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	<title>Comments on: Kathi Apostolidis: Demolishing the Greek national healthcare system the amateur way</title>
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	<link>http://blogs.bmj.com/bmj/2011/12/22/kathi-apostolidis-demolishing-the-greek-national-healthcare-system-the-amateur-way/</link>
	<description>Just another blogs.bmj.com weblog</description>
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		<title>By: Stavros Saripanidis</title>
		<link>http://blogs.bmj.com/bmj/2011/12/22/kathi-apostolidis-demolishing-the-greek-national-healthcare-system-the-amateur-way/#comment-14875</link>
		<dc:creator>Stavros Saripanidis</dc:creator>
		<pubDate>Tue, 06 Mar 2012 18:43:02 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.bmj.com/bmj/?p=13613#comment-14875</guid>
		<description><![CDATA[&lt;p&gt;Severe humanitarian crisis in Greece due to inefficiency of the public&lt;br&gt;healthcare system&lt;/p&gt;

&lt;p&gt;The condition of the public Greek healthcare&lt;br&gt;system is rapidly deteriorating following the Country’s economic failure.&lt;/p&gt;

&lt;p&gt;Greeks skip prescriptions or self-medicate&lt;br&gt;because they do not have money to pay their minimal participation to&lt;br&gt;pharmacists or doctors.  [4]&lt;/p&gt;

&lt;p&gt;State&lt;br&gt;Hospitals turn away parturient women without job or insurance and small income&lt;br&gt;if they can’t pay in advance.  [6]&lt;/p&gt;

&lt;p&gt;Greek&lt;br&gt;patients visit free NGO street clinics that were set for illegal&lt;br&gt;immigrants.  [7][8]&lt;/p&gt;

&lt;p&gt;Doctors&lt;br&gt;working in public Hospitals report that health services are collapsing.  [5][13]&lt;/p&gt;

&lt;p&gt;Greek&lt;br&gt;Health Minister agrees!  [14]&lt;/p&gt;

&lt;p&gt;Only two in 10 Greek women&lt;br&gt;regularly have a Pap test, or cervical smear. &lt;br&gt;[3]&lt;/p&gt;

&lt;p&gt;Greek schools are faced with&lt;br&gt;malnourished children that faint in class. &lt;br&gt;[1][2]&lt;/p&gt;

&lt;p&gt;References&lt;/p&gt;

&lt;p&gt;[1]  &lt;a href=&quot;http://www.athensnews.gr/portal/9/51626&quot; rel=&quot;nofollow&quot;&gt;http://www.athensnews.gr/porta...&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;[2]  &lt;a href=&quot;http://www.athensnews.gr/portal/14/51149&quot; rel=&quot;nofollow&quot;&gt;http://www.athensnews.gr/porta...&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;[3] &lt;br&gt;&lt;a href=&quot;http://www.ekathimerini.com/4dcgi/_w_articles_wsite1_1_09/12/2011_418041&quot; rel=&quot;nofollow&quot;&gt;http://www.ekathimerini.com/4d...&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;[4] &lt;br&gt;&lt;a href=&quot;http://www.ekathimerini.com/4dcgi/_w_articles_wsite1_31623_28/11/2011_416798&quot; rel=&quot;nofollow&quot;&gt;http://www.ekathimerini.com/4d...&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;[5] &lt;br&gt;&lt;a href=&quot;http://www.ekathimerini.com/4dcgi/_w_articles_wsite1_1_05/12/2011_417524&quot; rel=&quot;nofollow&quot;&gt;http://www.ekathimerini.com/4d...&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;[6] &lt;br&gt;&lt;a href=&quot;http://www.allvoices.com/contributed-news/11039263-greeces-public-hospitals-refuse-to-admit-poor-parturient-women&quot; rel=&quot;nofollow&quot;&gt;http://www.allvoices.com/contr...&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;[7] &lt;br&gt;&lt;a href=&quot;http://greece.greekreporter.com/2011/11/22/rise-in-patients-visiting-doctors-of-the-world-clinic-in-thessaloniki/&quot; rel=&quot;nofollow&quot;&gt;http://greece.greekreporter.co...&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;[8] &lt;br&gt;&lt;a href=&quot;http://www.ekathimerini.com/4dcgi/_w_articles_wsite1_1_22/11/2011_415837&quot; rel=&quot;nofollow&quot;&gt;http://www.ekathimerini.com/4d...&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;[9]  &lt;a href=&quot;http://www.guardian.co.uk/world/2011/aug/05/greece-healthcare-brink-catastrophe?INTCMP=SRCH&quot; rel=&quot;nofollow&quot;&gt;http://www.guardian.co.uk/worl...&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;[10]  &lt;a href=&quot;http://www.bbc.co.uk/news/health-15220054&quot; rel=&quot;nofollow&quot;&gt;http://www.bbc.co.uk/news/heal...&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;[11]  doi:10.1016/S0140-6736(11)61556-0&lt;/p&gt;

