These recordings show a severely addicted young man. Austin Greene of Ohio, 27, has been using alcohol and marijuana since he was a teenager. Hard drugs such as opiates, crystal meth and heroin were added later. He became infected with hepatitis B and C. In February 2019 the absolute low point: After a fungal infection on his spine, he might no longer even walk properly. Greene had long since lost custody of his daughter, who was born in 2013. The thought of his child made the drug addict make a decision. SB Austin Greene: My daughter needed me. She was also getting to the age where she would only know me as a junkie for the rest of her life if I didn’t change my life now. My daughter is everything to me. He entered rehab in November 2020, since then Greene has been clean and has undergone an incredible transformation. He now sees his eight-year-old daughter every day and spends a lot of time with her. SB Austin Greene: The relationship I’ve built with my daughter since I got clean is enough that I don’t want to go back. Greene wants to encourage other addicts on social media, countless people have already seen his videos.
March 1, 2022
To be silent, in the hope of being heard. Every Friday for more than two months, the caregivers of the public hospital meet at 2 p.m. to observe a minute of silence. Born at the Strasbourg University Hospital, the initiative has won over a good part of French hospitals.
Lack of means, degraded working conditions, race for“efficiency” : the reasons for their anger have not changed since March 2019, when the emergency room of Saint-Antoine hospital in Paris went on strike, giving rise to an unprecedented national protest movement.
→ TESTIMONIALS. “I only aspire to one thing, to stop”: white coats “worn out” by the hospital
The caregivers say it: the Covid has exhausted them, but their difficulties pre-existed. Now that the end of the epidemic is looming, the unease is resurfacing. “For two years, we held on, no choice. But the loss of meaning has only increased,” testifies doctor Jean-François Cibien. Emergency physician at Agen hospital and president of the Avenir Hospitalier union, he mentionsan unprecedented wave of departures and dreads a « effet domino » : “The more people leave, the more the working conditions of those who stay deteriorate, with the risk that they in turn throw in the towel. »
→ INVESTIGATION. In intensive care units, the temptation to leave
Between January and September 2020, French hospitals recorded 12,189 departures of nurses and caregivers, according to a survey by the French Hospital Federation. At the end of 2020, 34,000 nursing positions were vacant. According to the National Union of Nursing Professionals, there are now 60,000.
A “deep crisis”
“All trades are won over by this disaffection: nurses, nursing assistants, doctors but also administrative staff. Even the directors are jumping ship,” adds Professor Djillali Annane, head of the intensive care unit at the Raymond-Poincaré hospital in Garches (Hauts-de-Seine). If its specialty has been put to the test by the Covid, no sector is spared by this “deep crisis” : “psychiatry, gynecology-obstetrics, paediatrics…”, he lists. “In fact, we are in exactly the situation that we feared two years ago, that is to say a situation of health insecurity for our fellow citizens”, resumes Jean-François Cibien,citing the closure of several emergency services at night, for lack of personnel.
What are the presidential candidates saying? Long before the war in Ukraine came to reshuffle the cards in the news, health in general and hospitals in particular remained on the sidelines of the debate. The Mutualité française therefore took the lead in inviting the main aspirants to the Élysée to a “grand oral” on the subject, this Tuesday, March 1. (read the marks). Most programs offer a ” emergency plan “ for the hospital, the end of bed closures, salary increases and above all job creation: Valérie Pécresse promises 25,000, Yannick Jadot and Fabien Roussel 100,000.
The disappointment of Ségur
“Before recruiting, we will already have to keep those who are still there”warns Professor Cécile Vigneau, head of the nephrology department at the Rennes University Hospital and member of the Inter-hospital Collective (CIH). “Leached” by the health crisis, the paramedics were disappointed by the bonus of €183 granted by the Ségur de la santé. “It’s not just regarding money, but it starts there. Nurses and orderlies should be paid at OECD level”hammer Cécile Vigneau.
“In the eyes of politicians, and no doubt of part of the population, Ségur has solved the problem, but our working conditions have not improved, notes Ève Rizzotti-Donas, midwife at the Strasbourg University Hospital. In maternities, the quota of midwives has not been reviewed since 1998, while many maternities have since closed and medical deserts are gaining ground. »
According to the CIH, the improvement of working conditions would require the establishment of caregiver ratios, as there are in intensive care, with one nurse for three patients. “In the Rennes emergency room, the number of visits per day has increased from 150 to 200, but the number of nurses and caregivers has remained the same”Pointe Cécile Vigneau.
A system that also weakens the interns, often on the front line. According to Doctor Ariel Frajerman, author of a report on the future of the hospital for the Jean-Jaurès Foundation (1), “We should start by respecting European legislation, which sets their working time at 48 hours a week”. “The doctors of tomorrow, they are them”, recalls this psychiatrist, a specialist in the mental health of medical students.
“Task slippage”
To the exhausting cadences is added what caregivers call the “task slippage”, the result of an administrative overload. For Cécile Vigneau and the CIH, “we must rehire medical secretaries and couriers to allow caregivers to refocus on patients”. And to find ” sense “.
