When I first read the title, my knee jerk response was "WHAT absurdity is THIS? Marah kan nyamuk, kelambu di bakar." Is it really the doctor's fault?
Lets look at this scenario:
A patient with a severe back pain due to paravertebral muscle spasm went to a private hospital. On assessment by the MEDICAL OFFICER there is no neurological deficit (no numbness or weaknesses of the limbs) but pain score is 8/10. If the patient goes to a very busy government hospital with limited facilities and staff (and don't forget to pay RM 1!), all he will get is an intramuscular injection of analgesia (commonly diclofenac sodium) maybe do a lumbosacral x ray, less than an hour of observation, then discharge. And maybe an MC.