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Currently in Georgia, the healthcare system is largely privatised and people must pay for their care either through medical insurance or by out-of-pocket payments.
The insurance companies often do not pay out people's claims so many must personally pay for their treatment. In fact, 73% of total health expenditure is out-of-pocket payments.
The same insurance companies often run the hospitals and clinics with the aim of maximising their profit. This usually entails lowering medical professionals' salaries and increasing treatment costs. This lowers the overall level of care and makes healthcare inaccessible for a great many people.
Access to healthcare should not be determined by the invisible hand of the market. It is unjust that the market determines who lives and who dies.
We want the government to introduce a universal healthcare system which is free at the point of use, financed by general taxation and provided by a public, nonprofit national health service.
This would mean that there would be universal coverage throughout the country, universal access throughout the population and improved levels of patient care. We believe this is the right thing to do for the people of Georgia.
It is also the right thing to do for the country and the economy. A healthy population is a more productive one. A universal healthcare system would lower crime rates and make the country more politically and economically stable.
Georgia can afford to do this. According to our calculations, such a universal healthcare system would cost in the region of 850 million GEL per year. If the government increased healthcare spending to 11% of the budget, it could afford to implement this system.
If we want to live in a modern, civilised country with people who care for and respect each other, we need to adopt this model of healthcare.
It is simply not just or acceptable to leave people suffering and dying for want of money.
დღეს, საქართველოში ჯანდაცვის სისტემა ძირითადად პრივატიზებულია და მით სარგებლობა საკმაოდ ძვირი ჯდება.
მოსახლეობის იმ მცირე ნაწილს, რომელსაც სამედიცინო დაზღვევა გააჩნია, მაინც უწევს მომსახურებისთვის თანხის გადახდა, რადგან სადაზღვევო კომპანიები უარს აცხადებენ ხარჯების სრულიად დაფარვაზე. 2009 წელს ჯანდაცვაზე დახარჯული 1.8 მილიარდი ლარის 73%-ს მოსახლეობის მიერ ჯიბიდან გადახდილი თანხა წარმოადგენდა.
სადაზღვევო კომპანიები, ხშირ შემთხვევაში ასევე არიან კლინიკებისა და საავადმყოფოების მფლობელნი და მათი მთავარი მიზანია მოგების მაქსიმირება, რაც ერთი მხრივ, ექიმთა ანაზღაურების შემცირებით და მეორე მხრივ, მომსახურების ტარიფების გაზრდით ხორციელდება. ეს მიდგომა აუარესებს ჯანდაცვის ხარისხს და მრავალი ჩვენგანისთვის მიუწვდომელს ხდის მას.
ჯანდაცვით სარგებლობა არ უნდა განისაზღვრებოდეს ბაზრის უხილავი ხელით. უსამართლობაა, როდესაც ბაზარი განსაზღვრავს იმას, თუ ვინ იცოცხლებს და ვინ არა.
ჩვენ გვსურს, რომ მთავრობამ შემოიღოს ჯანდაცვის უნივერსალური სისტემა, რომელიც უფასო იქნება გამოყენების დროს, დაფინანსდება საერთო გადასახადებიდან და უზრუნველყოფილი ჯანმრთელობის ეროვნული სამსახურის მიერ (ორგანიზების ამ სქემას ტრადიციულად უნივერსალური ჯანდაცვის ბევერიჯისეულ (ბრიტანულ) მოდელს უწოდებენ).
მთავრობის მიერ შემოთავაზებული ბისმარკისეული (გერმანული) მოდელი (რომელიც გულისხმობს ჯანდაცვის სისტემის სავალდებულო დაზღვევით თანადაფინანსებას) ჩვენთვის მიუღებელია, რადგან:
პირველი, თუ გავითვალისწინებთ ქართულ გამოცდილებას დაზღვეული მომხმარებელი მაინც არაა დაცული ფინანსური რისკისგან;
მეორე, საჭირო იქნებოდა შუა რგოლის არსებობა - არა მომგებიანი სადაზღვევო კომპანიების სახით, რაც გაცილებით მეტი დაგვიჯდებოდა და გაგვირთულებდა ჯანდაცვის სისტემით სარგებლობას;
მესამე, შრომის ღირებულება დაახლოებით 15%-ით მოიმატებდა, რაც უარყოფითად აისახებოდა უმუშევრობის ისედაც მაღალ დონეზე.
2. Save our NHS
The Government is planning the biggest re-organisation of the NHS since it began in 1948.
Everyone wants to see the NHS improve but not at the expense of its founding principles - good patient care, free at the point of need, not the ability to pay.
Whilst these changes take place health services in Hastings and Rother are left in limbo; with wards closing and services, like our maternity services threatened.
The current reforms are opposed by the Royal College of GPs, the Royal College of Nurses, the Patients Association and many other groups.
But this is bigger than party politics: it is about protecting our local health service and stopping the creeping privatization of the NHS, cuts to the Conquest Hospital and loss of health services.
Kamiar and Arash Alaei, brothers bound by their dedication as doctors, made it their mission to educate Iranians about HIV and provide treatment for patients shunned by society.
They pushed for a nation-wide needle exchange program, reached out to the most marginalized, vulnerable communities, and traveled abroad to study and share their work at international health conferences. That all came to an abrupt end when in June of 2008 the brothers were arrested, and eventually convicted of “communicating with an enemy government” and “seeking to overthrow the Iranian government.”
The Alaeis were apparently targeted because of their travels abroad and speaking about their HIV work in Iran, according to Physicians for Human Rights.
Kamiar was sentenced to three years in prison, Arash to six years. Speaking for the first time publicly since his release in October of 2010, Kamiar paid tribute to his still-imprisoned brother as he accepted the 2011 Jonathan Mann Award for Global Health and Human Rights Thursday night in a ceremony hosted by NewsHour senior correspondent Ray Suarez.
