Here is the text of interpellation, which will be discussed during the City Council this evening.
Al
Mr. Mayor of the City of Castelfranco Veneto CALL
The undersigned Municipal Councillors, CIRCUMSTANCES
Christmas spirit in which two relevant facts in the public have occupied the attention of local media and citizens castle: 1) The first is the emphasis made in the press conference by General Director of the Health Authority 8 Renato Mason, that 10.8% of those who went the emergency room is not in compliance with the documents and not pay the ticket, stating that this is "a big problem, especially for those in line for hours and maybe you see someone else passing me. Many foreigners to skip the filter of the doctor and go to the emergency room showing serious diseases, even if sometimes it is not. " 2) The second important fact is composed of the categorical pronouncements on the issue sollevata da Mason da parte del Sindaco di Castelfranco Luciano Dussin e del Presidente della Conferenza dei Sindaci delll’Ulss 8 Fiorenzo Berton, Sindaco di Nervesa, nonché Medico di base. L’On. Dussin ha chiamato in causa i medici ai quali ha chiesto di essere intransigenti, facendo passare solo chi ha veramente urgenza o rientra in determinate categorie. “A tutti gli altri – ha precisato Dussin – l’accesso va negato, Le prestazioni del Pronto soccorso dovrebbero essere date, in caso di persone senza tessera sanitaria, solo per infortuni molto gravi, a donne in gravidanza, minori, o per malattie infettive. Per tutto il resto le prestazioni non sono previste. Quindi i medici dovrebbero essere rispettosi della norma. Se one goes there to lend him an aspirin, you better stay away. If your doctor does not let pity, this spring alone, but if every time they receive something, you never will pull back. " In turn, Berton, President-Medical, said: "immediate deportation for immigrants who do not pay the ticket. Should be made a law requiring the immediate deportation for immigrants who do not pay the ticket within 40 days from the execution of the performance: in fact implement a real fraud against the state. Alternatively, one could propose a system of payment by installments: € 10 would be enough at a time. The important thing is they pay. "
For complete information on the question raised should be noted that there was a subsequent intervention of the Regional Social Services Sernagiotto, which, in the wake of pronouncements and Dussin Berton said to be pursued forms of recovery not paying the amounts owed by directly requesting the Member of origin.
The problem raised and pronouncements are of such significance that occurred more than justify the submission of questions to the Mayor and to seek, in order to clarify with objectivity and without any instrumentalization a real problem. What
affects the positions outlined above (and justifying itself to the question / us) is that the issue was discussed only in terms of purely economistic, ignoring completely the human dimension, ethics and health, as well as disregarding the liability, incumbent from a strictly administrative and policy not only on the General Director of the Health Authority, but also on the Mayors, who are the local health authority and regional health policy.
The questions that arise spontaneously and are repaid to the Mayor with this question / interpellation are:
1) Why did the Director General has raised a question so delicate and complex, at a press conference with reporters at the site and not institutionally competent, which is the Conference of Mayors and its Executive?
2) Why is the CEO merely claim that "you skipped the filter of the doctor," clearly to be responsible only for immigrants of non-use of practitioners, and did not address the question of how well they can or should be involved, perhaps through extended opening hours of surgeries, the associated forms that best suit these needs? Su this aspect of the problem must be considered that the current economic and cultural contingency is very difficult for those who are committed to defend his often precarious condition of the worker may request and obtain permission to visit a doctor during work. It follows that most of the time after returning from work, doctor's offices being closed, the only option is to go to the emergency room. Compared to this, the Director General considers that compete to organize different forms of work by the doctors?
3) Because, while addressing the problem in terms of costs alone, there is attention to the "crime" (as it actually is) the failure to pay the ticket and shall not be considered instead (or also) the huge cost that citizens ULSS 8 are forced to support, in terms of reduced health benefits and to pay the costs of the project financing? Why, for example, we citizens must reimburse the cost of private construction and commissioning of the Hospital of Castelfranco of a building with two floors and a center equipped kitchen to prepare food for all public and private facilities in the province, while currently only produces meals for hospital patients? What comparison is there between economic losses of revenue of the ticket in First Aid and due consideration to individuals who have made the building works in the hospital, including the building with the cooking center?
4) Has the Mayor aware that his statements above constitute not only an undue and unlawful invasion of the field on a matter pertaining to the technical responsibility, professional ethics and the doctor, on which he is not competent, but also constitute incitement to violate the law, to enforce the constitutional principle of everyone's right to health, as an inviolable right of the person?
5) Has the Mayor aware that his statements of fact weaken la credibilità e l’autorevolezza dei medici e degli altri operatori sanitari del Pronto soccorso, che vivono in condizioni assai delicate e stressanti, sia per i turni di 24 ore su 7 giorni, sia per l’imprevedibilità che continuamente può presentarsi, sia per la varietà infinita di situazioni da affrontare, sia per la conflittualità con i pazienti, con i colleghi in ospedale e con i medici di base, con tutti i rischi legali che ne possono derivare (comprese le possibili conseguenze disciplinari dell’Ordine dei medici, tra cui anche la radiazione, in alcuni casi gravi)?
6) Hanno consapevolezza il Sindaco, il Presidente della Conferenza dei Sindaci ed il Direttore Generale che ben There are several technical issues, and professional ethics, referring to the role of doctors and health professionals in the Emergency Room, to the problem of recovery of the amounts that patients have to pay, which is entirely and solely of an administrative nature, unrelated then the role of doctors?
7) E 'is also evident that the Mayor, for the reasons set out above relating to the conduct of the health function, any person presenting to the emergency room can be prejudicially denied? What must be visited first, so that the problem is identified good health and is therefore subject to the necessary raw treatment? That if the case is not urgent and the patient, chiunque esso sia, non è in pericolo e non costituisce pericolo per sé e per gli altri, viene inviato al proprio medico curante? Che pertanto, se l’accesso è improprio e o se il paziente non paga quanto dovuto dalle norme in vigore, è compito dell’Amministrazione dell’Ulss provvedervi, non certo del personale sanitario?
Su tutti gli interrogativi e le questioni, poste nei precedenti punti, i sottoscritti Consiglieri Comunali formalmente interpellano il Sindaco, affinché dia tempestiva ed approfondita risposta in Consiglio Comunale, ai sensi del vigente Regolamento del Consiglio Comunale.
Infine, i sottoscritti Consiglieri Comunali, nel formulare this interpellation, can not understand the blatant contradiction and abyssal cultural gap between the views expressed here by those here mentioned, which have political and administrative responsibilities in the field of health in our area, and some politicians that the same issues have played in the past great responsibilities, such as Domenico Sartore and Tina Anselmi.
The first, with the ambitious dream of creating a campus that can attract the best doctors in Castelfranco and the other, with the completion and submission of health care reform law, endorsed by Parliament, which has specific date and full implementation the principle contained in art. 32 of the Constitution: "The Republic protects health as a fundamental right of the individual and collective interest, and guarantees free medical care to the indigent."
Castelfranco Veneto, January 11, 2011.
Sebastian Sartoretto
Joseph Vincenti
Michele Schneebeli
Donald Sartor
Elena Magog
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