Fungidzira hurema hunenge huchipera kana wabhururuka uchibuda muGlobal South. Ndine haemophilia yakakomba, chirwere chinotapurira muviri kugwamba mushure mekubuda ropa. Kana ikasiiwa isina kurapwa, chero chinhu - kunyangwe ronda kana kungogara pasi - chinogona kukonzera kubuda ropa, mukati kana kunze. Anti-kuvhara majekiseni anogona kumisa izvi.
Nekudaro, kunze kwekuMadokero kwepamberi, majekiseni aya anotengeswa nemitengo yakakwira zvakanyanya. Pandaiva mwana muIndia, vabereki vangu vaisakwanisa kubhadhara kurapwa kwakadaro, saka vaiviga majoini angu aibuda ropa pasi pemirwi yeaizi kuti aitonhorere. Kunenge kubuda ropa kwose kwandakasangana nako kuIndia kwakasiyiwa kusina kurapwa, zvichiguma nokukuvadzwa zvachose kumajoini angu uye nhengo dzomukati. KuUK, veNHS kumba-vanondiunzira majekiseni aya kaviri pamwedzi.
Urwu rusaruraganda rwepasi rose rwezvekurapa rwakagadzirwa uye rwunopfuuridzirwa nemishonga yemishonga. Mitengo yekurapa inoteedzera chinangwa chitsvene: kuita purofiti. Mitemo yekutengeserana inobvumira makambani kuchengetedza akawanda ekubika kwavo zvakavanzika, kuitira kuti pasave nemumwe munhu anogona kutengesa mishonga yakafanana nemutengo wakachipa. Ipapo pfungwa imwe cheteyo yemari inotyisidzira hurumende mukubvisa mambure erubatsiro - zvichisiya mhuri zvachose pamusika.
Haisi kurova vashandi vehutano vakabata NHS nepfuti, ndiko kumanikidza kwekambani kudzvanya uye kubvisa.
Apo shamwari yangu ichangobva kunditumira nhau pamusoro pechinonzi "chishamiso" kurapwa kutsva kwehemophilia, ndakanga ndisina tariro. Kupindira kutsva kunotsiva kukosha kwekuzvibaya jekiseni zuva rega rega, izvo zvingave shanduko kuhupenyu hwakawanda. Uye miedzo kusvika nhasi yave yakanaka kwazvo. Asi mitengo yedu iripo uye hutongi hwekutengeserana huchaita chokwadi kuti haisvikike kune avo vanoida zvakanyanya - sezvayakaita ne Covidien-19 mishonga.
Profits pamberi pevarwere
Havasi vese vakanyarara kumberi kwekuMadokero, zvisinei. Mukutsvaga kwayo purofiti inogara ichiwedzera, Big Pharma iri kukanganisa hutano munyika dzakapfuma zvakare. Iwo emitengo imwecheteyo uye nzira dzekutengesa dzinoita kuti avo vari muGlobal South vasawane rubatsiro vari kudya mukana muGlobal North zvakare.
Pakati pa2011 na2017, iyo mutengo wemishonga yeNHS England yakakura kubva pa £13bn kusvika pa £17.4bn - 5% inokwira gore negore. In 2020, izvi zvakasvika pa £20.9bn. Asi pari zvino hurumende iri kufunga nezve hurongwa hwekutengeserana, magwaro akaburitswa anoratidza, izvo zvichawedzera mutengo uyu zvakanyanya nekumanikidza veNHS kutenga kubva kune vemishonga monopolies pane kutenga mishonga yegeneric.
Kusiyana neizvi, hofori yemishonga yeUS Pfizer yakarekodha purofiti yemadhora makumi maviri nemaviri gore rapfuura. Mari iyi inogona kutsigira muhoro wevanomukoti kaviri - ukuwo ichiunza mari yakawanda, kuburikidza nemutero uye kushandisa, kupfuura purofiti yemakambani. Izvozvo zvinofanira kuisa zvido zvevanamukoti mumaonero. Haisi kurova vashandi vehutano vakabata NHS nepfuti - ndiko kumanikidza kwekambani kudzvanya nekubvisa.
Kugumisa rusaruraganda rwepasi rose kunoda kugumisa kutongwa kwemishonga. Kuchengetedza NHS kunodawo izvi. Mamonopoly aya anosveta mari yeveruzhinji yekugadzirwa kwemishonga yozoamwa zvakare nekutengesa mishonga imwe chete iyoyo kune veruzhinji nemitengo yepamusoro.
Studies have inoratidzwa kuti mishonga mitsva yezvirwere zvisingawanzo gadzirwa inogona kugadzirwa nemari inosvika £1.2bn yakachipa pane inodiwa nemakambani. Masangano akadai Global Justice Iye zvino vakataura izvi kakawanda.
