Ruminations while perambulating

Better sanitation will do more to help with development than more monetary aid . Before Malaysia can call itself developed I think everyone and this will include even the Orang Aslis and the Sabah and Sarawak Natives in the deepest jungles should have access to clean water and sanitatation. From the look of this: It can be done without the need for too much money only that the cronies won't make money.

     For infrastructure, such as the catheter laboratory or surgical operating theatre, to get the most return of investment you must keep the them running 24 hours a day.      For investments in equipment, such endoscopes and computed tomography scans, you can run long periods but must have adequate downtime for repairs, cool-down, and maintenance. If you run them like how you run infrastructure you might end up putting more into repairs and losing more through machine breakdowns that causes delays and backlog of cases.      Human resources are the one that requires the most down time because the longer you work them the more mistakes they make and in the end you spend more time cleaning up mistakes than clearing the backlog. The most they should be worked is 12 hours and that is pushing it.     So if you have 2 scope rooms they have to be running 24 hours a day except for cleaning and maintenance. 3 endoscopy systems to be shared between the two rooms, each one only on for 16 hours a