Madokotala, anamwino ndi akatswiri ena azaumoyo aku Madrid akhala akuyenda m'misewu ndi odwala awo kwa mwezi umodzi, akutsutsa dongosolo la boma lofuna kubisa komanso kuchepetsa kwambiri ntchito zachipatala.
National Health System (SNS) yaku Spain, yomwe idakhazikitsidwa mu 1986, ikukwaniritsa zomwe zidaphatikizidwa mulamulo ladziko la Spain. Ndime 43 imatsimikizira chisamaliro chaumoyo kwa anthu onse aku Spain, kuphatikiza ufulu wopeza chithandizo chokwanira chaboma.
Kuwukira kwa SNS kumatsogozedwa ndi boma ku Madrid. (Ulamuliro wa SNS ndi decentralized; aliyense wa 17 Spain theka-odziyimira pawokha zigawo amaika thanzi bajeti ndi zofunika kwambiri.) Kumayambiriro kwa November Madrid anasamukira privatized khumi peresenti ya zipatala boma komanso utsogoleri wa zipatala zisanu ndi chimodzi - theka la zipatala m'chigawochi. Mwa zipatala zomwe ziyenera kukhazikitsidwa, zonse zidamangidwa posachedwa.
Yankho: kusonkhanitsa kwakukulu komwe sikunachitikepo komanso kwakukulu kwa anthu ku Madrid, komwe kukupanga nkhani padziko lonse lapansi. Othandizira ndi odwala pamodzi achita nawo ziwonetsero pachipatala chilichonse cha anthu onse komanso chipatala ku Madrid. Maulendo achitika ndi mazana masauzande. Owasamalira anyanyala ntchito komanso kuyimitsa magalimoto kunja kwa malo awo antchito.
Bungwe la Partido Popular, lomwe lili ndi mphamvu m'dziko lonse komanso ku Madrid, likufunanso kusintha Chipatala cha La Princesa, malo ophunzirira maphunziro apamwamba omwe amathandiza odwala pafupifupi 300,000 pachaka, kukhala malo osamalira odwala omwe ali ndi zaka zoposa 75.
okhala ku La Princesa Hospital, pempho lachiwonetsero lidasainidwa ndi anthu opitilira 200,000. Meya waku Madrid, yemwenso ndi membala wa Partido Popular, adasaina. Boma lasiya mapulani ake pachipatala cha La Princesa komabe kulimbana kukupitilira.
Sabata yatha gulu la odwala, anamwino ndi madotolo adasokoneza zolankhula pamsonkhano wachigawo wa Madrid, pomwe mlangizi wazachuma waboma anali kufotokozera mapulani opangira chipatala. Mu kanema wamfupi uyu, Dr. Marciano Sanchez Bayle akuimba
zachipatala pafupi ndi mayi yemwe akutulutsa chikwangwani, woyamba kutsogozedwa ndi apolisi. Zindikirani mamembala a Msonkhano omwe adayimilira kuti awombe m'manja ochita ziwonetsero.
http://www.telecinco.es/informativos/sociedad/Protestas
-recortes_en_Sanidad-Sanidad-
Asamblea_de_Madrid_2_1519905142.html
Pano pali zokambirana zazifupi zomwe ndinachita ndi Dr. Sanchez Bayle wa Federation of Associations for the Defense of Public Health (FADSP) sabata ino. Iye amachita ndi
amaphunzitsa ana ku Madrid. ==========
Funso: Ambiri aife ku United States timalephera kulingalira za chithandizo chamankhwala choperekedwa ndi boma. Kodi mungafotokoze momwe odwala ku Madrid amapezera chithandizo chamankhwala?
Yankho: Ku Spain machitidwe azaumoyo ali pagulu ndipo kufalitsa kumachitika paliponse. Izi zikutanthauza kuti ngati munthu akuganiza kuti ali ndi vuto la thanzi amapita kuchipatala chake. Kumeneko amatsatiridwa ndi dokotala ndi/kapena namwino amene adzapanga chisankho choyenera ngati atero
fufuzani ndi kuchiza, funsani zoyezetsa matenda, kutumiza wodwalayo kwa katswiri kapena kumulowetsa kuchipatala.
