The parliamentary political right has long since embarked on the path of populism and the visceral attack on a government of complex political management that is overwhelmed by the multiple fronts of action that open up before their eyes and agendas. It remains true that the Spanish government, overtaken with some frequency by events, commits tactical errorsinappropriate for experienced politicians, errors that cloud and even nullify the virtues and successes of some strategic projects aimed primarily at reducing the negative consequences that serious economic problems and inequalities are having on the most disadvantaged sectors of the population. To this internal scenario is added another international one marked by the war in Ukraine and the energy crisis.
In this negative context, exacerbated by a growing radicalization of the political scene, thinking about the viability of a pact for and for healthIn the short or medium term, it seems to me an exercise in political immaturity or an invitation to a dangerous nihilism (pact or nothing). Are there really politicians, analysts and professionals who sincerely think that a pact for healthcare is possible in the current Spain?
The general and radicalized political confrontation that we are experiencing also extends its tentacles to the health field. And the problem is that she’s going to keep doing it for quite some time. We only have to think for a moment about the attitudes of the regional governments and even the central one before the current crisis of Primary and Community Care and the conflicts that have been unleashed, especially in Madrid. Its managers, at best, simply look the other way and at worst display great arrogance and contempt for professionals and the problems that are caused to the population, attitudes that demonstrate enormous social insensitivity.
Come on, we have before us a panorama that does not exactly invite intelligent and serenely constructive dialogue. Quite the opposite.
Alternatives to the Pact for Health
Faced with this very negative situation and assuming the feasibility of building a political pact for and for health as ruled out, it is essential to analyze other alternatives that allow us to address and, in the best of cases, contribute to solving all or part of the serious existing problems today. And we must start them up now, without delay, if we do not want the damage to worsen even more, become irreversible and put into serious risk to our public health system. Unless you want to adopt the strategy of “the worse the better” and prefer to wait until the problems have very important consequences on the well-being and personal and collective health, as well as in the quality and safety of the health care that citizens receive. If this type of situation is reached, the demands could acquire dramatic, even violent overtones.
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“It is not correct to continue maintaining that professional and labor claims must necessarily be separated when reality shows that, at least in the current situation, they are absolutely intertwined” |
In order to advance in the search for solutions, the need to design firm trading stocks with specific claims with both global state and local content and that contain improvement objectives both strategic, medium-long term, and operationalof more immediate application.
These negotiating actions should be assumed at the state level and jointly by the leaders of professional and union organizations. I think we are at a stage where it is not correct to continue to maintain that the professional and labor claims they must necessarily be separated when reality shows that, at least in the current situation, they are absolutely intertwined. That is why, from these lines, I allow myself to appeal to the heads of professional and trade union organizations in the health field to initiate contacts with the aim of establishing a State Table for the analysis of the crisis of our health system and from which specific short- and medium-long-term proposals are directed at the central and regional administrations.
These proposals, assumed jointly by professional and union leaders, must be capable of giving sufficient answers to the demands raised in the citizen mobilizations. The population cannot attend as a mere stone guest the development of events that have a clear, intense impact on their well-being and quality of life.
We must not fall into unjustified alarmism, but it is obvious that we are at a critical crossroads on the road to the deterioration of our public health system and more specifically of its least favored part to date, the Primary and Community Care. It is also true that we have an ethical and political obligation not to remain impassive in the face of problems and to implement proposals and constructive solutions that help to get out of the current conflictive and dangerous situation.