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Otro de los casos investigados en la actualidad y con relación parcial con el ámbito sanitario es el de la presunta financiación ilegal del Partido Popular. En los llamados papeles de Bárcenas se encuentran registradas donaciones de empresas a las que posteriormente se concedió la construcción o gestión de algunos de los centros sanitarios de la Comunidad de Madrid. La aparición de empresas de construcción en este entramado es especialmente significativa porque la concesión de contratos para la construcción de estos centros supondría, para ellas, la amortiguación de la estacionalidad de su negocio de construcción.
Eso me dejaron escribir hace unos años en Agenda Pública en un post sobre corrupción y sistemas sanitarios.
Hoy leemos lo siguiente:
Fuente: eldiario.es |
Al parecer, en la frase "vamos a construir nuevos hospitales", lo importante no era la parte de los "nuevos hospitales", sino la parte de "construir", y esto trae consigo algunos problemas.
La sanidad que vino a salvar al ladrillo.
1. La industria de la construcción española se estaba quedando sin personas a las que venderle su segunda vivienda a costa de hipotecar a sus nietxs, y necesitaba alguna manera de desestacionalizar sus ingresos económicos.
2. España tenía un marco jurídico perfecto para ello con la Ley 15/97 que posibilitaba las llamadas "nuevas formas de gestión" (que siempre serán nuevas al igual que un móvil nokia de los antiguos será una nueva tecnología).
3. Una sanidad en manos de la propaganda política buscaba una forma de presentar nuevas infraestructuras a la ciudadanía sin incurrir en gastos que le hicieran salirse del marco de control presupuestario impuesto por Europa.
1 + 2 + 3= los centros sanitarios públicos de gestión privada de la Comunidad de Madrid (y de otros sitios, pero el madridcentrismo hoy tiene motivos).
En España, la construcción de nuevos hospitales se realizó para colmar las necesidades de las constructoras, en primer lugar, y de ciertos grupos políticos que necesitaban financiarse y comprar voluntades, en segundo lugar; la planificación basada en necesidades en salud nunca estuvo sobre la mesa.
No es el modelo de sistema sanitario, es que tú no me rentas.
Los defensores incansables de los modelos centrados en la atención primaria. al ver que se construían nuevos hospitales a golpe de gestión privada mientras la red de atención primaria de la Comunidad de Madrid seguía siendo de las más débiles del territorio estatal, saltaron diciendo que seguía sin ponerse a la atención primaria en el centro de sistema, etc, etc, etc.
El asunto es que la atención primaria tiene mucha menor capacidad de extracción de rentas que la construcción de megahospitales con tecnologías a la última, cambios urbanísticos, construcción de aparcamientos,...
En un modelo centrado en la planificación de la industria de la construcción y la compra de la voluntades, la atención primaria o la salud pública son adornos colaterales o, en el caso de modelos PFI (ver explicación aquí), la puerta de entrada para controlar los gastos hospitalarios -por eso en la reasignación del modelo Alzira se incluyó la atención primaria-
Podemos devanarnos los sesos pensando que es que "a nuestros políticos no les interesa la atención primaria" y excusas similares, pero en realidad lo que ocurre es que es la propia atención sanitaria la que no está en en centro de la planificación.
Podrían haber sido centros comerciales en lugar de centros hospitalarios, pero entonces habría sido menos justificable blindar contratos a 20-30 años para asegurar su rentabilidad desde el dinero público. Los hospitales son un negocio perfecto: contratos a largo plazo y prestación de unos servicios tan fundamentales que hacen que ningún gobierno pueda dejarlos caer si ocurren incumplimientos de contratos.
Una vez más, la parasitación público-privada como modelo de gestión de la sanidad pública.
73 comentarios:
En la practica he descubierto que utilizar la impresión 3D como herramienta en la medicina es una via altamente sostenible para esta como para cualquier otra actividad profesional. Utilizo una Lion 2 luego de leer todo al respecto en http://www.leon-3d.es y quede convencido tras probarla y apreciar la exactitud y la autonivelacion que tiene
Me gusta ver los blgos de medicina y salud, suelo ver más como el de vital fortaleza pero he encontrado información científica más precisa en este y eso me agrada. Pero debería opinar acerca de la página que mencioné, aquí el link: http://vitalfortaleza.com/
Los protocolos de salud ocupacional y seguridad son muy importantes para mantener un adecuado ambiente laboral protegiendo la vida de quienes laboran allí, y visitantes.
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Lea y comparta para que otros sepan acerca de la cura para el herpes. Estoy aquí para testificar sobre cómo me curé de HERPES 1 y 2 con el uso de hierbas. Conseguí las hierbas del Dr. Osato y me dio instrucciones sobre cómo usarlas. Tomé el producto a base de hierbas durante una semana y 5 días, después de lo cual fui a hacerme un análisis de sangre y el resultado fue Negativo. Esperé otros dos meses y volví a probar que el resultado seguía siendo negativo y mi médico me dijo que estoy completamente libre de herpes1 y 2 y esta Gladys mi corazón y deseo compartirlo para el beneficio de aquellos que viven con herpes1 y 2 para que también obtengan las hierbas de Dr. Osato y curarme como yo. Puede ponerse en contacto con el Dr. Osato en su correo electrónico: osatoherbalcure@gmail.com o llamarlo a su número de teléfono y WhatsApp +2347051705853 también a través de su sitio web https://osatoherbalcure.wordpress.com. El Dr. Osato también tiene la cura para las siguientes enfermedades: HERPES, VIH, VPH, CÁNCER, DIABETES, SHINGLES, INFECCIÓN VAGINAL, VHS1 y 2 y muchas más.
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What a great joy in my heart to share this to the entire public on how Dr Osato cures me from herpes1&2 with his herbs, I never believe it will work because the doctors keep saying there is no cure but I was desperate and needed to get this thing out of my body. I saw a comment online testifying how Dr Osato cure her from herpes and hpv and i contact Dr Osato and explain my problem to him and he prepare the cure and send it to me through UPS,which i use it just the way He instructed me and thank God today am a beneficiary to these cure. I went to my doctor for a checkup after 14days of taking the herbs and I did a blood test which i tested Herpes1&2 Negative and my doctor booked me for another appointment after 4 weeks to confirm my result and i retested again after 4 weeks and my result was still Negative and my doctor assured me that the virus is completely gone from my system. So I will tell you all who are looking for a cure to his/her HIV/AIDS and HERPES that Dr Osato took research before he could finally get the solution to it and a lot of people are benefiting from him right now. He also cured my Uncle and his wife from HPV. Dr Osato heals with natural herbs. Please i urge you to contact him now through his email address: osatoherbalcure@gmail.com or WhatsApp him on +2347051705853. His website is osatoherbalcure.wordpress.com and he is capable of curing HIV/AIDS, HERPES, HPV, HSV1&2, COLD SORE, CANCER of all kinds,DIABETES and so many other infections.
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