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1Doctors in Panama Launch Strike Over Foreign Recruitment LawManao Fikotonana Hanoherana Ny Lalàna Hanaramàna Vahiny Mpitsabo Ireo Mpitsabo Ao Panama
2Waiting at a hospital in Calidonia, Panamá.Efitrano fiandrasana ao amin'ny hopitaly iray ao Calidonia, Panamá.
3Photo from ORBIS UK on Flickr (CC BY-ND 2.0)Sary avy amin'ny ORBIS UK ao amin'ny Flickr (CC BY-ND 2.0)
4[All links lead to pages in Spanish.][Mitondra mankany amin'ny fiteny Espaniôla ny rohy rehetra.]
5A group of Panamanian doctors launched an indefinite strike after the National Assembly approved a bill in second debate that allows the recruitment and hiring of foreign medical personnel.Andiany iray ahitàna Panameana mpitsabo no nanao fitokonana tsy voafetra taorian'ny nandanian'ny Antenimieram-Pirenena ny volavolan-daàna iray nandritra ny fotoam-pivoriany faharoa, lalàna izay manome alàlana handray sy hanaràma mpiasa avy any ivelany ho amin'ny sehatry ny fitsaboana.
6The indefinite strike, which began on September 27th, is the second thus far in 2013.Andiany faharoa amin'io karazany io tato anatin'ity 2013 ity ilay fitokonana tsy voafetra natomboka tamin'ny 27 Septambra io.
7The measure was announced by the Panamanian National Commission of Medical Negotiations (Comisión Médica Negociadora Nacional, or COMENENAL).Ny Kaomisionam-pirenena Panameana momba ny Fifampiraharahana ara-pitsaboana (Comisión Médica Negociadora Nacional, or COMENENAL) no nandray ilay fepetra.
8The medical profession argues that Law 611 seeks to privatize health care.Ireo mpisehatry ny fahasalamana dia milaza fa ilay Lalàna 611 dia mikatsaka ny hanome ho an'ny tsy miankina ny resaka fiahiana ara-pahasalamana.
9However, Health Minister Javier Díaz made it clear that the intention of the law is to provide medical services in hard-to-access areas and to those with the greatest need without their having to rely on private clinics.Na izany aza, napetrak'i Javier Díaz, Minisitry ny Fahasalamana, nazava tsara fa ny tanjona amin'ilay lalàna dia ny hanome tolotra ara-pitsaboana ho an'ireo tany lavitra andriana sy sarotra aleha ary ho an'ireo izay tena mila izany nefa tsy manana fahafahana hankany amin'ny toeram-pitsaboana tsy miankina.
10La Estrella de Panamá quotes Diaz as saying, “And when a person can't get a medical specialist, what he has to do is go to a private clinic or move to the capital.La Estrella de Panamá dia mitanisa an'i Diaz ho niteny hoe, “Ary rehefa tsy afaka mandeha any aminà mpitsabo manampahaizana manokana ny olona iray, dia ny mankany amin'ireo toeram-pitsaboana tsy miankina no tsy maintsy ataony na mamonjy renivohitra.
11It's incredible to me that what COMENENAL wants is to keep this bill from passing so that people will have to keep on going to the interior of the Republic to private clinics.”Tena tsy azoko veroka mihitsy hoe ny COMENENAL maniry ny tsy handaniana ity volavolan-dalàna ity ka tsy maintsy hitohy hitety ny Repoblika hanatona ireo toeram-pitsaboana tsy miankina hatrany ny olona eto.”
12Meanwhile, Mauro Zuñiga, a spokesman for the medical profession, made a statement to Telemetro, saying that “doctors, nurses, technicians, and health professionals are left totally unprotected under this bill, because employment stability is completely lost.”Mandritra izany, Mauro Zuñiga, mpitondra tenin'ireo avy amin'ny sehatry ny fitsaboana, dia nanao fanambaràna iray tamin'ny Telemetro, nilaza fa “tsy voaaro tanteraka mihitsy ireo mpitsabo, ny mpanampy mpitsabo, ny teknisiana, ary ny matihanina rehetra amin'ny resaka fahasalamana eo ambanin'ity tolo-dalàna ity, satria very tanteraka ny fahamarinan-toeran'ny asany.”
13COMENENAL also made it clear that, far from opposing the law in and of itself, it does oppose the government's approach.Napetraky ny COMENENAL mazava tsara ihany koa fa, lavitra azy ny hanohitra ilay lalàna amin'ny maha-lalàna azy, fa ny toheriny dia ny fomba fiasan'ny governemanta.
14La Prensa cites Domingo Moreno, COMENENAL's president, as follows: “‘We are opposed to the recruitment process, we are opposed to the lack of controls, to the excessive flexibility, and that's the reason we're fighting'.La Prensa mitanisa an'i Domingo Moreno, filohan'ny COMENENAL, toy izao manaraka izao: “‘Toherinay ny dingana izoran'ilay fandraisana hiasa, toherinay ny tsy fahampian'ny fanaraha-maso, ny fileferana tafahoatra, ary izany no antony itolomanay'.
15He feels that we already have the tools to resolve the situation.Tsapany fa efa ananantsika sahady ireo fitaovana ho entina mamaha ny olana.