“No prison walls can break the spirit of a human being with a cause,’’ Kamiar said with tears in his eyes."My brother and I are the evidence of that spirit. I believe our strength comes from each other."
He described the brothers' close bond and his profound loneliness in being away from Arash.
They were united by the drive to be “the voice of the voiceless, and the face of the faceless,” he said, and found ways to spread their message while in prison. They educated prisoners on HIV, and tried to improve general health by helping inmates quit smoking and teaching them how to avoid tuberculosis and other preventable diseases.
Speaking with the NewsHour Friday, Kamiar said he feels it is the right time to speak because the full time frame of his sentence has expired, and he wanted to thank the many international organizations that lobbied for their release.
In the early days of the Alaeis' sentence, the two were unaware that Physicians for Human Rights, and professors at Harvard’s School of Public Health, among others, had begun a campaign on their behalf.
During a short visit from their mother several months later, she hugged them and whispered in their ears, “The world supports you.”
“We were crying and very emotional,” Kamiar said. “We thought we were forgotten.”
Arash, who is half way through his prison sentence, was informed of the award through family, Kamiar said, and relayed that he was honored by the recognition.
The family is hopeful that Arash may be released early. Kamiar is currently working on his second doctorate in health policy at the State University of New York, but said it has been a struggle to remain focused with his brother's future still uncertain.
“It's difficult for me because the majority of the time I am just thinking about him, what is he doing now, is he sleeping,” Kamiar said. “But I know if I was in prison and he was out, I'd want him to continue our work.”
Collaborative drug therapy management (CDTM) enables patients to receive optimal care by means of a team-based approach. Physicians and pharmacists can work together to ensure patients are meeting therapeutic goals. Currently, CDTM is allowed in hospitals and long-term care settings.
Indiana is one of only 6 states that limits CDTM to hospital-based sites. HB1111 would expand CDTM to all physician clinics under a physician-directed protocol. This would allow pharmacists to further assist physicians in managing chronic disease states, which allows physicians more time to focus on other patients. This provides patients with increased accessed to care. There is a public need for HB1111.
According to the Indiana State Department of Health, 31% of Hoosiers had hypertension in 2009, 40% had high cholesterol in 2009, and the prevalence of diabetes increased by 12% from 2005 to 2009. Show your support and impact health care in Indiana!
I have suffered for many years with gynaecological issues, doctors had told me to go on the contraceptive pill so after a few years I developed erosion of the cervixs than endometriosis.
In the last seven years I have have had a number of operations and have opted out of the pharmaceutical industry. Medications do not heal the body but destroy it.
I wrote this because I found there is a greater way to healing through Integrated medicine, space science and diet. My own chronic health issues have lead me to a healing that is not know to the world.
YOUR MONEY, YOUR BODY , YOUR CHOICE.
In 1996, a pediatric clinical trial conducted on behalf of Pfizer tested the antibiotic Trovan allegedly without first obtaining the informed consent of participants or their parents
BRAND NAME(S): Trovan
WARNING: This medication may cause serious, even life- threatening, liver problems. Therefore, first doses must be given in a hospital setting. Use should be reserved for serious infections and only when other safer drugs cannot be used. This drug has been restricted in its use in the U.S. market due to safety problems. Notify your doctor immediately if you develop yellowing eyes or skin, dark urine, or unusual fatigue.
USES: This medication is used to treat serious and life-or-limb- threatening infection.
HOW TO USE: After proper dilution, this drug is given slowly by vein (IV) exactly as directed by your doctor, usually once daily. Antibiotics work best when the amount of medicine in your body is kept at a constant level. Do this by using the medication at the same time each day. Continue to use this medication until the full prescribed amount is finished even if symptoms disappear after a few days. Stopping the medication too early may allow bacteria to continue to grow resulting in a relapse of the infection. Use of this drug for more than 14 days is not recommended. Consult your doctor. This medication should not be given together with any solution containing multivalent cations (e.g., magnesium or calcium) in the same IV. Check visually for any particles or change in color of the solution (it should be colorless or pale yellow.
SIDE EFFECTS: Dizziness, nausea, change in taste sensation, headache or pain at the injection site may occur. If these effects persist or worsen, notify your doctor promptly. Unlikely but report promptly: vomiting, diarrhea, stomach pain, dark urine, yellowing eyes or skin. Very unlikely but report promptly: chest pain, unusually fast or slow heart beats, seizure, persistent sore throat or fever, muscle weakness or cramps, pain or swelling of tendons (e.g., tendons of the shoulder, hand and ankle), bleeding or bruising, increased sensitivity to the sun (sunburns), mental/mood changes, vision problems, increased thirst or hunger, change in the amount of urine. In the unlikely event you have an allergic reaction to this drug, seek medical attention immediately. Symptoms of an allergic reaction include: rash, itching, swelling, fainting, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.
Trovafloxacin (sold as Trovan by Pfizer and Turvel by Laboratorios Almirall) is a broad spectrum antibiotic that inhibits the uncoiling of supercoiled DNA in various bacteria by blocking the activity of DNA gyrase and topoisomerase IV. It was withdrawn from the market due to the risk of hepatotoxicity. It had better gram-positive bacterial coverage and less gram-negative coverage than the previous fluoroquinolones.
How many people had to die in a poor nation before it got to to the western world? Is this not expolitation?
The question is why are international patents given out from WIPO The World Intellectual Property Organization (WIPO) (in French: Organisation mondiale de la propriété intellectuelle or OMPI) is one of the specialized agencies of the United Nations.
This is is a violation of the Universal Declaration of Human Rights created in 1948.
VICTORIA'S Health Minister has given the green light for GPs to charge patients if they turn up late, saying it's not his role to stop them.
