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スペインの与党国民党による財政削減の教育や医療の100億0000'0000ユーロの削減は、社会福祉国家の破壊、私営化の恐れ
TRIBUNA
Detrás de las líneas rojas: asalto al Sistema Nacional de Salud
Las medidas aprobadas por el Gobierno del PP suponen un cambio de modelo del sistema sanitario, que deja de ser universal y permitirá que las capas medias sean arrojadas a los brazos de las aseguradoras privadas.
TRIBUNE
Behind the red lines: assault on NHS
The measures adopted by the PP model imply a change in the health system, it ceases to be universal and allow the middle class being pushed into the arms of private insurers.
Gaspar Llamazares Trigo 26 ABR 2012 - 00:16 CET
Behind the red lines: assault on NHS
The measures adopted by the PP model imply a change in the health system, it ceases to be universal and allow the middle class being pushed into the arms of private insurers.
Gaspar Llamazares Trigo 26 ABR 2012 - 00:16 CET
Our public health system is recognized by professionals and citizens as a universal system of quality and low cost.
However, the government sacrifices the health and education for the sake of the markets. The government has announced a brutal cuts in education and health of 10,000 million euros to allay the distrust of markets to the draft budget for 2012. We have gone from the ax and cut it to logging.
This logging would affect more than 10% of health budget that is largely in the hands of the Autonomous Communities, through drastic measures to cut benefits, repayments of drugs (the rich), privatizations and tax breaks that actually change the universal model our tax-funded welfare state or medioestar. It would thus be to use the crisis to demolish the universal model, with a new hack that adds to the already experienced in 2011.
It should be noted that our weak social status, which is perfectly sustainable for our income level is the result of a low state financial commitment to social policies, legislation, among other reasons, a slightly progressive tax system full of holes facilitates widespread tax evasion and avoidance of high incomes and low tax contribution of capital gains, corporations and assets, as opposed to income tax or VAT paid by employees.
This low level of social investment explains that, despite universal health care, education, pensions and care dependency, we are very far from the European Union. However, all this corresponds to a right that made the transition from the welfare state and a governor who left the welfare state has remained in a weak position by limiting it to a mediocre state medioestar. Have contributed to this those who rated tax cuts as measures of left and accepted as the models proposed private management or public-private collaboration in health care and those who have lookout for another side in good times to the challenge of direction and coordination of the National Health System.
The system change will not only save one but will increase health spending
To date, the success of the health system, the favorable opinion of citizens (on the right and left), the satisfaction of the lobbyists present in the sector (pharmaceutical, health technologies and the private health industry) have maintained a situation of calm result of a balance of power and economic interests, social and political. We lived on the inertia, the excessive profits for the pharmaceutical industry and political management between populism and "experiments" with champagne.
However, over the years of passive management of regional and central government on health matters has been changing the NHS in ways that today seem to be essential lines of the offensive strength of the PP and markets against it.
The weaknesses of our national health system models have been in repayment and indirect privatization on the one hand, and another in a growing medicalization and medicamentalización of healing. The latter directly financed and directed increasingly by multinational corporations degree of pharmacy and technology, which imposes strict control business models and negative work for the system. So any new drug or technology is incorporated at high prices, without more, public benefits, although there is the slightest evidence of the advantages over existing, obviously much cheaper.
The absence of a management model has led to weaknesses that now put forward to justify the counter
It is these weaknesses which are now used as a lever to show the alleged infeasibility of the NHS: a debt to pharmaceutical suppliers, without being excessive, has been caused by those who have benefited from the system and now demanding their reform .
Other weaknesses are the lack of a true model of management, the renunciation of political leadership on health and the lack of political project, all the part of successive governments, which have been shielded by the "healing" was a competence of the Autonomous Communities.
Now seems ripe fruit. It is time to pass bill to the State of medioestar particularly appetizing to a health model for the markets, with the help of a national government reduced to a commissioner of markets and the European Union
The PP, under the banner of equal benefits and access, understood as uniformity meet the dual goals of cutting benefits, or impose repayments and coordinate partnerships with the private sector will weaken the regional management model while the responsible the inequities and inefficiencies, when in fact these are and remain a social and conditioned by other lobbies.
The PP's main objective is to break the universal, ie the middle class out of the NHS, on three fronts: reducing staff salaries and benefits considering luxurious and "sinful" at times to buy in the market (fertilization , abortion, ...) with the aim of establishing a basic benefits and other charges. Introducing repayments or fees to encourage "competition" and "commodification" and thus the flow to the private sector of those who suffer double taxation. Walking all with tax breaks and the spread of domestic markets to the private sector, to the precarious and dualization of the NHS.
All this, with the paradox that not only will not cause any savings but increase health spending as in the U.S., which triples the Spanish.
The expulsion of the middle class is the first step to transform a system in another purely universal care.
