Naomi Klein in Shock Doctrine , tells us many things. The latest statements by the Minister Ruiz made us think about this doctrine.
Of the seven measures announced by the Minister to reduce spending and comply with the goal of cutting 10% of budget The most aggressive is the elimination of programs to reduce waiting lists and announced that non-urgent patients may wait over 6 months (how long) to be operated. But is not the only measure to report, the end of the model involve many local grievances for rural Catalonia and it is not clear that means less spending and together with the extent of incentives for efficiency brings us to model only area that has implemented in the Madrid of the PP government with all the shortcomings that we have been reporting on this blog in recent months.
The new health care model promoted by the CiU is intended for public health to worsen significantly in the country, taking advantage of the economic crisis, the benefit of private healthcare. In this regard we recommend the article by Martinez Angels Gender, crisis, violence and health which compares the consequences and measures taken in the crisis of 29 with the current crisis.
Discuss Boi Ruiz's statements to the NOW: "Health give more money to hospitals more productive," also to Europa Press, "Los fading presupuestarios the Catalan Health will make its Listas Crecer 3% of non-urgent waiting, according Boi Ruiz, "El Pais" remove Health the right to be operated at a maximum of 180 days "and" La Vanguardia " CC.OO. Health reports that will eliminate the programs in order to reduce the waiting Listas .
And then the article NOW, we have chosen because it lists the seven measures proposed by the Minister Boi Ruiz.
THE NEW MODEL HEALTH
Minister of Health, Boi Ruiz announced yesterday unions and employers plan cuts in health, which goes through the end of the proximity model and encourage centers more productive.'s plan cuts slows 60% of investments
LARA BONILLA - BARCELONA - 01/03/2011
action plan to ensure sustainability of the health system with 850 million less than budget or which is the same, 10% less than last year. To do so, the Minister of Health, Ruiz Boi, was presented yesterday to the sector during the Council meeting Catalan Health, a seven-point plan which hopes to reduce between 20% and 25% administrative spending , 20% more spending on equipment and between 8% and 11% spending on health services and pharmacy.
Structure administrative
S'aprimarà the top 10% of senior managers
The first to fall were the managers of the Hospital. One person centralize management, which previously delivered three people. But this is only the beginning. The aim of the Department of Health is to reduce 10% of the health system managers and end the duplication of charges and excessive bureaucracy. All in all, estimated that the structure is reduced by 20%. With this simplification, the Department of Health expects to save between 20% and 25% of the budget in this area.
Catalog
benefits will not be accepted without drug benefits or funding
This is to negotiate with Madrid. The government wants to increase its power to influence decisions and will not accept any new provision in the health care available and no new drug that is accompanied by a budget. Reorder
services
The end of the proximity model: Not all hospitals will all
It can not be guaranteed that patients will have all services close to home. This was one of the obsessions of the previous coalition government, which gave many regional centers and clinics with new technologies to prevent displacements. Now is reorganized according to performance centers and critical mass. Just some extra services, such concerted activities to reduce waiting lists, and review the catalog of 14 surgical procedures to guarantee six months of waiting. Patients with urgent conditions should not expect more. Also be reduced by 2% rates of consultation with schools. Incentives for efficiency
Improved productivity costs and outcomes
is one of the most innovative measures. Health encourage and recognize the work of hospitals and health centers more productive, which reward you with a budget higher than other schools do not get as good results. These reward efficiency. New technologies
optimization of new technologies and research
Remove the recipe on paper and electronics as well as promote the use of new technologies throughout the health system to reduce costs. The use of email replaced, in some cases, the conventional consultation.
Investment Program
stopped 60% of the works and new services
Health reviewed not only investments but also screened la posada en marxa de nous equipaments i serveis. Només pot garantir un 40% de les noves inversions. La resta o s'aturaran temporalment o no es faran. El departament ho concretarà d'acord amb el territori i vol que siguin les entitats municipalistes les que decideixin les inversions prioritàries.