"It’s up to GPs whether they charge patients for being late", Health Minister Daniel Andrews said.
Copy and paste all lines of this URL to read more about it.
The Herald Sun revealed this morning, July 1, that doctors have begun charging patients a fee of up to $50 for being just 10 minutes late for appointments.
It is most unfair for people with genuine reasons for being late, to have to pay over and above their consultation fee. Those who cannot drive, like the elderly, are at the mercy of taxi or bus drivers, to get them there on time for their appointments.
There are ways for GPs to continue on with their schedules if anyone is late, so a late- fee is most unacceptable. For example,a doctor can take the next patient in line and the late comer will take his turn later.
Mr Andrews' words contain no warnings or cautions to the doctors. In fact, they sound like he approves of the idea.
If this system comes into Victoria, it will be no time before the other states follow suit.
We ask citizens, Australia wide, to sign this petition.
Or write to :
Daniel Andrews, MP
Level 22, 50 Lonsdale Street,
Melbourne Vic 3000
Ph: 9096 8561
Fax: 9096 8355
Many doctors are prescribing medications to patients without fully understanding the side effects, interactions with other medications, and fail to provide adequate information to their patients. The elderly are especially vulnerable. They feel pressured with the doctors "time limit" and end up leaving the office with multiple prescriptions they do not understand. Pharmaceutical company representatives have elite status and access when visiting a doctor.
Several of these companies hand out excessive amounts of "free samples" to doctors (and junkets) in order to persuade them to prescribe their medications. Many doctors do not take the time to research these medications or the serious side effects they may have.
The elderly are more likely to have negative side effects,reactions, and are not fully informed about these medications.
The Education System
•Increased Character Education
Children's Aid Society (Child Protective Services)
•protect children physically/mentally & emotionally
•recognize & educated on the signs of parental alienation
•children need mental health protection to be acknowledged and protected from mental & emotional abuse.
Family Court System
•enforce court orders when mental health issues are being ignored
•enforce doctors recommendations for counselling when there is a family history of mental illness
•oversee the office of the children's lawyer: to work in the best interests of the children they are representing, follow through with mental health assessments
•give a doctors diagnosis the respect it deserves, and consider the recommendations
•give the education system the respect it deserves, and consider their recommendations
•enforce court orders
An open appeal to the President of India, the Prime Minister, the Health Ministry, the Medical Council of India and all those concerned with the health of Indians.
Many Indians including our President are suddenly concerned with rural India’s health. They have already started formulating projects to flush young doctors out of cities and flood rural India with them. Medical Council of India is steps ahead by planning to open new Medical Colleges to mass-produce rural doctors. An article published in The Hindu daily, dated 5.11.09 and a Public Interest Petition filed in Delhi High Court by the author Dr. Meenakshi Gautham, triggered this outbreak http://www.hinduonnet.com/2009/11/05/stories/2009110554760800.htm
It is unfortunate to note that some self-proclaimed ‘Think Tanks’ and philanthropists having ‘Godfathers’ in the Eastern Bloc countries are very unhappy with the achievements of India during the last sixty years. Now India could produce professionals like doctors and engineers acceptable for the whole world. The ulterior motive of these Intellectual Terrorists (see last para in petition) is to reduce India to the level of the Eastern Bloc countries and they have taken the whole of India for a ride with compassion and benevolence ending in a write-up and a Public Interest Petition! Instead of being proud of our achievements this group wants to drive us back to the 15th century! All those concerned should be on guard. Before going into the mentioned article, a brief history will help normal people to have a better idea on the subject.
In 117 AD legal councillors of the Emperor Hadrian headed by Salvius Julianus, an African by birth, categorised people into four to give different punishments for the same crime — Roman Citizens with voting right to get away for murder by just admonishment, Romans without voting rights to get away by paying fine, free men (former slaves) to undergo varying terms of imprisonment and the slaves to be hanged till death.
Persian King of 5th century AD, at the height of his glory declared — ‘without army no King; without revenue no army; without taxes no revenue; without agriculture no taxes; and without a just Government no agriculture.’
Agriculture is the foundation of civilization. Mesopotamia, one of the cradles of civilization disintegrated when farmers were not cared for by the conquerors. Importance of our farmers is not realised by the wise authors or governments yet.
Elihu Yale, the British Governor of Madras amassed wealth in India, even by murdering to steal. When he was to return home with the loot, he came to know he would be arrested in UK. Therefore, he changed his destination to America.
Planning to have a College in New Haven, Connecticut, Sir Jeremiah Dummer, the colonial agent wrote to Yale who had just arrived there with a fortune from India — “… business of noble men is to spread religion and learning among mankind...” (Kelley 24).
Yale agreed to help and the trustees thanked him by renaming the college as ‘Yale College’. Overnight, the criminal became a great philanthropist in USA. Many Presidents and Senators including Bush Sr. and Jr., John Kerry, etc., are products of the famous Yale University.
Prof. Louis Agassiz of Harvard University’s Lawrence Scientific School postulated that God created different ethnic humans. Anglo-Saxon whites are the superior and Negroes the lowest. Anybody who tried even to educate Negroes are to be considered criminals.
We the People of the United Kingdom feel that the National Health Service is letting us down.
Doctors and Consultants ignore our questions and also fob us of every time we try and get an appointment. Some Patients are having to wait up to 6 weeks to be seen, others are being told to dial 999 because there is nothing more that their GPs can do.
This totally unjust.
Evidence shows that the U.S. pharmaceutical industry spends an increasing amount of money marketing products direct to physicians: at least $25 billion in 2005 (more than double that spent in 1996).
Published evidence clearly shows that marketing spending shifts doctors toward higher cost and sometimes less-safe drugs.
94% of physicians have some relationship with the pharmaceutical industry.
