage non-malays to join the armed forces and police if they perceive that they have few chances of being promoted to a senior post?

In June, a PAS grassroots leader also made a racist statement about the appointment of the three-star lieutenant general in a social media post, warning of “the political rise of the nation’s largest minority group”.

He also wrote in his Facebook posting of a hypothetical news story of Malaysia welcoming its first ethnic Chinese PM.

Both these small-time leaders have the same script and narrative, aimed at insinuating that the PM, the head of a multiracial party, is compromising with the other races.

Rather than fostering unity in a multiracial nation, identity politics has devolved into a toxic tool for populism.

Every minor issue – from music festivals to retail products – is now open to being framed as an attack on faith or culture.

What should be policy debates are routinely hijacked by identity-driven outrage. The real consequence? A shrinking space for reason and a deepening divide in our society.

Unfortunately, this reliance on racial and religious narratives comes at a high cost.

First, it undermines economic development. Malaysia continues to lag in innovation, regional competitiveness, and talent retention.

A system that prioritises ethnic patronage over meritocracy is simply unsustainable in a globalised world. This is 2025 and we are going to welcome 2026 in a few months but we are still stuck in pre-1957.

Second, it paralyses governance. While the rakyat struggle with rising living costs, declining education standards, and stagnant wages, political attention is disproportionately consumed by manufactured controversies over identity.

Something is hopelessly wrong when PAS’ Kuala Terengganu MP Datuk Ahmad Amzad Hashim was more interested in questioning the PM on his choice of batik when Anwar was presenting the 13th Malaysia Plan (13MP) in Parliament.

The MP posted a message on his Facebook page asking why Anwar chose to wear a batik shirt with an Indonesian design instead of Malaysian batik.

Then, with egg on his face, he had to apologise when it was pointed out by batik entrepreneurs that Anwar had indeed worn local batik attire.

We would have expected the PAS MP to post questions related to the 13MP as well as to make detailed proposals.

Instead, he was more interested in the PM’S shirt. Even if Anwar chose to wear something from Indonesia, should it be an issue?

Then there was PAS president Tan Sri Abdul Hadi Awang, the Marang MP, who implied that Kuala Lumpur’s problems were due to DAP and the unity government, reciting a poem in Malay containing the line: “KL is problematic due to DAP, Pakatan Harapan, and friends.’’

It is most unfortunate that taking simple, lazy political pot shots rather than pushing serious proposals backed with data has become a habit of these incompetent politicians.

Third, and perhaps most worrying, this reliance on racial and religious narratives erodes trust.

The constant emphasis on ethnic and religious differences chips away at the social fabric.

Interethnic solidarity – a strength Malaysia once celebrated – is being replaced with suspicion and withdrawal.

Malaysians are not asking for too much. We just want leaders who prioritise shared progress over communal fear, and a national conversation that values evidence over emotion, ideas over identity.

We need to discard the old narratives and old politicians. But our voices need to be louder so they can be heard. Do not be afraid of political bullies and racist politicians.

Racial division may still win elections, at least in the short term, but we must end it.

If Malaysia is to truly move forward, we must retire the politics of identity as a crutch for power.

Let race and religion be part of our Malaysian identity – but as something that unites us because of common values, not weapons in our politics.

By Wong CHUN WAI National Journalism Laureate Datuk Seri Wong Chun Wai is the chairman of Bernama. The views expressed here are solely the writer’s own.

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Related posts:

Jalur Gemilang and the rise of political bullies; Malaysian flag hoisted upside down heats up debate ahead of national day celebrations


Saturday, August 23, 2025

MyKad holders can now check eligibility for incoming RM100 aid

 

All to know: Further information, including a list of participating stores by city and purchasing guidelines, is available on the official Sara portal. — SAMUEL ONG/The Star

PUTRAJAYA: A total of 22 million MyKad holders can check their eligibility for the Sumbangan Asas Rahmah (Sara) Appreciation Aid via the official Sara portal at http://sara.gov.my.

In a statement yesterday, the Finance Ministry said Malaysian citizens aged 18 and above, or those born in 2007 or earlier, are eligible for the financial assistance, including existing Sara recipients.

