Wednesday, April 9, 2025

The Consequences in Trade War Between US and China

Someone sent me a short note on the trade war between the US and China a few days ago and asked for my opinion. 

First of all, I am not an economist, nor am I good in economic, except I do have basic idea in economics when I did my postgraduate in nutrition at the University of London where we need to learn some economics on food supply, agriculture, food balance sheet, food distribution among others among rich, poor and developing nations.

My background in nutrition and food economics also gives me a unique perspective on global trade, especially in agriculture and food distribution and the economic aspects related to food security, supply chains, or even the impact of climate change on agriculture. 

Using my basic understanding in economic, I understand  Donald Trump, President of United States wants to increase high tariffs on goods from China in his trade war between these two giant economies. 

How does that impact both countries and its repercussions on other countries? Wouldn't that not affect US consumers with higher prices for Chinese goods, affect their importers, China diverting their goods to other countries and causes economic imbalances among smaller and emerging economies, simulate the US to produce their own products similar to those from China among others? 

Let me give my personal basic views in economic for this multi-layered question about the economic and geopolitical consequences of high tariffs in a trade war between the U.S. and China. Let me break it down into key impacts and repercussions.

Impact on the U.S.

There will be higher prices for consumers. Tariffs are essentially a tax on imported goods. U.S. importers will pay higher costs for Chinese products, which are then passed on to American consumers. This results in inflationary pressures and reduced purchasing power.

Then there will be strain on importers & businesses  were many U.S. businesses rely on Chinese goods for raw materials, components, and finished products. Higher tariffs increase their costs, forcing them to either absorb the losses, cut jobs, or pass the cost to consumers.

There will also be encouragement of domestic production, while tariffs make Chinese goods less competitive, they create an incentive for American companies to produce alternatives domestically. However, this is easier said than done, as manufacturing infrastructure and labour costs in the U.S. are much higher than in China.

There will be retaliatory tariffs from China as China typically responds by imposing tariffs on American goods, making it harder for U.S. exporters (especially farmers and tech companies) to sell to the Chinese market.

There will also be supply chain disruptions where many American companies have global supply chains integrated with China. Tariffs disrupt these networks, leading to costly adjustments, delays, or relocation of factories to other countries.

What about its impact on China? 

First, the loss of U.S. market share means  high tariffs make Chinese products less competitive in the U.S., leading to reduced exports and a slowdown in Chinese manufacturing. This could impact millions of Chinese workers.

Second, there will be diversion to other markets. China will seek alternative export destinations, such as Europe, Southeast Asia, Africa, and Latin America, to compensate for lost U.S. sales. There will be economic slowdown & job losses since reduced exports to the U.S. can slow down China’s economic growth, causing unemployment and potential social unrest.

Third, there will be an accelerated industrial upgrading. China may shift focus to producing high-tech, high-value goods instead of low-cost manufacturing, speeding up its transition to a more self-sufficient economy.

Lastly, strengthening regional alliances. China may strengthen economic ties with the European Union, ASEAN nations, and Africa to counterbalance its reliance on the U.S.

What will be the repercussions on other countries? 

First, I believe there will be emerging economies gain & lose in countries like Vietnam, Mexico, and India may benefit as companies relocate production away from China to avoid U.S. tariffs. However, they may also face pressure from both the U.S. and China in trade negotiations.

Secondly, there will be global economic uncertainty. There will be trade wars that create instability, affecting global financial markets, investment decisions, and economic growth worldwide.

Thirdly, there will be shifting trade alliances where other nations may be forced to take sides or adjust their economic strategies depending on how the U.S. and China shape their policies.

Finally there will be possible inflationary pressures,  if China diverts its exports to other countries, their local industries may suffer from oversupply, while U.S. tariffs contribute to global price increases.

While the goal of high tariffs is to protect domestic industries, the unintended consequences can be widespread. The U.S. may succeed in boosting some domestic production, but at the cost of higher consumer prices and trade retaliation. China, on the other hand, will pivot to new markets and industrial upgrades, reducing its dependence on the U.S. The global economy will experience imbalances, benefiting some emerging economies while disrupting others.

Let me give some historical examples of trade wars

(A) The Smoot-Hawley Tariff Act (1930) - The Great Depression Worsens

The U.S. imposed high tariffs on over 20,000 imported goods to protect domestic industries. Other countries retaliated with their own tariffs, leading to a sharp drop in global trade.

This worsened the Great Depression, as industries in the U.S. and Europe suffered due to reduced exports and higher prices.

Lesson we learn in protectionist tariffs can backfire by reducing global economic activity instead of reviving domestic industries.

