The interview given by the president of OMD (Dental Association) Jornal i assume peculiar importance, representing a value - added valuable and urgent need for urgent that the country is experiencing in relation to discuss the sustainability of the SNS (National Health Service ) and, framing it, the way forward regarding the oral health in our country. In this context, the interview concerning various issues that currently influence oral health in Portugal and shows various scenarios for the future, on the other hand, raises questions that deserve urgent resolution by the political power.
Understand that reflection is the interview as a further contribution necessary to broaden the discussion, to seek consensus and ensure for the future, access to oral health care to all Portuguese. The contribution is minimal, other contributions to the discussion will always be - welcome.
The president of OMD says that the Constitution should not allude to a national health service tend to be free, by calling attention to the need for a certain degree of economic participation in the use of health services, it is an urgent need to go much further this issue - the parties represented in parliament and government have the absolute moral duty to implement measures to create mandatory insurance, in health, for citizens and assuring them of an addition to the expenses that eventually every citizen will have throughout his life.
Fiscal policy can and should be used to encourage savings; happens that the current government, by limiting tax benefits in relation to spending on health is directly contributing to the Portuguese divest part of the savings in promoting their own health and, indirectly , is another major factor in the sustainability of the drastic reduction in national health service.
It is then with user fees that will get funding that are lost due to wrong policy to fiscal policy, user fees represented one of the gravest violations of discrimination between people in access to medical care, because nobody chooses to be sick.
The president of OMD is absolutely right when he says that the national health service is centralized and decisions are taken by a small group of people, this is truly a remarkable defect of health policies in Portugal - half a dozen people stuffed in cabinets and often away from the difficulties of everyday life that we are professionals of national health services face in the field, are able to take, sometimes absurd options and sink the country's coffers without providing any accounts there or be held accountable.
For example, in the area of oral health and in previous post, where they are shown to stop millions of euros of oral health programs that should have been spent on medical care.
It is urgent to implement accountability to all appointments to intermediate and higher national health service, lack of positive praise and promotion, lack of accountability negative results and subsequent demotion or removal from office.
Says the president of OMD is need to reorient the national health service to prevent, in fact, perhaps tens of billions of euros could be saved annually by implementing a national health service more preventive. Also the application of a real public policy for prevention of oral health may contribute to the reduction in the medium and long term, the weight of household budgets spent on dental treatment. There is courage and assume that this is possible, not piece accountability to citizens when there is no education for this purpose.
After all, the Government and the national health service responsibility for the health of the general population, it is for them to help people make better decisions for your health.
(Continued)
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