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Download - CISAS | Centro de Información y Servicios de Asesoría ...

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INFORME ALTERNATIVO SOBRE LA SALUD EN AMERICA LATINAciety, (as well as the access of all the population tointegral health services).● Every citizen will be required to contribute to theextent that his/her economical possibilities forhealth financing permit. (The mechanisms of controlof contribution will be completely separated fromthe access to services.)● The public system of health will be directed by a collegiateorganization, for a fixed period, (autonomous,formed <strong>de</strong>mocratically), in an attempt to guaranteethe representation of regions, sectors bymeans of their social organizations and workers.● Neither the public system of health, nor its regulatingor directing organizations will <strong>de</strong>pend hierarchicallyon the government. This will not <strong>de</strong>signatethem, or give tutelary control over their <strong>de</strong>cisionsof the autonomous institution. Moreover, administrative,budgetary and financial autonomy will beguaranteed.● In regards the provision of services, territorial unitsdistinct from the existing will be organized, with theintention that they consult the population of the differentregions in relation to their cultural, economicaland communicative reality. Concerning the organizationand planning of services, the affiliationwith the system will be performed by the place ofresi<strong>de</strong>nce of the family. A municipality may <strong>de</strong>ci<strong>de</strong><strong>de</strong>mocratically which region to appoint.● The financing of the system will be based on statepublic funds having as their source the profits of thenation, the contributions of employers and workers,the current quotation for occupational risks, the incomefavoring the private sector, and the rest of localor <strong>de</strong>partmental tributes, as well as the profits ofbondhol<strong>de</strong>r monopolies.● All the resources of the health system, including thequotations of salaried people and people with purchasingpower, will be collected and administeredthrough a National Unified Public Fund.● The health resources may not be oriented to any other<strong>de</strong>stination, and may not be used to finance thenational government, or to nurture and strengthenthe private financial sector.●The System of ‘Subsidies to Demand’ will be suppressed.Public hospitals and the rest of institutions ofthe health services public network will be financeddirectly by the State, by way of the National PublicFund. (Demanding from the public network the sellingof services, or criterions of economical profitability,or financial self-sustaining is prohibited, as acondition to gain access to the necessary resourcesfor the functioning of services.)● Integral and satisfactory maintenance of the publicnetwork is a priority of the system.● Humanization of services, which emphasizes humanbeings’ dignity over any other consi<strong>de</strong>ration, will bethe ruling criterion (that all the people, officials orworkers, will observe within their activity as membersof the public system of health).●The quality of the system and its services will be guaranteedthrough previous internal mechanisms, andorganized forms of effective social control of services.● Within the health system, the poor treatment ofclients (or any other that fails to recognize the principleof humanization, or that intends to impair thepublic nature of the system with the purpose ofadopting business or commerce policies or criterions)is forbid<strong>de</strong>n.106

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