(B) U.S.-Japan Trade War (1980s-1990s),  Auto Industry Battle. The U.S. accused Japan of flooding the market with cheap cars and electronics, harming American manufacturers.

The U.S. pressured Japan to limit exports, leading to the Voluntary Export Restraint (VER) Agreement.

Japan adapted by setting up factories in the U.S., reducing the impact of tariffs.

Lesson to learn is, companies find ways to bypass tariffs by shifting production or investing in foreign markets instead of stopping trade.

(C) U.S., European Union Trade Disputes (2000s-Present) -  Aircraft Subsidies & Steel Tariffs

The U.S. and EU have repeatedly clashed over subsidies for Boeing and Airbus, leading to tit-for-tat tariffs.

Trump’s administration imposed tariffs on steel and aluminum in 2018, which hurt global supply chains.

The EU retaliated with tariffs on American products like bourbon whiskey and motorcycles (Harley-Davidson).

 Lesson to lean is, trade wars hurt specific industries on both sides, forcing businesses to adjust and find new markets.

Industries Affected by the U.S.-China Trade War

(A) Technology Industry  was a battle for supremacy.

The U.S. imposed restrictions on Chinese tech companies like Huawei, ZTE, and SMIC, citing security risks.

China retaliated by restricting rare earth metal exports, crucial for U.S. electronics and military equipment. The result? Tech supply chains got disrupted, and the U.S. sought to develop domestic semiconductor manufacturing.

The impact was,  prices of smartphones, laptops, and 5G infrastructure increased.

(B) Agriculture where U.S. farmers struggle

China was a major buyer of U.S. soybeans, pork, and corn.

After the tariffs, China shifted purchases to Brazil and Argentina, leaving American farmers with surpluses.

The U.S. government had to provide subsidies to farmers to offset their losses.

The impact was, American farmers lost billions, while South America gained a stronger role in global agriculture.

(C) Manufacturing & Automotive - Higher Costs for Everyone

U.S. car manufacturers like Ford and General Motors rely on Chinese parts.

Tariffs increased the cost of auto parts, making American cars more expensive.

Some companies moved production to Mexico or Canada to bypass tariffs.

The impact was, car prices rose, and manufacturing jobs faced uncertainty.

(D) Retail & Consumer Goods. There was higher prices for everyday items. 

Walmart, target, and best buy rely on Chinese imports for electronics, clothing, and furniture. Tariffs increased prices for consumers, reducing spending power.

Many companies sought alternative suppliers in Vietnam, India, and Bangladesh.

The economic impact was, consumers paid more, and retailers struggled with profit margins.

Summary Reflections: 

From these examples, history teaches us that trade wars rarely have clear winners. Instead, industries and economies adapt, sometimes benefiting new players while harming existing ones. The U.S.-China trade war has forced companies to rethink supply chains, shift production, and pass costs to consumers.

What would be the long-term consequences of these shifts or how smaller economies can take advantage of trade wars?

I don't really know as I said I am not an economist or an expert in economics except I do have many basic lectures on it when I was studying economics and sociology as part of compulsory subjects  for my postgraduate in nutrition at London University Queen Elizabeth College

Sorry! That's all the knowledge I know on the current trade war between US and China. You need to find an expert to know more.   

The Immense Contributions of Scientists and Engineers in Medicine and Health Care

 

The Immense Contributions of Scientists and Engineers in Medicine and Health Care 

by: lim ju boo


I penned my thoughts earlier on:

The Clinician vs The Medical Scientist vs The Clinical Scientists here: 


https://scientificlogic.blogspot.com/2025/04/clinical-scientist-vs-biomedical.html


Today, I am going to pen my gratitude to biomedical engineers, other engineers, physicists, chemists, and other scientists too for their immense and invaluable contribution in modern medicine. 

Have a look at my thoughts.  

There are a lot of medical devices, instruments and machines from simple things like syringes and hypodermic needles, blood pressure sets whether aneroid, mercurial or electronic sphygmomanometers, x-rays, ECG, EEG, CT, MRI, PET machines, nucleotide scans.. among many others, including the simple stethoscope for auscultation of heart, lungs, bowels, bruits and body sounds. Most of these were invented by non-doctors for clinicians to use. 

Doctors must acknowledge the immense contributions of medical engineers, physicists, chemists, and other non-clinicians in advancing healthcare. Many of the most crucial medical devices and diagnostic tools were indeed developed by scientists, engineers, and inventors outside the traditional medical profession.

 Let me explain their contributions in medicine without being bias or taking side across different domains:

1. Medical Imaging & Radiation Technology:

Many modern imaging techniques owe their existence to physicists and engineers. 

