sexta-feira, 1 de agosto de 2014

Flying Doctors (More Doctors Program) Protests and other Urban Movements Anti-establishment Protests News and Senator Aécio Neves Endeavoring to Settle a Sustainable Communication Channels.

Flying Doctors (More Doctors Program) Protests and other Urban Movements Anti-establishment Protests News and Senator Aécio Neves Endeavoring to Settle a Sustainable Communication Channels.
[Protestos Relacionados aos Médicos Voadores (programa Mais Médicos) e Outros Movimentos Contestatórios Urbanos: Tentativa do Senador Aécio Estabelecer Canais de Comunicação Sustentáveis]
Brazilian Doctors Protests again on the streets wearing coats

by Breno Altman in “Brasil de Fato”

  Expressions of physicians in this Tuesday, reveals a hard, mobilized core of the Brazilian doctors. His influence in the media, society and institutions already threatens the health program recently launched by the government. Judging by the amendments tabled in the House of Deputies, the disfigurement of this bill will be inevitable.
The Presidential Palace may be paying a price for acting indeed in an awkward manner, without consulting and articulate the more progressive tendencies of medicine. Such manner , which would be required to such broader effort. But the reaction is not against any casual failure of dialogue: its nature is to defend corporate privileges, opposed the country's interests and rights of citizenship.
The main three flags in the white coats marches are instructive. They are against the extension of residence in two years, with the requirement that serve the Unified Health System not agree with the coming of flying doctors to cover deficit of professionals, especially in the corners of the country. They don’t agree to overthrow of the presidential veto on the so-called Medical Act, which established the supremacy of the category relative to other workers in the health universe.
The claims are those who look inwards. Inflated by the richest and articulated with conservatism extracts, medical mobilization does not enter the fight for the improvement of public health. His greatest allies are those who commanded the campaign to eliminate the CPMF (a Brazilian tax created in favor of Heath sector, but used for others)  and evacuated about 40 billion Reais annually to finance the sector.
This is a manifested hypocrisy when it says that the problem is not the lack of doctors, but the lack of structure in hospitals and care centers. The difficulties are undeniable, it is a fact. In the context of this struggle, however, are only alibi for the upstairs can make your life without reciprocity with the millions of Brazilians who make efforts and paid taxes to ensure the existence of good public medical schools.
Brazil has an insignificant number of physicians in the proportion of 1.8 per thousand inhabitants. In England, this ratio is 2.7. In Cuba, 6. In the last ten years, there were 147 000 new jobs in the labor market, but only 93 000 professionals were trained. There are 1900 municipalities with less than one doctor per 3000 inhabitants. 700 In other cities, doctors with no fixed abode. Needless to say that these 2600 municipalities without adequate care are among the poorest and most remote from major centers.
The government created the Program for the Enhancement of the Primary Care Professional (Provab), to bring doctors to the countryside and to the suburbs. The demand was 13 thousand workers, but only 3800 health centers were filled, despite the 8000 real wage that is offered now increased to 10 thousand in the More Doctors program. Even peripheral district of major cities such as Porto Alegre and São Paulo, fail to attract interested.
A significant portion of the class graduated in state institutions, does not care for the time of Brazil. Do not want to get out of your comfort zone and think the right to think only of personal career and assemble a profitable private practice in any metropolis similar to other countries.
Entities in the area, especially the Federal Medical Board, do what they can do to prevent the expansion of the number of colleges (in the name of teaching quality, of course) and hiring foreigners or overseas trained doctors. The market reserve for these people, is far from the public health.
And these people are higher socioeconomic level. While 40% of students from the University of São Paulo attended public schools, the School of Medicine this source is limited to 2% of those enrolled. In the class of 2013, none were black. Physicians rich want to get richer treating only richer classes similar to other places in the world. Since the poor classes are much less likely to access the universities and the Brazilian society don’t care if those poor classes harm themselves and do not improve in their lives.
The government tried to solve the problem only by attractions strategies. And did not find candidates. And for that reason decided then to take that adopted a similar model for decades by countries as similar happened in Israel and Cuba, establishing a variant of compulsory civil service, even if well paid.
For medical training  at a public universities, it costs around 800 thousand dollars to the treasury of the Union and the states. It's only fair that there be some form of retribution for contribution made by all society for every individual who turned doctor. Two years of repayment with a reasonable paycheck, is a trifle. It is important to remember that the state's duty is related  to the people,  not doctors.
Perhaps students in private universities could be exempted from this measure, but very carefully to prevent the wealthy enjoy other better employee situations to escape his social obligation, changing course. Either fix fits to be taken, but the Minister of Health and President Dilma Rousseff are fulfilling their constitutional duty.
 What is missing, besides mobilizing sectors of the favorable health measures adopted, is waging a battle firmer new values on the program under discussion. For now, it seems that the main concern is calm down the wrath of angry doctors selfishness class. The main goal should be to discuss the duties of solidarity of receiving privileges and rights of everyone to receive quality medical care.
You can not facilitate spokesmen of ignorance and bad faith. When characters like Claudius Lottenberg and Miguel Srougi turn against the arrival of Cuban doctors, there is little to add. Continually lied about the quality of these experts, whose expertise is attested by the World Health Organization and the 65 nations in which they work to meet local deficiencies.
After all, it would be a horror of reactionary doctors wearing white to watch Island of Fidel’s island doctors, many among  them blacks, working at places for which their Brazilian colleagues reject to work and cover their noses. The nakedness of their behavior would be unbearable for them.