16However, the lack of creativity and initiative, the reluctance, all of this has led to the situation we are faced with today, he remarked.”Kanefa, ny tsy fahampian'ny fahaiza-mamorona sy ny fandraisana andraikitra, ny fisalasalàna mitondra tahotra tsy hirosoana, izany rehetra izany no mitarika amin'ny toe-draharaha misy antsika ankehitriny, hoy ny fanamarihany.”
17The medical profession has become unpopular among the citizenry because of its demands and its recurring labor strikes.Lasa ratsy jery eny anivon'ny fiarahamonina ny tontolon'ny fitsaboana noho ireo fitakiany sy ny fitokonana matetika ataony.
18One of the controversies is that some doctors work in both the public and private sectors at the same time, placing far more importance on their private clinics.Iray amin'ireo resabe ny hoe, amin'ireo mpitsabo, ny sasany dia sady miasa any amin'ny toeram-pitsaboana an'ny fanjakana no miasa ihany koa any amin'ireo toeram-pitsaboana tsy miankina, ary manome lanja bebe kokoa ny toeram-pitsaboana tsy miankina misy azy ireny.
19With this strike, they will miss appointments and consultations which will often take months to be rescheduled.Miaraka amin'ity fitokonana ity, ho very karama sy mpitsidika ry zareo, izay hilàna volana maro ny mamerina azy amin'ny laoniny avy eo.
20Panamanians expressed their rejection of the measures taken by the physicians via Twitter.Tao amin'ny Twitter, naneho ny tsy fenekeny ny fepetra noraisin'ireo mpitsabo ry zareo Panameana .
21There is a shortage of over 6,000 health professionals to fill positions in Panama, as Soraya Castellano tells us:Misy tsy fahampiana mpiasan'ny fahasalamana efa ho maherin'ny 6.000 mila fenoina ao Panama, hoy Soraya Castellano miteny amintsika :
22health worker strike due to passing of a bill permitting the hiring of foreign doctors.fitokonan'ireo mpiasan'ny fahasalamana noho ny fandaniana lalàna iray manome alàlana ny fanaramàna mpitsabo avy any ivelany.
23Deficit of over 6,000 health professionals.Tsy fahampiana mpiasa 6.000 amin'ny sehatry ny fitsaboana.
24Julio R.Manamarika zava-mahatsikaiky i Julio R.
25Gatica points out the irony in cases of doctors who close their public clinics while keeping their private clinics open:Gatica amin'ny trangan'ireo dokotera izay manidy ny klinikam-panjakana mba hahafahana manohy mampihodina ny klinika tsy miankina tantanany :
26We're in the midst of an “undefined health care strike,” but we'll take care of you in our private offices… Sincerely, COMENENAL.Anatinà “fitokonana tsy voafetra ataon'ireo mpiasan'ny fahasalamana isika izao”, saingy hikarakara anareo ihany izahay any amin'ny biraonay manokana… Mba marina, ry COMENENAL.
27Ironic, right?Mahatsikaiky, sa tsy izany?
28Francisco Alvarez decries this measure taken by doctors (which will only affect patients) who then blame the Ministry of Health (Minsa) for the consequences it could bring:Kianin'i Francisco Alvarez io fepetra noraisin'ireo mpitsabo io (izay ny marary irery ihany no hizaka azy) izay avy eo manome tsiny ny Ministeran'ny Fahasalamana (Minsa) amin'izay vokatra mety haterany :
29It's regrettable how this illogical and subversive health worker strike affects patients.Tena mampalahelo ny fiantraikan'ity fitokonana tsy araka ny tokony ho izy sy mampandry adrisa ataon'ny mpiasan'ny fahasalamana ity.
30When the responsibilities are spelled out clearly, the citizens know who's to blame.Rehefa voateny mazava izay tomponandraikitra, fantatry ny vahoaka hoe iza no tokony homeny tsiny.
31@minsa_panama@minsa_panama
32Other Panamanians look at the health worker protest with sympathy and see the new law as marking the beginning of a wave of imported laborers, as José Gutierrez expresses:Ireo Panameana hafa kosa mijery amim-pitserana ilay hetsi-panoheran'ny mpiasan'ny fahasalamana ary mahita ilay lalàna vaovao ho fiandohanà onjam-panafàrana mpiasa vahiny, toy izay anehoan'i José Gutierrez azy :
33Today they're trying to approve a bill to import doctors, tomorrow it will be nurses, teachers, lawyers, engineers, transportation carriers, workers, and others.Androany ry zareo miezaka ny hampandany volavolan-dalàna iray hanafàrana mpitsabo, rahampitso ho anjaran'ny mpanampy mpitsabo, mpampianatra, mpisolovava, injeniera, mpiasan'ny fitaterana, mpiasa madinika sy ny sisa hafa koa.
34One thing is certain: neither government nor doctors seem prepared to yield in the midst a crisis that reflects the practices of the current government and the medical profession's abuse of end users of their services.Zavatra iray no azo antoka : na ny governemanta na ireo mpitsabo dia samy tsy nisy niomana ny hilefitra ao anatin'izao olana izay fitaratry ny fomba fanaon'ny governemanta amin'izao fotoana sy ny fanararaotana ataon'ireo mpisehatra amin'ny fahasalamana manoloana ny mpanjifa ny tolotra avy aminy izao.
35The indefinite strike will continue, and those most affected will be the patients.Hitohy ny fitokonana tsy misy fetra, ary ireo izay tena hiharany dia ho ny marary hatrany.