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Showing posts with label MCCH. Show all posts
Showing posts with label MCCH. Show all posts

Friday, September 6, 2013

Hope in Greece (by Amy Muse)

Hope in Greece

“People are getting INVOLVED — Folks are DOING something, and that is a magical thing to watch, and even more magical to be involved in,” my dear friend Martha wrote to me this spring from Athens.
The news of Greece, as you know, hasn’t been good. Austerity strategies are a cruel joke, based on false premises. Homelessness, drug addiction, prostitution are on the rise in Athens, as you can see captured in Angelos Tzortzinis’s heartbreaking photos.
Maybe this is all you’ve heard about Greece—one  wave after another of failed bailouts and government infighting. Maybe you’ve tuned out, writing it off as a hopeless cause. Beautiful country, great weather, hopeless politics, nothing to be done. Maybe, then, you need to learn about a remarkable crisis response in Athens: the Metropolitan
Community Clinic at Helliniko
, a free clinic that has sprung up to help the unemployed, uninsured, and/or impoverished Greeks, immigrants, and others who are falling through the widening cracks in the system.
Volunteers bringing medicines to the clinic. Photo from the BBC.
Volunteers bringing medicines to the clinic. Photo from the BBC.
(The space, may I add, is an inspired repurposing of a former American Air Force base.)
The clinic’s been catching some much-deserved media attention: this BBC News Magazine story, a visit from Naomi Klein (scroll down to 29 May 2013). But I know about it from Martha and her husband Mark, who have been volunteering there since its inception (read her quoted in the BBC story). Not the type of folks who sit soliloquizing while something is rotten in the state, they have been translating materials for the clinic’s website, sorting medicines for the storeroom, listening to patients’ stories, chipping in to pay for medicines to keep people going, providing good will and hope.
An authentic hope, as my colleague Jack Nelson-Pallmeyer puts it—one which “pays attention to problems as they actually are to the best of our understanding, even if problems are grave and solutions are demanding or uncertain.” Not the feeble wishful thinking, the “optimism disconnected from reality” that passes for hope in most of our public discourse (and private conversations, for that matter).
Outside of Greece we’re always reading about the high unemployment rate, especially for young people, who are depicted as futureless. In contrast, Martha sees their vibrant creativity at work: “The young people will save us.  There are so many new ideas, initiatives – young folks coming up with wonderful things – ranging from apps that can be used by free clinics to track medications to fun ads for Greek tourism.  Wonderful stuff.”
One of my writing idols Rebecca Solnit profiles the ways communities can rise up in crisis situations: the generosity that individuals show to one another, the calm they find together at the center of the storm. Instead of complaining about how the situation will never be ideal, we could be heroes  building on hope, knowing that “to be hopeful means to be uncertain about the future, to be tender toward possibilities, to be dedicated to change all the way down to the bottom of your heart.”
A logo photo from the clinic website.
A logo photo from the clinic website.
In 1822 Byron wrote to his friend and banker Douglas Kinnaird, “the longer I live – the more I perceive that Money (honestly come by) is the Philosopher’s Stone. . . . I want to get a sum together to go amongst the Greeks or Americans [he meant South Americans] – and do some good.” He did just that: got a sum together and spent the last 100 days of his life trying to do some good in Greece.
I’ve recently returned from the International Byron Conference  at King’s College London.
http://www.kcl.ac.uk/artshums/depts/chs/events/Byron-Conference/index.aspx International Byron Conference, King's College London
http://www.kcl.ac.uk/artshums/depts/chs/events/Byron-Conference/index.aspx
International Byron Conference, King’s College London
At the home/office of John Murray, Byron's publisher.
At the home/office of John Murray, Byron’s publisher.
The conference theme was the politics of poetry (and poetry of politics), highlighted by a keynote address by Professor Roderick Beaton, whose new book Byron’s War narrates the trajectory of Byron’s life that led him from romantic young traveler and Romantic poet to statesman working for the Greek cause.
Byron's War cover
Much of what Byron faced in 1824 he would in 2013: petty bickering and mutual undermining between factions who should be working together for a common solution, economically-interested meddling from European leaders who wanted their own piece of Greece, quiet indifference from the many. The venture, then as now, was fraught with uncertainty: are you funding the right people, is your money being used effectively? Will any lasting good come from this? And what precisely do the words “right” and “effectively” and “good” in this situation mean?
It’s easiest to do nothing. But Byron, and Martha and Mark, and countless unsung volunteers, put their philosophers’ stones to good use and sprang into action. Byron’s death in Greece galvanized a movement, and a mythology. Martha is more sanguine: “we will survive and will come out of this different, utterly changed, and pretty much the same.”
P.S. by Martha and Mark:

