just concluded in Geneva on 63 World Health Assembly, quoted in where all the states and different organizations and representative institutions. In his inaugural speech, Margaret Chan, WHO Director-General, raised some key issues that have direct bearing on the health situation in our country. One is the question of the limited capacity to regulate the prices of both drugs As private health services, which relates to the second issue raised: the necessary guidance towards the consolidation of health systems that prioritize the needs of people rather than special interests, avoiding duplication of functions that increase costs. Models
opposite: Alma - BM
can say that in the world there are two paradigms in relation to health. One which emanated from the Alma Ata in 1978, in which 137 states and 67 international organizations pledged to an ambitious goal: Health for All by the year 2000, this perspective had implications for the necessary care or primary health care for avoid disease. The other paradigm comes from the book published by the World Bank in 1993, Investing in Health, which correlate to Latin America Structured Pluralism is the document of 1997, which produced the impetus for reforms in recent decades. Following are the slogans of each model: health for all referred to the universal, while investing in health economics priority.
This dilemma is not resolved in relation to health and access to health services. While the World Bank promotes the formation of non-systemic health organizations, but fragmented on entering the market just for the atomization of services, universal power expressed in Alma Ata commitment shaping health systems, in which the State assumes its responsibility and guarantees in various ways the right to health. National health systems were formed mainly in the first decades of the twentieth century as in the case of Britain are examples of good performance. While the fragmented, appear in our region because of disorganization and instability unsurpassed in the twentieth century, which creates a theory and practice that leads to shape health markets.
Ordering System
It is therefore interesting that the Director General of WHO states: "There is waste of funds when regulatory systems fail to control prices and drug quality or cost of care in the private sector. " Although the reforms promoted by the World Bank introduced the logic of insurance and the prevalence of health economics, now that mold has been broken and re-emerges the need for systems to control the abuses of insurance, services private pharmaceutical, medical corporations. In Peru the real absence of a health system can, for example, that although the main clinical Lima organ trafficking have been discovered, nothing has happened relevant to the control, or pharmacy chains grow increasingly placing and preventing predatory pricing access to generics.
We are at a key moment in which two approaches are expressed. Apparently what is at issue is related to health, but this issue transcends the sector because it involves the way the state and governments relate to society. The World Bank model aims to subsidize the poor and hopefully end the poor, provided they prove their poverty and remain in it, because otherwise no longer receive the subsidy (the case of SIS in Peru). While the universalist side bet equal to the inhabitants of a country through a health system, which on one hand prevent the disease and the other meets the need for citizens whether poor or not, limiting the market for health is to guide the decisions.
Workers and employees
Peru has never build a health system, when social security was created to differentiate employed workers (Hospital Obrero, Hospital Employee), while the state moved charitable work than before had sanatoria or charities. Today, this logic continues to an alleged social security contributors (EsSalud) and nothing comprehensive packages for the poor ends via the SIS, while those who can go to private health services and better quality. So we have rich health for workers, unemployed and other for the poor. Thus the importance of having a health system, from which the State lessen the differences, renewing the focus of health policies to move from poverty allowance to civil right.
The country has an amazing distance in front of these issues being discussed in global forums. The media creates a bubble that we are held in debates in most cases insignificant. While the world discusses a key issue for social development and freedom, here we still believe that poverty is overcome with 229 soles a month. Overcoming poverty is to have access to universal health care and working the causes of the disease, since that work marks a forward direction of civilization. Alexander Sack
May 27 2010
0 comments:
Post a Comment