terça-feira, 31 de julho de 2012

Medicine, Medical Doctors and Health Systems

            Our country has experienced a strike by doctors with significant membership but most likely a significant part of the population did not understand, which presented as a flag to defend the National Health Service
            The strike is a right and a form of struggle usually provided in the constitution aimed at improving the working conditions of the professional group concerned and also in this case the main demand was the defense of medical careers.
            We are currently witnessing the industrialization of medicine, the medical institution of a "low-cost" with the consequent devaluation of the medical procedure, a continuous and progressive process "operarialization" of the medicine, forgetting that the only professional who is responsible for making a diagnosis and establish a treatment is the doctor, to do a health system against this professional group does not seem to do much good for health.
            The practice of medicine today is a complex activity requiring an extensive range of scientific knowledge by mature clinical practice in order to be able to decode a set of signs and symptoms in order to build a diagnostic capable of supporting a treatment to alleviate the suffering of the patient, a task delicate and of great responsibility where any misstep can lead to catastrophic results.
            The knowledge dies with us and there is no mechanism of its intergenerational transmission loses are inevitably on the horizon of time. Defending medical careers is to ensure that the knowledge accumulated over thousands of years is not lost and is transmitted to new generations so as to be expanded and himself a source of new knowledge.
            The right to health care is enshrined in the Universal Declaration of Human Rights, in particular Article 25, one of the pillars of the state as we understand them today, democratic.
            The right to health care as any other right is not innate, but is often the result of conquests wrested from irons and sacrifice of human lives, varying according to geographical and social community to which it relates and the prevailing values at the time.
           With scientific medicine began in Greece with Hippocrates. Galen took in his teachings and gave them continuity in the beginning of the Christian era. In the Middle Ages to cure diseases was the task of religious orders, which made sense because at that time was mainly attributed to the divine cause diseases, but this time the leprosaria.
          Hospitals appeared in continuity of support structures for pilgrims and this time the minor surgery practiced by barbers, since the tools used were for the two functions. At the turn of the first millennium the writings of Hippocrates gained new value and medicine began to be studied in universities. It was the Renaissance that medicine has gained a higher dimension and this season are many names that contributed to the breakthrough.
         In the nineteenth century medicine has definitely entered the field of science. Medical assistance was previously a privilege reserved mainly for the wealthier classes had to be paid by them, may also have access to it through mutual associations with nature, which formed a basic social protection system of the participating members that entreajudavam in situations of illness, disability, widowhood unemployment, orphans, or dependent on the charitable action of the religious orders in the case of the most needy.
         The industrial revolution and the perception of high costs associated with the disease of workers or to his death that created major losses of productivity were the basis of the first welfare systems.
The Health Service first began in Germany with Bismarck, with the mandatory health insurance for workers against the others, creating a model that still exists on other forms, in certain countries.
         In the postwar period was established in Britain the model devised by Beveridge that led to the national health service in that country where the funding is no longer made based on securities to be made to pass directly through the general budget of the state through taxes .
        The British model was adopted after April 25 to create our National Health Service, currently under fire due to cuts that want to streamline your name in the ration on their access to citizens.
        The cloaked SNS rationing is twofold, the balance of public accounts and the creation of a new branch of business that really matters to the financial sector has invested millions in it. It's very different implement a health policy based on public interest or financial interest, although both have to be supported in a cost-benefit logic to ensure its sustainability.

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