Mr. Byron, you must have been surprised at hearing your name mentioned in the same sentence with ours – instead of the usual Romantic poets. We were surprised ourselves, because Niko, Eleni, Christo, Lefteris and so many other hard working volunteers weren’t mentioned either. No room you see – there are more than 200 of us. And the doctors! No doctors, no clinic. Ninety doctors and therapists – no room for their names either. Amy is a scholar and knowledgeable about Greece; she has been visiting Greece and writing about it for years. She has written a fair bit about you as well.  So, if you take our names as a stand in for hundreds of volunteers at MCCH, we are very pleased to share the sentence with you. Wish you could show up one afternoon. We’d love to show you around and hear what you have to say.

Wednesday, August 28, 2013

Ministry of Health Voucher Program: Of What Value?


Helliniko 21 August 2013

PRESS RELEASE
Ministry of Health Voucher Program: Of What Value?

The unemployment rate is 28% and the workforce of the country is just 4 out of 10 Greeks.  At this moment, the Ministry of Health springs on us a voucher program for health.  This is an attempt to impress the public and cloud the picture of the true tragic situation of the hundreds of thousands of uninsured citizens.
The new program, as announced, is a drop in the ocean.  It will serve 100,000 uninsured.  According to press reports, the true level of uninsured is more than 3.5 million (including previously insured shop owners and free-lancers who have closed their shops and businesses together with their dependents). 
We believe this new program, which is expected to last only two years, is glaringly inadequate for the following reasons.
1.      It doesn’t cover all the uninsured.  And it has limits and ceilings, according to region, on doctor’s visits (three visits to take place within four months). 
2.      It doesn’t cover secondary health care, i.e. hospitalization or specific treatment protocols
3.      Pharmaceutical treatment and medication is not even mentioned.
4.      It does not specify if this plan covers all the instances of tests and treatment that a patient may need.
We believe that there are multiple questions that the Ministry of Health must make clear.
  1. What will happen to the uninsured-indigent-unemployed cancer patient who needs chemotherapy?
  2. What will happen to the uninsured-indigent-unemployed pregnant woman who must have prenatal tests and a place of safe delivery?
  3. What will happen to the children with serious illnesses who require hospital treatment whose parents have no insurance cover and cannot afford to pay for hospitalization?  And what about the medications they might need?
The famous voucher program that we have waited for so long says absolutely nothing about these situations.
Mr. Minister, you must give a solution to our fellow citizens whose lives are in immediate danger because they do not have free access to the public health system.
We believe it is important to mention that this particular “initiative” of the Ministry of health refers to the revised memorandum of July 2013.  In the 234 pages of this memorandum (which you can read here: http://ec.europa.eu/economy_finance/publications/occasional_paper/2013/pdf/ocp159_en.pdf ) fewer than 3 pages (33-35) are devoted to the health sector in Greece.  Specifically, on page 35 in one paragraph, it states that this program will last two years and has a budget of 46 million Euro. 
After five years of crisis and three years of economic memoranda we continue to ignore human need in favour of a tidy balance sheet.  The humanitarian crises that we are experiencing will have tragic repercussions on us all.  Think about it.  More than 5.1 million of our fellow citizens (just under half the population) live under the poverty level.  There are 1.4 million officially unemployed.
The Metropolitan Community Clinic at Helliniko has been pleading with the government for more than a year and a half.  We want to government to deeply reflect on the sinister consequences of their policies for poor citizens.  The constitution of the country has been blatantly violated; human rights have been disregarded.  The recent resolutions regarding public health advocated by the European Council – especially for the countries hard hit by the economic crisis, are our guides. (read here: http://mkie-foreign.blogspot.gr/2013/07/blog-post.html )   
After all the misery sustained by the people, even now, instead a public health system that is universal, the Ministry of Health is hastily adopting another frustrating bureaucratic plan that still leaves out most uninsured patients.  By referring to funds from ESPA (The National Strategic Reference Framework) and misinformation to the public, the Ministry of Health is hoping to impress us with an aspirin, when a much more radical cure is needed.
We remain firmly committed to the fight to open the public health system to all without exception.

