Myanmar’s front-line medical workers are finding themselves in a precarious position, torn between their patients and working for a military government enforcing a brutal crackdown on the country.

Moe* is 53 years old and has stage three breast cancer.

She used to go for radiotherapy treatment every three weeks at the state-run Mandalay General Hospital in northern Myanmar.

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But the day after the military deposed Myanmar’s elected government in a coup on 1 February, the hospital closed its doors. Doctors, nurses and other medical workers all walked out in protest and have not returned.

Now Moe cannot afford the roughly $700 (£502) she would need to complete her remaining cycles of treatment at a private hospital.

Without it, she believes she has around a year to live.

Nevertheless, she does not blame the doctors: “It’s the fault of the military,” she told the BBC.

“Even if I die with cancer, I can accept it. The rest of the people in Myanmar deserve democracy.”
‘Near collapse’

Myanmar’s healthcare system has been one of the worst-affected sectors in the aftermath of a coup on 1 February which saw the military seize control of the country, sparking widespread protests.

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Thousands of doctors have joined the country’s civil disobedience movement which has seen public employees and other state officials refusing to work under the new military regime.

Myanmar’s public healthcare system accounts for around 80% of all hospitals and clinics and provides heavily subsidised care to the country’s 54 million people.

This virtually vanished overnight – and in the midst of a global pandemic.

“It’s a grim situation,” says Dr Mitchell Sangma, who is on the ground for humanitarian organisation Medicins San Frontiers (MSF) in Myanmar’s main city Yangon. “The public health system is near collapse.”

But doctors feel they have little choice.

“For as long as the military junta stays in power I will not return to work,” says Kyi Kyi* a doctor in Mandalay who has been on strike for nearly three months.

“I do not want to recognise their authority in any way.”

For the first few weeks after the coup, Kyi Kyi offered free consultations at private sector hospitals.

But she quickly realised this was too dangerous: “We started seeing soldiers stationed around the hospitals, waiting for us to arrive.”
Health workers targeted