Elizabeth Lopes and Pedro Venceslau – Estadão, 7/16/2014

The PSDB Candidate for the Presidency of the Republic, Aécio Neves, admitted this Wednesday, 16, for the first time, since he started his path towards the Planalto Palace, that he intends to review the agreement that Brazil made with Cuba in the More Doctors (Mais Médicos) Program. On Saturday in São Paulo, he criticized the gesture of the PT, mainly that of his adversary in this case, Dilma Rousseff, saying that the Brazilian government finances the Cuban government through More Doctors. “We are going to finance Cuban doctors and not the Cuban government.”
Despite his argument, he recognized the importance of the More Doctors Program, excepting that, through the problem of the salaries of the Cuban doctors, it is necessary to advance more in the health sector. During that Saturday, he was applauded by the audience multiple times, among them when he said that it is needed to review the agreement made with Cuba. Questioning if the Cuban government would agree to review the deal, he affirmed that it is Cuba that should fit the rules made by Brazil. “We are going to review these rules,” he said.
Kenneth Rapoza – Forbes, 7/17/2014
Now that the FIFA World Cup is no longer in town, economics and politics are back to the forefront in Brazil. It’s unlikely voters will punish incumbent president Dilma Rousseff for Brazil’s lackluster performance in the semi-final matches. Dilma can weather the national soccer club’s defeat. In Brazil, elections are always about the economy.
And Brazil’s economy is weakening, according to Central Bank preliminary forecasts released on Thursday.
Brasil Post, 7/17/2014
Candidate for reelection in the race for the Planalto Palace, President Dilma Rousseff (PT) fluctuated two percentage points lower in the last study by Instituto Datafolha, revealed this Thursday (17), and she emerges now with 36% of intended votes. Second place in the first round simulation of the presidential elections, Aécio Neves (PSDB) remains with 20%, the same percentage obtained in the last study. Eduardo Campos (PSB), in turn, fluctuated from 9% to 8%.
For the first time, however, a technical draw was registered in a second round simulation. In a possible draw between Dilma Rousseff and Aécio Neves, the current president of the Republic would have 44% of the votes, compared to 40% for the Minas Gerais senator – there is a margin of error of two percentage points more or less. Yet with a possible second round against Eduardo Campos, Dilma would win 45% to 38%.
Valdo Cruz and Eduardo Cucolo – Folha de S. Paulo, 7/18/2014
The harvest of negative economic data revealed this Thursday (17) generated worry within Dilma’s government. The economic team was already working with a drop in economic growth, but evaluated that the more negative effects will be felt after September.
But the signals were those that the reduction in the pace of the economy could be more accentuated than was expected in the months that precede the elections this year.
Photo courtesy of Flickr user TV Brasil – EBC.

The "circus" turned into ashes into ashes.
The spree ended. The people themselves paid the bill!
photo -

The party's over for Brazilians who is calling themselves Patriots every four years (elections periods). Hopefully now they will join the majority of Brazilians who are patriots every day of the year without getting involved in the national flag, those who wear white coats, those who wear overalls factory, those who wear uniforms, those who complies with the legislation, those who try to take advantage of all those who are not “gigolos” (male prostitute or escort which  financially dependent on another person) of . government, in summary those who work hard and pay taxes.

Enjoy the overthrow hangover and leave aside for a few days the sports section; read the contract and see where the economy section in the newspaper where you find ours. Read the terms of public health, and assess the country's future. Read about public health and have a beautiful script for a horror movie. Read about the policy and find that every day there is a new corrupt. Only you do not read about security, otherwise you will not leave home.

Anyway, agree: Give credit less committed to this sport section with international press agencies that do not have the slightest respect for the intelligence of the citizen, creating prospects where none exist. In October, to help Brazilians in good faith by the government out these unprepared, corrupt and thieves who seized power and are destroying the country. Also hope that assimilate well the important lesson given by the Germans: Brazil, indeed is not the country of football, already. Today, Brazil is the country of institutionalized corruption. Thank you Germany for the great help given to the Brazilian people.

