It suffices to dwell on some of the headlines with which the year ended, as if they were symptoms, of a syndrome of systemic health failure. Residents claim, skyrocketing rise in Covid cases, lack of information about vaccines, to mention a few.
The logic in the face of the pandemic was to face it as if it were a whirlwind that concentrates its power when other things have been left behind, and then returns to normality in response to its effects. On the other hand, when a new variable is dealt with in its various stages, it must be dealt with in accordance with the rest of public health.
Today it cannot be denied that with the emptying of social and prepaid functions, with expensive labor turning into a private private system (out-of-pocket expenses), and with the cheap labor that he The whole health sector is old and neglected. out to say enough. Indeed, the use of residents who neglect their training is a clear sign of destruction and disorganization of the public sector, with similar implications for the private sector.
In the face of so much evidence, the mix of blindness and cynicism is alarming, and it is not surprising that we must invent new words to express it. Thus, we go from post-truth to gaslighting, that is, from deception to manipulation; From the defiance of the truth to the most shameful of moral frauds.
But not only officials fail: the very moral foundation, the moral cement of the community, breaks down. Who do we Argentines trust? We get excited about a good harvest, Vaca Muerta or Lithium; And to continue with the fourth, fifth and sixth doses of the vaccine, whatever we get.
We can picture it as another pandemic, more hidden and for the same reason more pernicious: an epidemic of ignorance, denial, negligence. We must break free from the illusion of choice that imprisons and limits us. Like the gentleman in Geoffrey Chaucer’s tale (The Woman from Bath), who refuses to resign himself to choosing between the options of extortion offered to him in order to survive, and only then to remove the stasis manages to do.
The answers should be pending priorities: we still do not have doctors (they are in full, but they are not rationally distributed across specialties and regions and availability of equitable care), without adequate and hierarchical nursing staff, without adequate infrastructure without executive management teams, even without an efficient national health observatory that generates reliable data and sustainable information.
There is also a need for a public accounting department with management and budget for results using public output criteria (“public service companies”), as well as an information and communications office, in charge of integrating alerts and campaigns, taking the place of normal. Spontaneous communication breakdown that affects mental health and daily living. Both are subordinate to a “command panel”, which is subordinate to the Strategic Office of Operational Management.
The real alternative is to build a unified federal health system, which doesn’t mean starting from scratch. We have the elements, but we have to design a new organic functioning of the whole. This can happen in different ways, but it is a crime to keep the perverted distortion of the present for a long time. Saint Augustine expressed it centuries ago: “To err is human, to persist in error is diabolical”.