Monday, August 5, 2013

Direct Interest from the Commissioner of the Council of Europe on MCCH’s Health Monitoring Efforts





Helliniko 24 July 2013

PRESS RELEASE

Direct Interest from the Commissioner of the Council of Europe on MCCH’s Health Monitoring Efforts 

Direct, substantial and promising was the response that MCCH received from the office of the Commissioner for Human Rights of the Council of Europe, Mr Nils Muižnieks.  He sent this response just one week after the announcement of our initiative to create an "Observatory of Health Issues”.  This is an attempt to monitor and create a comprehensive record of what the uninsured, unemployed and destitute citizens face while trying to access public health services.  Their access to the public health has been severely compromised as the result of the application of austerity policies. 

Commissioner Mr Nils Muižnieks clearly states in his message that focuses on the respect for human rights in our country, and that he looks forward to seeing the information we gather.  The letter from his office is as follows: 

« Dear Sir, dear Madam, 

The Commissioner for Human Rights, Mr. Nils Muižnieks, thanks you for your communication and instructed me to reply on his behalf. He notes with interest the establishment of an “Observatory on Health Matters” and looks forward to receiving further information from you on the human rights situation in Greece. He will continue to pay careful attention to the human rights situation in your country.

Yours sincerely, 

Françoise Kempf
Adviser
Office of the Commissioner for Human Rights
Conseil de l'Europe/Council of Europe
F-67075 Strasbourg cedex
France»



The collapse of the public health system in Greece through the camera the BBC

Below is the entire video BBC reporting on the dramatic situation of the public health system in Greece. You’ll also hear the outright lies voiced by spokesman of the ministry of health regarding the uninsured citizens in our country.  Our own comments are unnecessary.

Wednesday, July 31, 2013

Monitoring Health Issues in Greece



Helliniko 16 July 2013

PRESS RELEASE
Monitoring Health Issues in Greece

The Metropolitan Community Clinic at Helleniko has a well-rounded viewpoint on health problems in this country.  We are going to use that experience as a basis to establish an “Observatory of Health Issues” and document critical health issues in Greece.  The goal is to thoroughly record the problems of the public health system and monitor the relevant indicators in the population. 
While patient care will always be our first goal, some of our volunteers will systematically record not only the relevant news, but also isolated incidents and complaints.  And in documenting these incidents, we will be able to build a complete survey of the situation. 
We invite all concerned citizens to participate and, when they learn of something relevant, to inform us at the e-mail address mkie.paratiritirio@gmail.com.  Please indicate the source of the information (i.e. newspaper, magazine, patient data, etc.)  The information will be verified and posted to the Observatory.
A bi-monthly report will be prepared with all the data and statistics gathered.  We believe that this information is essential due to the exclusion of an increasing number of people from the health services.  The purpose of this initiative is to apply pressure to reverse policies that excludes impoverished citizens from health services.  Additionally there is the possibility of using this data in the future recourse to bodies both in Greece and abroad by citizens who are victims of the policies of the “memorandum.” 
Let’s send the message that the time of impunity is over and the restoration of constitutional legitimacy is at hand.  Every one responsible will be held to account for crimes committed.  The annihilation of our fellow citizens cannot be allowed.  The Council of Europe has undertaken to adopt a resolution regarding the health care of residents in countries where severe austerity measures are imposed. (See link: http://mki-ellinikou.blogspot.gr/2013/07/blog-post.html).
With this initiative, and with our small efforts, we will contribute, as we should, in the monitoring and the implementation of the measures proposed by the Council of Europe for the normalization of health care systems.

