Sustainability. A word that has a strange history.
The direction of our future
Yesterday was the sense of our future. We showed the right way to make a livable world in which we live. To preserve and protect. For the benefit of our living and our old age. But also for the benefit of our children and our grandchildren. He told us something about the development model to better safeguard the common goods that are threatened. Water, air, earth. Common goods. Goods that everyone can use. But that is easily spoiled. At risk from consumption. And then the world has been sustainable so far - and above all could be - one that takes into account the threats. Lives of major structural reforms in the economic, social and political. That affect our daily life, our lifestyles, our physical, social and cultural. The sustainable world is to play today to ensure that (also) to future generations to live a life worthy of the name.
The perimeter of the costs
Today sustainability is transfigured. Become the economic criterion that measures the extent of our law. The accounting system of limits which marks the perimeter of our legitimate expectations of protection. Who overcomes these economic parameters, becomes an intruder, a sbrego, a nuisance. It happens to patients suffering from chronic illnesses. The elderly no longer independent. To permanent disability and incurable. There is more money, Councillors say the health and economic ministers. Obviously, it's always the fault of their predecessors. Or that the national government tightens its belt. There is a strange season of austerity that strikes on consumption, but on fundamental rights. Like the right to health. And so the government off the fund for long-term care. The regions cut services. INPS pursued the disabled. The sick, the chronic, the elderly become an expense. Has been reduced to this sustainability.
Health is developing
course, ended the illusion that the state through general taxation, is able to provide everything for everyone.
In practice, after all, has never been the case. It 'just take note. But something more is going on. The health of citizens is not considered by the policy and the administration as a component of the development and prosperity of a nation. But like a scab from summarily let go. Thoughts are brief, short-sighted, who can not look away. Today as never vice versa is a strategic vision, selective thinking, modern governance and far-sighted, gathering the views of citizens. Their experience of the problems. Their expertise gained in the field. Their habit of assessing the quality of services. Their ability to find solutions and to direct spending.
Hospital or territory? The devices
political, bureaucratic and corporate are still holed up in hospitals and healthcare organizations. They have not yet taken up the challenge to the territory of the opening, the user, innovation. There are new challenges for regional health and social services: the increase of the elderly population, the impact of new technologies and ways of life, the burden of chronic diseases, increasing the flow of old and new migrations. Go to control public spending can be an opportunity to understand how and where to use resources productively: pharmacies that become territorial facilities, professional medical assisting people in their homes, general practitioners and nurses who rediscover human relationships directly with patients, society's responses spread into the country prevention activities to limit the impact of lifestyles on the health of all incorrect. The examples could continue.
Over 'powers' citizens
The key is the ability of citizens to increase control over their lives, institutions, the services, public policy makers. The catalog is easy. Individual skills, styles and living conditions. Capacity of communities to develop forms of self-defense. Organizational capacity of health systems can focusing once again on the needs of the patient, not the structures or operators. Participation of citizens in the definition of company financial statements and evaluating the quality of services.
Cittadinanzattiva He spoke in Verona, in a conference co-sponsored by the Lilly Foundation, which was attended by the Deputy Mayor for Health of the Veneto Region, Luke Cole. A rich and useful debate that will bear much fruit.
v.ferla @ cittadinanzattiva.it
0 comments:
Post a Comment