Consumers and taxpayers pay through the increased cost of drugs.
Disclosure of industry marketing will help reduce soaring drug expenditures, protect the public, and restore trust in the medical profession.
The Physician Payments Sunshine Act introduced by Senators Kohl and Grassley on January 22, 2009, would require all pharmaceutical and medical device companies to publicly report gifts and payments to physicians who receives more than $100/year. Payments that would be disclosed include gifts, consulting payments, speaking contracts, and travel, and would be published in a publicly accessible online database.
Statistics prove prescription drugs are 16,400% more deadly than terrorists. According to the Journal of the American Medical Association (JAMA) in 1998, a report finds that prescription drugs kill about 106,000 Americans each year – that’s three times as many as are killed by automobiles—making prescription drug death the fourth leading killer after heart disease, cancer and stroke.
Last year, the Journal of the American Medical Association puts death from all drugs, illegal and prescription, second only behind car accidents as a cause of death.
The rise in deaths coincides with the direct marketing of prescription medication to the public. Prescription drug sales have soared nearly 500 percent since 1990.
The pharmaceutical industry is a multi-trillion dollar business. Companies spend billions on advertising and promotions for prescription drugs. Pharmaceutical companies claim their drug ads are "educational" to the public. The public seems to genuinely believe that drugs advertised on TV are safe, in spite of the plethora of side effects listed. Many of these drugs have proven deadly.
Every day it’s estimated 2,500 teens abuse a prescription pain killer for the first time.
The White House Office of National Drug Control policy had been planning to unveil an ad campaign to target prescription drug abuse by teens. It is time to stop this form of advertising by the pharmaceutical companies.
It has now been established that Havering Council have approved the building of 450 new homes on the old Harold Wood Hospital site. The owner and builder of the properties will be Countryside Properties.
Following a brief consultation exercise it has also come to light that Countryside have acquired additional land and intend to apply for planning permission to build a further 424 homes on the site.
Therefore the village of Harold Wood will become home for 2000 more people, 1500 cars and many other problems.
Countryside Properties do not intend to have any new school, doctors, dentists or any other new service, except a bus route.
This will cause not only further delay in receiving medical attention but you will be sitting in your cars longer as the increase in traffic will ensure that Harold Wood becomes the new free car park for Havering Council.
I am asking that residents let the authorities know of any objections or even congratulations they may have to the plan.
I hope that the petition will gather enough objections to at least ensure that some sense will be made of any development.
Thank you for taking the time to show your feelings.
Her death hit the nerve of Greece as by storm. On 01.06.07, set as “Amalia’s Day”, the biggest internet movement that has ever taken place in Greece, starting at giatinamalia blog, with the participation of thousands of citizens all around the world, sent the message to every direction, loud and clear: “Quacks should be the exception, not the norm!”.
The bloggers that continued the public dialogue in the amaliasday blog, now carry on with the "Gia tin Ygeia / For Health" movement, which includes the giatinygeia forum and the giatinygeia google-group opening and the simultaneous gathering of signatures at this e-petition site, in which everyone can participate.
We are grateful to all those who honour their service and fight for public Health, but we protest against the disintegration phenomena in the Greek National Health System that brought us to this point.
ΓΙΑ ΤΗΝ ΥΓΕΙΑ
στη μνήμη της Αμαλίας Καλυβίνου
Η ηλεκτρονική κινητοποίηση της 1ης Ιουνίου 2007, ενάντια στην υπολειτουργία του Ε.Σ.Υ., που η αναλγησία, η αυθαιρεσία και η ασυνειδησία του, μαζί με την αδιαφορία της Πολιτείας, μας έφερε στην σημερινή συλλογή υπογραφών. Ευγνωμονούμε όσους τιμούν το λειτούργημά τους και παλεύουν για την Υγεία μας, αλλά διαμαρτυρόμαστε ενάντια στα φαινόμενα διάλυσης που μας οδήγησαν ως εδώ.
ΔΙΚΑΙΟΥΜΑΣΤΕ ΔΩΡΕΑΝ ΚΑΙ ΑΠΟΤΕΛΕΣΜΑΤΙΚΗ ΠΕΡΙΘΑΛΨΗ.
ΓΙ' ΑΥΤΟ ΖΗΤΑΜΕ:
1. Να ληφθούν άμεσα μέτρα για να σταματήσει το φακελάκι και η ανισότητα στην αντιμετώπιση των ασθενών: βελτίωση αμοιβών του ιατρικού και νοσηλευτικού προσωπικού, λειτουργικές εφημερίες, υπερωρίες, ρεπό (εναρμόνιση με κοινοτική οδηγία), και καλύτερη οργάνωση της παροχής ιατρικών υπηρεσιών τόσο για τον ασθενή όσο και για το προσωπικό.
2. Να γίνουν πιο ευέλικτοι και αποτελεσματικοί οι γραφειοκρατικοί μηχανισμοί, ώστε να πάψουμε να θρηνούμε θύματα χρονοβόρων διαδικασιών για εγκρίσεις εξετάσεων, φαρμάκων, ειδικών θεραπειών κτλ. Να καθιερωθεί μέγιστος χρόνος επεξεργασίας σχετικών αιτημάτων, αποζημίωση σε τυχόν υπέρβασή τους και ενημέρωση / εξυπηρέτηση ασθενών που λόγω πολυπλοκότητας του σημερινού συστήματος δεν λαμβάνουν ποτέ τις αποζημιώσεις που δικαιούνται. Επίσης να διαμορφωθεί ενιαίο πληροφορικό σύστημα υγείας με πλήρη δικτύωση όλων των νοσοκομείων και κέντρων υγείας.
