Dear colleagues, our profession is going through a paradoxical situation, while major international organizations such as WHO and OECD certify the diamonds results obtained in the Italian health system (subject to a number of years to a chronic under-funding) the other day we receive numerous attacks in the press that spreads so untimely and inappropriate for the exclusive purpose tabloid news show that only the doctors responsible for any malfunction of the system: that attitude is reinforced by improvident releases on the home page Corporations, such as the Ministry of Health, responsible for the protection of that personal health is reported to be responsible instead of only "poor health care." All this leads to an explosive mixture with the gradual increase in the distrust of the medical profession, leading to an increase in complaints to the Judiciary and the affirmation within the category of so-called defensive medicine. A little work to apply the category of good journalists as the columnist of "La Repubblica" that Mario Pirani, taking a cue from what appeared on the website of the Ministry of Health, writing an article entitled: "Health, Livia careful not thieves the clinicians, "says ...." it is also legally enshrined as the dramatic reversal of a truth that is visible to all and that we have reported many times: the poor health care is primarily attributable to the invasion of the parties, the appointments which the directors are encouraged to contracts with companies and cooperatives set by politicians in office, the conventions are not always clear carried out by government clinics and private laboratories compliant with ... .. is also stressed that doctors have been deprived of all ability to manage human and material resources in hospitals. All contracts for construction, catering, cleaning, pharmaceuticals, medical devices, security, insurance and competitions, are the exclusive domain of directors, appointed directly by political power ... ... .. "We physicians aware of their work and proud have contributed decisively to bring our country to high levels of health protection of citizens, need to operate with more peace and more freedom especially in the government "clinical" health we must protest and fight in a decisive manner to protect our profession really trying to restore dignity and peace trusting in the words of the last hopes that Turkish Minister Hon Livia: "... a deal to break the civic use of ASL and perverse management Hospitals by the parties, because at all levels must triumph meritocracy: that's the real reform in healthcare. " Unfortunately, professionals working in health care respond to this difficult situation in a different way: there are no merit or saprophytic looking into the folds of management (corporate, union, ordinistico, etc. ..) a clever way to get their own way, Always looking for small and great benefits. We are focused on their backyard these professionals are careful dialectical confrontation of values, they represent the vast majority of staff: the so-called Nimby (not in my backyard = not in my backyard), do not expose themselves or conflict and never Sometimes they are even rewarded with senior positions. Then there is the same group of members for membership, management and professionals who belong to the same lobby, living in harmony and symbiosis: the demands and projects find a partner, a dedicated channel to listen, respond and prompt implementation , so make sure that careers grow unhindered. Finally, there are the brave struggle against the system to improve it from within, they know their responsibilities and are ready to get into the game and lose to their ideals and are often the best professionals that because of these choices that bother all'establishement political and institutional health of the companies are being penalized seeing preceded by the members of those two categories (pace of their much-discussed and advocated a meritocracy). After all these assumptions and assuming that: the primary hospital incompetent, the inefficient public official, the employee idle etc. .. must be appropriately sanctioned and take a step back for the benefit of those most deserving and capable (and do not stand), all doctors need to unite behind a body using the means at its disposal and the strength resulting from the number of members to give back, through the courageous battles, dignity and respect to the work of us all.
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