Punta Arenas February 25, 2011
LORD
EDITOR OF MEDIA AND PUBLIC DISSEMINATION
THIS
We extend to his prestige Medium ---
TOTAL PRIVATIZATION OF HEALTH AND RUNNING.
1. nature of the new government.
2. offer campaign.
3. February 27, 2010 .- Lottery!
4. The smear tactics and move forward.
5. The reconstruction of the health network, the concessions.
6. ISAPRES crisis: the "Commission Illanes.
7. stop the privatization WHO?
1 .- Nature of the new government.
recirculation and concentration of capital is the raison d'etre of capitalism and the current government is the most obvious face of this class interest. This statement could seem concerned before the presidential election, is a truth demonstrated in less than a year in office.
After the tsunami of privatizations (looting of state enterprises) by the right for his former Pinochet dictatorship, now back in the right government is launching a wave of privatization of remaining in Public Sector: Health Enterprises, Codelco (Edelnor) Enap Health etc .- is progressing far beyond even what was proposed before the election .
2 .- offer campaign.
Piñera's offer in the field of health was basically:
· Construction of 10 hospitals, at a cost of billions of dollars
· Recovery of hospital infrastructure, for $ 620 million
· solution waiting lists by Public Health Alliance Private Health
· Implementing a
Bono AUGE All without further clarification.
3 .- February 27, 2010 .- Lottery!
Then came February 27 and for all of us was a terrible tragedy, the human and material, we continue and will continue to suffer and pay for a long time for the government the right was like winning lottery not once but a thousand, is no excuse for not fulfilling their promises, but more than that, the reconstruction was the opportunity to 50 or 100 times more deals than they had dreamed and primarily launched for privatization.
contrasts brutally exemplary role assumed by the Public Health, the attitude of dedication and sacrifice of his staff who had not suspended its work for a second but instead it intensified, with the attitude of new government still before taking started driving around like a vile business. Once he took his first act was to appoint mayors of several of the largest construction companies, some with links to companies that built buildings collapsed, the immediate delivery directly, without tender of 8 billion dollars to three major consortia building materials, the purchase, without competitive bidding, finger, tens of thousands of mediaguas at prices above their real value, etc, etc.
4 .- The tactics of smear and move on.
Without open dictatorial power, the right turns to his total control of the media to restrain the Chilean society and thus to intensify their neoliberal policies, privatize everything and end up placing the stunted state only the service of private interests, instead of all Chileans, as mandated by the Constitution.
was devoted to propagate, with great fanfare, lies on Public Health:
· magnified the indebtedness of public hospitals and blames mismanagement. The truth is that FONASA government pays hospitals less than it cost benefits, while the overpayments to private benefits (eg a basic bed Hospital pays $ 23,000 Public and private .- same basic bed to $ 70,000 .- $ 80,000 .-).
· accused duplication of functions and contracting January 1, 2009 450 "political operators "only in the central building of the Ministry of Health. The truth is, as we all know, in all services and public and private companies, a high percentage of temporary staff at 31 December each paste it ends and January 1 will make a new contract. Incidentally, the new administration sacked 600 specialists, the Ministry is seriously debilitating.
· accused administrative disorder to the point that the ministry had 17 accounts, which was stagnant $ 55 million without earning interest. The truth: the accounts correspond to the 17 programs of the Health Ministry in order to have a more efficient management and control. The balance is less than 1% of the budget and can not be deposited to earn interest, because by law only the Treasury can make such operations.
· Etc., etc..
face of this set of "errors" some unsuspecting blame "ignorance of the right of the public administration." The truth is that the "errors" are due to a campaign skillfully designed and implemented systematically to discredit the public health. To generate distrust and discredit it. And strategically, the State as administrator.
distracting Under the cover, push the privatization process.
5 .- The reconstruction of the health network, the concessions.