Here in this essay, I shall quote only some of them.


It was Wilhelm Röntgen, a physicist who first discovered X-rays in 1895. Röntgen's accidental discovery of X-rays revolutionized diagnostics, allowing doctors to see inside the body without invasive surgery.

The CT Scans was invented in 1972 by Godfrey Hounsfield, an electrical engineer & Allan Cormack, a physicist. Hounsfield and Cormack developed the computed tomography (CT) scanner, combining X-ray technology with computational algorithms to create cross-sectional images of the body.

In 1977, Paul Lauterbur, a chemist & Peter Mansfield, a physicist invented the IMR. Lauterbur and Mansfield used principles of nuclear magnetic resonance (NMR) to develop MRI, providing high-resolution images of soft tissues. 

PET Scans was invented in 1970s by Michael E. Phelps, a physicist & Edward Hoffman, a  biomedical engineer. PET scans use radioactive tracers to detect metabolic activity, aiding in cancer and neurological disease diagnosis.

2. Cardiac & Neurological Devices: 

Electrocardiogram (ECG) was invented in 1903 by Willem Einthoven, a physiologist & engineer.

Einthoven developed the first practical ECG machine to record electrical activity of the heart, winning a Nobel Prize.

Pacemakers was invented in 1958 by Wilson Greatbatch who was an electrical engineer & John Hopps, also an engineer. Greatbatch’s accidental discovery of an electric circuit led to the first implantable pacemaker, while Hopps earlier pioneered external pacemakers.

Electroencephalogram (EEG) was invented in1924 by Hans Berger, a neurologist & physicist. Berger’s EEG helped understand brain waves and neurological conditions such as epilepsy.

3. Surgical & Diagnostic Tools.

Endoscope in 1806 by Philipp Bozzini, a  physician & inventor; later developed by engineers Karl Storz & Harold Hopkins It is used for minimally invasive internal examinations of the body.

Laser Surgery was invented in 1960s by Theodore Maiman who was a physicist, and Kumar Patel who was an engineer & physicist. 

Laser technology, initially a physics breakthrough, became widely used in ophthalmology, dermatology, and surgery.

4. Biomedical Engineering & Prosthetics

An artificial heart was invented by Jarvik-7 in  1982, and Robert Jarvik, a biomedical engineer. Jarvik's work on artificial hearts helped prolong the lives of patients with severe heart failure.

Bionic Limbs by Hugh Herr, a biophysicist & engineer. Herr’s work on bionic prosthetics enabled highly advanced, sensor-controlled artificial limbs.

The Dialysis Machine was invented in 1943 by Willem Kolff who was an engineer & physician (very rare combination professionals). Kolff designed the first artificial kidney, making chronic kidney disease manageable.

5. Pharmaceutical & Biotechnological Innovations

Insulin Isolation was in 1921 by Frederick Banting & Charles Best - Medical Scientists; James Collip, a biochemist. The biochemist James Collip helped purify insulin for diabetes treatment.

Penicillin Production (1928).  Alexander Fleming was a microbiologist; Howard Florey & Ernst Chain were biochemists. Fleming discovered penicillin, but it was Florey and Chain who developed mass production methods.

Monoclonal Antibodies (1975) by César Milstein & Georges Köhler , both biologists. 

Their discovery led to targeted cancer therapies and immunological treatments.

6. Assistive Technologies & Rehabilitation Devices. Cochlear Implant (1978) by Graeme Clark, a biomedical engineer & researcher. Clark developed the first effective cochlear implant, restoring hearing in profoundly deaf patients.

Wheelchair Innovations (Stephen Hawking’s Adaptive Technology by engineers & physicists). Engineers developed advanced motorized and speech-assisted wheelchairs.

Medical engineers, physicists, chemists, and other scientists have played crucial roles in transforming healthcare. Their innovations enable doctors to diagnose, treat, and manage diseases more effectively. While physicians use these tools, the advancements often come from the ingenuity of those in other scientific fields.

It is truly a testament to the collaborative nature of science - where medical and non-medical professionals work together to improve human health.

Let us get this straight.  Sometimes only the medical doctors who are actually basically clinicians  get credit in treating the patient, but not others working silently without beating their own drums. Without all these scientists working silently behind the scene to come out with all these medical devices, the doctor is completely helpless. All he can do is to take medical history, palpate, percuss, listen to body sounds by pressing his ears on the body with or without a stethoscope. That's all a doctor can do, nothing more - absolutely nothing more than these.  For what is the purpose of all history taking and examinations then for the patients? Are they just for show? We need to be honest and be professional with the answer.

They are absolutely useless to the patient - let us get this very straight. 

