The BIR and Doctors

The Bureau of Internal Revenue embarked on a shame campaign to force doctors to pay their taxes. The ad campaign compares doctors to teachers. Not only does the ad campaign shame doctors, they try to compare two professions that have distinct training and suggests that the medical profession rides on the backs of other professions or people. The ad suggests one is better than the other. Which is a false assumption, and even false comparison.

The practice of medicine is an exacting one. It has to be because you have to take human life seriously. It is training that not only goes beyond the four years of collage, four years of proper, a year of internship, another four years of residency, four years of specialty training and pretty soon you find yourself an old person, with nary money in your wallet to show for it. That’s also not counting the thousands of hours in loss sleep, loss of friendship, partnership, because the medical profession is an exacting one that demands you think on your feet when you’re sleep deprived. That’s the whole point of going on duty. You can see why many from the medical profession find the whole ad— insulting.

To compare this to the teaching profession for example, is not only comparing apples to oranges but inflicts an insult to both profession. There is without doubt that teachers are important. They shape young minds. People who grow up to be doctors, to be exact. Yes, they spend the traditional four years of collage, and non of the bootcamp like conditions required of the practice of medicine, but again— to compare the level of training between two professions is a false comparison. Teachers too have to prepare lesson plans, find ways to captivate young minds, go through days filled with kids of all sort of personality that is certain to test the greatest of resolve, and deepest of patience. And with nary money to show for it.

It is like comparing two different lives, and the troubles they encounter. It is like saying the person to your right had it better, and his life is greener than yours when you haven’t walked on the other’s shoes.

The practice of medicine in the Philippines— to set up your own clinic— has more in common with the calling of small businesses, or a small law firm or design studio. Even when the clinic is attached to a hospital, this is how doctors make their bread and cheese. Profit rises and falls depending on how many people get sick, or how hard the doctor works. A surgeon gets pay with how many people he cuts open. An anesthesiologist gets paid depending how many operations happen. A psychiatrist gets paid with how many crazy people there are. So it is a mom and pop operation. And yes, like in every profession there are those who do skip in paying their taxes or those who don’t declare their income.

For the teacher, as an example— they have no choice. The same goes with the office grunt, the secretary, the mailman, the police and so many other people whose lives depend on an assured salary, no matter how much the school, the business, the government makes money. They get paid no matter what. (Well, most of the time, anyway). So the revenue collector has already cut of the monies from the teacher long before the teacher gets it. There is a clear cut revenue stream.

A doctor can teach, and many do since that profession requires some doctors to be teachers and lecturers too, but a teacher can’t be a doctor without first going through the extensive training processes. So there is already a specialization.

So again, to compare one over the other is a false comparison. It is apples or oranges and the required training, and subsequent pay bracket are different.

Hence, why it is both insulting to medical profession, and sets a different, and rather false tone. Why incite jealousy and differentiation between different people? Obviously they choose different path.

Yes, there is a connotation that doctors are rich. They drive expensive cars, take fancy trips. There is without doubt that there are rich doctors. And there is without doubt doctors who slave away like grunts especially in far flung areas. Obviously the training and required degree of labor while different in each, is no less hard on both. Don’t teachers slave away? Don’t surgeons spend hours and hours on the operating table?

There is no doubt that the government needs its fair share of the revenue. How else to pay for all the social service and infrastructure needs of the people. That’s why income is taxed. That’s why we have VAT and so many other taxes.

If we stared to blame doctors for not paying their taxes pretty soon people are going to ask, oh, hey, why single us out when the Philippine underground economy averaged 34.8% of GDP? How nearly 4 billion dollars were lost due to smuggling in 2011 alone. Pretty soon the blame game will descend to the lost of income due to the alleged wastes of the Pork Barrel scam. How many billions of pesos were lost in ghost projects.

The doctors and lawyers and other professions will ask: why us when you got all this waste that you can’t patch up? Do that first, then we’ll pay taxes. Don’t you think it is a chicken and egg problem? One does not preclude the other, after all doesn’t it?

Just because others aren’t good, why should you be good?

Why us, Jinggoy Estrada, Bong Revilla, and Juan Ponce Enrile asked too in the Senate for all the persecution they get from the pork barrel scam. Guess, the doctors have been singled out simply because the BIR can’t get Manny Pacquiao to pay. Or Janet Napoles. Or politicians involved in scam after scam. Why us, the doctors and lawyers and other professions ask? Well, because it doesn’t take much to screw you over, just like the teachers, policemen, soldiers, office grunts, you’re easy prey to be screwed over. Because the real thieves and abusers are unpunished by society that feeds on the small. Because when the taxman comes, if you don’t pay, you go to jail. Do you want to go to jail? Well, except if you are richer than doctors, and powerful swimming in wealth. Except when you’re old, handsome, or sexy. Tough luck. That’s the real shame campaign. Whoever said that life was fair?

Cocoy Dayao

Cocoy is the Chief Technology Officer of Lab Rats Technica, a Digital Consulting company that specialises in DevOps, iOS, and Web Apps, E-Commerce sites, Cybersecurity and Social Media consulting. He is a technology enthusiast, political junkie and social observer who enjoys a good cup of coffee, comic books, and tweets as @cocoy on twitter.

Cocoy is also the Managing Director and Editor-in-Chief of the ProPinoy Project.

Cocoy considers himself to be Liberal.

  • baycas

    You’re right, MB.

    Shameless doctors won’t instantly declare their actual gross income now because it will only be a red flag for BIR to instantly audit those shameless doctors.

  • manuelbuencamino

    Shaming does not work on the shameless. That’s the bottom line. The ad campaign was a waste of resources.

    • cocoy

      Yep. Not to mention, it antagonized people needlessly.