&lt;p&gt;&lt;a href=&quot;http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)61556-0/fulltext&quot; rel=&quot;nofollow&quot;&gt;http://www.thelancet.com/journ...&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;[12]  doi:10.1016/S0140-6736(11)61152-5&lt;/p&gt;

&lt;p&gt;&lt;a href=&quot;http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)61152-5/fulltext&quot; rel=&quot;nofollow&quot;&gt;http://www.thelancet.com/journ...&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;[13]  Overburdened public hospitals are facing&lt;br&gt;acute shortages of everything from syringes to bandages because of budget cuts:&lt;/p&gt;

&lt;p&gt;&lt;a href=&quot;http://www.washingtonpost.com/world/in-greece-fears-that-austerity-is-killing-the-economy/2012/01/09/gIQA9hAFpP_story.html&quot; rel=&quot;nofollow&quot;&gt;http://www.washingtonpost.com/...&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;[14]  Greek National Health System will collapse&lt;br&gt;within months, says Health Minister:&lt;/p&gt;

&lt;p&gt;&lt;a href=&quot;http://www.ekathimerini.com/4dcgi/_w_articles_wsite1_6625_27/01/2012_424775&quot; rel=&quot;nofollow&quot;&gt;http://www.ekathimerini.com/4d...&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;Stavros Saripanidis, Consultant in Obstetrics and Gynaecology &lt;/p&gt;]]></description>
		<content:encoded><![CDATA[<p>Severe humanitarian crisis in Greece due to inefficiency of the public<br />healthcare system</p>
<p>The condition of the public Greek healthcare<br />system is rapidly deteriorating following the Country’s economic failure.</p>
<p>Greeks skip prescriptions or self-medicate<br />because they do not have money to pay their minimal participation to<br />pharmacists or doctors.  [4]</p>
<p>State<br />Hospitals turn away parturient women without job or insurance and small income<br />if they can’t pay in advance.  [6]</p>
<p>Greek<br />patients visit free NGO street clinics that were set for illegal<br />immigrants.  [7][8]</p>
<p>Doctors<br />working in public Hospitals report that health services are collapsing.  [5][13]</p>
<p>Greek<br />Health Minister agrees!  [14]</p>
<p>Only two in 10 Greek women<br />regularly have a Pap test, or cervical smear. <br />[3]</p>
<p>Greek schools are faced with<br />malnourished children that faint in class. <br />[1][2]</p>
<p>References</p>
<p>[1]  <a href="http://www.athensnews.gr/portal/9/51626" rel="nofollow"></a><a href="http://www.athensnews.gr/porta" rel="nofollow">http://www.athensnews.gr/porta</a>&#8230;</p>
<p>[2]  <a href="http://www.athensnews.gr/portal/14/51149" rel="nofollow"></a><a href="http://www.athensnews.gr/porta" rel="nofollow">http://www.athensnews.gr/porta</a>&#8230;</p>
<p>[3] <br /><a href="http://www.ekathimerini.com/4dcgi/_w_articles_wsite1_1_09/12/2011_418041" rel="nofollow"></a><a href="http://www.ekathimerini.com/4d" rel="nofollow">http://www.ekathimerini.com/4d</a>&#8230;</p>
<p>[4] <br /><a href="http://www.ekathimerini.com/4dcgi/_w_articles_wsite1_31623_28/11/2011_416798" rel="nofollow"></a><a href="http://www.ekathimerini.com/4d" rel="nofollow">http://www.ekathimerini.com/4d</a>&#8230;</p>
<p>[5] <br /><a href="http://www.ekathimerini.com/4dcgi/_w_articles_wsite1_1_05/12/2011_417524" rel="nofollow"></a><a href="http://www.ekathimerini.com/4d" rel="nofollow">http://www.ekathimerini.com/4d</a>&#8230;</p>
<p>[6] <br /><a href="http://www.allvoices.com/contributed-news/11039263-greeces-public-hospitals-refuse-to-admit-poor-parturient-women" rel="nofollow"></a><a href="http://www.allvoices.com/contr" rel="nofollow">http://www.allvoices.com/contr</a>&#8230;</p>
<p>[7] <br /><a href="http://greece.greekreporter.com/2011/11/22/rise-in-patients-visiting-doctors-of-the-world-clinic-in-thessaloniki/" rel="nofollow"></a><a href="http://greece.greekreporter.co" rel="nofollow">http://greece.greekreporter.co</a>&#8230;</p>
<p>[8] <br /><a href="http://www.ekathimerini.com/4dcgi/_w_articles_wsite1_1_22/11/2011_415837" rel="nofollow"></a><a href="http://www.ekathimerini.com/4d" rel="nofollow">http://www.ekathimerini.com/4d</a>&#8230;</p>