Tuesday, July 30, 2013

Representative of the Ministry of Health Revealed on the BBC


Helliniko 18 July 2013
PRESS RELEASE
Representative of the Ministry of Health Revealed on the BBC

We don’t easily send out any press release accusing anyone, no matter what his position, of falsehood.  However, when Mr. Panos Efstathiou, an administrator of the National Center of Health of the Ministry of Health, looks straight into the camera and lies to a BBC reporter, we feel that we have to say something.  The BBC reporter, Zeinab Badawi interviewed Mr. Efstathiou and asked him if allegations were valid that uninsured patients were required to pay large sums for life saving operations and were, therefore were essentially shut out of the public health service.
The dialogue was as follows:

Ms. Badawi:  On the sufficient evidence of a health crisis in Greece, I thought it was time to take my concerns to the Ministry of Health in Athens. (Speaking to Mr. Efstathiou) Is it the case that anybody in Greece who cannot afford to buy necessary drugs from the pharmacists or who needs an operation, if they cannot afford to pay, that the state will provide adequate care?

Mr. Efstathiou:  Mrs. Badawi, in Greece, the large majority of Greeks are insured in the public health system.  There are people who cannot afford their insurance scheme because they did not have the money, because they are in a difficult economic situation.  The government has decided that this will not affect their treatment in the national health care system.

Ms Badawi:  I’ve met one elderly man who needed a life saving operation.  He got it, but it cost him €6,000.  The hospital was pursuing him for payment.  But it was causing him and his family a great deal of stress.  Do you accept that that kind of cases is going on and that he is perhaps one of many?

Mr. Efstathiou:  There is no such case.  There is no one who uses the Public Health System who will have to pay any money.

Ms. Badawi:  The fact that there is an increasing number of community clinics that has grown from a hand-full last year to now nearly 40 would show that there is a greater need on the part of the people for such free voluntary services.

Mr. Efstathiou:  I would say that I see it differently. There is an effort for people to help one another.  That is evidence that a society, operating in austerity and difficulty.  These are positive signs for a civilization and society.  Not signs of disintegration.

You can see the video with the above dialogue here: 



http://www.youtube.com/watch?v=eCT8B31x7U4

A question for the Ministry of Health and specifically for the newly named Minster, Mr. Georgiadis, why does an official of the ministry lie, on camera and why does he try to distract people from the essence of the problem which is nothing more than the inhuman policies instituted by the Ministry allowing uninsured citizens to die without aid, since they do not have money to pay for the hospital or their medications?

Will the Minister of Health back up Mr. Efstathiou, or will he dismiss him.  Also, will they answer, at last, Mr. Minister what will happen with the hundreds of thousands of uninsured patients who have DO NOT HAVE FREE ACCESS to the Public Health System?  Are they just to be allowed to die?  For how long will this problem be ignored as his predecessors ignored it?  For how long will we put the reduction of expenses above the lives of our fellow citizens?


The Metropolitan Community Clinic at Helliniko will continue to denounce the unacceptable policies of austerity which result in harming Greek citizens.  Cancer patients, pregnant women, the young and the old are left to fend for themselves.  This must stop immediately.  We demand a clear answer about what you intend to do!

