Revalorisation of careers to the health care, equal access to health care for all, catch-up for the psychiatry, health insurance reform, recasting the study of medicine... are in the program a "manifesto of carers" proposed Sunday 24 may 2020, on the eve of the opening of the consultations of the " Ségur health ". This set of proposals are extremely detailed, relating to all fields of public health, is published on the website of the quotidienLibération. It is signed by personalities in the first line in the defense of the public hospital, which members of the Committee inter-hospitals (Antoine Pélissolo, François Salachas, André Grimaldi) or inter-emergencies (Hugo Huon), the sociologist, Dominique Méda, or even the former director of public Health, France, François Bourdillon.
The text is accompanied by an open letter to Emmanuel Macron, recalling the concern expressed for months or even years " on the evolution of great concern to the health care system... without a response to the height of the problems raised ". "And what we feared all happened : a cataclysm. The epidemic of Covid has befallen the nation, placing the public hospital fragile, powerless, boneless, first in line ", they write. "It is necessary to hold, but the exhausted combatants will desert if the "massive plan" that you have announced, Mr. speaker, is not up to the challenges ", conclude the signatories, then that opens Monday, may 25, 2020 " Segur of health ", a cooperation of seven weeks, aiming to improve the care of patients and the working conditions of caregivers.
Five public services to save the health
This letter is accompanied by a series of proposals, the first to "define in the act" five public health services : "health insurance, treatment and prevention, health security and public health, education and training, research ". The text also provides a " fund of how inalienable the social Security ", which would support 100 % " a basket large prevention, care, and services ", advocating universal access to health care by putting an end to social inequalities and territorial. At the hospital, he asked for a remediation plan for psychiatry, more beds downstream of the emergency, the quota of staff, the limitation of the charging action or the involvement of users in governance.
Other proposals : an appreciation of careers in the health professions and research, a transformation of the study of medicine, which would include the humanities, or even " public policy industrial health and medicine to produce at cost price, at the level of the France and european countries ", drugs and essential equipment. Drawing the lessons of the epidemic of Covid-19, the text also proposes " ensuring of safety stocks for at least six months and impose a report and an annual vote of the Parliament on the state of strategic stocks ".
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