<p>[9]  <a href="http://www.guardian.co.uk/world/2011/aug/05/greece-healthcare-brink-catastrophe?INTCMP=SRCH" rel="nofollow"></a><a href="http://www.guardian.co.uk/worl" rel="nofollow">http://www.guardian.co.uk/worl</a>&#8230;</p>
<p>[10]  <a href="http://www.bbc.co.uk/news/health-15220054" rel="nofollow"></a><a href="http://www.bbc.co.uk/news/heal" rel="nofollow">http://www.bbc.co.uk/news/heal</a>&#8230;</p>
<p>[11]  doi:10.1016/S0140-6736(11)61556-0</p>
<p><a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)61556-0/fulltext" rel="nofollow"></a><a href="http://www.thelancet.com/journ" rel="nofollow">http://www.thelancet.com/journ</a>&#8230;</p>
<p>[12]  doi:10.1016/S0140-6736(11)61152-5</p>
<p><a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)61152-5/fulltext" rel="nofollow"></a><a href="http://www.thelancet.com/journ" rel="nofollow">http://www.thelancet.com/journ</a>&#8230;</p>
<p>[13]  Overburdened public hospitals are facing<br />acute shortages of everything from syringes to bandages because of budget cuts:</p>
<p><a href="http://www.washingtonpost.com/world/in-greece-fears-that-austerity-is-killing-the-economy/2012/01/09/gIQA9hAFpP_story.html" rel="nofollow"></a><a href="http://www.washingtonpost.com/" rel="nofollow">http://www.washingtonpost.com/</a>&#8230;</p>
<p>[14]  Greek National Health System will collapse<br />within months, says Health Minister:</p>
<p><a href="http://www.ekathimerini.com/4dcgi/_w_articles_wsite1_6625_27/01/2012_424775" rel="nofollow"></a><a href="http://www.ekathimerini.com/4d" rel="nofollow">http://www.ekathimerini.com/4d</a>&#8230;</p>
<p>Stavros Saripanidis, Consultant in Obstetrics and Gynaecology </p>
]]></content:encoded>
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		<title>By: Kathi Apostolidis</title>
		<link>http://blogs.bmj.com/bmj/2011/12/22/kathi-apostolidis-demolishing-the-greek-national-healthcare-system-the-amateur-way/#comment-14732</link>
		<dc:creator>Kathi Apostolidis</dc:creator>
		<pubDate>Thu, 12 Jan 2012 21:07:22 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.bmj.com/bmj/?p=13613#comment-14732</guid>
		<description><![CDATA[Dear Mr. Reynolds, Thank you for your understanding of the difficult times the hard working Greek people are going through. You do not only have an  understanding of what is going on here,  but it seems you have too a thorough knowledge of the situation.]]></description>
		<content:encoded><![CDATA[<p>Dear Mr. Reynolds, Thank you for your understanding of the difficult times the hard working Greek people are going through. You do not only have an  understanding of what is going on here,  but it seems you have too a thorough knowledge of the situation.</p>
]]></content:encoded>
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		<title>By: marinic</title>
		<link>http://blogs.bmj.com/bmj/2011/12/22/kathi-apostolidis-demolishing-the-greek-national-healthcare-system-the-amateur-way/#comment-14702</link>
		<dc:creator>marinic</dc:creator>
		<pubDate>Mon, 02 Jan 2012 05:40:48 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.bmj.com/bmj/?p=13613#comment-14702</guid>
		<description><![CDATA[&quot;We need to include patients as we listen, learn, and redesign our current systems of care with them and for them.&quot; Dr. John Krueger- Τhe   Patient Will See You Now-Journal of Participatory Medicine-&lt;br&gt;&lt;a href=&quot;http://www.jopm.org/perspective/narratives/2011/12/28/the-patient-will-see-you-now/&quot; rel=&quot;nofollow&quot;&gt;http://www.jopm.org/perspectiv...&lt;/a&gt;]]></description>
		<content:encoded><![CDATA[<p>&#8220;We need to include patients as we listen, learn, and redesign our current systems of care with them and for them.&#8221; Dr. John Krueger- Τhe   Patient Will See You Now-Journal of Participatory Medicine-<br /><a href="http://www.jopm.org/perspective/narratives/2011/12/28/the-patient-will-see-you-now/" rel="nofollow"></a><a href="http://www.jopm.org/perspectiv" rel="nofollow">http://www.jopm.org/perspectiv</a>&#8230;</p>
