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(en) France, Union Communiste Libertaire UCL press release: "Ségur de la santé": socialization / self-management, a radical remedy (fr, it, pt)[machine translation]

Date Tue, 2 Jun 2020 10:01:35 +0300


Far from Emmanuel Macron's call to "reinvent itself", we can say in advance that the Ségur de la santé will not invent much. Always this old political method which consists in announcing a "great national concertation" ... while fixing in advance the results ! These will be in line with the "world before": little investment, but the continuation of the neoliberal breakage of our health system. It is time to reclaim it and place it outside the law of the market. ---- The Prime Minister, Édouard Philippe, announced that the concertation organized at the Ministry of Health, avenue de Ségur, will focus on four "pillars" of a future reform of the public hospital. ---- 1) Rising wages ---- The salaries of the French public hospital are among the lowest in Western countries. The government announces that the objective is to reach a level of remuneration equivalent to "the European average". It is expected firmly, because it has been months since the unions and the Collective Inter-Emergencies have been calling for this , and that the government has shamelessly walked them.

2) Always revolting funding logic
The government announces that it wants to reduce the share of "activity pricing". But the problem is the contradiction between this type of funding and a logic of public service. The Inter-hospital Collective demands its outright abandonment: "the rule must be the right care for the patient at the lowest cost and not the search for a profitable rate for the establishment". This implies "an increase in the hospital budget (Ondam) of at least 4%".

3) An increase in working time
Didn't the coronavirus crisis teach them anything ? Olivier Véran speaks of "questioning certain shackles that prevent those who wish to work more". Pushing already exhausted employees to overwork by shaking the carrot "overtime" is above all a way of not recruiting. The SUD-Santé-Social federation estimates that 100,000 people are missing from the public hospital. This understaffing will not be compensated by the "telemedicine" that the government, always with its high-tech fantasies, presents as a solution.

4) No solution to the lack of beds
Finally, the government wants more integration and cooperation between hospital, city medicine and medico-social sector, but makes no promise on the reopening of beds, the lack of which was sorely felt during the coronavirus crisis. It remains silent on the private hospital sector, which monopolizes a third of the "market" of patients, and absorbs part of the public funding to the detriment of the public hospital.

One solution: socialization under the care of caregivers
The interest of the population, of the caregivers, requires a logic radically opposite to that of the "Ségur de la santé". It is a revolution in the health system that we need, through integral socialization, and self-management. This presupposes that the entire hospital system, public and private, be removed from the hands of the State and financial groups, and unified. The health system must be declared "common good" or "social property", and enjoy funding provided entirely by Social Security, therefore by social security contributions.

It will thus come out of both the state budget and the law of the market. Placed under the control of workers, it will fully reconnect with the spirit of public service, and may be redeployed in the territories, with manpower and resources at the level of needs.

This logic, neither statist nor capitalist, is that of libertarian communism.

Libertarian Communist Union, May 29, 2020

Applauding is good, fighting together is better
Weekly demonstration in support of the demands of caregivers, outside the Robert-Debré hospital, in Paris 19 e . Photos Clotilde (UCL 93-Center)

https://www.unioncommunistelibertaire.org/?Segur-de-la-sante-la-socialisation-autogestion-remede-radical
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