Més capacitat de decisió
Enfortir la confiança entre gestors i professionals
Es dotarà de capacitat els centres perquè puguin participar en els processos de decisió. Una mesura amb la qual esperen guanyar-se la confiança del sector i reforçar l'autonomia dels professionals. La majoria de mesures per contenir la despesa es volen pactar centre per centre.
Font: ARA.cat
S'aprimarà the top 10% of senior managers
The first to fall were the managers of the Hospital. One person centralize management, which previously delivered three people. But this is only the beginning. The aim of the Department of Health is to reduce 10% of the health system managers and end the duplication of charges and excessive bureaucracy. All in all, estimated that the structure is reduced by 20%. With this simplification, the Department of Health expects to save between 20% and 25% of the budget in this area.
Catalog
benefits will not be accepted without drug benefits or funding
This is to negotiate with Madrid. The government wants to increase its power to influence decisions and will not accept any new provision in the health care available and no new drug that is accompanied by a budget. Reorder
services
The end of the proximity model: Not all hospitals will all
It can not be guaranteed that patients will have all services close to home. This was one of the obsessions of the previous coalition government, which gave many regional centers and clinics with new technologies to prevent displacements. Now is reorganized according to performance centers and critical mass. Just some extra services, such concerted activities to reduce waiting lists, and review the catalog of 14 surgical procedures to guarantee six months of waiting. Patients with urgent conditions should not expect more. Also be reduced by 2% rates of consultation with schools. Incentives for efficiency
Improved productivity costs and outcomes
is one of the most innovative measures. Health encourage and recognize the work of hospitals and health centers more productive, which reward you with a budget higher than other schools do not get as good results. These reward efficiency. New technologies
optimization of new technologies and research
Remove the recipe on paper and electronics as well as promote the use of new technologies throughout the health system to reduce costs. The use of email replaced, in some cases, the conventional consultation.
Investment Program
stopped 60% of the works and new services
Health reviewed not only investments but also screened la posada en marxa de nous equipaments i serveis. Només pot garantir un 40% de les noves inversions. La resta o s'aturaran temporalment o no es faran. El departament ho concretarà d'acord amb el territori i vol que siguin les entitats municipalistes les que decideixin les inversions prioritàries.
Més capacitat de decisió
Enfortir la confiança entre gestors i professionals
Es dotarà de capacitat els centres perquè puguin participar en els processos de decisió. Una mesura amb la qual esperen guanyar-se la confiança del sector i reforçar l'autonomia dels professionals. La majoria de mesures per contenir la despesa es volen pactar centre per centre.
Font: ARA.cat
After detecting these abnormalities McBride sent its comments to the Lancet, a prestigious medical journal. However, its publication was delayed a few months "for lack of space in the magazine. But he was not the only one who found that things were going very badly. Obstetricians in all countries where thalidomide was introduced as alterations observed as rare as the focomielia was appearing frequently. At first they did not know what he was, raised environmental explanations, infections, x-rays, toxic substances, etc. It was not until on November 11, 1961 when another physician, Dr. Lenz became clear that the culprit of all these malformations was thalidomide. 5 days after its discovery, when he felt he was completely safe for the research he had done, he telephoned the company Gruenenthal Chemie. It took days of intense discussions with company representatives, authorities and experts before the drug was withdrawn, mostly by how the press would react. Chemie Gruenenthal continued to deny the teratogenic (causing malformations) of thalidomide. But increasingly, the suspicion grew that not exactly denied by honest ignorance, but in order to weaken the charges against the company.
After the event, many countries gradually began to enact laws to control drugs and the requirement that they be subjected to drug tests and tested in animals, as well as clinical trials before marketing people. also began the era of financial compensation to all affected families in all countries where the drug was distributed. He turned to look closely Chemie Gruenenthal evidence presented at the time the German authorities to be approved as a drug and that was when it was discovered all the irregularities they had committed. It took the company to court and forced to whom it was rewarded financially to the victims. The drug had been billed as "totally safe" became one of the most teratogenic drugs which have been known, sufficient intake of a single dose to produce serious birth defects and 40% of the victims died before their first year. Still, it is prescribing in some countries as a treatment for leprosy and some cancers.
The History of Thalidomide