3. Να γίνεται έγκαιρη και αδιάλλειπτη μεταφορά ασθενών στα νοσοκομεία, να στελεχωθούν οι ανεκμετάλλευτες νοσοκομειακές μονάδες, να ενισχυθεί το προσωπικό όπου χρειάζεται, να εξοπλιστούν επαρκώς τα νοσοκομεία / κέντρα υγείας με σύγχρονα μηχανήματα, ν'αυξηθεί ο αριθμός των κλινών -δεδομένης της αυξανόμενης ζήτησης- ακόμη κι αν αυτό απαιτεί χτίσιμο νέων μονάδων, και να προχωρήσει η αποκέντρωση της παροχής περίθαλψης.
4. Ν'αυξηθούν τα κονδύλια για την ιατρική έρευνα πανεπιστημιακών νοσοκομείων / ερευνητικών κέντρων, και να δημιουργηθεί φορέας διαχείρησης τομέων έρευνας, ώστε να μην επικεντρώνεται σε προσοδοφόρους (λόγω φαρμακοβιομηχανιών) τομείς, παρά να καλύπτει ευρύ φάσμα αναγκών.
5. Να θεσμοθετηθεί η δια βίου επιμόρφωση του ιατροτεχνολογικού προσωπικού, να καθιερωθούν μηχανισμοί ελέγχου ποιότητας, διαπίστευσης, αξιολόγησης κι επιθεώρησης των παρεχομένων υπηρεσιών, με σκοπό τη βελτίωσή τους. Επίσης να καθιερωθούν ευέλικτοι κι αποτελεσματικοί μηχανισμοί και όργανα για την προστασία των δικαιωμάτων του ασθενούς και την προώθηση προληπτικών μέτρων.
6. Να επιβληθεί αυστηρότερος έλεγχος και μείωση της σπατάλης στην αγορά του φαρμάκου και των προμηθειών υγειονομικού υλικού (εργαλεία, μηχανήματα, αναλώσιμα κτλ), με καλύτερη μηχανοργάνωση, ελέγχους επάρκειας, διαφάνεια και τιμές αναφοράς (ανάλογο της λίστας τιμών των φαρμάκων).
7. Να καθιερωθεί το ενιαίο ιατρικό ιστορικό για κάθε ασθενή, στο οποίο να έχουν πρόσβαση οι ασθενείς και οι θεράποντες ιατροί και αυστηρότατες ποινές για την άρση του ιατρικού απόρρητου για έτερους σκοπούς (ιδιωτικές ασφαλιστικές καλύψεις, όροι εργοδοσίας κτλ).
8. Να ληφθούν άμεσα μέτρα για την εξυγείανση του ασφαλιστικού ζητήματος (ήδη αυξάνονται ολοένα οι εισφορές από τους ασφαλιζόμενους χωρίς την αντίστοιχη βελτίωση στην παροχή ιατρικής περίθαλψης), και να σταματήσει η προλείανση του εδάφους για την εμπορευματοποίηση της δημόσιας Υγείας και την άνευ όρων παράδοσή της στον ιδιωτικό τομέα.
ΩΣ ΕΔΩ ΜΕ ΤΑ ΦΑΚΕΛΛΑΚΙΑ!
ΩΣ ΕΔΩ ΜΕ ΤΗΝ ΓΡΑΦΕΙΟΚΡΑΤΙΑ!
ΩΣ ΕΔΩ ΜΕ ΤΗΝ ΥΠΟΚΡΙΣΙΑ!
«Ο ασθενής έχει το δικαίωμα του σεβασμού του προσώπου του και της ανθρώπινης αξιοπρέπειάς του.» (άρθρο 47 του Ν. 2071/ 1992)
Παρακαλούμε υπογράψτε με ονοματεπώνυμο, e-mail και χώρα. Ευχαριστούμε για την συμμετοχή και την υποστήριξή σας.
Για περισσότερες λεπτομέρειες, παρακαλούμε επισκεφτείτε τα amaliasday blog, giatinygeia forum και giatinygeia google-group.
Doctors education in india is at cross roads as there is conflict between MCI the supreme constitutionally appointed doctors body expected to give direction to education of physicians and the health minister and ministry controlled DNB Board.
Most doctors would support the more professionally managed and democratic MCI comparede to one man show of health ministry puppet DNB board.What do other doctors think?
Medical Council of India (MCI) has recommended "large-scale" punishment of erring medical teachers across the country and asked for their names be removed from the Indian Medical Register maintained by it.
In a list submitted by the MCI 65-medical teachers were blacklisted for being found to be employed in more than one medical college at the same time. While a large number of medical teachers are from the Andhra Medical Council, the list has teachers from Tamil Nadu Medical Council, Hyderabad State Medical Council, Orissa Medical Council, Maharashtra Medical Council, Karnataka Medical Council and Tranvancore Medical Council.
And while this is the largest number of medical teachers to be ever `blacklisted'. Meanwhile, for the listed medical teachers, their names will be erased temporarily up to July 31, 2007, and they will not be eligible to be counted as a teacher at the inspections to be carried out by MCI, a large number of doctors and PhD nonmedical teachers employed abroad, claim employment as medical teachers in more than one medical college at the same time. Names of the doctors shown as medical teachers in a particular medical college are getting repeated in the inspection reports of new medical colleges. Ultimately it is the innocent students who get admissions into such medical colleges where the minimum required number of medical teachers are shown in such a dubious manner that they suffer.
Patients who may be treated by such half-baked students who would not get their exposure and training with the `small' number of medical teachers available to them.
To curb such unscrupulous tendencies, MCI claims to be taking stringent action including introduction of the `declaration forms' to be signed by doctors, claiming employment as medical teachers in any given medical colleges and that they also remain present with their declaration forms at the time of the conduct of the inspection of that college.
Also, provision for endorsement by the dean/principal of the medical college should be introduced in the declaration form .
