general physicians and pediatricians in particular, have the gift of the untimeliness when to intervene in health policy issue. We always say the wrong things.
Some time ago some we put the outcry to contemplate how public money is squandered as he began the most unnoticed strike in the history of our country. Spoke up to distribute money rich and poor, promoting certain forms of birth were very effective ways to enlarge the hole of the health budget, decrease the effectiveness of the system and destroy the principles of fairness, generosity and accessibility. Most pediatricians who then engaged in designing " concept cars."
But look at you and where everything points to the unthinkable, the forbidden, the unimaginable, is now thought (the copayment), enabled (freeze pensions) and palpable (get off the salary).
Einstein said that the crisis was an opportunity, however I look like most doctors miss an opportunity.
finally begins to talk about responsible use of health care, health hole, and we quietly co-payment that are more handsome. Today
engage in divination is not very difficult (or is that I have great gifts of divination) and all the "corrections" to which the malicious call blows, are absolutely predictable (and therefore are not bumping). It is obvious therefore that we will see a very little time some form of copayment, if we do nothing about it.
You thought I was in favor of co-payment? So stop trying to guess and dedicate just read it below.
I am opposed to the co-payment, I was opposed to 400 Euros to make themselves rich and poor Euro 2500 newborns rich and poor, the pharmacy at the Vines is free in Andalusia or lower than a year in Andalusia no pay for medicines (not want to get into matters of foreign poultry vaccines dudosĂsimo opportunity cost).
What I want is to separate the wheat from the chaff, or rather to help remove it, if it comes of having to separate.
the moment, and before the co-payment (as before lower the salary to officials ), there are some things you should do and that we should ask loudly that hiciesen:
1 .- campaigns rational use of health services , showing "abusuarios" wasting the resources of all (if anyone needs ideas for scripts I have a few).
2 .- To develop the text of the General Health Law that specifies certain "obligations of users" that many users fail systematically lléndose away with it, instead of receiving a position or suffer a cut in payroll.
3 .- Develop models to control and limit assistance to maintain farm free:
The need for a person visits a doctor may need to follow the recommendations of common sense, clinical practice guidelines, the calculation of insurance (which are pretty advance this work), can be calculated. Similarly, at least in Andalusia, children between 6 and 14 years received before the start of the year a bill of dental care (unlimited and free), could be sent (or charge virtually As health cards points the card driving) a checkbook (the number per person would vary depending on age, sex and prior health conditions) should free that last all year (on pain of paying the second book, or even third book would be more expensive than the second). Of course, a visit by appointment would not remove the same points as an urgent visit. Of course, the points could be charged as a driving license points under certain conditions: diagnosis of a serious illness occurred, adequacy of demand for emergency care ...
4 .- Where appropriate inevitabilidd collapse and the co-payment, we must strive to achieve that is a co- rational and proportional, the proportionality is not understood here as you pay the most have more, but pay more than the one that generates unnecessary (just as with other common good and free: the water, we pay only what is costs is to take our homes, with different prices because the cost can be varied, but with prices increasing as they consume more).
But who organized this? Does this can be improvised from overnight when you call Obama? Physicians must
fan the flame that is kindled, the flame of the copayment, but we must act as skilled firefighters, controlling the fire, leading him to do the least damage possible, even to be beneficial and ends with the "weeds" of the system, helping to regenerate.
Would we be willing to work in committees to figure out how checks should receive a normal newborn during their first year of life, or a diabetic child under 6 years old? I guess not, because I see more of my fellow firefighters pediatricians and health. The poor do not realize that all those who so "well meaning" made by children (damn control fallacy!) Merely lead to the ruin of the health system, Finally, and inevitably end up affecting (and does so in rural areas) the health of those for whom we should watch. Everyone can help control the fire, but not just visualizaros than fleeing in terror of the flames.