You can watch the whole BBC reportage here:

http://www.youtube.com/watch?v=-rkKhwg0EPM&feature=youtu.be

Source: http://www.bbc.co.uk/programmes/b037b5kg

Thursday, July 11, 2013

Closure of the Paediatric Clinic at Asklipiou Hospital



Helliniko 4 July 2013
PRESS RELEASE
Closure of the Paediatric Clinic at Asklipiou Hospital

The Board of the Asklipiou Hospital at Voula had decided to close its Paediatric Clinic.  The Union of Employees and Doctors of Asklipiou organized a demonstration on the 4th of July, protesting this closure.
We claim that such a decision is unacceptable and should not be put into effect since it narrows the ability to serve tens of thousands of families in southern Attica.
The Metropolitan Community Clinic at Helliniko supports the struggle of the hospital’s employees in the public health system.  We were at their side on the 4th, supporting their struggle, not only to keep the Paediatric Clinic open, but also to open ALL the hospital to uninsured citizens.
We call upon all citizens to support the struggle taking place against the storm that has been sweeping through our public health system.

Please spread the word wherever you can – since none in the mass media as seen fit to do so

Resolution 1946 (2013) of the Council of Europe regarding “Equal Access to Health Care” and the example of The Metropolitan Community Clinic at Helliniko





Helliniko 1 July 2013
PRESS RELEASE
Resolution 1946 (2013) of the Council of Europe regarding “Equal Access to Health Care” and the example of The Metropolitan Community Clinic at Helliniko

We were especially gratified to learn that the Parliamentary Assembly of the Council of Europe unanimously adopted on 26 June 2013 a resolution recommending that all citizens have equal access to public health care. 
The resolution is a movement in the proper direction for all European citizens to have access the public health system of their respective countries.  And it was satisfying because MCCH – in its every day operations - highlights the actual problems and the grim reality resulting from the denial of this access to health services.  It is good to know that our existence has shaped and influenced public opinion in a positive way.
Indeed the Chairman of the Parliamentary Committee for Social Affairs, Liliane Maury Pasquier, who visited MCCH in April of 2013 and understands the situation of uninsured citizens, cited the clinic as an example of solidarity with the people in her speech to the Commission of Europe.

Below, you will find the original text of the resolution and the report based on the text of the resolution

1) http://assembly.coe.int/ASP/Doc/XrefViewPDF.asp?FileID=19776&Language=EN

2) http://assembly.coe.int/ASP/Doc/XrefViewPDF.asp?FileID=19991&Language=EN

Wednesday, June 26, 2013

The Odyssey of the Uninsured and Indigent Patient



Helliniko 20 June 2013
PRESS RELEASE
The Odyssey of the Uninsured and Indigent Patient

Every day volunteer community clinics receive urgent appeals from uninsured and indigent patients for care and for medications, since without this support the alternative can lead to death.
Increasingly typical is the adventure of a 52 year old uninsured cancer patient who was diagnosed in the emergency care section of the Metaxa Cancer Hospital with metastatic cancer of the kidney.  Because of the critical condition of the patient she was operated on immediately – fortunately the hospital did not charge her for this.  The patient was instructed to continue her therapy with a medication – SUTENT of 50 mg – a particularly expensive medication which the hospital did not have available.  And for that reason, the patient came in contact with MCCH. 
An small Odyssey started immediately to secure this medication.  The cost was exorbitant for the simple interested citizen who wanted to help.  The cost to hospitals (the lowest cost) for one box is 3,800 euros and the patient needed two boxes – for a total of 7,600 euros.  It was impossible to believe that a young woman would be left completely without help, to die.  We issued a public appeal for this medication which is what we do in such cases.
And here is the marathon result:  twelve pills were found through community services at Metaxa Hospital, ten pills were found at the Volunteer Community Solidarity Clinic of Thessaloniki, a pharmacy from central Athens contributed 30 pills and pharmacists of the World gave us two boxes of 25 mg each, to complete the therapy.  In addition, we were informed that a public hospital (which didn’t want its name made public for obvious reasons) had set aside 40 pills of 25 mg – but finally they were not needed.
In this case, the crisis was met by the constant search of the volunteers from two community clinics and the Community Services department of Metaxa Hospital, and thanks to the social awareness of pharmacists as well as other citizens who rushed to the telephone and promptly communicated with The Metropolitan Community Clinic at Helliniko.
We have to admit that we abhor such a shockingly cool reaction to the needs of this patient who was forced t undergo an epic odyssey to find the drug that would extend her life - a life that NO ONE has the right to truncate just because she is uninsured!
We wonder what our Minister of Health, Mr. Andrea Lykourentzos, would do if a relative or friend of his were in a similar situation.  Would he simply let them die, or would he send them to a volunteer clinic to search frantically up and down to find the necessary medication?  Won’t the Ministry of Health stop beating about the bush and finally give us all an unambiguous answer – as clear as a bell.  What will happen to the thousands who stagger about without insurance?  Do we decimate them all?  Does the bell have to toll slowly but unrelentingly for every single one of them?  Won’t someone please answer this vital question? 

