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スペインの医師たちは、政府の財政赤字削減による医療費削減で、不法移民の無料公共医療制度からの排除に反対
el ajuste sanitario
“Trato personas, no asegurados”
Los sanitarios apelan a su código ético para defender la atención al inmigrante irregular
El sector denuncia que no puede ser vigilante del sistema
sanitary adjustment
"I try people uninsured"
The toilets appeal to their code of ethics to defend illegal immigrant care
The industry complains that it can not be vigilant system
Mary R. Sahuquillo / Emilio de Benito Madrid 26 ABR 2012 - 21:35 CET
"I try people uninsured"
The toilets appeal to their code of ethics to defend illegal immigrant care
The industry complains that it can not be vigilant system
Mary R. Sahuquillo / Emilio de Benito Madrid 26 ABR 2012 - 21:35 CET
"I try people uninsured." Josep Basra, president of the Spanish Society of Family and Community Medicine (Semfyc), it is clear. Always from a personal point of view, the decree that prevents serve illegal immigrants is not in their ethical. "If I have a person before, I do not care whether foreign or not I have to meet," he says. A vision shared by the president of the Medical College (WTO), Juan Jose Rodriguez Sendin: "Just like I can not be compelled to do euthanasia can not force us to not treat a patient."
The approach of Rodriguez Sendin and Basra is the most health professionals with concern that appeal to their code of ethics to defend attention to the illegal immigrants since Sept. 1 are not entitled to health insurance card, as Royal Decree of settings published this week by the Government. "A patient is a patient black, white or mediopensionista, and we can not abandon deontologically. It's crazy. We are not policemen or inspectors, if I as a doctor ask me to support the I have to give, another thing is you can not use the technologies that have my heart - and then we'll see the administrative side, "says the president of the Spanish doctors. And this idea that they are going to have to act as policemen of the system to avoid suspected fraud or simply enforcing a rule bother them greatly. Some say they do not abide. Go for it, say, the insubordination. Or a sort of conscientious objection, but in reverse.
The Coordinadora Anti-Privatisation of Public Health has been that Madrid has lit the fuse. "We call on the ethics of any and all public health professionals for full attention to this population [over 150,000], belonging largely to disadvantaged groups. At the same time, we claim the right to conscientious objection on the part of all professionals to the effective implementation of Royal Decree law immoral, unjust, and dangerous in terms of public health, "say.
Semfyc, society presiding Basra, more than 20,000 professionals, "expresses its opposition to the ministerial decision to limit access to health care to immigrants" without papers ". Also, like "warn of health risks" of leaving "without access to a continuum of care, and to restrict their attention through emergencies can generate higher spending and hamper disease control."
more information"People will die for this"The move threatens disease control and emergency saturate
Maximo Gonzalez Jurado, President of the General Nursing Council, believes that professional ethical principles collide with the action taken by the ministry of Ana Mato. "The legal parentage of the patient is not our problem when it is before a person who has a health problem. It is clear that we can not deny these children. Especially if we have no guarantee that those people who have been our patients receive the care they need by other means, "he says. "We do not enter to analyze the problem of illegal immigration, who also is medical tourism," he says. "But if these people are in Spain and need health care, as professionals we must give it. Another thing is to have filters before reaching us, "he says.
Jury Gonzalez does not dispute that the health system need measures to ensure sustainability, but criticizes the Government's health reform has been produced without the opinion of the professionals who have to implement it. Although he believes that at that point will not. "No doctor or nurse will stop giving a person the assistance they need. We have no obligation to ask the person the insurance card, "he says.
"Patients are not a history. There is a person behind. Professionals and they know, we've had a relationship with them, "criticizes Pilar Navarro, Secretary of Health Sector Public Services Federation of UGT, which argues that" professionally "also can not leave their patients unattended. "This situation will be resolved because it is unfair humanely. If people can not reach, first, denying them assistance, "confirms.
A similar idea is repeated from the College of Physicians of Madrid. "From the ethical point of view no physician can fail to respond to any patient in need," said a spokesman.