Even the drugs and medicine are not the invention and products of the doctor. Those came from scientists working in drug companies - the pharmaceutical, analytical and synthetic chemists, pharmacologists, biochemists, physiologists who studies their actions on the body, the toxicologists, molecular biologists, clinical scientists who put them into clinical trials..etc. None of the doctors  get the credit because the patient thinks they all came from the doctor. 

The analogy is like the driver (doctor) of a car. The passengers inside are his patients. At the end of car journey the passengers thank only the driver (doctor). But the actual people that make this journey possible in an easy and comfortable were actually the car manufactures and the automobile engineers working there, and also the petroleum engineers who produced the fuel as power and medicines for the car - driver and passengers.  

None of these contributors get the credit or a single word of thanks from the passengers (patients) except the driver who merely drove the car - the products of inventions and invocations to make the journey possible - else both the driver (doctor)  and his passengers (patients)  must all  get out from the car and walk or get camel to ride on it to wherever they wish to go  - don't you think so? 

Let me  elaborate further on the role of these scientists working in the drug industry, because the doctor merely uses their products to give to them patients - its not their inventions or products for sure. This is the same as robbing Peter to pay Paul for sure. It is penny wise pound foolish so says the proverb. 

 The contributions of scientists working in the pharmaceutical and drug industry are often overlooked, yet they are the ones who truly make modern medicine possible. It was the work of teams of scientists working in the pharmaceutical industry who produce all these drugs, made very careful studies on them, and gave very clear written instructions printed in black-and white on the instruction packets for the doctors to read carefully and to follow them on their pharmacology, indications, contraindications, interactions with other drugs, dosage among other precautions before prescribing them to the patients. All these studies, finding and knowledge did not come the doctor, but from those teams of scientists researching and working in the drug industry. Without their work, doctors would be left with only the most primitive methods of diagnosis and treatment. Don't we admit this? 

The analogy of the doctor as the driver of a car I illustrate  is spot-on. The driver (doctor) may be the most visible figure, but the journey (treatment) would be impossible without the engineers (scientists) who built the car (medical science). Let me now take a closer look at the crucial roles played by different scientists in the pharmaceutical industry.

The Hidden Heroes Behind Every Drug: Scientists in the Pharmaceutical Industry

1. Drug Discovery & Development

Before any drug reaches a patient, it undergoes years, sometimes decades, of research by experts in multiple scientific fields.

Medicinal Chemists & Synthetic Chemists. These scientists design and synthesize new drug molecules.  They modify existing compounds to improve their effectiveness and reduce side effects.

Example: The discovery of aspirin (acetylsalicylic acid) was based on modifying salicylic acid from willow bark to make it less irritating to the stomach.

Pharmacologists

They study how drugs interact with biological systems, including their effects on organs, tissues, and cells. They determine the correct dose and how the drug should be administered (oral, intravenous, inhalation, etc.).


Example: The development of beta-blockers for heart disease involved pharmacologists studying how drugs could block adrenaline receptors in the heart. This is not the job or the expertise of a medical doctor 

Biochemists & Molecular Biologists

They study diseases at the molecular and cellular levels to identify potential drug targets.

Example: The discovery of statins (cholesterol-lowering drugs) came from understanding how the enzyme HMG-CoA reductase contributes to cholesterol production.

2. Preclinical Testing: Ensuring Safety Before Human Trials

After a new drug candidate is identified, it must be tested for safety and efficacy before human trials begin.

Toxicologists

They study the potential toxic effects of drugs on the body, ensuring that the medication does not cause harmful side effects.

Example: The tragedy of thalidomide (a drug originally used for morning sickness that caused birth defects) led to stricter safety testing by toxicologists.

Microbiologists & Immunologists

In the case of vaccines or antibiotics, microbiologists study how drugs interact with bacteria, viruses, or the immune system.

Example: The development of penicillin and COVID-19 vaccines relied on microbiologists understanding bacterial and viral behavior.

3. Clinical Trials: Testing on Humans

Once a drug passes preclinical testing, it enters human trials. This is a rigorous, multi-phase process to ensure its safety and effectiveness. All these clinical trials are conducted by the Clinical Scientists, seldom by the clinicians (who may be in the team) 

Clinical Scientists & Epidemiologists

They design and oversee clinical trials, ensuring that new drugs are tested on diverse populations under controlled conditions.


They analyze large amounts of data to determine if a drug truly benefits patients.
Example: The development of insulin therapy for diabetes involved careful clinical trials to determine the right dosages for patients.

4. Manufacturing & Quality Control

Even after a drug is approved, it must be produced in massive quantities under strict safety conditions.