Tora budiriro ye abiraterone, somuenzaniso, iyo inorapa kenza yeprostate yakakura. Kusimukira kwayo kwakatsigirwa nemari yeruzhinji, asi yangoburitswa kumusika, iyo NHS yakamanikidzwa kuigovera nekuti yaidhura zvakanyanya. Zvichakadaro, kambani yakaitengesa, Janssen, yakaita £7.2bn mukutengesa.
Iye NHS anoshandisa mabhiriyoni achitenga marapirwo akagadzirwa pachishandiswa mari yehurumende. Muna 2018, UK yakapedza kutenderera £500m pamishonga yegomarara izvo zvakagadziridzwa kuburikidza nemasangano anopihwa mari neveruzhinji. Zvinhu zvatowedzera kuipa. Mitengo kudarika kaviri yemishonga yakati wandei pakati paChikunguru 2018 naGumiguru 2020. Paki ye28 risperidone mapiritsi, mushonga unowanzo kunyorerwa antipsychotic unoshandiswa kurapa kusagadzikana kwehutano hwepfungwa, wakabva pa £2.68 kusvika pa £49.21 - kuwedzera kwe1,736%. Mitengo yezvinodhaka muUK haisi pasi pekutonga. Vari kutaurirana kuseri kwemasuo akavharwa.
Pane zvakawanda hoo-ha pamusoro pemigumisiro yemari yevanamukoti vachiramba kuderedzwa kwemubhadharo, asi kuita purofiti nemakambani hakuonekwe sechinhu. Mutungamiriri weBritain, Rishi Sunak, anoti kubhadhara mihoro ine mibairo kune vanamukoti ""zviri pachena kuti hazvigoneki”, asi hapana chaakataura nezve imwe mari yakawedzerwa kumakambani ezvemishonga ane dhiri pakushandisa kweNHS.
Dzimwe hondo dziri pakati pemasimba makuru pane ayo anooneka ari kubatanidzwa. Kuramwa kweNHS vachipokana nekudzikiswa kukuru kwemuhoro (kwete nekuda kwehasha dzemuhoro, sezvingaitwe nehurumende) ndeimwe yacho. Kurwira kwevashandi veNHS kunogona kurova pamwoyo wemauto anowana mari kubva kune yakaparadzaniswa yepasirese hutano system.
Iyi isystem inongofarira kuita purofiti inosvota. Kunyangwe kana hofori dzemishonga dzakarasikirwa ne20% yemapurofiti avo, vanoramba kupfuura 75% yemamwe maindasitiri. Vari kunzvenga mabhiriyoni emitero, maererano a 2018 chirevo neOxfam - mari iyo yaigona kuwedzera dziva rinoramba richiderera revashandi vehutano hweveruzhinji.
Iyi purofiti, nenzira, iri netsanangudzo pamusoro pezvinoshandiswa pakutsvaga nekushambadzira. Kubhadharisa purofiti iyi hakungounze purofiti yavo pasi kusvika kumazinga mashoma ekusvotwa. Ndiyo chete nzira yekudzikisa mitengo yekurapa - uye kuunza chiremerera kuvashandi veNHS. Iwo mabonanza kumakambani anouya nemutengo wehutano hwedu. Uye vanouya nemubhadharo wemuhoro wakanaka wevashandi vehutano.
Big Pharma haisi kuda nyika. Aya makambani haadi iyo NHS. Vanogona kushanda muUK (neUS), asi vanoyamwa hupenyu kubva kune vanoshanda vanhu vakavapoteredza.
Asi vanhu vanoshanda muGlobal North, kunyanya vashandi muNHS uye muindasitiri yemishonga, vane simba riri pamutemo pamusoro peBig Pharma nekuti vanotsika bhiri rekuita purofiti. Vanogona kuda kudzora mitengo uye pachena. Naizvozvo vanoita basa rakakosha mukupingudza chikara chadzoka kuMadokero kuzobata Frankenstein. Kurova kweNHS kunofanirwa kuonekwa seratidziro yehondo huru iyi.
Pane chinhambwe cheHimalaya pakati pehutano hunotambirwa nevanhu muGlobal South uye muGlobal North. Ndinoziva - ndakagara chinhambwe ichi pakutanga-ruoko. Asi isu takabatana mukuiswa pasi pesimba rimwe chete rehurongwa. Kwose kwose, makambani mamwe chetewo ari kuvharira kukwanisa kwevanhu kushandisa kodzero yavo yehutano; kodzero inova hwaro pakushandiswa zvine musoro kweimwe kodzero.
Zvavanoramwa nanamukoti kana voramwa mabasa ngazvitibatanidze tose.
ZNetwork inopihwa mari chete kuburikidza nerupo rwevaverengi vayo.
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