Is there no public prosecutor in the whole country to point his finger, cry out “J’accuse” and investigate WHO is at fault that so many people perish?  In this country today, does nothing remain standing?

Sunday, June 2, 2013

Naomi Klein at MCCH



29 May 2013
Press Release
Naomi Klein at MCCH

On Tuesday, 21 May 2013 Naomi Klein, the well known journalist and author visited Metropolitan Community Clinic at Helliniko.  She was accompanied by her husband, filmmaker and journalist Avi Lewis.  Our guests spoke with volunteers and patients; they were there to learn about how the clinic was structured and functioned.  They also wanted to record and film the results of the austerity measures versus the right of all to have access to public health services.  Mr. Lewis is working on a new documentary on the destruction of the middle class; Ms Klein is gathering material for her new book.  She was visibly moved after speaking to our patients.  She described the clinic as a pillar of resistance in the attempt at levelling human value. 

On leaving she urged volunteers to continue in their efforts to maintain solidarity with those in need with the same enthusiasm and promised to return to MCCH on her next trip to Greece.


We Thank You

The response to our call for assistance for a seven-year old child is really touching.  The child has a complicated condition and was in need of expensive medicine to be given over the coming year.  Within a week of our plea for assistance we have had phone calls, and been sent messages from dozens of people.  And responses came not only from Greece but also from abroad, though our message for help was only in Greek.  We have met the needs for this child for the year.  And so many, who are themselves facing very serious economic problems, still want to give even 10 to 20 euros!  For us the offer of a few euros is of the same - if not more - value towards the coverage of € 735 per box that this product costs.


Thank You!  There are no words to describe how wonderful you make us feel with your heart felt response! 

