2024-07-03 14:09:56
Have a conversation with Jorge Fontevecchia, Daniel Golan describe the health condition as “critical.” He explained that not only the health system is in crisis, but the private sector is also in a critical position. It explains why the economy and different factors generated by government decisions affect the health of the population, as it happened in Greece and is happening in the United States. “It is a strong effect that will be seen over time, because it also comes with other factors, not only the lack of a healthy response, but also a poor diet, lack of food, depression, health conditions that cannot check; The combo is very bad“, he explained Modo Fontevecchiaby Net TV, Radio Profile (AM 1190) y Radio Amadeus (FM 91.1).
Daniel Gollan is the national vice-president of the UxP of the Buenos Aires region, he is the Minister of Health of the Buenos Aires region, and also of the Nation in 2015. In addition, he is the national director of the Technology and Control of Drug Trafficking. in 2010, sub-intervenor in the National Drug Administration (ANMAT) in 2008.
Yesterday, Governor Axel Kicillof announced that the municipality of Buenos Aires will be responsible for the purchase of oncological drugs that the national government has stopped since the arrival of Javier Milei.
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What is the relationship between the economic crisis and the decline in life expectancy? About what happened in Greece when, in its most important economic crisis, the number of deaths from heart attack or cancer increased. What effect does the economic crisis have on public health?
Clearly we see it in everyday life. And before mentioning the idea, I would like to confirm that those of us who have been working in the health field for a long time do not say that “everything is fine”, but on the contrary. For many years, a very large group throughout the country, and originally in the Buenos Aires region, has been working on the idea of improving our health system because there are no problems that are exclusively temporary, but instead presentation.
Having said that, We do not come from a good position in the health system. We come from a position where we have to work hard to improve, a project to organize it better, integrate it works, it is not a question of collecting everything but rather organizing and organizing the work to make it more effective. We came from the bad reality before, and now a process is added in which there are many very powerful variables that affect the system and that. They cannot decide from the areasbring us back an increasingly critical situation.
This has to do with the fact that all the regulations of the private healthcare industry, all the regulations of social services and payment already, They are not in the hands of the communities. When the Government says it is a local issue It’s a lie, it’s not. It is a subject that includes all of us.
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Now, what does the national government do? It eliminates, in some cases completely, or makes a very strong reduction, of all those national programs that, in conjunction with the regions, support a program. The most obvious and widespread example is that of vaccines, the national immunization program, but there are many other programs. All plans today They are in a very complicated situationstarting with drug programs for “high-cost” diseases that cost the most money, which is why they are drugs that sometimes have returns of 30,000%, and It’s not a metaphor.
Going from those drugs to other less expensive ones, and the national government help provided through different programs to disability groups, chronic non-communicable diseases, hypertension, and the most useful ones, which are infectious diseasehepatitis virus, HIV, and others.
All that is on the decline, all that is on the decline. Prevention programs that have to do, for example, with the prevention of pregnancy in girls and adolescents (People Program). To give you an idea, at this time of the year in the province of Buenos Aires have sent 15,000 background treatments to prevent this type of pregnancy, and to date they have received 200, A non-existent king. This is everything.
Now this means a a powerful effect that will be seen over time, because they also come with other factors, not only lack of health response; but bad foodthem lack of foodthem sugarhealth conditions that he can’t lead. The combo is very bad.
You mentioned Greece, but there are other countries too has reduced their life expectancy. The first and most striking is USAwhich is a country with the lowest life expectancy in these times with the great epidemic caused by drugs and fentanyl, added to another issue, which has to do with lifestyles and more.
We are facing a situation where the country in which the issue will be left overwe still have it Such problems. Therefore, we imagine in our own where the resources for prevention, health promotion, treatment, disease treatments, and we will see in time. Today what we have are numbers of individual cases, more than 50 or 60 people who have medicine provided by DADSE and who They suddenly stopped receiving them. Then they started to get it in a very bad way, they let them go several times a week to take the drugs that had been sent for a month or more. This it removes adhesion and strengthand that’s it there is death from this caseThis is straightforward stuff.
In other cases, those that are not seen because they are indirect, are also present increasing in importance.
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Yesterday a governor told us that, in his area, the expenditure on public health is increasing because many people cannot afford to pay in advance, and therefore the number of patients going to the public health service is increasing. Is this still the case in the Buenos Aires area?
Yes, in the area of Buenos Aires in the last six months there has been Demands increased by 20% of people associated with social services or those who have already been paid. But not only those people they lost their social work because they lost their job or reason They can no longer pay in advance, co-payment or coinsurance, which has now been released and legal, already. Therefore, in recent months, people find themselves in a situation where they have a plan that has already been paid, but they go to their doctor who treats them regularly, they ask for a fee of 10 or 15 thousand pesos, we had the person does not have it. So the person ended up in the hospital where no payment guarantee is requested, only the price received for the interest with the dealer is recovered.
In the area of Buenos Aires there is a 20% increase on hospitals in general, local and municipal, and this would mean, to have data, the need to in 16 new hospitals, because we met that demand with the same infrastructure that existed six months ago; because Infrastructure will not multiply by 20% in six months. Also add to those budget constraints it is, because 20% of the materials it has are taken from the Buenos Aires region. fit and suitand those who sent nations.
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The state of the health system is important. On Friday we will have a meeting with the Congressional Health Committee because of the 5000 hospitals and sanatoriums are technically bankrupt today. Since there is no more law due to the health emergency order, They have unpaid debtsImportant with AFIP and ANSES for does not make interventionsand they are protected by law because 5000 hospitals cannot be closed and sanatoriums, for obvious reasons.
We will address that topic because you can imagine that this will happen and all the people who have already been treated in those health centers, the people of Córdoba for example. Federation of Clinics and Sanatoriums of Cordoba told us that they had 206 members of their chamber and they estimated that 65 would die. opportunity to survive. Can you imagine a health disaster? Thousands of treatment, hospital and office beds this means.
Not only is the public sector in troublenot only social services, but also The private sector is in a critical position.
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