“No registration or application is required, as eligibility for the Sara Appreciation Aid is determined automatically based on data from the National Registration Department,” it said, Bernama reported.

The ministry advised the public to be cautious of scams, noting that the RM100 aid will be disbursed directly to recipients’ MyKad, eliminating the need for intermediaries or third-party applications. 

The RM100 credit will be disbursed starting Aug 31 in conjunction with National Day, and can be used until Dec 31 this year.

To ensure equitable use of the nation’s wealth, the ministry said any unspent balance at the end of the year will be redirected to vulnerable groups through upcoming Madani programmes.

“Recipients can also choose to use the aid for charitable purposes, such as purchasing essential goods to donate to NGOs, houses of worship or for those in need,” it said.

The ministry said households stand to benefit more collectively. For example, a family of two parents and two adult children can receive up to RM400 in total.

The Sara aid can be spent at more than 7,300 registered retail outlets nationwide, a number that will continue to grow.

Beneficiaries can purchase over 100,000 essential items across 14 categories, including staple foods like rice and eggs, hygiene products, medicines, school supplies and personal care items.

Further information, including a list of participating stores by city and purchasing guidelines, is available on the official Sara portal. A FAQ section is also provided for public reference.

With the implementation of the Sara Appreciation Aid, total allocations under the Sumbangan Tunai Rahmah and Sara programmes have been increased from RM13bil to RM15bil for 2025, which is 50% more than the RM10bil allocated in 2024.

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Thursday, August 21, 2025

Juggling multiple medications

 

Taking many drugs at one go may be necessary, especially for less healthy older adults, but we must be aware of the potential dangers.


There are times when it is necessary for a patient to take multiple drugs daily as they suffer from a few chronic medical conditions, but their regime should be regularly reviewed to ensure all the drugs they are on are still necessary. — Pexels

The Malaysian population is rapidly ageing, with over 11% currently aged 60 and above.

This figure is projected to rise to 17.3% by 2040.

The demographic shift has led to increasing healthcare demands, particularly in managing chronic diseases such as diabetes, hypertension (high blood pressure) and heart disease.

These conditions require long-term medicine use.

Alarmingly, studies indicate that nearly half of older Malaysians experience polypharmacy.

Many are also prescribed potentially inappropriate medications or fail to adhere to their treatment regimens.

This issue calls for coordinated care, increased awareness and targeted interventions.

Understanding polypharmacy

Polypharmacy is generally defined as the use of five or more medicines at the same time.

However, the number of medicines alone does not determine the impact.

The necessity and appropriateness of these medicines are equally important.

Polypharmacy can be both beneficial and harmful.

Appropriate polypharmacy occurs when multiple medicines are clinically necessary, carefully monitored and effectively managed.

For example, a person with high blood pressure, diabetes and heart disease may require several medicines to maintain stable health.

Problematic polypharmacy occurs when medicines are prescribed to treat the side effects of other medicines (a situation known as a prescribing cascade), or when the medicines themselves are potentially harmful.

Polypharmacy is common among older adults for several reasons.

Understanding these contributing factors is essential in order to design effective strategies to minimise medicines-related harm and improve overall patient care.

Some of the factors that can be attributed to the high frequency of polypharmacy among older adults are:

  • The presence of multiple chronic medical conditions, for which the long-term use of medicines is necessary,
  • Prescription of medicines on multiple different occasions by different healthcare practitioners, which increases the risk of duplication or drug interaction.
  • Prescribing cascades, where medicines are prescribed to treat the side effects caused by other medicines.
  • The absence of regular medicine reviews, which may allow unnecessary or outdated prescriptions to continue without reassessment.
  • Poor communication between patients and healthcare providers, which can result in confusion or misuse of medicines.
  • Widespread and accessible pharmaceutical promotions, which encourage patients to use traditional or over-the-counter medicines alongside prescribed medicines without medical advice.

