2024-05-24 14:13:01
By: Francisco Cuartas
Incorporation of EPS Sanitas, Nueva EPS; The destruction in Congress of well being reform and the demand for liquidation of EPS Compensar, has unleashed a disaster past the sector of well being. It’s a partial explosion of the elemental contradictions that function by the connection between the nationwide authorities and sections of the bourgeoisie.
For the reason that Well being reform was offered, accepting in a restricted means some historic questions, it didn’t finish with the primary drawback, the personal well being enterprise. They reformed the shape, however not the substance, as a result of astronomical earnings would proceed to succeed in personal arms. Subsequently, the reason for the violence of the bourgeois opposition that deserves reform have to be within the deep contradictions that seem within the relationship between the federal government and the bourgeoisie, each from inside it and with these exterior its authorities. That’s the objective of this evaluation.
The collapse of the goose that carries the eggs
At the moment, each on this planet and in Colombia, there’s a disaster scenario within the worldwide order of presidency, wherein financial crises and recessions play a giant function. This financial scenario, removed from being unified, reveals the weak point of a specific means wherein capitalists have amassed capital for a minimum of three many years. This means of accumulation, often known as neoliberalism, has been attributed to the historic defeat of the worldwide working class carried out by the restoration of capitalism within the former USSR and different employee states (often known as “Actual Socialism”) and by the defeat of the nice actions of employees and fashionable resistance on this planet.
In Colombia, beginning with the Structure of ’91, a number of reforms have been launched that regulated this regime of neoliberal capitalist accumulation within the nation. With the so-called “Opening of the financial system” of the Gaviria authorities, the privatizations, the lack of rights and the destruction of the sectors of the nationwide bourgeoisie and the petty bourgeoisie that produced for the home market have been ordered. Monetary transactions have grown, each nationwide and international, with the benefit of the specialization of providers and the exploitation of uncooked supplies, particularly the promotion of large-scale mining of minerals and hydrocarbons and the opening to worldwide commerce. The standard households of the rancid liberal and conservative bourgeoisie “modernized” by promoting their household companies to giant conglomerates, turning into small companions of transnational companies and oligopolies of the imperial authorities. Media firms resembling El Tiempo or Caracol have been bought to Spanish teams; Santodomingo bought Bavaria to the nation’s SabMiller and this occurred with different massive offers.
What was within the nineties was offered because the progress of capitalism and the market solely worsened the social contradictions. Inequality has elevated in Colombia and the world, poverty worsens and capital consideration causes nice contradictions that result in the breaking level, the worldwide financial disaster of 2008, and from there to the recession of the disaster and the recession that the bourgeoisie is just not in a position to win. On the identical time that the lots protested and rebelled, bourgeois currents of imperialism emerged that warned of the aberrations of neoliberalism and proposed a better regulation of capital, with measures to assist scale back inequality and vulnerability, a breeding floor for rebellions and revolutions.
These bourgeois imperialist currents that exist in the present day within the worldwide political organizations have ended up in a gathering with the reformers like Petro, Lula, Podemos in Spain, amongst others, who proclaim capitalism with a human eye (and now “environmentally sustainable” ) along with the outdated liberal Keynesians. eager for the misplaced paradise of the welfare state. Because of this the Petro system is supported by OECD, IMF and ECLAC.
The arrival of Petro to the federal government expresses, on the one hand, the rise of the battle (of which we’ve spoken extensively in different supplies) nonetheless imprisoned by a reformist-soul who trusts the potential of change of the reformist proposals of the federal government. of the Historic Pact. However alternatively, it additionally reveals the coverage of the sectors of the bourgeoisie who wish to take stress off the pot, whereas decreasing the social disaster brought on by the neoliberal dictator; every little thing to have the ability to proceed the promotion of capitalism in Colombia.
The contradictions and polarization round reforms and authorities coverage, expressed from the right-wing bourgeois teams, are an expression of the financial pursuits which can be within the midst of the present disaster of capitalism in query by different bourgeois teams, social outbreaks and thru authorities reforms.
With skinny or fats cows, these on the prime proceed to win
It’s symptomatic that the sectors of the financial system managed by capital in Colombia typically present astronomical earnings, whether or not in conditions of disaster and recession, or increase and rise.