]]></content:encoded>
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		<title>By: Robert J Reynolds</title>
		<link>http://blogs.bmj.com/bmj/2011/12/22/kathi-apostolidis-demolishing-the-greek-national-healthcare-system-the-amateur-way/#comment-14703</link>
		<dc:creator>Robert J Reynolds</dc:creator>
		<pubDate>Sun, 01 Jan 2012 16:06:43 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.bmj.com/bmj/?p=13613#comment-14703</guid>
		<description><![CDATA[Greece is not alone in its afflictions. Others should not think to desert but rather make common cause. History can help us at last to define and address what underlies our alleged &#039;failures of democracy&#039;, in healthcare as in all other fields.&lt;br&gt;&lt;br&gt;In the UK, General Medical Practitioners fought for independent business status in the National Health Service of 1948; and NHS Hospital Consultants were allowed up to two sessions a week in Private Practice, making NHS Elective Surgery the realm of the less-demanding less-well-off two-thirds.&lt;br&gt;&lt;br&gt;Not surprisingly, long NHS waiting-lists developed, Private Hospitals flourished, and the NHS concept took the blame, address of waiting times even by Blair&#039;s New Labour resorting to and strengthening Private Provision. Winter bed crises have at times made increased NHS investment unavoidable, to the frustration of tax-cutting hopes amongst politicians. Temptation to starve the NHS, and to use NHS funds for political patronage, offers some explanation of policy over recent decades.&lt;br&gt;&lt;br&gt;Long-apparent NHS under-provision in staff and education is on-going, despite the recurrent surfacing of &#039;headline scandals&#039;.  NHS time, energy and money has been poured into often destructive proliferation of &#039;management&#039;, diversion from care and education in burdensome tick-box exercises, excessive installation of computer infrastructure, fabulously-paid work-experience for &#039;support&#039; industries, patient-pricing and desperate deal-making in experimental internal markets, preparing the way for &#039;off-our-books&#039; privatisation, patients once more to be at the mercy of fortune and fine-print insurance, our government, taxpayers and charities once more at the mercy of private contractors and &#039;lowest-bid public duty&#039;.&lt;br&gt;&lt;br&gt;None with evil intent, leaders in professions, in business and in politics, all have laboured with a fatal combination of weaknesses: inevitable ignorance, inability to trust others, and incapacity to hold the trust of others. Despite knowledge however great, no individual can know all: leaders need, as well as humility, the objective basis of faith in the integrity of advice from others.  Others, in turn, need to know the objective basis of trust in leaders, their equal status in the markets that together we shape. Knowing all others to be subject to Conflict of Interest, it become acceptable - &#039;just sensible&#039; - to look to the interests of self and family and class and profession.&lt;br&gt;&lt;br&gt;Without a context of full employment, and equal shares in whatever together we produce, rigid pursuit of &#039;efficiency&#039; is necessarily callous. Those required or employed to wield hatchets will, naturally, tend to draw the line at self-sacrifice, at immediate harm to their own families. So, the well-placed prosper, and others come to &#039;know their place&#039; as once the unconsidered poor, now the unconsidered 90-99-100%. Mammon is running all into the ground.&lt;br&gt;]]></description>
		<content:encoded><![CDATA[<p>Greece is not alone in its afflictions. Others should not think to desert but rather make common cause. History can help us at last to define and address what underlies our alleged &#39;failures of democracy&#39;, in healthcare as in all other fields.</p>