Potential dangers

Polypharmacy carries genuine and significant risks, especially for older adults.Community pharmacists are one resource patients can easily access to ensure that their medicine regime is up-to-date and not causing any unnecessary side effects. — FilepicCommunity pharmacists are one resource patients can easily access to ensure that their medicine regime is up-to-date and not causing any unnecessary side effects. — Filepic

Due to slower metabolisms and potentially impaired kidney function, the elderly are more vulnerable to the negative effects of multiple medicines.

Some of the most concerning consequences include emergency hospitalisations due to medicine-related complications, drug interactions that lead to undesirable side effects or reduced effectiveness, and adverse side effects such as dizziness, confusion or gastrointestinal issues.

In addition, when medicines impair alertness or physical coordination, they may contribute to falls, fractures and cognitive decline.

Several studies conducted in Malaysia also show that the majority of older adults do not take their medicines as prescribed.

Polypharmacy has a direct impact on medication adherence, which refers to how well patients follow their prescribed treatment plans.

As the number of prescribed medicines increases, the elderly often struggle with complex dosing schedules, leading to missed or incorrect doses.

This not only compromises treatment outcomes, but also increases the risk of hospitalisations and complications.

To address these, it is essential to provide patient education, simplify medicine regimens, and offer support through technology and caregiver involvement.

Reducing the risks

Healthcare systems around the world are adopting more proactive strategies to ensure the safe and effective use of medicines, especially in light of growing concerns about polypharmacy.

One important strategy is regular medicine reviews.

Patients are encouraged to inform their doctors and pharmacists about all the medicines they are taking, including prescriptions, over-the-counter products and supplements.

This open communication allows more regular medicine reviews, which helps healthcare providers identify medicines that may no longer be necessary or could be potentially harmful.

Another key practice is deprescribing, which involves gradually reducing or stopping medicines that are no longer beneficial.

Medicine reconciliation is also essential.

This process ensures that any changes to a patient’s medicine list, such as during hospital admission, discharge or transfer to a nursing home, are accurate and appropriate.

Technology also plays a helpful role.

Electronic health records can alert healthcare providers to potential interactions or duplicate medicines.

Most importantly, a patient-centred approach is needed.

When patients are involved in decisions about their treatment, it builds trust, improves adherence to medicines and leads to better health outcomes.

The most effective strategies to manage polypharmacy involve active participation from both patients and their caregivers.

Several steps are encouraged to support safe medication use:

  • Maintain an updated medicines list, including over-the-counter products, supplements and herbal remedies.

    Bring this list to every medical appointment.

  • Ask your doctor or pharmacist about the purpose, benefits and possible side effects of each medicine.
  • Inform your doctor or pharmacist when you experience side effects, especially if they are suspected to be caused by a medicine.
  • Get help from pharmacists for medicine reviews, especially after hospital stays or when there is a change in the medicine regimen.
  • Use adherence devices or tools to help take medicines correctly, such as pill boxes, mobile apps or mobile alarms.

The role of pharmacists

As the number of elderly individuals taking multiple medications daily continues to rise, the role of pharmacists has become increasingly vital.

While doctors are responsible for diagnosing conditions and prescribing treatments, pharmacists ensure that medications are used safely, correctly and effectively.

With specialised knowledge in pharmacology and drug interactions, pharmacists are often able to detect issues that may be overlooked by others.

These include overlapping therapies, potentially harmful drug combinations, and unnecessary or duplicate prescriptions.

Community pharmacists, in particular, are in a unique position to support patients directly.

As the most accessible healthcare professionals, they can offer personalised counselling, conduct routine medication reviews and help patients understand the purpose and proper use of each medicine.

They can also identify early signs of adverse effects or non-adherence, and refer patients for further medical attention when necessary.

Addressing polypharmacy requires a coordinated approach that centres on the patient.

As the population grows older, providing safe, effective and individualised treatment is crucial.

Balancing illness management with quality of life is key to delivering better and safer care to older adults.

For any inquiries regarding medicines, please call the National Pharmacy Call Centre (NPCC) at the toll-free number 1-800-88-6722 during weekdays from 8am to 5pm, except on public holidays.