Taking solely the case of well being, throughout greater than 30 years of Legislation 100 in power, of the numerous EPS which have appeared, most of them disappeared, thus explaining the tendency to monopolize with much less and fewer survivors the earnings of the sector. Along with the loopy capitalist competitors, corruption and debt of the EPS have brought on their conflicts and innovation, whereas those that survive by accumulating extra customers, sources and money owed, add contradictions, inflicting a common disaster of confirmed system. in the present day is rain.
Homeowners of enormous EPS are giant monetary conglomerates. The Spanish nationwide Keralty is owned by Sanitas; Sura is a part of the Antioqueño Enterprise Affiliation (GEA); Compensation is a part of the personal sector that household compensation funds have develop into; simply to call three of the largest. And these are, by ACEMI; of parliaments and their events financed by them; the massive media retailers which have these and different conglomerates and technocrats which can be a part of the scaffolding buildings of neoliberalism, which have led opposition to Petro’s well being reform.
The EPS disaster is now offered because of Petro’s coverage and its well being reform venture, which is now shelved. A part of the disaster was initiated by the EPS themselves, as a part of the outdated impasse technique utilized by right-wing bourgeois events who opposed class cooperation governments after they noticed their calls for. Implementing drug shortages, denying providers to sufferers and deliberately threatening well being employees with layoffs seeks to create a local weather of uncertainty and authorities rejection favorable to right-wing exits.
The actual fact is that the monetary issues of the EPS return a few years and so they solely need the monetary rescue coverage of the State to proceed, to ensure the continued accumulation of their capital by essentially the most shameless statement. Earlier than the present authorities, many EPS have fallen below its outlined logic, whereas the remaining, by taking the market, put together just for the approaching crises whereas the customers, the general public IPS and the nationwide funds pay for outcomes and losses. EPS struggle to observe the outdated sample of company losses whereas earnings are concentrated by just a few personal arms. That is why, confronted with the present EPS disaster, they’re asking the federal government for extra money to cowl their catastrophe and assured revenue charges.
This battle round Well being is an expression of the broad contradictions of the bourgeois sectors which have enriched themselves most with consideration and earnings in Colombia. Within the discussions about reforms, the positions of the events put their very own unity and private pursuits earlier than the overall want of the bourgeoisie to supply concessions in trade for happiness. They know that they need to make commitments, however they don’t seem to be keen to surrender a part of their earnings to take action. Because the Spanish author, Antonio Gala, mentioned, “Those that have privileges will all the time threat their full destruction reasonably than quit among the privileges they’ve.”
“Blagged” modifications.
For the reason that presentation of the Well being reform, the connection with the bourgeoisie has been tense, involving negotiation and imposing its needs on the federal government, which has beforehand consulted with the bourgeoisie on the necessity to present solutions to the lots who anticipate the change.
Because of this what’s progressing is just not the promised change, however reasonably the stagnation and paralysis of the federal government, which is rising in its coverage of preserving pacts with the bourgeoisie, taking regressive measures resembling the rise within the worth of gasoline, and that solely the mobilization of the lots who nonetheless belief and hope of their authorities is the fabric means to show energy earlier than the bourgeoisie.
As soon as once more the alternatives for change are restricted inside the slender framework of the democratic authorities tailor-made to bourgeois pursuits, particularly its fractions linked to capital. The defeat of reform tasks in Congress, the usage of authorities businesses such because the Prosecutor’s Workplace, the courts, the Lawyer Normal’s workplace and all the manager garments that cease any reform measure that tries to interrupt by, present that between the method of the present authorities is just not potential to reply even just a little to the expectations of those that carry the assaults of the nation.
This example additionally necessitates a basic change, which is why Petro is pressured to talk once more concerning the regional meeting, or to attempt to implement measures of well being reform that failed from the Govt department, whereas attempting to rebuild fashionable assist with requires mobilization. restricted and suffocated by the union forms. In the meantime, skepticism and discontent develop, with out solutions from the left past aritating the theories of “gentle basis” and hiding and condemning any criticism of the federal government.
Petro will likely be imprisoned by his limitations and contradictions. That’s the reason we should give energy to a reforming precept that raises the political authorities for debate, however to be actually helpful, it have to be actually broad, free, democratic and sovereign. It’s for the lots, together with the employees of their shelter, to revive organizations and sophistication independence, to renew calls for and battle; for a real employees and fashionable authorities that doesn’t fall prey to those bourgeois contradictions that stop any basic response to the wants of the lots.
Printed in ES 753 April-Could 2024
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