Tuesday, May 21, 2013

Quand la solidarité soigne les maux de la crise


Le dispensaire social d’Hellinikon, en banlieue d’Athènes, accueille depuis plus de deux ans les patients qui n’ont plus les moyens d’accéder à des soins médicaux. Reportage au sein d’une structure entièrement gérée par des bénévoles.
Le Dr. Giogos Vichas est cardiologue dans un hôpital public et responsable du dispensaire social d’Ellinikon à Athènes. (photo CFJ/A.D)
Le Dr. Giogos Vichas est cardiologue dans un hôpital public et responsable du dispensaire social d’Hellinikon.     (photo CFJ/A.D.)
À une demi-heure en bus du centre d’Athènes, dans l’enceinte d’une ancienne base miliaire américaine, se trouve le dispensaire social d’Hellinikon. Un bâtiment de plain pied, entouré de grillages et avec des barreaux aux fenêtres. La première pièce sert de salle d’attente. Trois sièges pour une dizaine de personnes. Le dispensaire est ouvert de 10 à 20 heures, cinq jours sur sept et le samedi matin. Près de deux cents bénévoles, dont une centaine de médecins, s’y relaient pour offrir des soins et des médicaments à ceux qui n’ont plus les moyens de se rendre dans les hôpitaux publics.
« Quand tu vois le tsunami qui vient vers toi, il ne faut pas attendre la catastrophe, il faut lutter », philosophe Kostis Kalafatis, professeur de grec à la retraite et bénévole au dispensaire. Avec la crise et les plans d’austérité imposés par la Troïka (Fonds monétaire international, Commission européenne et Banque centrale européenne), les coupes budgétaires ont concerné tous les secteurs, et la santé n’a pas été épargnée. Depuis 2009, un ensemble de mesure ont été prises pour réduire les dépenses publiques de 32%. L’une d’elles concerne les chômeurs de longue durée : après un an sans emploi, leur couverture sociale cesse. Près de 40% des Grecs n’auraient plus d’assurance maladie. « Ces gens qui ont déjà du mal à vivre au quotidien doivent payer la totalité de leurs dépenses de santé », s’indigne Kostis Kalafatis.
«Le gouvernement est en train de jouer avec la santé des Grecs»
De fait, la clinique, créée en décembre 2011, sous l’impulsion du docteur Vichas et avec le soutien de la municipalité d’Hellinikon, connaît un succès croissant. « En tant que docteur, je me sens en colère, le gouvernement est en train de jouer avec la santé des Grecs, s’inquiète le praticien. Les patients qui arrivent ici sont parfois désespérés, nous leur redonnons de l’espoir. » Il y a quelques mois encore, la clinique recevait uniquement les patients sans couverture sociale. Aujourd’hui, ceux qui ont encore une sécurité sociale mais qui n’ont pas les moyens de payer le ticket modérateur ont aussi recours au centre d’Hellinikon. À 25 euros la consultation, ils sont de plus en plus nombreux. A ses débuts, le dispensaire accueillait 150 personnes par mois. Il en accueille à présent 1500, soit une centaine par jour.
« Certains viennent même de très loin. Nous avons des patients qui habitent les îles en face du Pirée et mettent plus d’une heure et demie pour venir jusqu’ici », assure Eleni Gerakari, bénévole à la clinique depuis quelques mois. Et pourtant, s’il est l’un des premiers, le dispensaire d’Hellinikon n’est pas le seul à Athènes à offrir des soins gratuitement. Cette initiative se répand et plus d’une dizaine d’endroits accueillent désormais ceux qui, sans ça, resteraient en marge du système de santé. Certains sont gérés par des ONG, notamment Médecins du monde, d’autres par l’Eglise, d’autre encore, comme à Hellinikon, sont le fruit d’initiatives individuelles.
« Nous fonctionnons de manière totalement indépendante », indique Eleni Gerakari. Si la mairie met le bâtiment à disposition et règle les factures d’électricité, tous les médicaments distribués proviennent de dons. Ceux qui cessent un traitement et à qui il reste des médicaments sont invités à les donner à la clinique. « Nous n’acceptons pas d’argent, parce que ça cause souvent des problèmes », explique Kostis Kalafatis dans un sourire. Et pour des besoins particulier, les bénévoles du dispensaire utilisent les réseaux sociaux. Il y a quelques jours, un message a été envoyé sur Facebook pour demander de boites de lait en poudre pour nourrissons. Eleni montre avec un large sourire trois étagères qui en sont pleines.
Dans de rares cas, les laboratoires donnent des lots de médicaments. « Mais ça, c’est plutôt louche », lâche Kostis Kalafatis en revenant sur le don récent d’un laboratoire anglais basé en Grèce. « Ils nous ont donné 500 boîtes d’une crème, commente-t-il en détachant bien les syllabes pour insister sur le chiffre démesuré. Mais elles périmaient toutes dans les deux mois. » Excellentes retombées en termes d’image, pas de frais de destruction des crèmes restantes et déduction fiscale pour don caritatif, Kostis voit là trois bonnes raisons pour expliquer la générosité de ce laboratoire.
«Une femme enceinte de sept mois n’avait toujours pas vu de médecin !» 
Les médecins bénévoles du dispensaire d’Hellinikon sont en mesure d’offrir des consultations et des soins primaires dans toutes les spécialités. Aucune intervention lourde, ou qui nécessite une hospitalisation de plusieurs jours, n’est cependant possible. Dans les cas les plus extrêmes, l’équipe du Dr Vichas tente de convaincre les cliniques privées de recevoir gratuitement leurs patients. « Il y a quelques mois est venue une femme, enceinte de sept mois qui n’avait toujours pas vu de médecin ! Elle a été suivie par un gynécologue du dispensaire et l’accouchement a pu se faire dans une clinique privée », se souvient Eleni Gerakari. Les hôpitaux publics, eux, acceptent beaucoup plus rarement : une loi leur interdit désormais de soigner ceux qui n’ont pas de couverture sociale ou qui n’ont pas les moyens de payer leur hospitalisation. D’autant que les hôpitaux publics sont déjà surchargés et qu’une réforme prévoit de faire passer leur nombre de 130 à 80 dans le pays.
Assise à un bureau encombré, entre la salle qui sert de pharmacie et le cabinet du Dr Vichas, Vrisiis Souli trie les boîtes de médicaments que la clinique reçoit. Au feutre vert, elle note sur l’emballage le nombre de comprimé restant et la date de péremption. La tâche semble fastidieuse, mais la bonne humeur de Vrisiis est à toute épreuve. « J’ai eu un accident assez grave, il y a deux ans. Quand j’ai commencé à aller mieux, je me suis dit qu’il fallait que j’aide ceux qui pourraient être dans la même situation que moi », explique-t-elle en affichant un large sourire.
Cette attitude enthousiaste semble d’ailleurs caractériser tout ceux qui donnent de leur temps pour travailler au dispensaire d’Hellinikon. « C’est parfois dur, mais je suis très satisfait du travail que l’on fait ici, conclut Kostis Kalafatis. La solidarité était une valeur oubliée, on l’a retrouvée avec la crise. » 
 Adèle DESACHY et Fanny NAPOLIER