Therefore, today more than ever, it is necessary to defend the model of NHS public and universal because it responds to the needs and rights of citizens to health and because it is the most efficient, strengthen coordination, participatory management and decentralization against taxation of corporate lobbyists disguised as nostalgic centralized privatization and efficiency. For tomorrow and it's refocus and strengthen the national health system with the priority of the chronically ill, the primary health care and public health. But all this has to continue existing National Health System that today threatens the cutting of government and markets.
Gaspar Llamazares Trigo is a member of IU Asturias.
However, the government sacrifices the health and education for the sake of the markets. The government has announced a brutal cuts in education and health of 10,000 million euros to allay the distrust of markets to the draft budget for 2012. We have gone from the ax and cut it to logging.
This logging would affect more than 10% of health budget that is largely in the hands of the Autonomous Communities, through drastic measures to cut benefits, repayments of drugs (the rich), privatizations and tax breaks that actually change the universal model our tax-funded welfare state or medioestar. It would thus be to use the crisis to demolish the universal model, with a new hack that adds to the already experienced in 2011.
It should be noted that our weak social status, which is perfectly sustainable for our income level is the result of a low state financial commitment to social policies, legislation, among other reasons, a slightly progressive tax system full of holes facilitates widespread tax evasion and avoidance of high incomes and low tax contribution of capital gains, corporations and assets, as opposed to income tax or VAT paid by employees.
This low level of social investment explains that, despite universal health care, education, pensions and care dependency, we are very far from the European Union. However, all this corresponds to a right that made the transition from the welfare state and a governor who left the welfare state has remained in a weak position by limiting it to a mediocre state medioestar. Have contributed to this those who rated tax cuts as measures of left and accepted as the models proposed private management or public-private collaboration in health care and those who have lookout for another side in good times to the challenge of direction and coordination of the National Health System.
The system change will not only save one but will increase health spending
To date, the success of the health system, the favorable opinion of citizens (on the right and left), the satisfaction of the lobbyists present in the sector (pharmaceutical, health technologies and the private health industry) have maintained a situation of calm result of a balance of power and economic interests, social and political. We lived on the inertia, the excessive profits for the pharmaceutical industry and political management between populism and "experiments" with champagne.
However, over the years of passive management of regional and central government on health matters has been changing the NHS in ways that today seem to be essential lines of the offensive strength of the PP and markets against it.
The weaknesses of our national health system models have been in repayment and indirect privatization on the one hand, and another in a growing medicalization and medicamentalización of healing. The latter directly financed and directed increasingly by multinational corporations degree of pharmacy and technology, which imposes strict control business models and negative work for the system. So any new drug or technology is incorporated at high prices, without more, public benefits, although there is the slightest evidence of the advantages over existing, obviously much cheaper.
The absence of a management model has led to weaknesses that now put forward to justify the counter
It is these weaknesses which are now used as a lever to show the alleged infeasibility of the NHS: a debt to pharmaceutical suppliers, without being excessive, has been caused by those who have benefited from the system and now demanding their reform .
Other weaknesses are the lack of a true model of management, the renunciation of political leadership on health and the lack of political project, all the part of successive governments, which have been shielded by the "healing" was a competence of the Autonomous Communities.
Now seems ripe fruit. It is time to pass bill to the State of medioestar particularly appetizing to a health model for the markets, with the help of a national government reduced to a commissioner of markets and the European Union
The PP, under the banner of equal benefits and access, understood as uniformity meet the dual goals of cutting benefits, or impose repayments and coordinate partnerships with the private sector will weaken the regional management model while the responsible the inequities and inefficiencies, when in fact these are and remain a social and conditioned by other lobbies.
The PP's main objective is to break the universal, ie the middle class out of the NHS, on three fronts: reducing staff salaries and benefits considering luxurious and "sinful" at times to buy in the market (fertilization , abortion, ...) with the aim of establishing a basic benefits and other charges. Introducing repayments or fees to encourage "competition" and "commodification" and thus the flow to the private sector of those who suffer double taxation. Walking all with tax breaks and the spread of domestic markets to the private sector, to the precarious and dualization of the NHS.
All this, with the paradox that not only will not cause any savings but increase health spending as in the U.S., which triples the Spanish.
The expulsion of the middle class is the first step to transform a system in another purely universal care.
Therefore, today more than ever, it is necessary to defend the model of NHS public and universal because it responds to the needs and rights of citizens to health and because it is the most efficient, strengthen coordination, participatory management and decentralization against taxation of corporate lobbyists disguised as nostalgic centralized privatization and efficiency. For tomorrow and it's refocus and strengthen the national health system with the priority of the chronically ill, the primary health care and public health. But all this has to continue existing National Health System that today threatens the cutting of government and markets.
Gaspar Llamazares Trigo is a member of IU Asturias.
スペインの与党国民党による財政削減の教育や医療の100億0000'0000ユーロの削減は、社会福祉国家の破壊、私営化の恐れ
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