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Chechnya is a nation that is trying to be submitted by Russia for centuries. Have only been brief and broken truces in this story that perhaps has its iconic landmark in the deportation of more than half a million Chechens to Siberia by Stalin in 1944, accusing them of collaboration with the German troops. But the situations that have to bear these people respond to Russian imperialism, once the czars, then with the Soviets and now with a semblance of democracy, continue to make feasible an agreement with Chechnya.

If we consider terrorism to the military actions that are committed to create panic among civilians and so advance political objectives, it is true that different nations and groups will have been practicing for several reasons. But the perspective is skewed if this analysis is not incorporated in terrorist violence by states, that having international political legitimacy, presenting their actions in response to the infinite evil of certain groups, especially Muslims. The reality is that terrorist acts are perpetrated more often by states rather than by the rebels or resistant.

Recent attacks on Russian civilians undertaken by the Chechen resistance, as any act that is directed against civilians away from immediate responsibilities, is reprehensible, but this should not lead happily lose sight of what is happening in different latitudes, where a long or recently translated imperialism because of the state, is through to act more reprehensible than it tries to control. So when we talk about terrorism, it is essential to contextualize the events, because they are the tip of an iceberg that official data intentionally hidden.

Russia is a democracy, is marked by an authoritarian and monarchical line that for centuries has spread the good or bad throughout its area of \u200b\u200binfluence. The Caucasus, the ancestral home of the Chechens and other peoples, has been and will be coveted by the Russian Empire, which but no longer has czars or supreme soviets, has now Putin, former KGB chief and heir to the political dynasty, suspected of the crime of Polikovskaya journalist in 2006. It is no coincidence that his second, Russian President Dmitri Medvedev has said that it is necessary to stab and twist the head to the perpetrators of the attacks (Umarov, the 'emir' of the Caucasus, the country April 1, 2010).

oppression So we see that in many cases leads to ultra-violent reactions, and that there are acts that appear out of nowhere, but are the result of a long process of confrontation and a recent history in the nineties Chechnya , then the breakup of the Soviet Union, sought their independence by refusing to sign the statute promoted by Russia, which set a number of powers to the republics, but always under the tutelage of the Russian central government. The Chechens were invaded, resulting in two wars and massacres that took the lives of hundreds of thousands of locals and thousands of Russians, then no stable peace and negotiations finally accepted by Russia resulted in viable agreements.

Putin chooses to place this achievement, which comes from centuries ago, in the context of the global war against Muslim terrorism, which in Western eyes give him standing to act against those who want to impose a global caliphate, when reality is that before that several Islamic countries they are looking for the invaders to withdraw from their territories and stop control its resources. So before you formalize that referred to global war, which it is questionable from the ground, so no compression approach Manichean reality. The opposite is to justify atrocities such as occupation of Iraq, which has produced more than a million dead.

A key difference of terrorism. Some are those born into a society with the aim of destroying it because in his view all the successful organization is the source of the oppression of more for less, usually this is from a perspective political-intellectual disability and abject fundamentalism that only deepens the differences. Others are those that arise as a result of blatant injustices such as occupation, conquest and plunder of wealth nations have and are coveted, but the conquerors, always good, also drink from the source of fundamentalism that takes such actions as necessary and even saviors of mankind. Then look at how and why the violence in order to generate a closer look at what the powers that be intended to see how a simple war between good and evil. Alexandro


Saco
2 April 2010

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Obama and U.S. health


health reform achieved by Obama in the U.S. is of global implications, and highlights the constant struggle to gain access to health. As is known, this reform took almost seventy years postponed due to the interest sought to retain the current healthcare organization in the U.S.. Has been achieved in some measure to curb the intention to continue placing health as a market order, not only providing insurance to thirty-two million people, but modifying the conditions of insurance substantially more than two hundred million. Health is a public duty and as such state involvement in the provision, regulation or financing is essential, even more taking into account what happens when the State abdicates this obligation.

Sicko Michael Moore shows how the insurance companies in partnership with the pharmaceutical industry and medical sector organizations, led to the U.S. is the only industrialized country without a universal health access. After the reforms of the sixties that incorporated protection of vulnerable groups, the U.S. led to unacceptable abuse of insurers that sought to protect people against diseases. It is perverted and a health insurance system, but perhaps this situation will be inherent in the insurance when it becomes an end and not in the middle.

Trends access to health

There are two major trends to achieve health protection of the population. One is based on the insurance through public or private insurance that give members benefit packages. The problem with this trend is that emanates from the logic of insurance, which has as its basis the implementation of cost-benefit in their work. Private insurance logic, of course, seeks to minimize the possibility of allocating necessary resources to meet their commitments collects, whether medical or any kind. In turn the logic public insurer, fails to remove the focus moves such private foundations to provide the protection intended.

is no coincidence that the implementation of health insurance, as has been occurring in Peru, is restrictive and not comprehensive. The comprehensive health insurance or private insurance, provide care packages based on that never to be comprehensive and cover a small percentage of diseases in the U.S. private insurers restrict their obligations and created mechanisms to increase revenues at the expense of the needs of the people. Obama


Peruvian
So Obama's health care reform is directly related to the delayed health reform in Peru, as it marks the need to confront the private interests or bureaucratic union impeding progress toward real universal health care. It also shows that the reform should be led by the highest political level of the country or by the President of the Republic. Obama reform states that health needs are not an isolated issue but a global issue and civilization, in which countries around the world today are looking the way for equitable access.