Zoonadi, ngati vuto liri lalikulu kapena likuchitika kunja kwa maola ochiritsira, odwala akhoza kupita kuchipatala chadzidzidzi. Zipatala nazonso zimakhala za anthu ambiri. Pakadali pano ntchito zonsezi ndi zaulere, kuphatikiza zoyesa. Wodwala amayenera kulipira gawo la mtengo wamankhwala awo, komabe. Pa munthu aliyense, dongosolo la Chisipanishi ndilotsika mtengo kuwirikiza kanayi kuposa ku US Komabe timapeza zotsatira zabwino kwambiri, malinga ndi zizindikiro zoyambirira za thanzi.
Q: Boma lakonza bwanji kusintha izi ku Madrid?
A: Lingaliro ku Madrid ndikukhazikitsa zipatala zina ndi zipatala zachinsinsi, kuwapereka ku mabizinesi azinsinsi.
Q: Izi zikhudza bwanji odwala?
Yankho: Padzakhala kutsika kwachangu komanso kwakukulu kwa ogwira ntchito, zomwe zidzadzetse mwayi wopeza chisamaliro. Zidzasokoneza ubwino wa chisamaliro. Idzatalikitsa mindandanda yodikirira.
Kuphatikiza apo, kusinthaku kumabweretsa zomwe timatcha kusankha kwachiwopsezo, pomwe mabungwe azinsinsi adzafunafuna njira zopindulitsa kwambiri, mwachitsanzo, anthu omwe sadwala kwambiri. Zotsatira zake, anthu adzakumana ndi zopinga zambiri kuti apeze chithandizo chomwe akufunikira, potsatira lamulo la Tudor Hart la chisamaliro chosiyana - chithandizo chamankhwala chidzaperekedwa mosiyana ndi zosowa za anthu.
Izi zidzakhala zotsatira za nthawi yochepa, chifukwa zikuwonekeratu kuti Partido Popular, chipani chodziletsa, chiyembekeza kukhazikitsa chitsanzo cha chisamaliro chaumoyo pogwiritsa ntchito inshuwalansi yapadera. Zotsatira zoopsa za chitsanzo chonga ngati United States, zimadziwika bwino.
Q: Zikutanthauza chiyani kwa madokotala ndi anamwino?
Yankho: Choyamba, padzakhala olembedwa ochepa, ochotsedwa ntchito ndi malo ochepa oti ayesetse. Kwa otsalawo, izi zipangitsa kuti azigwira ntchito mopambanitsa komanso kuipiraipira kwa ntchito zamaluso.
Q: Chonde fotokozani zionetsero zomwe zachitika poyankha.
Yankho: Zingatenge nthawi yayitali kuti muyankhe funso lanu chifukwa pachitika zinthu zambirimbiri. Mwachidule, yatulutsa sitalaka ndi ogwira ntchito m'malo - madotolo, anamwino, oyang'anira, othandizira, ndi ena - omwe adakonzedwa molingana ndi
mwachitsanzo, masiku enieni a sabata. Kukhala-ins kwa ogwira ntchito yazaumoyo, nthawi zina kuphatikizidwa ndi odwala, kwachitikanso. Izi zinayambira poyamba m'zipatala, kenaka m'malo opereka chithandizo chamankhwala. Zionetserozi zakhala zikuchitika kwa masiku 30.
Kuphatikiza apo, ziwonetsero zazikulu zachitika ku Madrid, ena okhala ndi anthu opitilira 100,000, akatswiri ndi odwala. Tsiku lililonse pamakhala ziwonetsero zotsekereza magalimoto kutsogolo kwa zipatala. Sabata yatha kuchitapo kanthu kunachitika pansi pa mawu akuti "Hug your Hospital," momwe maunyolo a anthu adazungulira zipatala zonse zaboma ku Madrid.
Chochititsa chidwi kwambiri ndi momwe anthu amathandizira. Anthu amadzipereka kwambiri pachitetezo chaumoyo wa anthu. Zoonadi, ife a ku Spain tikupitirizabe kukhala ndi mzimu wauchigawenga ndi wankhanza mwa ife, titero kunena kwake, ndipo zinthu zambiri zakhala zikuphuka ngati bowa.
Q: Kodi chipatala cha La Princesa chili ndi tanthauzo lanji pakulimbana kumeneku?
Chipatala cha La Princesa chili pakatikati pa Madrid. Ili ndi mabedi 600 ndi mlingo wapamwamba wa
ukatswiri. Ndilo malo otumizira anthu ambiri am'mphepete mwa Madrid ndi kupitirira apo.