Wednesday, May 15, 2013

The agonizing dilemma for uninsured patients: death or debt




Helliniko 10 May 2013
PRESS RELEASE
The agonizing dilemma for uninsured patients: death or debt

On 26 April 2013 a patient was admitted to the People’s Hospital of Athens.  He was uninsured and had a very low income.  The patient had been diagnosed at MCCH with an aneurism in the aorta of the abdomen (7.25 cm).  The doctors of our clinic insisted that he be admitted to the emergency hospital on duty in spite of the patient’s reservations because of his lack of insurance and his financial situation.  They insisted because of the impending danger that the aneurism would burst and be fatal.  Upon his entry into the hospital, it was considered that he was in URGENT need of an operation – which followed immediately.  We had informed, in writing, the directors of the hospital about the condition of the patient and asked whether he would be charged.  In answer to this, we received document number 5075/26-4-2013 which referred to K.Y.A 13949/05 (FEK B 1747/30-11-2006).  It stated that if the patient did not belong to that group, the patient could not be exempt of hospital expenses.  Because the hospital has still not given a clear answer as to whether the patient will be charged or whether the bill will be added to his tax debt (with the ensuing consequences of imprisonment, confiscation, etc), we have to publicly ask the direction the People’s Hospital the following:
A:  Is FEK B’ 1747/30-11-2006 still valid, even after all the memoranda that have been applied in the country?
B:  If it is valid, then according to its articles, a patient who is uninsured and with an income below 6,000€ is treated without being charged.  So why are you referring to charges for his treatment and of the need to inform the tax office of his “debt”?

C: If in the future we send other uninsured patients with serious problems, are you going to go by the same interpretation of the law and will you refer the expenses to the tax office?  If your answer is affirmative, we would like to share our experience at this Community Clinic and let you know that a lot of patients confronted by such a dilemma – death or debt – choose death rather than face a huge debt that they can never manage and therefore risk having to face imprisonment.
Finally, you mighty ladies and gentlemen who hold the reins, and the responsibility, of pubic hospitals in an increasingly impoverished society – to the point of choosing death over life - you people will have to select whether you’ll back Creon or Antigone.  And we remind you that, over the years, humanity has naturally opted for Antigone, and not Creon