Unlike what has happened in the U.S., a country in which the reform would continue with the help of insurance companies but with a much stronger state intervention to regulate private use abuse in Peru that is required is ensuring access to health but with minimal competition from private insurers, as they derive the expansion of access to health aberrations. We need to look in the mirror of Colombia, which has widened the focus on health through private insurers, a situation that has come to dismantle the network of public providers, in addition to providing comprehensive care packages and always never differentiated. And of course from the private perspective, these companies end of each budget year will require the government to increase funding threatened to paralyze the attention.

In Peru in good time the system has not been deepened and can be reversed. This model requires several targeted social safety-residual force since 1992, which sees health almost as an act of charity, and under which should prove to be poor to receive the benefit of the state. We must move towards a model of social protection based on social security, from which the state assumes its responsibilities gradually but irreversibly and provided comprehensive access to services is to be human. Bring it to health is to create a System Health Peru, where health authorities, as happens today in the U.S., to recover its regulatory authority, oversight and order on public and private, and health guide actors towards targets national health. Logic


freedom
There is no other logic than the public to ensure the right to health, which is one of the bases for the exercise of freedoms and human capabilities. Ably neoliberalism has hijacked the value of freedom to present as competition that is actually a plain where a ticket is loaded rifle or guarantee access to basic services, and the state should only care for those unable to fend for themselves because they have the guns loaded with money.

Others see freedom as the possibility of aspiring to achieve what we as humans choose to do with our lives and efforts, for which the minimum that is required is that the organization that belongs to all the State, work to create the conditions. The current political and economic model in Peru does not allow for reform that access to health means removing the restrictions under which we operate. It has paved the way possible in U.S. society, it is up to the Peruvians get on the wave that Obama is running to surf with our tables, looking to make this country vivivle and not one that fills the pockets health of some mobsters and other clever as that leads the presidential polls. Alexander Sack


March 23 2010

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Definitions


To understand why health in Peru is almost a privilege, it is useful to outline the logical drive to certain types of viable or not to exercise the right to health. In order to facilitate analysis puts us in the field of health services and health care organization, leaving for another time as related to social determinants of health.

The country has a tendency to recognize that everyone would have the right to access health services. But this trend, among other reasons, is limited by a constitutional contradiction. While Article 11 stipulates that the state only guarantees free access to health services, Article 10 does recognize the universal and progressive right everyone to social security. Social security to undoubtedly includes health as one of its scope.

The 1993 Constitution thus facilitating the implementation of competition in the market is that access to health care distributed on the basis of purchasing power, but in turn holds a different perspective on social security covered, which according to its principles driving the full realization of the right to health. It is precisely this discussion that the country and public health professionals have not resolved. But what is verifiable is that the state, since the scheme began in 1992, has opted to strengthen the first perspective.

If the state only guarantees access to benefits health, in practice abdicate their responsibility to the right to health and focuses on providing care to the extreme poor and poor luck. To make effective its limited resources, requires the beneficiaries of their health care, to demonstrate and extend their poverty and identification. This leads to implement the subsidy claim through payment mechanisms euphemistically called public insurance. And obviously, this insurance will never be comprehensive because they do not have sufficient resources to do so. Deepens and the distinction between citizens should have equal rights, and establish care packages that create situations that reach limits that violate human dignity.

On the other hand, the universal and comprehensive perspective, argues that access to health services is not dependent on purchasing power and poverty status of individuals but of their status as human beings. This makes it promotes the enforceability of health care, against which the State should organize and promote the reforms necessary to provide progressively. While this means more funding, it also makes clear the need to move towards real health reform precisely to facilitate such access universal and comprehensive. This reform will become necessary if placed before the right to health, whereas if placed in front of targeting and the always useful excuse for the lack of resources, that leads to governmental efforts to be satisfied with half health to the poorest.

In Peru the first perspective is being developed, ie the state is primarily focused on bringing care packages to the poor. Thus, all other health workers in practice do what requires immediate interest. It is no accident and the expansion franchise in health and Hospitals Solidarity EsSalud screen advertising, the growth of pharmacy chains, the growth of private insurance restrictive in their attentions, and many other phenomena that have been some to argue that Peru would be a failed state in the toilet.

Others believe that no, this quest for a universal real face of targeting can be reversed. This requires encouraging and demonstrate the ideological debate with facts and ideas to leading this trend. Colombia, which has been and is the experimental field of health insurance, health care is collapsing. Proponents of this model indicated that 90% of Colombians have health insurance, that's true, but reality is that insurance does not guarantee that citizens care and access given only minimal care plan, also The government faces blackmail for insurers private end of every year insist that they increase funding.

's own framework law enacted universal health insurance a year ago, acknowledged in its article one, the right to full and progressive social health insurance. Thus the current state of expansion of access to health should be seen as a transition, as short as possible, to achieve a real globalization, which is not the property or goods which define access to health, but the human condition.

it is necessary to extend the framework to discuss and overcome the narrowness that poses health insurance, leading to substantive issues, which are those having to do with vesting for the exercise of freedoms and capabilities. In health, it can be built only from a public logic, this logic implies that the State assumes its responsibility and allow public and private competition in the health field, but with conditions under which the right premium and not the interest. Alexander Sack


March 10 2010