June 19, 2006
To save ourselves, we need to Save The FDA!
The FDA is beholden to Big Pharma rather than the other way around. This is evident since the FDA:
1) lets Big Pharma get away with keeping its defective products on the market - even though they may cause you to die!
2) prevents you from buying Canadian and other low cost medicines -
thereby trying to help eliminate Big Pharma's competition... at great cost to you!
3) lets Big Pharma get away with rewarding your doctor for prescribing you less safe and more expensive medications... that you may not even need.
4) is trying to ban and discredit natural herbs and supplements -
to help Big Pharma eliminate its competition... at great cost to you!
5) continues to permit manufacturers of sunscreen and sunblock lotions to sell their fraudulently labeled and misrepresented as effective, products.
We, the undersigned, petition the Department of Health and Human Services to promptly create an office that oversees the FDA ensuring that the FDA promptly:
1) becomes the people's fiduciary and puts the interests of the American people before the interests of industry and profits, ensuring truth and ***proactively*** prevents collusion and fraud by weeding out those individuals on payroll or otherwise, who put their personal agenda before the agenda of the FDA.
2) creates an independent office that reviews the safety of drugs already on the market, separate from the office that puts drugs on the market in the first place.
3) seeks to help lower the cost of medicines and health care for the American people and helps encourage innovation by helping promote competition for the pharmaceutical and health care industries through the importation of safe medicines and other health care products and services from other countries.
4) mandates that doctors be required to disclose to their patients the costs and risks of all medicine choices - including generic alternatives.
5) mandates that Big Pharma does not use doctors (and others who prescribe medicine) as salesmen; That if Big Pharma provides trips, freebies and other perks to those who practice medicine, it must do so without preference to those who bring in the most business.
6) helps to ensure the safety of natural herbs, remedies and products that compete with Big Pharma's products - not to ban them or discredit
their value without actual independent proof - studies not sponsored by Big Pharma.
7) quits its vendetta against the herb, ephedra and doesn't attack other herbs without merit. Unless a natural substance is more dangerous than its synthetic form, it's disingenuous to prohibit the sale of the natural substance if the synthetic form can be sold without a prescription.
8) promptly addresses the legitimacy of sunscreen and sunblock products and prohibits fraudulent labeling and misrepresentation of efficacy in blocking harmful ultraviolet radiation.
Update: June 6, 2006
The online petition helped our protest movement a lot and attracted lots of attention. More than 5000 people signed the petition and it was submitted to the Department of Health. We are still awaiting the final result of our protest movement.
March 19, 2006
This petition has been started by Overseas Doctors Working in UK to appeal against the new unjust rules imposed on them by the United Kingdom authorities.
This online petition will be submitted to the Secretary of State for Health by April 15th, 2006 and complements the peaceful protest march scheduled to be held by overseas doctors in London as well as the paper petition being collected by various overseas doctors associations.
Ever since the inception of the National Health Service in UK, Overseas Doctors/ International Medical Graduates (IMGS) have contributed to it by their hard work and dedication. They filled a hard felt need for skilled doctors to provide the British public with quality health care. They came here as they were promised quality training and Equal Opportunities in job selection.
Now, the UK government has introduced new regulations effective from July 2006, which has effectively curtailed all training arrangements for overseas doctors in one go. Instead of Permit Free training, they will be required to have work permit for any post they apply.
Also, employers will have the right to preferentially employ UK/EU graduates in favour of non-EU doctors, irrespective of skills or qualification and irrespective of visa status. This effectively ends the Equal Opportunities policy and favours discrimination.
This policy was announced without any consultation or grace period and has left thousands of IMGs high and dry. While some form of manpower planning was definitely required in view of the job crisis facing junior doctors, the precipitate manner in which this has been done is highly objectionable. The implications are far reaching. These include:
·New doctors who have invested time and money to come to UK, believing the promise of Equal Opportunities find that their career is ruined.
·For those already here, they will have to stop their training here halfway and go out of UK or try for non-training posts, with no career progression.
·Those who are finishing their training will find that all their training and qualifications do not matter in job selection and they will never use their hard earned skills at Consultant level.
This petition is addressed to Rt Hon Patricia Hewitt MP, Secretary of State for Health requesting her to give this matter her urgent attention.
We request Ms. Hewitt to make an urgent solution to the immense disruption to career, personal and family life which overseas doctors are facing as a result of these new rules. Many of these doctors have been working hard in the NHS and serving the British public for several years.
This petition appeals to the good sense of the authorities to :
·Repeal these unjust rules.
·Reintroduce the Equal Opportunities Policy in medical job selection and end discrimination based on country of origin.
·Start a process of consultation for finalising a consensus.
Fellow ballas -
You may not be aware of it, but busybodies from the AMA, certain manufacturers who find their market share threatened by the latest advances, and tournament league representatives (traditionally phobic of change) have banded together to manipulate the ASTM to reject full-auto and multi-mode paintball markers from the governing safety specification, thereby effectively banning them. Very shortly you will not be able to purchase or even use fully-automatic and multi-mode markers unless they are stopped.
Supposedly this is for safety, but we all know this flies in the face of well known statistics. Take a gander at the attached forwarded article.
Some people prefer semi-only play. Fine (some people prefer pumps). But some of us like the advanced new markers. Regardless of your preference, do you really want these guys deciding for you what equipment you should and should not be allowed to use without any basis in fact?
Signing this petition to re-instate full-auto and multi-mode markers to the standard is a good start to telling these meddlers to go home, but please consider contacting the ASTM board directly to voice your disapproval of this lame action. Here's the link:
"To those who want to save the world from fully-automatic paintball guns:
There's a bridge crossing the San Francisco Bay. You may have heard of it. 1013 people have intentionally leapt to their deaths from this bridge since its opening 66 years ago. Proposed solution - build insurmountable barriers along both sides of the bridge. Hey, its only 4,200 feet long. Oh wait, there's just one small problem. It's stupid. Not to worry, though - history teaches us that someone in government (probably well connected in the construction business) won't be stopped by a detail like that. By the way, there really are advocates who expect to deface the Golden Gate Bridge with multi-million dollar suicide barriers. I'm serious. There are.
