Programska knjižnica 9. Lošinjskih dana bioetike - Hrvatsko ...

ka, ekonomska, društvena i socijalna prava). Uz prikaz zakonskih odredbi,
prilog analizira zdravstvenu politiku, koja poslije 1991. otežava pristup
zdravstvenim uslugama osobama bez zdravstvenog osiguranja i posljedično
doprinosi zdravstvenim rizicima te populacije. Uz iskustva osoba
izbrisanih iz slovenskog zdravstvenog sustava, analizirane su i neke etičke
dileme zdravstvenih radnika. Te dileme moguće je interpretirati kroz antropološki
proces »cjenkanja«; kod odlučivanja o pristupu osobi bez zdravstvenog
osiguranja suočavaju se, naime, liječnikova osobna odluka, načela
profesionalne etike i utjecaj restriktivne zdravstvene politike.
ACCESS TO HEALTH-CARE SERVICES
AS A CONSEQUENCE OF THE “BARGAINING” PROCESS
The paper will analyze access to the health care system in Slovenia by
people without any health care insurance in this country. The presentation
is based on an extensive medical and anthropological research carried out
among health care professionals and the uninsured population (especially
individuals from the group of 25.671 “Erased people”, who were taken off
the register of permanent residents after Slovenia had acquired independence
in 1992; as a consequence they were left without any legal status
and, therefore, without any political, economic and social rights). Besides
dealing with the applicable legal framework, the paper also analyses health
policies as from 1991 on, which hamper these individuals’ access to healthcare
institutions, thus exposing such uninsured persons to higher health
risks. Experience testified by the “Erased persons” will be complimented
with an analysis of some ethical dilemmas faced by the health care professionals.
These can be examined through the anthropological concept of
“bargaining” since the decision as to whether to allow access to health
care to uninsured people seems depend on a combination of issues, ranging
from a doctor’s personal judgement, her/his understanding of the principles
of professional ethics and the influence exerted by restrictive health care
policies.
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