Industrial Chemists & Chemical Engineers

They scale up drug production from the laboratory to full-scale manufacturing.

They ensure that the drug remains stable and effective over time.
Example: Paracetamol (acetaminophen) was originally difficult to mass-produce, but chemical engineers found ways to make it widely available.

Regulatory Scientists & Pharmacovigilance Experts

They work with government agencies (e.g., FDA, EMA, WHO) to ensure that drugs meet safety and quality standards.

They continue monitoring drugs after approval to detect any long-term side effects.

5. The Unsung Heroes: Drug Innovation & Future Medicine

Beyond traditional pharmaceuticals, scientists are pushing medicine forward in exciting new ways.

Biotechnologists & Genetic Engineers are developing gene therapies to treat inherited diseases like sickle cell anemia.

Nanotechnologists are creating drug delivery systems that target cancer cells without harming healthy ones.
Artificial Intelligence (AI) Specialists are using AI to design new drugs faster than ever before.

Giving Credit Where It’s Due

As a clinical-medical scientist and clinician most patients only see the doctor as the “driver” of medicine (car) but they rarely acknowledge the vast network of scientists who make modern treatments possible. Without chemists, biologists, engineers, and countless other experts, medicine as we know it would not exist.

The next time a patient thanks their doctor for curing them, they should also remember the scientists, researchers, and innovators working behind the scenes. They are the true architects of modern healthcare. 

But if the patient only wish to thank their doctors, and not others who made immense discoveries in medicine and healthcare and with their inventions, then both the doctor (driver) and the patient (passenger) in the car need to get out from the car (invented by the automobile engineers) and walk or take a camel to wherever they both wanted to go. It is the case of robbing Peter to pay Paul - for sure! 

I have a multi-disciplinary training across 5 universities that took me 15 years to complete under British scholarships in British universities and my previous work as a medical researcher, together with  my  wide exposures with other scientific colleagues - this dual function and exposure has enabled me to have a wider vision in healthcare. It is like an eagle soaring high above the landscape to have a broader view. I always acknowledge my scientific colleagues who always helped me in any diagnosis or investigations with their expertise. I would not be able to work alone without their invaluable help. 

A dual role as both a doctor and a medical scientist gives us a unique perspective, one that values both the art of healing and the science behind it. 

The healthcare profession is a team work effort. The doctor is trained how to use all these medical devices by the medical engineers and how to use and prescribe all those drugs safely by biomedical scientists as all these medical products are not the work and products of the doctor who is basically a clinician trained only in  clinical work to whom too we need to be thankful. All have contributed in their own special ways, and to all of them we are thankful.  

My  recognition of the hidden heroes in medicine speaks volumes about our need to have humility and wisdom to whom we are thankful.  

Now we can understand why why medical specialists and Fellows of the Royal Society of Medicine in London (I was elected into the Royal Society of Medicine in London as a Fellow only in 1993 - just a year before my retirement - after much hard work into medical research), who  themselves complained and wrote and published that paper in their own medical journal - Journal of the Royal Society of Medicine why the world's most prestigious award in healthcare - The Nobel Prize in Medicine over the last few decades were mostly awarded to the medical researchers and the medical scientists and not to the clinicians (medical doctors) here in this link: 

"Nobel Prizes in Medicine: are clinicians out of fashion?"

 https://pmc.ncbi.nlm.nih.gov/articles/PMC3164255/

J R Soc Med

. 2011 Sep;104(9):387–389. doi: 10.1258/jrsm.2011.110081

Monday, April 7, 2025

The Clinician vs Clinical Scientist vs Medical Scientist


The Clinician, Clinical Scientist, and Medical Scientist 

by: lim ju boo  



These days a lot of medical advances and discoveries are taken over by the medical or the clinical scientists rather than by medical doctors who are basically clinicians whose job is primarily to diagnose and treat the patients 

In this link it contrast the difference between a medical and clinical scientist

 https://www.newscientist.com/nsj/article/clinical-scientist-vs-biomedical-scientist 

It looks like both a clinical or a medical scientist has wider job opportunities than a clinician.


In a paper published in the Journal of the Royal Society of Medicine in September, 2011 here: 


https://pmc.ncbi.nlm.nih.gov/articles/PMC3164255/

it says:  

"Nobel Prizes in Medicine: are clinicians out of fashion?" 

It is obvious that most of the Nobel Prizes in medicine over the last 4 or 5 decades goes to the medical researchers rather than to clinicians whose job is mainly retinue - to diagnose and to treat using standard procedures, rather making inroads into medical advances and new diagnostic methods, better therapeutic methods 


It looks like both a clinical or a medical scientist has wider job opportunities than a clinician since medical and clinical scientists have been at the forefront of medical advances, while clinicians focus on patient care. This trend is reflected in the awarding of Nobel Prizes in Physiology or Medicine, where most recipients in recent decades have been researchers rather than practicing physicians.