And, unbeknownst to most of the playing population, yes, some time ago members of the AMA sent a letter (and more recently sat on subcommittee F08.24, the ASTM group in charge of paintball related standards) which prompted the ASTM to reject fully-automatic and multi-mode (F/A & MM) markers in the latest revision of standard F2272 03 "Standard Specification for Paintball Markers (Limited Modes)". But has anyone any actual data that even suggests that (F/A & MM) markers are any less safe than semi's? The answer is no, we are simply supposed to bow to their medical authority but, what exactly in a medical degree constitutes any expertise at all on the safety of any aspect of paintball, anyway? Apparently AMA ophthalmologists have discovered that a paintball has an excellent chance of doing serious damage if it should strike a naked eye. Think so? Lucky we have these guys on the job. Anyway, since no one in the AMA can be troubled to do any homework before meddling in ASTM standards, just for the record here are some statistics this author was able to find in a couple hours of net surfing:
Only about 4% of all blindings in the United States are the result of injury of any kind, the large remainder primarily resulting from disease. About 2.4 million eye injuries do occur each year, and according to the U.S. Eye Injury Registry, almost half (43%) of these occur within the home, with another third at work, while only 4% of all injuries are sports related (about 100,000 per year). Regarding injuries specific to paintball, in a web-based summary of a recently completed comprehensive sports participation study, SGMA INTERNATIONAL (www.sgma.com) reports:
'While membership in the Extreme Sports category implies a whiff of danger, only paintball is handicapped by a huge injury taboo, one that exists in the public mind, but not in the statistics. The industry has long maintained that the rare (but highly publicized) eye injury almost always occurs in an unsupervised, unprotected, often illegal setting; and that paintball is a very safe activity, a claim substantiated by the current research, as the sport reflected only 0.2 injuries per 1,000 exposures, the lowest injury rate of any Extreme Sport. Put another way, the average player will suffer a paintball injury about once every 500 years.'
The above statistic encompasses all types of paintball injuries, most of which are sprains, broken bones, etc. The Consumer Products Safety Commission estimates that 2000 paintball-related eye injuries were treated in emergency rooms from 1997 through 1999. Normalizing by the playing population at that time, one may estimate that annually just a little over 1 in 10,000 players received an eye injury. Of course, this begs the question "How severe is the average paintball-related eye injury?" Naturally, this varies, and it is difficult to find data published in a form allowing a reasonable statistical estimate. (Most medical studies hand pick the cases evaluated, so they do not represent a random sample.) This author was able to find one survey, however, of the eleven cases presented to the University of Iowa Hospital between 1994 and 1999 which provides a small but unbiased sampling that provides a rough basis of estimate. Nine of these cases recovered 20/30 or better vision, while only two recovered 20/200 or less. (Incidentally, 20/200 is about 2.2 diopters - many people with vision in this range wear glasses only for driving.) This statistic should not be interpreted to downplay the potential severity of damage inflicted by a paintball striking the eye, but rather probably is more sensibly interpreted as an indication that medical technology is up to the task. This is a limited statistical sample, but suggests that only about 20% of all paintball eye injuries serious enough to seek medical attention result in significant permanent visual impairment and one may combine these statistics to estimate the chances of significant permanent visual impairment to a paintball player are on the order of 1 in 50,000 per year. To put this into perspective, the average paintball player is 50% more likely to be killed by a drunk driver and three times more likely to be the victim of murder in a given year than have significantly impaired vision resulting from a paintball accident in the U.S.
Now, the demagogues of the world have made a great issue lately of the idea of a potential "double blindness", but let's again take a quick look at some facts (always a good idea before giving advice, n'est pas?) We're talking about something that this author was unable to find any evidence to have actually ever occurred. Not that it's impossible, but the fact that it apparently hasn't actually happened does allow a probability estimate. Let's see - the typical argument goes that since marker firing rates are increasing, the chances of a double blindness must also be increasing. Fine, since F/A & MM markers have only been around for a few years, we'll just consider recent history, and estimate roughly 2700 injuries in the last three years (by scaling the 1997-99 per capita injury rate by the increase in the playing population). Given no reported double eye injuries, this allows us to statistically estimate with 99.99% confidence that in a single paintball-related ocular trauma incident, the odds of both eyes receiving injury are less than 0.34%. Putting it all together, the average paintball player will happen upon an accident rendering significant permanent vision impairment to both eyes once every 86 million years. (He or she is 2500 times more likely to be killed by a drunk driver than to receive a significant double eye injury.)
Still not satisfied with those odds? Keep your mask on. Whereas about 10% of all eye injuries are not preventable with reasonable protective equipment, 100% of all paintball-related eye injuries are. Not one eye has ever been injured while protected by an ASTM certified paintball mask. Not from any kind of marker. Never. Even when masks have cracked in service due to manufacturing defects (resulting in product recalls by manufacturers who have been outstandingly proactive with respect to safety), none has ever failed to protect the wearer.
Get the point? Maybe the term "double blindness" would better be used to refer to the blind leading the blind (something that seems to happen much more often than paintball accidents). Of course, those involved are only a tiny group of kneejerk meddlers within the AMA, but I am embarrassed for them. And exactly who are the AMA? Of course, they claim to be the voice of doctors in the United States, but a very official sounding acronym doesn't make that true. One doctor I interviewed described a self-appointed organization of M.D.'s turned politician, champions of the HMO, who solicit high dues paying membership by furthering the financial interests of doctors over the needs of their patients. Apparently most doctors agree, as 7 out of 10, to their credit, abstain from membership. So, if most doctors reject the AMA, why is the ASTM so easily influenced by their propaganda in the face of so many readily available facts and reports by both medical and sports organizations?
