My country, my healthcare

Healthcare in 1980
In 1980s, healthcare delivery was dominated by public hospitals in Bangladesh. Service standards were generally poor. Innovation was slow. Private hospitals were in their infancy. They served a mostly middle and upper class clientele. Few modern technologies came to Dhaka for medical care.
Healthcare in 2011
Now in 2011, doctors and patients – neither side of the coin is satisfied. Many have lost confidence in locally available services and allied healthcare. People are going abroad, especially to India, Thailand and Singapore in increasing numbers to get complicated or simple treatment. Pressing need to better address the health rights of those who have less, especially 'middle class'.
Challenges ahead
The challenges ahead include health inequalities, public vs non-public sector, quality of care, private health care services for middle class, proper human resources constraints.