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1Spain: “Health Disobedience” in the Face of Massive CutsEspaina: “Tsy Fankatoavana Ara-Pahasalamana” Noho Ny Fepetran'ny Fitsitsiana
2This post is part of our special coverage Europe in Crisis. Independent groups of public health workers and participants have created a platform to protest against the recent health reform.Nanangana sehatra entina hanoherana ny fanavaozana ara-pahasalamana natao vao haingana ny vondrona tsy miankin'ny mpiasan'ny fahasalamana sy ny mpandray anjara amin'ny hopitalim-panjakana.
3The movement is named “I say yes to universal health” (@Yosisanidaduniv) [es] and its main proposal is civil “health disobedience” and to object the new Law 16/2012 imposed by the government in the context of severe austerity measures and social protests.Nomena anarana hoe”Eny hoy aho ho an'ny fahasalaman'ny daholobe” (@Yosisanidaduniv) [es] ny hetsika ary ny foto-kevi-dehibe ijoroany dia ny “tsy fanekena” sy ny fanoherana ny Lalàna 16/2012 novolavolain'ny governemanta noho ny fepetra henjana momba ny fitsitsiana [miteraka] /sy/ ny hetsi-panoherana sosialy [mg].
4The decree, which will come into effect on September 1, 2012, has the objective of, according to the Health Minister, “guarantee the universality of this right”, and, according to the governmental Popular Party, it is a step towards “true universality” and “stops squandering” [es].Manomboka manankery ny volavolan-dalàna amin'ny 1 Septembra 2012, araka ny filazan'ny Minisitry ny Fahasalamana, ny tanjona amin'izany dia ny “hahatonga izany lalàna izany ho lalàna manerantany”, ary araka ny fanambaran'ny governemanta ao amin'ny antokom-bahoaka: dingana mankany amin'ny “tena lalàna manerantany” sy ny “fampitsaharana ny fandaniam-poana izany“.
5Health as a businessFahasalamana toy ny bizina
6However, its critics agree that the law, that will leave about 150,000 persons [es] without healthcare, was thought to change the health system and create a new insurance system; that is, a system that distinguishes between insured and uninsured persons.Na dia izany aza, mihevitra ireo mpitsikera fa mety hanova ny rafi-pahasalamana sy hampisy fiantoham-pahasalamana vaovao ny volavolan-dalàna izay mahatonga tsy fanomezana kara-piantohana ara-tsosialy ho an'ireo olona manodidina ny150.
7Therefore, it endangers the inclusive health system that Spain had up until now.000; rafitra manavaka ny olona voaaro sy ny tsy voaaro ara-pahasalamana izany.
8The web page of I say yes to universal health [es] understands it as follows:Fanampin'izany, mety hampiato tanteraka ny rafi-pahasalamana sahaza ho an'ny rehetra izay mbola manankery eo Espaina hatramin'izao izany :
9The worst thing about this health reform is precisely that it transforms a universal rights system for all people based on values like social solidarity (“I can strike,” “I can get sick while on strike,” “Today for me, tomorrow for you”) and social justice (“Every person has the right to education and health,” “Guarantee everybody's rights is the best way to create a better society”) to create a system in which every person gets what they pay for, has to justify what it means to be “insured,” and has an insurance that covers the possibility of being sick or in need of healthcare.Toy izao manaraka izao ny fandraisan'ny pejy tranokalan' ny Eny ho an'ny fahasalaman'ny daholobe: Ny zava-dratsy momba ity fanovana ny rafi-pahasalamana ity dia ny mety handalovany amin'ny rafitra iraisam-pirenena momba ny zon'olombelona, mifototra amin'ny hasina toy ny firaisankina sosialy(“Afa-mitokona aho,” “Mety harary aho kanefa tsy mitokona,” “Androany izaho, rahampitso ianao) sy ny rariny ara-tsosialy (“Zon'ny tsirairay ny hianatra sy hahazo fahasalamana,” “Miantoka ny zon'ny tsirairay no làlana tsara hananganana fiarahamonina vanona”) ao anatin'ny rafitra ahazoan'ny olona tambiny amin'izay handoavany vola, ary tokony hamarinina ny maha “olona afaka mahazo fitsaboana” azy, na manana antoka ara-pahasalamana miaro azy raha sendra marary na mila fitsaboana.
10The step back in citizen rights is overwhelming, and it doesn't generate important savings.Mibaribary ny fihemoran'ireo zon'olombelona, kanefa tsy ahafahany manangana tahiry akory ny fepetra.
11Patricia (this was the chosen name), a member of the platform [es] against the decree, explains that the decree wants to lead to a system “like the North American one, where health is a business.”Nanazava i Patricia (anarana nosafidiana), mpikambana ao amin'ny hetsika manohitra ny volavolan-dalàna fa hiteraka rafitra “tahaka ny tao Amerika Avaratra, izay nanjary fitadiavam-bola -bizina- eo amin'ny fahasalamana.”
12‘I say yes to universal health'‘Eny hoy aho amin'ny fahasalamana faobe'
13In which way?Amin'ny fomba ahoana?
