NHS, improve their functioning 
Lately there have been some revenue to modify the NHS that look like you want to convert it into a Bismarckian system. Perhaps because, for a time it was understood that they would better serve the people, greater flexibility and adaptation to consumer needs and greater technical efficiency. In
Nouvel Observateur, 12-18 May , there is an article on health that reflects well what happens in childhood. Let me summarize it freely, but thinking keep me faithful to the content.
begin then two short stories: Story 1
.
With his diabetes, no worries: it is a serious disease. Everything is repaid. is that the rest Josiane drudges. The back, hip, eyes, teeth ... He resigned on the day that mutual tariff exceeded one hundred dollars per month. So endlessly defers the physical therapy sessions. Delay time to go to radiology. Where has the money to pay out the deductibles to pay. 800 euros for reform of this lady, old hotel maid, is too much to qualify for the CMU (universal health cover), inadequate to treat all miseries have no connection with your diabetes. At 68 Josie is supported by a Canadian to walk through the streets of his neighborhood in Paris, the 20th. His teeth? Abandoned in a drawer. No longer serves you. She smiles, her mouth shut. As for glasses, in the absence of 300 euros needed for the lenses prescribed renounced them. To read his "France-Dimanche, loupes pharmacy at 10 euros are enough.
Story 2
Mohamed El Haim , Bobinhy pharmacist knows the patient undecided, revenue in one hand, calculator in the other. "64.80 EUR bronchodilator for a month, repaid 65%? That'll cost me 23 euros? Too bad, do not take him, "he says, willing to risk an asthma attack.
are only two stories that might have little meaning. turns out that 4.5 million French people live so , without a safety net additional , some by choice, but because three quarters exceeded the 634 euros, minimum below which it is entitled to CMU. According to the barometer
LH2-Ciss, 23% of French people have already resigned to care.
We can not wonder, but it has to do with multiple other factors, differences in health outcomes.
Life expectancy a frame of 35 years, is 82 years, while low for a worker to 76 years. The risk for a man of 35 years, dying before age 65 is about a ten, if a table of four on one if a worker.
Lombrail Pierre, professor of public health in Nantes deplores "the organization's healing system," because it is the amount of pathology that is played in part on our health. "
The insurance schemes are characterized by about care consumption and an increased cost to society. The article in the Nouvel Observateur shows us how a country much richer than Portugal, system that is rapidly creating a two-tier health.
The matrix organizational Portuguese , based on two levels of care , first entered in the Community, instantly accessible and free of red tape and the second access referenced, except in cases of emergency, is theoretically correct.
And if the results are not what we want, the solution is not to change their model. are, instead, to improve its functioning.
Brites