By PAYAL CHOUDHURY

Payal Choudhury is a pharmacist at Hospital Tengku Ampuan Najihah in Kuala Pilah, Negri Sembilan. This article is courtesy of the Health Ministry’s Pharmacy Practice and Development Division.

For more information, email starhealth@thestar.com.my.

The information provided is for educational and communication purposes only, and should not be considered as medical advice.

The Star does not give any warranty on accuracy, completeness, functionality, usefulness or other assurances as to the content appearing in this article. The

Star disclaims all responsibility for any losses, damage to property or personal injury suffered directly or indirectly from reliance on such information.

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Juggling Multiple Meds: Doctors and the Ninth Prescription

https://www.linkedin.com/pulse/pills-should-more-than-color-day-alan-pitt-m-d-/

Several years ago, when prescribed a single medication to be taken daily for several months, I found it very difficult to remember to take it every day. I knew it was important and I knew why I was taking it, but even then I forgot. That experience got me thinking about the many people who are asked to take six, seven, ten drugs a day…forever. I have no idea how they remember to take all of these drugs correctly, and the fact is, most people don’t. This was made clear to me as early as my residency, when it was not uncommon for people to bring in garbage bags full of medicines. When asked how they determined which ones to take and when, these patients often seemed to go by the pill color of the day rather than any set schedule or plan. 

In fact, the data on this issue—known as medical compliance—reveal an abysmal record of patients’ taking medications “as prescribed.” Reportedly less than one third of diabetic patients take metformin correctly. And only half the patients with high blood pressure take even 80% of their medications as prescribed. The end result is a multi-billion-dollar expense with unpredictable and often dangerous outcomes. How does this happen? 

Unfortunately, when it comes to prescriptions, providers are required to be compulsive. We are trained not only to address every problem with a solution, but also to do so on an individual basis. If you have asthma, there's a treatment for that. If it’s heart disease, here’s another pill. Diabetes? Take three more. The list grows quickly, adding expense and, more alarmingly, often resulting in untoward drug-drug interactions. It’s gotten so bad you’d be justified in thinking certain providers delusional for even believing the patient could take the list of medications “as prescribed.” Yet, when you talk to physicians about this issue, many simply shrug their shoulders. They’ll tell you they have little choice. The current medical legal climate requires a response to each identified problem.

One solution to this quagmire is personalized medicine, a topic I’ve discussed in prior posts. I should note that personalized medicine means different things to different people, but for many, America's love affair with technology often translates personalized medicine into genomic medicine. Eric Topol wrote extensively about this in his book  Creative Destruction of Medicine, explaining how, through sequencing the genome, doctors will be able to predict how each individual will respond to a particular drug. Equipped with such powerful tools, it’s not hard to imagine a future pharmaceutical industry that could customize medications, rather than simply produce mass quantities that work "well" for the average person. 

Until that particular biotech future arrives, I think there is a far simpler and immediate opportunity open to personalized medicine: by identifying a patient's ability to participate in her own care and then matching the medication regimen not only to her needs and preferences, but to subjective criteria such as mental clarity, alertness, daily routines, family support, etc. Two people with exactly the same list of problems may have very different abilities and willingness to take a complex regimen of medications. A 50-year-old executive may have the same problem list as an 80-year-old nursing home patient, but will clearly have different organizational skills, financial resources as well as an understanding of why the regimen matters. For physicians to write prescriptions they know deep down their patients cannot take borders on the absurd and certainly does not constitute good care. 

Although I'd like to think physicians would read this and suddenly change the way they write prescriptions, I am not that naïve. Without a significant change in how we're trained as well as appropriate protections from medical legal risk, it's unlikely doctors will suddenly change the way they practice. However, you as the patient have an opportunity to ask the questions. Are all of these medicines necessary? And if I only take a portion of the drugs, what is the overall increased risk to my health?  If you find yourself simply unable to follow the regimen, have an honest conversation about alternatives. Remind your doctor that you are not a “problem list” but an individual with specific medical requirements and concerns.

Ultimately, treating problem lists instead of people may be “right" but it's not reasonable.