(en) anarkismo.net: Italy: No to the dismantling of public
health! by Libertarian Alternative / FdCA (it) [machine translation]
Seven sides of the maxi amendment to the decree local authorities, once again change the
structure of the National Health Service ---- Establish committees and coordinations mixed
of citizens and businesses to monitor, report and combat inefficiency, neglect, reductions
in service and waste caused by cuts and harmful acts and resolutions of the right to
health. ---- No dismantling of public health! ---- From public health to health care
privatized ---- Seven sides of the maxi amendment to the decree local authorities, once
again change the structure of the National Health Service, declined in the already uneven
regional organizations. ---- In the 37 years of the implementation of the health reform
law 833/78 which established the NHS, public, unique, universal, have followed a host of
counter-(L. delegation 421/92, DL 502/92, 517/93 Dlg , L. 189/2012) to reduce a system
provided by the Constitution, equitable and quality, what choice neoliberal (Feb / 1992
Maastricht Treaty) imposed: a health where those with money you care (both in public and
private) and who does them, will be afraid, frustrated, he resigned, as well as sick.
Alzheimer's spending review
What I failed to do the Amato government (dual system with the push toward private
insurance for specialist outpatient) completes the government Renzi, in a time when the
social protection is also reduced by the economic crisis and government decisions, It
appears uncertain and the possibility of a general mobilization capable of blocking this
process.
The Trojan is called "appropriateness of the services" (Article 9c): that is, the public
service will no longer offer those services that are not deemed necessary and which will
be referred within one month by a decree.
Health as consumption
In past years it was decided to encourage the establishment of prescriptive medicine,
reinforced by the defensive and "profitable" over-diagnosis, which commodify health
activities, to divert attention from harmful factors of the environment, living and
working avoiding to invest adequately in prevention, health promotion and fight the
determinants of disease.
Now, the patient / consumer is sufficiently induced consumerism health, you can take the
benefits guaranteed by the public system (in fact lowering the essential levels of
assistance) and push even more towards the private purchase (according to Censis in 2014
citizens have already spent 33 billion of his own money to ensure care and treatment and,
according to ISTAT, they are about 11% citizens who give up caring for economic reasons or
for lack of supply).
Educate and engage
If performance is really "inappropriate" it is urgent to provide adequate health education
and involvement of citizens for their defense from what is inappropriate (and sometimes
harmful), either free or for a fee, paid by the public or private, which is charged on the
budget or on the family.
Doctors (Simg) propose to be incentive based on obvious results of a budget spending /
health of the clients, rather than being rewarded or punished on the basis of an
administrative budget: to citizens would be an advantage and in the medium to long term it
would be for the health budget.
Who will decide the appropriateness? Another decree !! Who knows if it will take another
trust.
The article 9 of the decree is bad for health
Article 9 is also much more:
- Redefines the level of funding of the NHS, cutting 2,352 billion to fund health care for
the 2nd coming to a total of 15 -5 billion in a year and a half. In 2014 we spent less in
2010 and two percentage points of GDP less than in France and Germany;
- Provides for a renegotiation of contracts for the purchase of goods and services,
medical devices and drugs, repeating what has been imposed with previous spending reviews,
endangering the supplies needed for the operation of the service and jobs in the third
sector and industry;
- Reduces the number of hospitalizations and / or days in inpatient rehabilitation regimen
potentially inappropriate from a clinical, not that there was an investment that allows
un'adeguamento "appropriate" rehabilitation planning;
- Save more on staff with the application of standard hospital (reduction rate of
hospitalization and beds, increase in their employment rate) restates the amount of funds
for decentralized bargaining (and continues to be blocked by six years than the national)
and size of the primary tasks;
- Enhances with 3.5 million Euros surveillance measures of control levels of international
preventive health ministry, but it invests 33.5 mln to reinforce the hospitals in Rome
(including the Vatican) during the jubilee.
Less tax but without health
Renzi has already declared (administrative campaign 2016?) That with the money saved you
can reduce taxes to the citizens, but such taxes? Those on the first house that not
everyone? Or giving another reduction IRPEF like € 80 for those who pay a personal income
tax, and therefore also an income, and continuing to leave destitute citizens no longer in
a position either to have a dignified life or to heal?
Mobilization
We aim to reduce health care costs:
- Reducing the determinants diseases by increasing investment and policies to protect the
environments of life and work
- By removing the profit from the management of an asset is not available such as health
and the right to treatment, rehabilitation and assistance
- Fighting corruption, activities in health is still good business (about 6 billion / year)
- Reducing the incongruous use of drugs that increase the chronicity and disability of
patients who take them and the costs of their care
- Applying technology not available to reduce spending, but to allow professionals and
health workers to deal more adequately with patients
- To restore resources to the Family services to allow to resume the function for which
they were established 40 years ago, including the prevention
- Establish committees and coordinations mixed of citizens and businesses to monitor,
report and combat inefficiency, neglect, reductions in service and waste caused by cuts
and harmful acts and resolutions of the right to health.
To safeguard the good and the right to a HEALTH HEALTH 'UNIVERSAL will require that
citizens and professionals, patients and unite in opposing the dismantling of the SSR as
well as had been conquered with the struggles of men and women for a right to a dignified
life .
Libertarian Alternative / FdCA
Aug. 10, 2015
Related Link: http://www.fdca.it
http://www.anarkismo.net/article/28413
