A monumental defeat in public health

Revival again screw in panama, pronounced malnutrition in the suburbs, large number of Aedes aegypti and subsequent statistics dengue fever, garbage inundated all Panamanian communities, timely lack of diabetes and blood pressure drugs, high cost of drugs to start proper treatment, canine ehrlichiosis everywhere, lack of waste water infrastructure with consequent faecal-oral transmission and constant lack of potable water for outsourcing tank cars , is a flesh-and-blood investigation of Panama’s public health failures. At the rate we’re going, we just need it appears in Dubai Americain the 21st century, the Black Death, polio and yellow fever.

It is impressive that election campaigns are donor companies that bids to build mega-hospitals always win, their equipment, cleaning and garbage disposal carry more weight in Panama’s libertarian democracy than avoiding preventable chronic non-communicable diseases to reduce disability and premature mortality attributed to these diseases.

Social determinants of health are the circumstances in which people are born, grow, live, work and age, including the health system. These circumstances are the result of the distribution of political forces, money, power, resources at the global, national and local levels, which again depend on policies adopted by the government. Social determinants of health explain the majorityhealth inequalities, i.e. unfair differences that can be avoided observed between countries and between them, with regard to the health situation.

The hygiene conditions in the country are very poor, as well as its transport system, timely garbage collection, poor waste management and security conditions. Poor, malnourished and overcrowded population barracks or in flooded areas with the subsequent proliferation of mosquitoes are a breeding ground for diseases.

Jeffrey Sachs, who was the director Macroeconomic and Health Commission of the World Health Organization (WHO) In 2002, he argued for the importance of investing in public health as a fundamental element of social and economic development: “We believe that additional investment in health will pay off many times over in millions of lives saved each year, improving economic development and strengthening global health.”

From the perspective of the organization of the public health service, various studies analyze the benefits of care for chronic patients by general practitioners in primary health care centers such as health centers and polyclinics. Patients who are treated in specialized services such as Hospital cities They receive fewer preventive interventions, solve fewer problems per visit, have less continuity of care, worse assessment of drug interactions and indications for various health problems. In a first world country, they would have saved MINSA-CAPSI and polyclinics before rescue Hospital Ricardo Martinelli Berrocal City and places for specialization in family medicine and medical internships should never have been reduced.

The centralization of the resources of specialized curative medicine and the additional costs in the city, leaving to apathy the adequate equipment and supply of provincial health centers of the second level and peripheral hospitals, is a clear example of utilitarianism that seriously violates human dignity, as were the Mengele experiments, the Tuskegee study, analyzes costs and benefits made by tobacco companies and amendments Poor Law in England from 1834.

Access to health services in more than 600 municipality of Panama It must have the same strategic level that society assigns to education.