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スペインの家庭·地域医師協会は、健康保険から排除される不法移民の診察拒否に反対しようと提言
Los médicos de familia piden objetar ante la desatención a inmigrantes
La SEMFyC considera que la retirada de la asistencia sanitaria a los 'sin papeles' es inmoral
Family doctors neglect to ask object to immigrants
The semFYC considers that the withdrawal of health care to the 'paperless' is immoral
DOWNLOADABLE 'Ethical analysis to the withdrawal of health care to' paperless'
Mary R. Sahuquillo Madrid 11 JUL 2012 - 14:11 CET
The Spanish Society of Family and Community Medicine (semFYC), the most representative of primary care, encourages physicians to object to the withdrawal of health care to illegal immigrants. This organization, with over 20,000 members in Spain, believes that this clashes with its ethical principles and violates medical ethics code on several points, including the one that dictates that these professionals should "ensure the welfare, loyalty, justice and patient autonomy. " Thus, the semFYC encourages physicians to continue serving their patients who are declared irregular and objectors to protest against this law. Loyalty to the patient should prevail, they say.
"We can not treat people because they have lost their residence permit could be in a situation of helplessness health," said Josep Basra, president of the medical society that has been analyzed from the standpoint of medical ethics for Real decree on urgent measures, including the withdrawal of the health card to illegal immigrants, who, as of September 1, only entitled to emergency health care (except children) and care during pregnancy and childbirth. This measure, say, places physicians at a major ethical conflict. "The exercise of the medical profession carries some ethical obligations of physicians can not break a personal convenience, organization or even government regulations," they say.
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Thus, many of these professionals will object to this law and continue caring for those who already are his patients. Are legally in Spain or not. "These people who care card is removed are our patients. Do not go away because the government says you no longer have a right to performance, "remarked Abel Novoa, author, Ethical analysis to the withdrawal of health care to immigrants without residence permits presented today in Madrid and member of the Bioethics semFYC. This medical professional has explained that he will organize your space to assist these people in their working hours. "It is our duty as physicians," he says.
The semFYC recalled that under the Code of Medical Ethics, conscientious objection is "the doctor refuses to undergo ethical convictions, moral or religious conduct that is required, either legally mandated or authority an administrative decision to do it so seriously violates their conscience "(Article 32.1). This, the objection is the only way that professionals have to fight this as "unjust and immoral", and to press for change. This has opened a register of conscientious objectors in which doctors may register to record their action, although also must report to his superior.
This organization, however, does accept the limitation of health care to immigrants who choose to reside in Spain in an irregular manner from now, "and come to know this fact," they argue.
Five communities, Andalusia, Catalonia, Basque Country, Asturias and Valencia have already announced their intention to continue to provide standardized health care to undocumented immigrants.
semFYCは、 "ペーパーレス"へのヘルスケアの撤退が不道徳であると考える
ペーパーレスの"ダウンロード"へのヘルスケアの撤退に倫理的分析 "
メアリー·R. Sahuquilloマドリード11 JUL 2012 - 午後2時11分CET
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