14By restricting the access to a health card.Amin'ny famerana ny fahazoana kara-pahasalamana.
15They will take it away from undocumented immigrants as well as people older than 26 who have never registered in Social Security.Noho ilay volavolan-dalàna anefa dia nesorina ireo olona tsy manana taratasy toy ny olona maherin'ny 26 taona izay mbola tsy nisoratra anarana mihitsy taminà Fiarovana Ara-tsosialy.
16This adds to the series of other cuts like the prepaid physician or other benefits that used to be free (like prosthesis) and will now have a cost.Fanampin'izany ihany koa ny fanesorana ny zo toy ny fandoavana mialoha ny saran'ny fitsaboana na ireo tombotsoa hafa maimaim-poana (toy ny protezy (prothèses).
17Actually, even though the reform affects a huge number of people the immediate fear is for undocumented immigrants who will have no protection after September 1. Twitter users reacted to the news that the government will charge undocumented immigrants 700 euros annually (more than a health insurance company) for health, sparking an almost widespread rejection.Na dia voakasiky ny fanovana aza ireo olona marobe, indrindra fa ireo tsy manana taratasy no mety ho voakasika voalohany, izay tsy ahazo fiarovana ara-tsosialy manomboka amin'ny 1 Septambra. Naneho hevitra ny mpisera Twitter mikasika ny fangalan'ny governemanta 700 euro (mihoatra noho ny saram-piantoahana ara-pahasalamana) isan-taona amin'ireo olona tsy manana taratasy, fanapahan-kevitra izay nolavin'ny be sy ny maro.
18According to Patricia, the law is not only unconstitutional, but also unfair and this is the main reason to consciously object it.Araka ny nambaran'i Patricia, tsy hoe tsy araka ny lalampanorenana ihany ilay volavolan-dalàna fa sady tsy rariny ihany koa, izany indrindra no anton'izao fanoherana faobe izao.
19The popular outrage grows even more as the government benefits private clinics over public health.Tsy mitsaha-mitombo ny fahatezeram-bahoaka, indrindra fa omen'ny governemanta vahana ny toeram-pitsaboana tsy miankina raha oharina amin'ny toera-pitsaboana an'ny fanjakana.
20The web's Facebook page [es] has uploaded a video with declarations from people who will be affected and from critics of the decree, with the message “we all have the right to health” [es]:Namoaka lahatsary misy ny fanambaran'ireo olona voakasiky ny volavolan-dalàna ny tranokala pejy Facebook, hita amin'izany ny fandefasana hafatra hoe ” manan-jo ho salama isika rehetra”.
21Instructions for disobedienceTorolalana raha hanao asa tsy fankatoavana
22Taking into account that conscience objection is a right “recognized but not much regulated,” and that the Universal Human Rights Declaration acknowledges the right to health, the digital initiative proposes to create a critical network in the health arena.Fantatra fa zo “ekena fa tsy voarafitra loatra ho lalàna aza” ny fanoheran'ny fahatsiarovan-tena (conscience),ary ankatoavin'ny Zon'olombelona ny zo hanana fahasalamana, mikasa hanangana tambazotram-pitsikerana momba ny sehatry ny fahasalamana ny ao amin'ny tranokala aterineto.
23To that end, they offer several conscience objection models [es] for teachers, nurses, and non-health personnel as well as to other institutions and informative legal documents.Araka izany, nanolotra modely isan-karazany momba ny fanoheran'ny fahatsiarovan-tena maromaro natokana ho an'ny mpampianatra, ny infirmiera, ary ny mpiasan'ny fahasalamana ity sehatra ity ary natolony koa ny ny antontan-kevitra momba izay lazain'ny lalàna isan-karazany.
24The idea they defend is that health personnel as well as clerical staff should collaborate, and even users without a health card have to ask for it, and when they deny it to them, “they should insist”.Ny hevitra tohanan'izy ireo dia tokony hisy fiaraha-miasa eo amin'ny mpiasan'ny fahalasamana sy ny fanjakana, ary tokony hitaky izany ihany koa ireo mpanjifa tsy manana kara-pahasalamana, ary raha lavin'izy ireo tsy omena izany, dia “tokony hisisika hatrany izy ireo”.
25They informed about the possible difficulties and problems an objector may find.Mampahafantatra momba ny fahasarotana sy ny olana mety hitranga hatrehin'ireo mpanohitra koa izy ireo.
26At the moment, close to 1,000 doctors have pledged to partake in the conscience objection initiative [es] and keep assisting undocumented immigrants.Amin'izao fotoana izao, dokotera eo amin'ny 1,000 eo no nanohana ny fanatanterahana ny fanoheran'ny fahatsiarovantena ary manohy manampy ireo mpifindra monina tsy manana antonta-taratasy.
27Meanwhile, on the other hand, the Ministry of Health has warned them not to provide care for undocumented immigrants if they want to avoid sanctions: the war for health is on.Nandritra izany, norahonan'ny Minisitry ny Fahasalamana izy ireo fa hosaziana raha mbola mitsabo ireo olona tsy manana antonta-taratasy: vaky ny ady eo amin'ny sehatry ny fahalasamana. .