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publicado em 15/07/2013 às 20h15:00
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More Doctors

Varella Varella, medical oncologist is formed by USP, author of Carandiru.

 
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Varella Varella, medical oncologist is formed by USP, author of Carandiru.
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Varella Varella, medical oncologist is formed by USP, author of Carandiru.

Health in Brazil suffers from two great evils: lack of money and incompetent management.

Impossible to take seriously any project that does not face the same time these two challenges. Invest only in the organization is so inadequate as to allocate more resources to a system spendthrift tainted by corruption and political interests of the worst kind.

For years I record programs on health education in the interior of Brazil and on the outskirts of larger cities. In these wanderings, I learned that the Family Health Program (PSF) was a major breakthrough for the care of the needy.

Through the PSF, started in 1994, teams of doctors, nurses, technicians, nursing assistants and community follow up to 4000 people distributed in delimited geographic areas. Its goals are to "promotion, prevention, recovery, rehabilitation and maintenance of the health of the community."

More than 30,000 teams that have at least 250,000 community workers, are scattered throughout the country. In the eyes of the visitor is remarkable the difference in health conditions of populations that rely on them. Joint Study of the University of São Paulo and New York showed that for every 10% increase in population served, infant mortality fell 4.6%.

Well, this successful program needs doctors are not always easy to draw, even with higher wages. Also needs nurses, dentists and qualified, but let's stop at the doctor.

Doctors forced to spend two years these teams before receiving final authorization to practice medicine can give considerable impetus to promote universal program.

If the Constitution obliges the state to allow someone to work in a place you do not want, I think the new graduates will benefit from the experience: learn to exercise a medicine that is not taught in schools, better know the greatness of the country and perverse reality condemning misery that bloodproud rulers insist proclaim extinct.

This medicine barefoot, however, is incapable of solving more complex problems. These depend on motivated professionals with careers in public service well structured health units rigged, hospitals equipped and administered without corruption or political interference.

In the 1988 Constitution, declare that health care is a civil right and a duty of the State. No country with over 100 million people dared to set target as pretentious. Unfortunately, the constituents up from the table without asking who would pay the bill.

After 25 years found that 56% of investment in health come from the private sector, to cover the expenses of the 48 million Brazilians over resources. The 150 million who depend on the government lies less than half of the cake.

As a result, the 48 million users of health plans are available to doctors four times more than the 150 million SUS.

This distortion happens for an obvious reason: the doctor tries to be on the market that offers higher wages and better working conditions. In a capitalist system like ours, these are not the expectations of lawyers, engineers, sanitation workers, steelworkers and farmers?

Proclaim as a big jump in quality of care to the population measure of forcing graduates to provide services in places without the most basic infrastructure is demagogic simplification.

Without trained staff, laboratories, images, surgical centers, access to medicines and referral hospitals to refer the most serious cases does not care worthy of the name.

Experts estimate that in Brazil missing 70,000 hospital beds. We are shamefully unprepared to meet the demand of the diseases responsible for most deaths: heart attacks, cancer, diabetes, obesity, strokes, accidents, smoking, lung disease.

Assign responsibility for the neglect of the NHS to the simple lack of doctors is throwing sand in the eyes of the people unhappy.

Source: CFM
   Palavras-chave:   Varella Varella    More doctors    Import of medical    Public health   
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