スペインのカスティリヤ=ラマンチャ(Castilla-La Mancha)自治州政府が、医療費削減のために、全州(地方)の182箇所の公営診療所のうちのやく100'000人が影響する21市町村の診療所の、ある農村部は15:00から08:00までと週末の土曜日と日曜日の診察の廃止と、ある町村部は20:00から08:00まで?の夜間(緊急)診療を廃止するのは、住民にとっては"危険"な"財政赤字削減"
Recorte arriesgado
El cierre de urgencias en Castilla-La Mancha es una medida aventurada que apenas ahorrará
El País 16 ENE 2013 - 00:02 CET
Cut risky
The emergency closure in Castilla-La Mancha is a measure risky than just save
The Country 16 ENE 2013 - 00:02 CET
María Dolores de Cospedal, PP Secretary General, warned after arrival to the presidency of the Castilla-La Mancha that would undertake cuts "painful". His policy of cost containment being indeed ambitious, but also indiscriminate. The president has reduced the burden on social spending and now in search of new savings, just closed emergency night service from 21 small municipalities in the vast territory of the community. The protests were not long in coming. Not only have cried out against concerned citizens and opposition politicians, mayors and councilors have also expressed PP and four councilors Honrubia (Cuenca) have left their posts.
Cospedal has made arguable and controversial decisions in their fight against the deficit, as removing the subsidy to shelters for battered women or eliminate salaries for regional deputies. His position in this case is difficult to defend from the social point of view, but also budget. The tiny-savings of between one and 1.7 million euros, according to estimates by the opposition and the College of Physicians-not justify the lack of protection that leaves 100,000 affected citizens, many of them elderly, and both with health problems, and up to 50 kilometers away from an emergency department that can serve them in cases of extreme necessity.
Board argues that these emergency services recorded a "low flow" of patients, thus underestimating the value of this type of social services for the maintenance of the rural fabric. Facing agricultural policies that both champions Spain in Brussels and trying to encourage the development of the field, the Castilla-La Mancha, with large rural areas and low population density, closed schools and health services, thereby facilitating the process of depopulation.
The closure of these emergency in 21 of the 182 schools in the region will generate at least anxiety among the population and is a risky step. The consequences can be tragic if they needed care outside of gravity. After traveling the roads of the area, in addition, these citizens may encounter an emergency department collapsed. A concentration of such units bind and suffered cuts in hospitals. And all for a relatively small savings in a community whose budget amounts to 7440 million.
Castilla-La Mancha is not the only community in which health is discussed. President Ignacio Gonzalez is undertaking the privatization of the management of four hospitals in precarious Madrid.La prior, immediately afterwards, privatization does not seem the most appropriate prescriptions to defend the sustainability of the system.
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