<p>In the UK, General Medical Practitioners fought for independent business status in the National Health Service of 1948; and NHS Hospital Consultants were allowed up to two sessions a week in Private Practice, making NHS Elective Surgery the realm of the less-demanding less-well-off two-thirds.</p>
<p>Not surprisingly, long NHS waiting-lists developed, Private Hospitals flourished, and the NHS concept took the blame, address of waiting times even by Blair&#39;s New Labour resorting to and strengthening Private Provision. Winter bed crises have at times made increased NHS investment unavoidable, to the frustration of tax-cutting hopes amongst politicians. Temptation to starve the NHS, and to use NHS funds for political patronage, offers some explanation of policy over recent decades.</p>
<p>Long-apparent NHS under-provision in staff and education is on-going, despite the recurrent surfacing of &#39;headline scandals&#39;.  NHS time, energy and money has been poured into often destructive proliferation of &#39;management&#39;, diversion from care and education in burdensome tick-box exercises, excessive installation of computer infrastructure, fabulously-paid work-experience for &#39;support&#39; industries, patient-pricing and desperate deal-making in experimental internal markets, preparing the way for &#39;off-our-books&#39; privatisation, patients once more to be at the mercy of fortune and fine-print insurance, our government, taxpayers and charities once more at the mercy of private contractors and &#39;lowest-bid public duty&#39;.</p>
<p>None with evil intent, leaders in professions, in business and in politics, all have laboured with a fatal combination of weaknesses: inevitable ignorance, inability to trust others, and incapacity to hold the trust of others. Despite knowledge however great, no individual can know all: leaders need, as well as humility, the objective basis of faith in the integrity of advice from others.  Others, in turn, need to know the objective basis of trust in leaders, their equal status in the markets that together we shape. Knowing all others to be subject to Conflict of Interest, it become acceptable &#8211; &#39;just sensible&#39; &#8211; to look to the interests of self and family and class and profession.</p>
<p>Without a context of full employment, and equal shares in whatever together we produce, rigid pursuit of &#39;efficiency&#39; is necessarily callous. Those required or employed to wield hatchets will, naturally, tend to draw the line at self-sacrifice, at immediate harm to their own families. So, the well-placed prosper, and others come to &#39;know their place&#39; as once the unconsidered poor, now the unconsidered 90-99-100%. Mammon is running all into the ground.</p>
]]></content:encoded>
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		<title>By: marinic</title>
		<link>http://blogs.bmj.com/bmj/2011/12/22/kathi-apostolidis-demolishing-the-greek-national-healthcare-system-the-amateur-way/#comment-14691</link>
		<dc:creator>marinic</dc:creator>
		<pubDate>Thu, 29 Dec 2011 16:54:26 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.bmj.com/bmj/?p=13613#comment-14691</guid>
		<description><![CDATA[Dear Mr. Tsapas,Thank you very much for your comments! I have tried to go beyond the personal stories with a healthcare system in deep trouble and look at the way the really acute condition of the Greek healthcare was treated.... We have by now seen that the ad hoc unilateral agreements with the various healthcare interest groups instead of improving the  services of the public healthcare system, have on the contrary highlighted all its weaknesses…No reform whatsoever can be effective if the general public interest is not the key element and if agreements are made with few powerful groups, leaving out the key stakeholders,  in this case THE PATIENTS, who are also the payers of  the system as taxpayers and social insurance payers, but also the least used resource in healthcare!The patients, as  the actual users of the healthcare system, do know well from personal experience with their specific disease the problems