Meaning, that’s what Mélodie has lost. An emergency nurse in a large regional hospital, she “exploded” last fall. That day, they were two to ensure the reception. “Four emergencies arrived at the same time. We were only able to save two.” says Mélodie, since on sick leave for professional exhaustion. “The worst thing is that in this kind of case, the family is told that we accompanied their loved one, when he died alone on a stretcher. I can no longer be in this permanent conflict of values”, exposes Mélodie, who does not know if she will have “One day the strength to return to the hospital. »
Céline has already decided. On June 1, 2021, this 43-year-old geriatrician resigned from the public hospital to become a firefighter. The click took place when she learned that her hospital was a beneficiary. “We no longer take the time to have lunch, we work whole weekends, we put our families on hold, and all that for what? So that the hospital is profitable and that the director receives a bonus. During this time, we make bedridden patients sleep on plastic because we have no more sheets. It was the last straw, remembers Céline, whose former department relied mainly on foreign doctors, “paid a pittance”.
“At the same time, the interim is on the rise”, Jean-François Cibien gets annoyed, while insisting: “Temporary workers are often called mercenaries, but they are not the cause of the problem, they are the consequence of a hospital-factory which is above all concerned with profitability. » For Djillali Annane, “It is not a few measures and recycled language from previous elections that will solve the problem. What we expect is an ambition for health and a reflection on the place of caregivers in our society. »
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The candidates pass their “big oral” on health
Anne Hidalgo (PS), Yannick Jadot (EELV), Fabien Roussel (PCF) and Valérie Pécresse (LR) will present their ideas on health and social protection this Tuesday, from 9 a.m. to 1 p.m., at the Palais Brongniart, in Paris.
After presenting their program, the candidates will answer questions from leaders in the world of social protection and from four think tanks (Jean-Jaurès Foundation, Foundation for Political Innovation, Institut Montaigne and Terra Nova).
The event, organized by the Mutualité française, will be broadcast live on Public Sénat.
They have until midnight to agree on the price of canned vegetables, grated cheese and ground beef: Negotiations between supermarkets and their suppliers end on Tuesday, following weeks of tensions exacerbated by the inflation.
“It will be played out once once more in the last hours,” said AFP Jean-Philippe André, president of Ania, the main professional organization in the food industry.
“The account will not be there,” anticipates Mr. André.
Given the increase in the cost of agricultural raw materials, packaging and energy, the manufacturers he represents wanted to sell their products at around 6% more than last year.
In the end, the negotiations should lead to a “significant price increase of around 3%”, indicates the general of the Federation of Commerce and Distribution (FCD), Jacques Creyssel.
“Compared to zero last year, this is a very noticeable change,” adds the spokesperson for the brands.
Commercial negotiations between distribution and its suppliers determine the price of the products put on the shelves during the year. In the end, they also determine part of the income of farmers, allies of circumstance of the industrialists to pass on to consumers the inflation which they undergo – the price of animal feed has particularly increased.
At the Salon de l’agriculture, the Vendée breeder Mathieu Rousseau deplores expenses “at the highest” and a selling price of animals “at the lowest”.
“We are weighed down by a context to which we can do nothing at all, it’s super frustrating”, adds the young producer of Label Rouge pigs.
For weeks, farmers in tractors have regularly blocked access to supermarkets or taken over town centers to put pressure on supermarkets. Eggs were thrown at the headquarters of Carrefour.
– “We will never let go” –
Even if the annual negotiations also concern toilet paper or shampoo, the attention is focused on the prices of food products.
The balance is delicate: allow farmers to live from their work, manufacturers to continue to produce and invest, without straining household budgets.
However, even before the invasion of Ukraine by Russia, the acceleration of inflation had put purchasing power at the forefront of the concerns of the French in the presidential campaign.
The executive – which has erected the improvement of farmers’ income as the “mother of battles” – wanted to show its firmness: sanctions once morest Intermarché under previous rounds of negotiations, controls of state services and warning of Emmanuel Macron in the home stretch.
“The pressure will continue to be put on processors and distributors, and until the last minute we will not let go,” said the president during his visit to the Agricultural Show on Saturday.
During the five-year period, the government endeavored to rebalance the balance of power between the actors of the food chain via the Egalim laws then Egalim 2, recently promulgated.
At Ania, Jean-Philippe André criticizes Egalim 2 for having “diced up the problem” by sanctifying the share going to farmers by taking into account their production costs, leaving aside those of manufacturers (packaging, energy, transport).
In the signs, it is indicated that the inflation of agricultural raw materials has been “taken into account” in accordance with Egalim 2. For the rest, “it is normal that in difficult situations, manufacturers make an effort like everyone else” , says Jacques Creyssel.
Especially since “the major manufacturers had an extremely favorable year in 2021 with very high margins”, he believes. By emphasizing that the products must remain affordable: “We can clearly see in our stores how difficult the situation for the French is and that we have a common interest in ensuring that sales volumes are preserved.”