Medical vs. Clinical Scientists vs. Clinicians

1. Clinicians (Medical Doctors - MDs, DOs, etc.)

The primary role of a clinician (medical doctor) is to  diagnose, treat, and manage patient care. His work settings are in  hospitals, clinics, and private practices.


The clinician training is an extensive medical education (MBBS, MD, or DO), followed by residency and specialization.


A clinician research involvement is very limited, mostly applied research related to patient management (e.g., clinical trials).


    2. Medical Scientists primary role is to conduct biomedical research to discover new treatments, understand diseases, and develop medical innovations. His work settings are in research institutes, universities, pharmaceutical companies, biotechnology firms. His training is usually a PhD or MD-PhD, focusing on fundamental biological processes.


    His research involvement is high, often leading to breakthroughs in medicine (e.g., development of new drugs, vaccines, and disease mechanisms).

      Clinical Scientists (or Biomedical Scientists) primary role is  work in laboratories analyzing samples, developing diagnostic tests, and supporting clinical decision-making. His working environments are in hospitals, diagnostic labs, and research facilities. His training is typically a degree in biomedical science, often followed by professional certification or further specialization (e.g., MSc, PhD). He may usually also have an MD.  His research involvement is moderate to high, mainly in diagnostic and translational research (e.g., improving imaging techniques, lab tests, biomarkers).


      Why Are Medical Scientists Winning More Nobel Prizes?


      Fundamental Discovery vs. Clinical Application. Nobel Prizes often reward foundational discoveries that change our understanding of medicine (e.g., discovery of DNA structure, CRISPR gene editing, or mRNA vaccines).


      Clinicians typically apply these discoveries rather than make them.


      Nature of clinical work. Clinicians follow established guidelines and protocols in diagnosis and treatment. While some may innovate in patient management, the scope is usually within standardized care rather than groundbreaking research. 

      The job of the stand-alone clinician is merely to do the  following: 
      • History Taking: Gathering information about the patient's medical history, symptoms, and concerns. 
      • Physical or Clinical Examination: A systematic assessment of the patient's body, including:
      • Inspection: Observing the patient's appearance and any visible signs. 
      • Palpation: Feeling the body with fingers or hands. 
      • Auscultation: Listening to sounds, usually with a stethoscope. 
      • Percussion: Producing sounds by tapping on specific areas of the body. 
      • Psychiatric Evaluation: Assessing the patient's mental state and emotional well-being. 
      • Anthropometry:  Measuring the patient's height and weight, waist circumference, skinfold thickness, body mass index, and other physical dimensions. 
      • Examination of Vital Functions: Assessing vital signs like heart rate, blood pressure, and temperature. 
      All these are subjective assessments based on feelings, personal opinions or emotion which are  not reliable  and not objective measurements  based on verifiable information from facts and data as evidence from laboratory analysis that only a medical scientist can provide to confirm a diagnosis. 

      In other words a clinician stand alone cannot do much without the support of his colleagues - the medical scientist working silently behind the screen in the laboratory. This is true especially for difficult cases where  diseases may have similar clinical presentations (signs and symptoms) that mimic each other, or with more than one disease. In such cases the medical scientist comes in to help with his data to reveal multiple abnormalities in the  biochemical, serological, haematological, microbiological, genetic and other pathological  evidences that can never be shown by mere clinical or physical examinations. We call this differential diagnosis the process of differentiating between two or more conditions which share similar signs or symptoms. 

      Unfortunately, it is the clinician who comes face-to-face with the  patient get the glory with the diagnosis, and not his medical scientific colleagues who works silently in the laboratory who was the real person who made the correct diagnosis with his evidence-based data   

      The doctor alone is helpless without his other colleagues - the  medical scientist assisting with his laboratory objective findings and also without the pharmaceutical producers supplying the medicines even for simple cases like fever, coughs and colds, or for pain. There is nothing he can do by merely taking medical history and doing a physical examination without the help of these invaluable people   

      However, a competent diagnostician can still make an accurate diagnosis based on history-taking, listening care fully what the patient tells and complains of his condition and clinical examination alone especially for simple clear-cut cases 

      Shift Toward Translational Medicine:


      https://scientificlogic.blogspot.com/search?q=translational+medicine

      https://scientificlogic.blogspot.com/2024/09/translational-medicine-bridging-gap.html

      Modern medicine increasingly relies on molecular biology, genetics, and technology-driven diagnostics.