A health coordinator called for disobedience to the extent
Altisent Roger, a professor of bioethics at the medical school of Zaragoza, explains that from the standpoint of Medical Ethics Code is not an easy situation. "It's not black and white. We are facing a variety of situations and very hard. We have gone to serve all who pass through the door without asking ourselves in the position of demanding roles, "he says. The expert explained that the Code of Ethics, Article 6, states that "the doctor will never abandon a patient in need of care", and also speaks of the doctor to stop treating a patient, ensure the continuity in attendance. "These are points that are not designed for this, but that could be applied," he says. Doctors who do take the path of disobedience: ask to be excused from a legal obligation and not be punished.
To Altisent, that last track is an interesting path to explore. "This should be done to alleviate dramatic situations," he says. And at this point criticizes the government places health professionals in a very uncomfortable situation. "Perhaps the national health system itself will have to arbitrate for intermediate situations not to their doctors in a very delicate situation deontologically" he says. So much so that the Medical College will address the issue in assembly. "They are not scenarios for us, and they must be analyzed," says its president Juan Jose Rodriguez Sendin.
The nurse Angel Navarro, a spokesman for the coordinator to promote insubordination, says that his is a "call to the whole system." "We only have we launched the idea. Not developed legal system, "he says. For Navarro, which proposes to deny care to patients they know and are trying years is "inhumane, unjust, it is against our conscience and our code of ethics."
The problem is to ensure continuity of treatment
Miguel, a family doctor in Madrid who gives a false name, is sympathetic to the idea of the objection. "In 25 years I have seen enough immigrant population, and I have had very painful cases. People who have fled armed conflict, the family have killed them. " "Many, after all, are highly sensitive situations of mental health. How will try now to someone with schizophrenia, depression? If it is difficult for anyone who takes pills for them in this situation will be even more, "he says. So Michael's proposal seems "reasonable." "It's in our code of ethics." "What we ask is repugnant to morality." "I work for the patient, and I will maximize flexibility in the criteria of what is an emergency. Or are we going to become police the system? ".
The doctor supports, however, that it has difficulty practical level. "One thing is early diagnosis and other treatment," he says, with the idea that once served, there are issues, like getting the drug, yes they can get very difficult. But he believes that, ultimately, the Government's proposal will be like "putting the tide." "The system already has holes. At primary level there are emergencies, and either put a policeman at the door, or anyone who comes saying he has something urgent to be addressed. " The bad thing for him is that in the end, attention will be worse. "It will be desperate to know that a person needs treatment and podérselo not provided."
The approach of Rodriguez Sendin and Basra is the most health professionals with concern that appeal to their code of ethics to defend attention to the illegal immigrants since Sept. 1 are not entitled to health insurance card, as Royal Decree of settings published this week by the Government. "A patient is a patient black, white or mediopensionista, and we can not abandon deontologically. It's crazy. We are not policemen or inspectors, if I as a doctor ask me to support the I have to give, another thing is you can not use the technologies that have my heart - and then we'll see the administrative side, "says the president of the Spanish doctors. And this idea that they are going to have to act as policemen of the system to avoid suspected fraud or simply enforcing a rule bother them greatly. Some say they do not abide. Go for it, say, the insubordination. Or a sort of conscientious objection, but in reverse.
The Coordinadora Anti-Privatisation of Public Health has been that Madrid has lit the fuse. "We call on the ethics of any and all public health professionals for full attention to this population [over 150,000], belonging largely to disadvantaged groups. At the same time, we claim the right to conscientious objection on the part of all professionals to the effective implementation of Royal Decree law immoral, unjust, and dangerous in terms of public health, "say.