Moving along, let's list the common fallacies (starting with and re-iterating safety for completeness) which comprise the ongoing "debate" on F/A & MM markers:
Fallacy #1. Fully automatic and multi-mode markers are less safe than semi's.
Nonsense. As illustrated above the data illustrates quite the contrary. People (and the ASTM, insurance companies, etc.) are making rules for all of us, shouldn't there be a little more behind it than ego posturing, superstition, and paranoia.
Fallacy #2. F/A & MM markers will lead to more overshooting.
F/A& MM markers are typically design limited to shoot at lower rates of fire than the average person can achieve with an electro-triggered semi. What does it matter if the marker is full-auto or semi? If it's capable of 15 shots/second, who cares if the operator's finger is twitching or not? Max rate of fire rules may be a good idea, but fully-automatic and multi-mode markers make it easier, not harder to regulate firing rate and I quote a very insightful review of an electro by one contributor to pbreview.com identifying himself as "DrEvil" (hope that's a pseudonym): "As far as the different firing modes go, if you can shoot fast, you might as well leave the gun on semi-auto since the full-auto mode is only 8-12 bps."
Fallacy #3.F/A & MM markers will take over the game.
Again, F/A & MM markers shoot no faster than good semis, and anyway, are pumps forced to play against semi's in tournaments? Shouldn't it be obvious that different hardware can be isolated to different forums (for instance, stock markers have their own competition class)? I haven't heard anyone suggest that players who want to play semi-only should be obligated to take on full-auto and multi-mode employing opponents. But just because some people don't want to play with the more advanced technology, isn't it a little mean spirited that they should try to dictate that no one gets to?
Fallacy #4. F/A & MM markers encourage "spray and pray" tactics.
Again, F/A & MM markers shoot no faster than good semis (anyone picking up a theme). The only way in which full-auto and multi-modes encourage spraying is that holding down the trigger does deliver kind of a thrill whereas having to work a trigger as fast as you can is a little annoying. But, since when is a little fun bad? Some people say that spray and pray is what we have now; others disagree. Rulemakers of tournaments and paintball fields should sit down and really think about what they are trying to say, and then say that. If we don't want guys doing the spray and pray thing (which most people don't, including people who like the newer technologies), the most direct approach is ammo limits per game (and, of course, there are tournament categories now with 200 rnd limits), and that takes care of it. But there's nothing wrong with those who want to carry 1000+ rnds onto the field, it's just a different game. Play the game you want; let others play the game they want.
Fallacy #5. F/A & MM markers should be eliminated because they are illegal in some other countries.
Most sports (and even games such as Scrabble) have had to adopt different rules for national vs. international events. Foreign players can still come here and compete in semi-auto events, and vice versa. Also, keep in mind that despite all efforts to the contrary, the United States is unique in all the world in that its government is based on freedom. Do you really want to accept rules from every guy in the world who gets to wear a funny hat?
Fallacy #6. FF/A & MM markers take skill out of the game.
First off, the core skills of the game are teamwork, strategy, and accuracy. Sure it takes skill to pull a trigger fast, but making that an axis of competition seems kind of silly and arbitrary to this author. At paintball's inception, rate of fire was a non-issue, because the markers were all single shot per load. Then someone invented a bolt action, then a pump, then semi-auto. All of these advancements proceeded under the understanding that a higher rate of fire improved one's capability compared to the next guy. And every time these new technologies were introduced, people complained that something was lost from the game (and every time they tried to make them illegal). But nothing was ever lost. People can still play the pump game; they can still play the semi game; and letting people play the full-auto game won't change that. Would we all want to be running around with those old Nelsplats that you practically had to disassemble to re-load? There are people who think yes, and there's nothing stopping them. The advent of full-auto and multi-mode markers can actually decrease our fixation on rate of fire, since they can simply be set to a regulation max rate of fire (be that 8 or 15 balls per second). Anyone can pick one of these up and get exactly the same performance. As long as everyone has access to comparable equipment (and that's true now more than ever because inexpensive sear trippers give you nearly the performance of a Timmy at very low cost), the only remaining factors are teamwork, strategy, and accuracy.
But this is just stating the obvious. In short, wouldn't we be better off focusing on keeping the sport safe with the new advancements (which are fun, at least for many), rather than once again trying to artificially stem the tide of progress? There is a crusade against personal responsibility in our country, and all this is just one more brick in the wall.
The bridge? Think. Those who choose the bridge do so for style and/or statement. If people so inclined can't get to the side of the bridge, they'll just find a tall building (maybe we should make those illegal?). This author suggests a diving board near the center. That way, to do it right, people will feel they have to use the board, and will end up having to think things over for at least the 20 minutes it takes to walk out to it. In such a preoccupied state, they may even walk out on the wrong side, and have to go all the way back around. With any luck, 20-40 extra minutes of reflection will change their mind.
Please feel welcome to reproduce and distribute this article freely,
This petition is about the wage doctors and nurses get. I feel that they do not get paid a fair amount. For example footballers and athletes get millions of pounds each month for kicking a ball or running somewhere! This is not fair as doctors save people's lives each day and discover new illnesses and cures. They are given little credit!
From teachers striking and now the doctors complaining, I just can't stand how these people don't do there job. They should try and get what they want withough harming the community.
This is a petition aimed toward those women who know for a fact that child bearing is not an option for them for medical reasons, and whose bodies are being subjected to pain because the government and doctors do not want to allow women to make the choice of having their reproductive organs removed.