Ακολουθεί το κείμενο πολιτικής για την Υγεία στο πλαίσιο του κοινού ευρωπαικού προγράμματος για τις ευρωεκλογές 2019 που κατέθεσα στο PPEU .
Προτείνω να το συζητήσουμε / ψηφίσουμε και στο 7ο συνέδριό μας τη Κυριακή 2-12-2018 .Ροlicy draft positions for Health Care.
All persons have the right to the highest attainable standard of physical and mental health .This includes preventive , curative and palliative health care. It also includes the underlying social determinants of health ,such as safe food ,potable drinking water ,basic sanitation and adequate housing,safe and healthy working conditions ,and a healthy environment.
The right to health extends to everyone , including non-nationals ,such as refugees, asylum- seekers, stateless persons, regardless of legal status and documentations .
Different groups of people ( e.g. older people, people with disabilities) have specific health needs that must adequately addressed by the government.
Based on international law and standards the right to health hasn’t been violated in a country when :
There should be no discrimination (direct or indirect) in access to health care , irrespective of the resources available to a state.
Health goods and services have to be accessible to everyone. States must ensures that no persons faces barriers in accessing their right to health including the access to information about health and health services.
Health goods and services must be affordable for everybody regardless of their income level.
Health facilities must also be scientifically and medically appropriate and of good quality.
Medicines must be available in sufficient quantity within the country.
Health laws and policies should be designed and implemented in a transparent manner and with the meaningful participation of people affected by it.
All health systems must include a framework for accountability , which should include access to effective judicial or other appropriate measures for violations of the right to health which many times has a direct connection with the right to life .
No matter how health systems have been structured ( private ,public or mixed ), in all circumstances health services should be available, accessible , acceptable and of good quality for all persons and should guarantee universal health care for all.
States have the obligation to ensure that private health providers are subject to strict regulations so that the services they provide are accessible , adequate and regularly assessed.
Retrogressive measures that are introduced for example during financial crisis have to be necessary , legitimate ,temporal, reasonable , non discriminate , protect the minimum core of health right , proportionate and secure the genuine participation of affected groups and individuals in decision making processes.
States must cooperate with their respective others on an economical and technical level, in order for all countries to fully secure all the parameters of the right to health, without discrimination and with respect to International Law for Human Rights.
Establish a medical study( if necessary with international support and assistance ) to monitor and evaluate the health of the affected population over time , in order to identify any long term impacts.
Recognize the right to health under domestic law , ensure that is enforceable in courts of law and that effective remedies for victims of violations of this right is available.
All government ministries should monitor the impact of all health - related policies and programmes , collect and disaggregate data .
In Public Health Emergencies (communal disease or an epidemic) :
a) Call attention to how an outbreak started.
b) Question whether the State’s response to the epidemic was consistent with human rights laws and standards including proportionality.
c) Look at how or whether human rights violations contribute to an epidemic
d) Analyse how an epidemic has impacted general health services .
It is noticed that austerity measures in economic crisis resulted in a deterioration of the accessibility , affordability, and quality of healthcare for those more vulnerable, and for those at heightened risk.
The impact of austerity measures on the right to health :
1. Reductions in public health expenditure
2. The increased financial burden of health care
3. Delays in access to health care,waiting lists have become longer because the system cannot respond
4. Reduced time with health workers and quality of care
5. Concerns regarding the quality of equipment.
6. Health workers cope with reduced salaries and benefits ,worsening working
conditions , retirements, limited staff, extended working hours , disproportionate
amount of responsibilities.
In a modern state the right to health for its citizens and its visitors requires that health care facilities, goods and services are available in sufficient quantity ,accessible to everyone without discrimination ,which includes physical accessibility , affordability , and information accessibility ,acceptable to all persons that is respectful of medical ethics and culturally appropriate and of good quality.
To that end we propose :
1. The implementation of primary care and distribution of drugs network in public hospitals with specialized stuff with regard to prevention , immunization programmes
2. States must guarantee universal, public ,free and health care of good quality , as well as adequate access to diagnosis ,treatment and rehabilitation.The integration of promotion and prevention into primary health.
3. A healthy National Healthcare System must rely on transparent procedures and cover the needs on diagnostic and primary care procedures.
4. Good basic health network over the country especially at district areas prevents more difficult adverse events to deal with and dangerous infections to be identified.
5. Using Health Technology Assessment , e- health and health information tools so a policy must aim to establish a network of regional health centres that provide primary health care in conjunction with a network of hospitals providing secondary care and a full range of medical speciality services.
6. Modification of health and drug - related laws for patents.
7. Taking direct measures to reduce time for waiting lists and the number of people that expect health services and drugs disposal.
8. Taking targeted relieving measures for the most vulnerable groups and those who have suffered most .
9. Alternative mechanisms to increase the budget with an effective policy against tax evasion and fraud .
10. Develop mechanisms for the people to participate effectively to the discussions for the state budget and the public expenditure for health care.
11. Any patents regarding human health ( and prosperity) should be released with the utmost velocity, according to the world’s Health need ( e.g. WHO and EML ).
12. Scientific research for drugs and diagnostic methods should be able to be conducted in Universities and Research Centers and not necessary directly be connected with drug manufacturers.
13. Generic medical products must be supported when they fulfill the quality criteria and have been checked by the appropriate organizations (preclinical tests and clinical trials shall be provided), through compulsory e- prescription by active substance.Their correct pricing makes them affordable for all.
14. Motivate health products manufacturers with funds-pdps-awards,prizes , irrelevant to patents.
15. When a health product of research is announced without delay we are driven into further novelty, access of knowledge and recreation by third parties.
16. A disconnection of the research and development cost from the final price for most necessary health products must be evaluated and take place as research should be determined from real world health needs and not necessarily by the needs of the markets.
So new products and techniques are avoided to be hidden on purpose and
. transparency is promoted.
17. WHO should be guided by scientific personnel reports and research that are in contact with patients , diseases and practices all around the world ,on a daily basis .
18. Medicines for EML selected because of the disease prevalence ,safety , effectiveness ,and comparative study cost - benefit.
19. A designing of a framework for burden sharing for risk and efficiency between member - states and R&D for health.
20. We can discuss the existence of a transaction tax in order to provide money for r&d for health and medicines.
21. A changing percentage of taxing should be directed to Public Health and research in Universities for drugs and diagnostic methods.
22. Every citizen should be able to get informed for the procession of the money that pays for health taxes through computerization,so that there will be transparency in the economic management of health and incidents of corruption will be eliminated.
23. Establishing a special section in public hospitals that its project will be diagnostic procedures and primary health to uninsured people.
24. Improvement of accessibility and quality of mental health services and be integrated to primary health services , so special education is provided to health stuff for this purpose .
25. Internet as a global public service can take an important role in the transmission of information and knowledge to emergency and specialty medical cases and to district areas .
26. Animals’ life and health must be faced with respect and knowledge and every act against it must be punished exemplary .
The European Union and the European Institutions have also the responsibility to protect human rights and the european citizens ‘right to health which many times is aligned with the right to life .
So each time the European Council and the European Commission mention to the report the social indicators of unemployment , health ,education , poverty , should have the obligation to include and protect the human rights.
Penelope Petropoulou , dentist periodontologist ,
Member of PPGR ,
Amnesty international Gr,
Médecins du monde Gr .
- Health care policy draft 2s.odt
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