Semfyc, society presiding Basra, more than 20,000 professionals, "expresses its opposition to the ministerial decision to limit access to health care to immigrants" without papers ". Also, like "warn of health risks" of leaving "without access to a continuum of care, and to restrict their attention through emergencies can generate higher spending and hamper disease control."
more information"People will die for this"The move threatens disease control and emergency saturate
Maximo Gonzalez Jurado, President of the General Nursing Council, believes that professional ethical principles collide with the action taken by the ministry of Ana Mato. "The legal parentage of the patient is not our problem when it is before a person who has a health problem. It is clear that we can not deny these children. Especially if we have no guarantee that those people who have been our patients receive the care they need by other means, "he says. "We do not enter to analyze the problem of illegal immigration, who also is medical tourism," he says. "But if these people are in Spain and need health care, as professionals we must give it. Another thing is to have filters before reaching us, "he says.
Jury Gonzalez does not dispute that the health system need measures to ensure sustainability, but criticizes the Government's health reform has been produced without the opinion of the professionals who have to implement it. Although he believes that at that point will not. "No doctor or nurse will stop giving a person the assistance they need. We have no obligation to ask the person the insurance card, "he says.
"Patients are not a history. There is a person behind. Professionals and they know, we've had a relationship with them, "criticizes Pilar Navarro, Secretary of Health Sector Public Services Federation of UGT, which argues that" professionally "also can not leave their patients unattended. "This situation will be resolved because it is unfair humanely. If people can not reach, first, denying them assistance, "confirms.
A similar idea is repeated from the College of Physicians of Madrid. "From the ethical point of view no physician can fail to respond to any patient in need," said a spokesman.
A health coordinator called for disobedience to the extent
Altisent Roger, a professor of bioethics at the medical school of Zaragoza, explains that from the standpoint of Medical Ethics Code is not an easy situation. "It's not black and white. We are facing a variety of situations and very hard. We have gone to serve all who pass through the door without asking ourselves in the position of demanding roles, "he says. The expert explained that the Code of Ethics, Article 6, states that "the doctor will never abandon a patient in need of care", and also speaks of the doctor to stop treating a patient, ensure the continuity in attendance. "These are points that are not designed for this, but that could be applied," he says. Doctors who do take the path of disobedience: ask to be excused from a legal obligation and not be punished.
To Altisent, that last track is an interesting path to explore. "This should be done to alleviate dramatic situations," he says. And at this point criticizes the government places health professionals in a very uncomfortable situation. "Perhaps the national health system itself will have to arbitrate for intermediate situations not to their doctors in a very delicate situation deontologically" he says. So much so that the Medical College will address the issue in assembly. "They are not scenarios for us, and they must be analyzed," says its president Juan Jose Rodriguez Sendin.
The nurse Angel Navarro, a spokesman for the coordinator to promote insubordination, says that his is a "call to the whole system." "We only have we launched the idea. Not developed legal system, "he says. For Navarro, which proposes to deny care to patients they know and are trying years is "inhumane, unjust, it is against our conscience and our code of ethics."
The problem is to ensure continuity of treatment
Miguel, a family doctor in Madrid who gives a false name, is sympathetic to the idea of the objection. "In 25 years I have seen enough immigrant population, and I have had very painful cases. People who have fled armed conflict, the family have killed them. " "Many, after all, are highly sensitive situations of mental health. How will try now to someone with schizophrenia, depression? If it is difficult for anyone who takes pills for them in this situation will be even more, "he says. So Michael's proposal seems "reasonable." "It's in our code of ethics." "What we ask is repugnant to morality." "I work for the patient, and I will maximize flexibility in the criteria of what is an emergency. Or are we going to become police the system? ".
The doctor supports, however, that it has difficulty practical level. "One thing is early diagnosis and other treatment," he says, with the idea that once served, there are issues, like getting the drug, yes they can get very difficult. But he believes that, ultimately, the Government's proposal will be like "putting the tide." "The system already has holes. At primary level there are emergencies, and either put a policeman at the door, or anyone who comes saying he has something urgent to be addressed. " The bad thing for him is that in the end, attention will be worse. "It will be desperate to know that a person needs treatment and podérselo not provided."
スペインの医師たちは、政府の財政赤字削減による医療費削減で、不法移民の無料公共医療制度からの排除に反対
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