      These areas are dominated by researchers rather than traditional doctors.


      Career Opportunities: Who Has a Better Future?


      Clinicians job security is high because patient care is always needed, but innovation opportunities are fewer unless they venture into research.

      Medical scientists have more opportunities in research, academia, biotech, and pharma, with the potential for high-impact discoveries.

      Clinical scientists have growing demand due to advances in personalized medicine, diagnostics, and lab-based testing, making them crucial in modern healthcare.


      The healthcare landscape is evolving. While clinicians remain essential for patient care, medical and clinical scientists are driving innovation. If a person wants to push the boundaries of medical science, a career in research (medical or clinical science) may be more fulfilling than traditional clinical practice.


      High-Demand & Lucrative Fields in Medical & Clinical Sciences: 

      With rapid advancements in medicine, technology, and healthcare systems, many specialized fields in medical and clinical sciences are now more lucrative and in demand than traditional clinical practice. These fields offer excellent job opportunities, competitive salaries, and high impact on global health.


      1. Cutting-Edge Medical Science Fields (For Research & Development)

      These fields drive new discoveries, drug development, and innovative treatments.

      Biomedical Sciences & Biotechnology

      1. Molecular Medicine (Gene Therapy, CRISPR, Precision Medicine)

      2. Regenerative Medicine (Stem Cell Therapy, Tissue Engineering)

      3. Pharmacogenomics (Personalized Drug Therapy)

      4. Biopharmaceuticals & Drug Development

      5. Synthetic Biology & Bioengineering

       Genomics & Genetic Engineering

      1. Human Genome Research & Bioinformatics

      2. Genetic Counseling (for hereditary diseases)

      3. Gene Editing (CRISPR Technology)

      4. Epigenetics & Cancer Genomics


      Artificial Intelligence (AI) & Digital Health

      1. AI in Radiology & Medical Imaging

      2. AI in Pathology (Automated Disease Diagnosis)

      3. AI-driven Drug Discovery

      4. Wearable Health Tech & Digital Medicine

      Nuclear Medicine & Radiopharmaceuticals

      1. Medical Physics (PET, MRI, CT Imaging)

      2. Theranostics (Therapy + Diagnostics using Radiopharmaceuticals)

      Translational Medicine

      1. Bridging Lab Discoveries to Clinical Applications

      2. Development of Novel Diagnostic Tools3. Innovative Cancer Treatments


      High-Demand Clinical Science & Applied Medical Fields

      These fields support clinical decision-making, diagnostics, and patient-centered innovations.

      Clinical & Laboratory Sciences

      • Clinical Biochemistry (Blood & Metabolic Disorders)

      • Hematology & Blood Banking

      • Clinical Microbiology (Infectious Disease Diagnostics)

      • Pathology & Histopathology (Tissue & Disease Analysis)

      Forensic & Legal Medicine

      • Forensic Pathology & Toxicology

      • Forensic DNA Analysis

      • Medical Examiner & Coroner Roles

       Infectious Disease & Epidemiology

      • Virology & Emerging Diseases (e.g., Pandemics, Bioterrorism)

      • Public Health & Global Epidemiology

      • Vaccine Development & Immunology

      Neuroscience & Neurotechnology

      • Brain-Computer Interface (BCI) Research

      • Neuroprosthetics & Neural Engineering

      • Alzheimer’s & Neurodegenerative Disease Research

      Regenerative & Stem Cell Therapies

      • Stem Cell Therapy for Organ Repair

      • Artificial Organs & Bioprinting

      Environmental & Occupational Medicine

      • Toxicology & Public Health Risks

      • Industrial Hygiene & Worker Safety

      Lucrative Tech-Driven Medical Professions

      These fields merge medicine, engineering, and IT, offering high salaries and future-proof careers.

      Medical Robotics & Bionics

      • Surgical Robotics (Da Vinci System, AI-assisted surgery)

      • Exoskeletons & Prosthetic Limb Innovations

      Biomedical Engineering & Medical Device Innovation

      • 3D Printing of Organs & Prosthetics

      • Wearable Medical Devices (Smartwatches, Glucose Monitors)

      Medical Informatics & Big Data Analytics

      • Healthcare Data Science & Predictive Medicine

      • AI-driven Diagnostics & Clinical Decision Support Systems

       Specialized Medical Careers with Rising Demand

      These fields offer stable, high-paying, and globally relevant job opportunities.