The consequences of the earthquake-tsunami were
· 4,700 beds were lost
· 17 hospitals out of service
· Red Maule on the floor
· 62 hospitals require repair, 8 of them, structural repair
The cost of rebuilding is 2,700 million dollars.
How to finance the reconstruction of the health network?
A range of financing alternatives:
· sectoral budget resources (budget Minsal silver)
· regional resources (contributions of the Development Fund Regional, as is done for the Port Platform, p. ex.)
· international loans (World Bank, IDB)
· ; Donations
· National Reserves (Chile has deposited abroad more than 4 times the money needed to pay the entire reconstruction of the country)
· Tax Resources Additional (tax)
· Concessions to private
The obvious choice, in the interest of all Chileans , is to resort to reservations national and rebuild the state directly. Or at best, which tendered for the construction of buildings.
right Piñera and opted for the worst solution for all Chileans, but the best for him and big business.
Using the Law No. 20,410, Concessions Act (promulgated on January 20, 2010, or by the coalition) have launched a private concession to rebuilding the public health network. But not only buildings but also of its equipment, administration and management, as the Act allows any concession. And concessions are for 25 to 30 years, a change of government does not provide the possibility of going back.
Ultimately, the private concession to the construction and operation of hospitals produces a recirculation of capital from the public purse to private companies and consortia, generating goodwill and accumulation of capital in few hands. And we all have to pay more for each health care.
6 .- ISAPRES crisis: The "Commission Illanes.
In the past few years have seen a continuing exodus to FONASA Isapres affiliates. On the other hand Isapres themselves "expelled" to their members FONASA more "expensive."
Finally some time have increased the demands of their members for abuses in the prices of their programs. With the great news that the Constitutional Court has ruled in favor of the plaintiffs considering that "the intention of the legislature (the Constitution) was to create a single social security system" and that private insurance (Isapre) would be put outside the foundations of social security.
Given this situation Piñera appointed a commission (known as "Illanes Commission" for its chairman) to:
· Propose a law unconstitutional Cut to overcome what
· Propose Reform medium and long term
· Review the issue of medical leave
short walk to the track was dropped short of the law.
On December 6 last delivery Piñera Commission report proposes:
· A new system medical leave, which makes them a run by private insurance ("Disability Insurance")
· A new health financing in Chile
· A Reform of the Public Health
In summary, the proposals will result in:
1. Refine Health Plan making it a safe, which increases for private gain.
2. Deliver the fiscal resources to the private business by:
· The administration of the licensing system
· The administration of health financing
· The privatization of public networks (the AFP or other companies could bid for the management of the entire network a municipality, county, region, etc.).
· Major user fees through copayments.
On the contrary, if we seek a better solution for all Chileans, as mandated by the Constitution (Article 1 º ... ... ... The State the service of human beings and their purpose is to promote the common good, ...) can address the financing of health through two strategies:
1. A Isapres that are considered part of social security (Constitutional Court), which are private-private, they operate in the public domain and therefore are control subjects. Would create a central fund which would be redistributed according to the risk of people portfolio insurance (Private Health Insurance) and FONASA. In practice more resources channeled to FONASA because there are people most at risk (everyone contributes according to his ability, to each who serves as needed.) Same is semi-private. This system is used in Germany, Holland, Israel, Switzerland, Belgium, it is starting Uruguay.
2. Isapres are completed and Chile to have a single national health system. Everyone to attend at FONASA and clinics that do not enter the system does not receive general funding. It's what's in Spain and England.
7 .- WHO FRENA PRIVATIZATION?
see that there are two processes of privatization of health up:
1. By way of concessions
2. By reforming the public system, its financing and medical licenses.
The first fails by Congress, therefore can only be stopped by a vigorous national citizen action, with or without the support of political parties .
The second requires new laws, so it is a little more long winded and will determining the alignment of parliamentarians. Therefore, with some variations, it is also essential to national monitoring and citizen mobilization.
Montecinos Héctor A.
Movement Citizens for Public Health Advocacy
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