Humberto Luna Freire Filho
medical, Brazilian citizen without fear of corrupt.
St. Paul / Capital
CREMESP 35,196
CREMERJ 26,078
Rg 5529325 - SSP / SP

Posted on July 17, 2014 at 09:31 pm. by
Soriano Manoel Neto
Colonel of Infantry and Staff of the glorious Brazilian Army, Military Historian.


Social mobilization: Medical clinics adopt shirts "Dilma Out" as uniform.

They were not kidding!
Medical clinics throughout Brazil by exchanging shirts coat "Out Dilma."

Rousseff stepped in 400 thousand Brazilian doctors unfairly taxing mercenary and inhuman.

The president just did not expect doctors were reacting against his campaign and it seems they've started.
This demonstrated that the new uniform that many will use it!
The force that a physician has within a community is greater than the force of a politician?
Time will answer
Posted on July 12, 2014 at 23:11 pm. by
Soriano Manoel Neto
Colonel of Infantry and Staff of the glorious Brazilian Army, Military Historian.

Health care in Brazil
Flying in doctors
The government imports foreigners to reach the parts locals
 don’t want to

Aug 31st 2013 | SÃO PAULO | From the print edition

THE parlous state of public health care tops opinion polls of Brazilian voters’ concerns. Street protests in June were sparked by a rise in bus fares, but the low quality of hospitals and clinics was among the demonstrators’ main complaints. The constitution guarantees the right to free, state-provided health care. But two-fifths of Brazilians are not covered by local primary care, relying instead on chaotic hospital emergency rooms. A quarter go private. The proportion of total health spending that is public is lower than in the United States, which does not aspire to universal public provision.
President Dilma Rousseff’s answer is Mais Médicos (“More Doctors”), a crash programme to recruit thousands of foreign doctors to work in poor and remote areas shunned by locals. On August 23rd the first of them arrived. About 200, mostly from Argentina, Portugal and Spain, have been offered three-year contracts in family medicine. They will earn 10,000 reais ($4,250) a month, plus board and lodging. Some Cubans have also turned up, the first of 4,000 doctors the government hopes to hire from the island by December.
In this section
Related topics
Brazil has proportionately fewer doctors than many richer countries (see chart). And most are in big cities, often in private practice; too few are general practitioners. It is shorter still of nurses: one for every two doctors, while in efficient health-care systems the ratio is three to one. Those nurses are used poorly, too—largely because of lobbying by doctors. In 2002 their professional associations managed to halt training for nurses in diagnosing and treating common childhood illnesses. In 2009 they got a law passed forbidding anyone but doctors to prescribe any type of drug.
The original plan had been to use federal cash to lure Brazilian doctors to poor municipalities. But despite the unusually high salaries on offer, only 938 signed up for the 15,460 jobs offered. Most of the 3,511 municipalities that wanted doctors were disappointed.
Many countries struggle to lure doctors to poor or remote areas where they will have little chance to train further and specialise, or to practise privately on the side. Brazil finds it particularly hard: offering to pay off student loans, a common carrot in the United States, does not apply, since the public universities that train most of the doctors charge no fees. Most medical students are from better-off families and have few links to deprived communities.
For Cuba, the deal represents a handy source of hard currency. It overproduces doctors and nurses, and has long sent them abroad, for humanitarian or propaganda reasons. Increasingly, it is charging for them. Venezuela provides Cuba with a massive subsidy under the guise of paying for the services of 30,000 doctors and other professional staff. Brazil insists no subsidy is involved. But the size of the planned contract, worth around $150m a year, makes it valuable for Cuba, whose government keeps about two-thirds of the salaries of its doctors working abroad.
The new arrivals have been exempted from the usual test required of foreign-trained doctors, but they are unable to work except in their assigned clinics. Even so, Brazil’s medical associations want to block the import of foreign doctors. They argue that the Cubans’ lower pay and inability to choose where to work are “analogous to slave labour”. That is overblown. Yet Brazil’s strict labour courts may decide that the inter-governmental deal under which they were hired counts as “outsourcing”, which they frown on.
The doctors’ leaders also say that since the foreigners’ degrees will not have been revalidated, they will be practising illegally. The education ministry suspects that the revalidation test has been made needlessly difficult in order to keep foreigners out. Less than 10% pass it (though Cubans do somewhat better than average). The ministry recently tried to give the test to final-year Brazilian medical students. But too few turned up on the day to provide a decent sample.

Nenhum comentário:

Postar um comentário