       Ophthalmic Technology & Vision Science

      • Bionic Eye Research & Retinal Implants

      • Myopia Control & Ocular Genetics

      Craniofacial & Maxillofacial Surgery

      • 3D Facial Reconstruction Surgery

      • AI-assisted Plastic & Cosmetic Surgery

       Dental & Oral Health Innovations

      • Implant Dentistry & 3D Printed Teeth

      • Oral Microbiome Research (Link to Heart Disease & Diabetes)

      Cardiovascular & Pulmonary Research

      • Artificial Heart & Lung Development

      • Cardiogenetics & Personalized Cardiology

      Sports Science & Rehabilitation

      • High-Tech Prosthetics & Performance Enhancement

      • AI-powered Rehabilitation for Stroke & Injury Recovery

      Which Fields Should Young Students Pursue for Better Prospects?

      If a student wants higher earning potential, job security, and future-proof careers, these are the best fields:


      1. AI in Healthcare & Digital Medicine (High demand, high salary)
      2. Genomics & Personalized Medicine (Future of disease treatment)
      3. Medical Robotics & Surgical AI (Next-gen surgery)
      4. Regenerative Medicine & Stem Cell Therapy (Tissue/organ repair)
      5. Biomedical Engineering & Medical Device Innovation (Wearables, prosthetics)
      6. Neuroscience & Neurotechnology (Brain-Computer Interfaces)
      7. Medical Informatics & Healthcare Data Science (Big data & AI)
      8. Clinical Laboratory Sciences & Pathology (Essential for diagnostics)
      9. Forensic Medicine & Toxicology (Growing due to crime & legal cases)
      10. Nuclear Medicine & Radiopharmaceuticals (Advanced imaging & therapy). 

      I think the future of medicine is shifting beyond traditional clinical practice into tech-driven, data-powered, and personalized healthcare. Students should consider careers in areas that integrate biology, engineering, AI, and data science, as these fields offer higher salaries, better job security, and opportunities for groundbreaking discoveries.


       A doctor's job is limited only to treat a patient as clinicians are not trained to diversify into any other jobs or other professions like engineers, lawyers, accountants, surveyors, airline pilots, business, etc, etc, should there be too many doctors competing with each other for patients. Here in Malaysia there are already far too many GP clinics around with hardly any patients inside the clinic. The maintenance for each private GP clinic is around RM 30,000 per month (RM 1,000 per day). It is not cost effective to maintain a private clinic with just 10 patients a day.


      The oversupply of general practitioners (GPs) in Malaysia, and many other countries has made private clinical practice financially unsustainable for many doctors. The high maintenance cost of RM 30,000 per month (about RM 1,000 per day) is a significant burden, especially when patient volume is low. This trend forces many clinicians into government service, hospital employment, or alternative careers, but their training does not always prepare them for roles outside of patient care.

      Why Diversifying Beyond Traditional Clinical Practice is Crucial

      1. Oversupply of Clinicians – Too many doctors, especially GPs, competing for limited patients especially in cities and towns in Malaysia.

      2. High Operational Costs – Running a private clinic is expensive with rental, staff salaries, equipment, and licensing fees as told to me by my former boss from the Instutute of Medical Research where I was working and also by my former doctor's collegues now in private practice in Kuala Lumpur  

      3. Limited Career Flexibility – Unlike engineers or IT professionals who can work across industries, clinicians have fewer alternative career options unless they upskill.

      4. Emerging Medical Technologies – AI-driven diagnostics, telemedicine, and digital health solutions are reducing the need for in-person consultations, further limiting the demand for traditional clinics.

      Better Alternatives for Young Medical Students

      Instead of following the traditional clinical path, young students should consider specialized and interdisciplinary medical sciences that offer:

      1. Higher job security
      2. Diverse career options (not limited to patient care)
      3. Global demand with higher salaries

      Strategic Advice for Young Medical Students in Malaysia

      1. Avoid pursuing general practice unless absolutely passionate about patient care.

      2. Consider interdisciplinary medical careers in AI-healthcare, biotech, genomics, and medical informatics.

      3. Explore opportunities outside Malaysia in high-demand medical fields (e.g., UAE, Singapore, UK, Australia).

      4. Combine medicine with technology or business (e.g., MBA in Healthcare, AI in Radiology).

      5. Develop skills in research, biotech, or pharmaceuticals to transition into non-clinical medical careers with better growth.

      These days a lot of medical advances and discoveries are taken over by the medical or the clinical scientists rather than by medical doctors who are basically clinicians whose job is primarily to diagnose and treat the patients  

      It looks like both a clinical or a medical scientist has wider job opportunities than a clinician these days. Trends in education and job opportunities are changing very fast. 

      See also: 

      https://scientificlogic.blogspot.com/2023/07/the-medical-doctor-vs-medical-scientist.html


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