Kuyesera kutembenuza La Princesa kukhala malo opangira ma geriatrics kunali komweko komwe kunayatsa kayendetsedwe kake: mabungwe apakatikati adayamba kukhala komwe kukupitilirabe. Kukhazikikaku kwalimbikitsa anthu opitilira 90 peresenti ya ogwira ntchito pamalopo. Nzika za m'dera limene limatumikira zili nazo
nawonso adagwirizana nawo. Khonsolo yoyendetsera chipatalachi idakambirana ndi madotolo ena, omwe ndi akuluakulu a nthambi, ndipo mbali ziwirizi zidagwirizana zomwe sizikuwoneka zoyipa. Komabe kulimbana kochotsa njira zonse zomwe zimakhudza chisamaliro chaumoyo ku Madrid, kuphatikiza nkhaniyi, kukupitilira.
Takhala tikumva za zionetsero zambiri zotsutsana ndi nkhanza ku Europe, ku Spain, ku Madrid. Ndi zifukwa zotani zomwe boma limagwiritsa ntchito kuti likhazikitse dongosolo la boma?
Boma likuti ndivuto ndipo palibe ndalama, koma ndi bodza. Apereka ndalama zokwana mayuro 215,695 miliyoni kuti athandize mabanki, ndipo ndi njirazi akuti apulumutsa ma euro 7,000 miliyoni pazaumoyo. Zomwe akufuna kuchita ndikugwiritsa ntchito chowiringula chavutoli kuti akhazikitse chisamaliro chaumoyo, kuziyika m'manja mwachinsinsi kuti apange chisankho.
phindu pa thanzi la anthu.
Q: Mukuwona bwanji pakufunika kochepetsetsa kumeneku?
Yankho: Ndanena kale kuti akufuna kulanda ufulu wa anthu mokomera mabanki ndi mabizinesi apadera.
Q: Chifukwa chiyani mudasokoneza Msonkhano wa Madrid? Ndani anali ndi inu?
A: Zomwe tidachita ndikuyesera kuwonetsa mkati mwa akatswiri a Assembly 'ndi nzika zakukana kukana mchitidwe wankhanzawu motsutsana ndi chithandizo chamankhwala. Oyimirira osankhidwa asakhale ndi makutu ogontha ku ganizo la anthu ambiri. Kumbukirani kuti Partido Popular, yomwe tsopano ili m'boma, sinaphatikizepo izi mu pulogalamu yake yazisankho. Iwo adapeza mavoti awo mwachinyengo ndipo tsopano akuukira dongosolo lathu lachipatala.
Funso: Ndi chiyani chinanso chomwe mungafune kugawana ndi anthu aku North America za nkhondoyi? Nanga tingatani kuti tithandize?
Yankho: Ufulu wolandira chithandizo chamankhwala ndi ufulu wa anthu ndipo uyenera kutetezedwa motero. Zomwe zikuchitika ku Spain masiku ano zingawoneke ngati zakutali kwa anthu a ku United States, koma dziko lonse lapansi ndi logwirizana komanso logwirizana. Kupita patsogolo kulikonse kapena kubwerera komwe kumachitika kudera lina ladziko lapansi kumakhala ndi zotsatirapo kwa ife tonse. Thandizo likhoza kubwera pofalitsa mawu omenyera nkhondoyo kuti vutoli lidziwike, komanso kuwonetsa mgwirizano kudzera mu ziwonetsero pamaso pa akazembe a ku Spain ndikutumiza makalata otsutsa osainidwa kwa mabungwe ndi anthu aku boma la Madrid.
Mgwirizano ndi wofunika kwambiri, osati kwa iwo okha omwe amalandira, komanso kwa iwo omwe amachichita, chifukwa zimatipanga ife anthu abwino ndikupindula ndi zowawa zathu, zolimbana ndi konkire.
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Dr. Marciano Sanchez Bayle, wolankhulira ku Spain's Federation of Associations in Defense of Public Health, ndi pulezidenti wa International Association of Health Policy. Amapanga ndi kuphunzitsa ana ku Madrid. http://www.fadsp.org/
Dr. Andrew Coates adzakhala pulezidenti wa Physicians for National Health Program mu 2013. Iye amachita ndi kuphunzitsa mankhwala amkati kumpoto kwa New York. http://www.pnhp.org/]
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