War in Ukraine: an inconclusive first round of talks against the backdrop of fighting
First talks took place on Monday between Moscow and Kiev. The results are inconclusive so far, however, and that hasn’t stopped the fighting from continuing and intensifying as Russia continues its offensive in Ukraine.
Negotiations began at the border with Belarus, and the two sides then returned for “consultations in their respective capitals”. According to the Russian chief negotiator, Vladimir Medinski, the participants agreed on a new meeting “soon” on the Polish-Belarusian border. The content of the discussions has not been made public.
Vladimir Putin nevertheless recalled his conditions shortly following during an exchange with his French counterpart, Emmanuel Macron, current president of the European Union. The leader is calling for the recognition of Crimea as Russian territory, a “neutral status” for Kiev and the “denazification” of Ukraine, a loaded term that many observers struggle to grasp and which seems to imply a change of political regime.
A settlement “is only possible if Russia’s legitimate security interests are unconditionally taken into account”, the Kremlin repeated following their conversation. Ukraine, for its part, demanded a ceasefire and the withdrawal of Russian troops.
“For the moment, the demands seem irreconcilable”, drops Magdalena Dembinska, professor of political science at the University of Montreal.
She doubts that the conflict will be resolved through negotiation and she sees no settlement on the horizon. “I don’t see how Ukraine might accept the claims that are on the negotiating table,” she said. It is difficult to see how a compromise negotiated in the next few days might satisfy Mr. Putin on the one hand and the Ukrainian people on the other. She adds that during the negotiations that led to the signing of the Minsk agreements in 2015, several ceasefires were not respected.
“The general objectives of the Russian operation are not very clear,” notes Guillaume Grégoire-Sauvé, expert on Russia and guest researcher at the Center for International Studies and Research at the University of Montreal (CERIUM). .
He advances the hypothesis that the Russian leader is asking for more than he really expects. “What is a negotiating position, what is sham, you can’t really know as the content of the negotiations is not public,” he said. Negotiations are also driven by the military situation on the ground, he adds.
The fighting continues
Ukrainian President Volodymyr Zelensky on Monday called on Russian soldiers to “drop [leurs] weapons” to “save [leur] life”, but this warlike rhetoric did not prevent the army from continuing its bombardments and its advance.
On Monday evening, a huge convoy of Russian armor nearly 65 km long was advancing towards Kiev, according to satellite images. On the ground, the Ukrainian army said during the day that it had repelled several attempts by Russian forces to storm the outskirts of the capital.
The curfew was lifted on Monday morning, and the Russian forces are eagerly awaited by a mobilized population. “We will welcome them with Molotov cocktails and bullets in the head, that’s how we will welcome them,” said Viktor Rudnichenko, a bank employee.
The landscape of the Ukrainian capital has changed. Trenches were dug, makeshift barricades were erected in the streets to halt the advancing Russian tanks, and checkpoints were set up.
The start of the talks also coincided with intense fighting in Kharkiv, the country’s second largest city on the border with Russia. At least 11 civilians were killed in Russian shelling of residential areas, the regional governor reported.
Far from being bogged down and superior militarily, especially in the air, Russian forces have “great freedom of movement” across Ukraine, and satellite images show long columns of vehicles in the open, suggesting that ” they remain confident in their own positions and in Ukraine’s inability” to confront them, observes Nick Brown of Janes, a British defense research centre.
The placing of nuclear forces on alert by Vladimir Putin on Sunday was received with concern and awakened old demons. The United States, however, said Monday that it had detected no “concrete” change in Russia’s nuclear posture.
Desire to join the European Union
Russia had to defend the invasion of Ukraine on Monday at the UN General Assembly during an emergency special session of its 193 members, who for their part multiplied calls to end the war, judged “senseless”.
A photo of the Ukrainian president signing a document asking to join the European Union (EU) circulated during the day on social networks. “We are addressing the EU regarding an immediate integration of Ukraine via a new special procedure,” Volodymyr Zelensky said in a video. “I’m sure that’s right. I’m sure it’s possible,” he said.
This procedure does not exist as such, and integration into the EU is usually a process that stretches over several years and requires complex negotiations. It also requires the unanimous endorsement of the 27 member countries.
The European Parliament will vote on Tuesday on a draft resolution, supported by all but one of the political groups, which will call for Ukraine to be a candidate to join the EU. “It’s a scenario that was impossible a month ago, but in the current enthusiasm for solidarity, it is not impossible for Europeans to open the door to Ukraine”, explains Frédéric Mérand, scientific director of CERIUM .
He adds that Hungary is the only country that might put a spoke in Ukraine’s wheels, since Prime Minister Viktor Orbán has privileged relations with Vladimir Putin.
More than 500,000 people have left Ukraine to take refuge in several neighboring countries since the start of the Russian offensive on Thursday, according to the UN High Commissioner for Refugees.
With Agence France-Presse