in  that particular part of healthcare, something that the other stakeholders, will not know until in their turn become patients….LET PATIENTS HEAL HEALTHCAREThe above message was first heard by Dave deBronkart (aka @epatient&#124;Dave), former Chair and currently Board Chairperson of the Society of Participatory Medicine in the USA, when he testified before the health authorities, and  this year in at the TEDxMaastricht in Europe, when his presentation “The Year of Patients Rising” went viral with more than 300.000views in just 8months!Wonder if we will ever see Greek patients participate equally in healthcare policy making but till that time health professionals will have to learn how to cooperate with their patients, listen to them and really share with them information and  decisions about their care. You might be interested to read about The Salzburg Statement  published here in BMJ, of which I am honored to be a co-signatory, that was agreed upon by the 58 participants from 18 countries of  the Salzburg Global Seminar in December 2010, to consider the role patients can and should play in healthcare decisions and how both could work together as co-producers of health.]]></description>
		<content:encoded><![CDATA[<p>Dear Mr. Tsapas,Thank you very much for your comments! I have tried to go beyond the personal stories with a healthcare system in deep trouble and look at the way the really acute condition of the Greek healthcare was treated&#8230;. We have by now seen that the ad hoc unilateral agreements with the various healthcare interest groups instead of improving the  services of the public healthcare system, have on the contrary highlighted all its weaknesses…No reform whatsoever can be effective if the general public interest is not the key element and if agreements are made with few powerful groups, leaving out the key stakeholders,  in this case THE PATIENTS, who are also the payers of  the system as taxpayers and social insurance payers, but also the least used resource in healthcare!The patients, as  the actual users of the healthcare system, do know well from personal experience with their specific disease the problems in  that particular part of healthcare, something that the other stakeholders, will not know until in their turn become patients….LET PATIENTS HEAL HEALTHCAREThe above message was first heard by Dave deBronkart (aka @epatient|Dave), former Chair and currently Board Chairperson of the Society of Participatory Medicine in the USA, when he testified before the health authorities, and  this year in at the TEDxMaastricht in Europe, when his presentation “The Year of Patients Rising” went viral with more than 300.000views in just 8months!Wonder if we will ever see Greek patients participate equally in healthcare policy making but till that time health professionals will have to learn how to cooperate with their patients, listen to them and really share with them information and  decisions about their care. You might be interested to read about The Salzburg Statement  published here in BMJ, of which I am honored to be a co-signatory, that was agreed upon by the 58 participants from 18 countries of  the Salzburg Global Seminar in December 2010, to consider the role patients can and should play in healthcare decisions and how both could work together as co-producers of health.</p>
]]></content:encoded>
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		<title>By: marinic</title>
		<link>http://blogs.bmj.com/bmj/2011/12/22/kathi-apostolidis-demolishing-the-greek-national-healthcare-system-the-amateur-way/#comment-14689</link>
		<dc:creator>marinic</dc:creator>
		<pubDate>Thu, 29 Dec 2011 15:28:06 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.bmj.com/bmj/?p=13613#comment-14689</guid>
		<description><![CDATA[Dear Dr. Saripanidis,&lt;br&gt;Thank you for sharing your contributions  in  the healthcare discussion! I had a  look into the topics dealt with in your attachments and they are indeed among the problems of the ailing Greek ESY (national healthcare system). I would particularly mention the ghost-writing that afflicts the Greek scientific community...]]></description>
