Arguably there are two types
of illegal payments common
in an average developing
country such as Romania, white
bribery and black bribery.
Some can see white bribery as a
necessary measure to transgress a
particularly stupid law, including
speeding up the administrative
process with a casual back-hander to
a minor public servant who has to
abide by an idiotic regulation, or
failing to acknowledge the entire
assets of a small and medium
enterprise that cannot function in
over-stringent tax conditions.
This is making sure the individual
receives what he or she needs in an
acceptable time frame without
suffering an unfair penalty. Criminal
and unacceptable it may be, but this is
also understandable and usually the
impetus for changes in legislation. Black bribery is an active form of
corruption, such as a business paying
a local council packages of cash to
secure a favourable result in a public
tender, a payment to a policeman to
ensure he does not prosecute drunken
driving or to a teacher for good marks.
This has the opposite effect of white
bribery, because it perpetuates an
unfair and uncompetitive practice
and brings the public sector into
disrepute.
But where does this leave the
routine payments to doctors and
nurses in public hospitals for
treatment? In Romania, it is often
necessary for patients and their
families to pay for healthcare with
negotiated prices, which, as we have been quoted, include between 100
and 300 Euro to fix a broken leg or
100 Euro for an appendix operation.
If the patient fails to raise the cash, he
or she could be ignored or, at worst,
risk a potentially crippling operation.
In one sense this is black bribery
because it denigrates fairness and
with every further payment the
problem of endemic corruption is
exacerbated. Alternatively this is
white bribery, because the citizen has
no choice as his or her selfpreservation
is at stake. Looking for
someone to blame for such moral and
physical abuse, one could point the
finger at the doctors and nurses, as it
has become a standard procedure in
many hospitals as acceptable as the
changing of bed linen after a patient
has died, or washing one's hands
before an operation. But as we
examine in our special on healthcare, things are not that simple.
To a certain extent it is up to
Government will and the medicalprofession itself to reduce such an
institutionalised form of corruption,
as people have no choice but to pay.
But this everyday process
undermines all notions of a civil
society and will affect, at some point
in their lives, every citizen. With a
system that claims to be free at the
point of access, it becomes the most
expensive purchase a large number of
Romanians will ever make. If the
health of the people is the highest law,
this is the most serious and
widespread crime currently being
undertaken in Romania.
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