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INFORME ALTERNATIVO SOBRE LA SALUD EN AMERICA LATINAWHAT ARE THE FRONT´S DEMANDS?● We demand the right of everyone to be heard and toshare their experiences, dreams, stories, knowledge,and wisdom. For this reason, we think all these socialagents, people who are traditionally silent and notlistened to, have to unite in order to form a commonfront.These people include shamans, healers, "hueseros",midwives, communitarian leaders, district andcommunitarian organizations, health workers, studentsand professionals in different areas.● We aim to defend health as a priority and universalright of human beings, by means of inter-institutionalcoordination and community participation.● We aim to improve the communication among organizationscommitted to our ideals to help groupssocialize ideas; listen to suggestions, share workingtools, and support social change in regards health.● We strive for the formation of new fronts withinprovinces, cantons, parishes, and distant and difficultto access communities in order to multiply ourprinciples and proposals.DECLARATION OF PRINCIPLES● Economic changes throughout the capitalist worldhave deeply affected the health of our people andtheir access to sanitary care, education, employment,housing, potable water, and social well-being.The gap between the rich and the poor, men andwomen, children, young people and old people widensseriously, presenting a panorama of marginalitythat infuriates and revolts us.● The contrast between the immense wealth generatedby peoples and derived from nature and the millionsof people suffering hunger, illiteracy, violenceand unhealthy living conditions summons us to globalizeour solidarity and the struggle for justice, withthe intention of jointly confronting the evils of thepresent century.● Violent and aggressive economic accumulation, indifferenceand even disdain for humanity, and the impositionof tariffs on account of public health services,has lead to the tragedy of the poor, who constitute85% of Ecuador`s population.● In the middle of this generalized poverty, the deteriorationof social and economic indicators, and theaccelerated increase in misery illnesses, such as infantmalnutrition, tuberculosis, malaria, diarrhea,dengue, low weight at birth, we oppose the collectionof health services user fees. From this arisesthe question: Public health to serve the poor, or thepoor to serve public health?● Furthermore, the imperialistic processes of globalizationhave disrupted people’s living styles concerningnourishment, recreation, and interpersonal relations.Thisprocess has strengthened individualism,consumerism, and violence and insecurity in homesand in the streets. This situates us as a country withhigh rates of illness, violence, and death by preventablecauses. Thus the State and society in generalshould acknowledge health as a human right, a rightwhich must prevail and be prioritized, implementingpolicies, plans and programs adequately and sufficientlyfinanced.● Concurrently, this situation has created the presenceof pathologies of development, such as diabetes,cerebrovascular illnesses, traffic accidents, traumasby violence, mental disturbances (stress and depression).Thishas lead to a mixed epidemiological profile,which will doubly require integral actions to beeradicated.238
Observatorio Latinoamericano de Salud.●Violence effected against nature by transnational corporations,timber dealer companies, shrimp dealercompanies, African palm companies, and the excessivetotal number of cars, has deteriorated extensiveterritorial areas, undermining our ecological potential.● The World Trade Organization (WTO), as an instrumentof imperialism and specifically at the service ofthe interests of North-American large transnationalcorporations, dictates policies to implement theArea of Free Trade of the Americas (ALCA). As acomponent of the agreements, the incorporation ofhealth provision as merchandise to be supplied anddemanded in conditions of total inequity has beeninstituted.An element of this strategy is the reformin the health sector executed with loans of theWorld Bank (raising the amount of external debt),which has not aided in satisfying our needs and aspirations.In effect it has contributed to the declineof health and to the conversion of institutions intorigid companies directed by managers, extractingsurplus value from workers and people’s illnesses.● Decentralization in the area of health has turned intoa process of transference of obligations to localorganizations without the resources necessary, violatingsocial participation and the principles of solidarityand equity, with which the State plans to takeno part in its responsibility which was establishedin Article 42 of the Political Constitution: "The Stateguarantees the right to health, its promotion andprotection, by way of the development of nourishingsecurity, and the provision of potable water and basicsanitation, the fostering of healthy environmentswithin families, at work, and in the community, andthe possibility of permanent access to health services,consistent with the principles of equity, universality,solidarity, quality and efficiency". What currentgovernments have accomplished thus far is the implementationof low-cost superficial measures thatseek a cosmetic effect on the health marks of a marginalizedpopulation, and a demagogic attitude withregard to human suffering.● After a decade of application of the "Reform in theHealth Sector", the sanitary crisis within the countryhas become serious, corruption in the managementof funds through MODERSA has implicatedeven Secretaries, and public hospitals do not countupon the minimum necessary to activate care andothers are sustained by the users’ money who becomeindebted or sell their minor belongings. In addition,professionals, workers, and employees of theDepartment of Public Health constantly cease activities,since their wages are not paid on time.TOWARDS A NEW HEALTH CONCEPTAND PRACTICE● In the struggle for health and life, it is essential tosubstitute the biological individualistic curative paradigm,which overemphasizes the role of hospitals andmedicines and underestimates the importance ofpreventive measures that change the working and livingconditions. . According to us, HEALTH IS A HU-MAN RIGHT, and thus it must prevail over economicissues. It is the result of people’s living standards inclose relation with nature, their working forms andconsumption. Thus, actions to be performed shouldbe integral, as much at the socioeconomic level asthe cultural and political ones, involving diverseagents.● To strengthen Health Promotion, we need to beginwith new concepts, strategies and methods, makingthe most of the existing best potentialities within239
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PEOPLE’S HEALTH ASSEMBLY 2GLOBAL
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LATIN AMERICAN HEALTH WATCHAlternat
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"Our elders taught us that the cele
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12. Neoliberalism, Pesticide Use an
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1Alternative Health Report :A Tool
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Observatorio Latinoamericano de Sal
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Monopoly,Inequity and Health
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INFORME ALTERNATIVO SOBRE LA SALUD
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3The Right to Health and the Free T
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Institutionalizationof Violenceand
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EconomicFundamentalism,Legal Regres
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Life and Healthas Commodities
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Cultural Agresi nUniculturality and
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Biodiversity:Destructionand Monopol
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Section II:THAT OTHER HEALTH POSSIB
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