		<content:encoded><![CDATA[<p>Dear Dr. Saripanidis,<br />Thank you for sharing your contributions  in  the healthcare discussion! I had a  look into the topics dealt with in your attachments and they are indeed among the problems of the ailing Greek ESY (national healthcare system). I would particularly mention the ghost-writing that afflicts the Greek scientific community&#8230;</p>
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		<title>By: Kathi Apostolidis</title>
		<link>http://blogs.bmj.com/bmj/2011/12/22/kathi-apostolidis-demolishing-the-greek-national-healthcare-system-the-amateur-way/#comment-14690</link>
		<dc:creator>Kathi Apostolidis</dc:creator>
		<pubDate>Thu, 29 Dec 2011 15:18:29 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.bmj.com/bmj/?p=13613#comment-14690</guid>
		<description><![CDATA[Thank you for your insightful comments!&lt;br&gt;&lt;br&gt;&quot;Our &#039;choice&#039; of healthcare outcomes, starts with our &#039;choice&#039; of income-distribution: if not in good times, and not in hard-times, when might we &#039;settle&#039; for Equal Democracy? Just before &#039;deserved&#039; extinction may be too late.&quot;&lt;br&gt;&lt;br&gt;You are right with what you say above, because it is at  the roots  of the spectacular growth of the parallel private healthcare sector in Greece...Income decides for health outcomes... and will continue to do more and more  in the years to come with the impoverishment of larger social classes and the limitation of healthcare services offered by the public healthcare systems... I hear similar messages from fellow patients from many European countries...]]></description>
		<content:encoded><![CDATA[<p>Thank you for your insightful comments!</p>
<p>&#8220;Our &#39;choice&#39; of healthcare outcomes, starts with our &#39;choice&#39; of income-distribution: if not in good times, and not in hard-times, when might we &#39;settle&#39; for Equal Democracy? Just before &#39;deserved&#39; extinction may be too late.&#8221;</p>
<p>You are right with what you say above, because it is at  the roots  of the spectacular growth of the parallel private healthcare sector in Greece&#8230;Income decides for health outcomes&#8230; and will continue to do more and more  in the years to come with the impoverishment of larger social classes and the limitation of healthcare services offered by the public healthcare systems&#8230; I hear similar messages from fellow patients from many European countries&#8230;</p>
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		<title>By: Stavros Saripanidis</title>
		<link>http://blogs.bmj.com/bmj/2011/12/22/kathi-apostolidis-demolishing-the-greek-national-healthcare-system-the-amateur-way/#comment-14686</link>
		<dc:creator>Stavros Saripanidis</dc:creator>
		<pubDate>Wed, 28 Dec 2011 13:31:29 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.bmj.com/bmj/?p=13613#comment-14686</guid>
		<description><![CDATA[I would like to quote here my relative electronic Letters to the Editor of the BMJ:&lt;br&gt;&lt;br&gt;&lt;a href=&quot;http://www.bmj.com/content/342/bmj.d2408?tab=responses&quot; rel=&quot;nofollow&quot;&gt;http://www.bmj.com/content/342...&lt;/a&gt;&lt;br&gt;&lt;br&gt;&lt;a href=&quot;http://www.bmj.com/content/343/bmj.d7284?tab=responses&quot; rel=&quot;nofollow&quot;&gt;http://www.bmj.com/content/343...&lt;/a&gt;&lt;br&gt;&lt;br&gt;&lt;a href=&quot;http://www.bmj.com/content/343/bmj.d4803?tab=responses&quot; rel=&quot;nofollow&quot;&gt;http://www.bmj.com/content/343...&lt;/a&gt;&lt;br&gt;&lt;br&gt;&lt;a href=&quot;http://www.bmj.com/content/342/bmj.d200?tab=responses&quot; rel=&quot;nofollow&quot;&gt;http://www.bmj.com/content/342...&lt;/a&gt;&lt;br&gt;&lt;br&gt;&lt;a href=&quot;http://www.bmj.com/content/343/bmj.d6299?tab=responses&quot; rel=&quot;nofollow&quot;&gt;http://www.bmj.com/content/343...&lt;/a&gt;&lt;br&gt;&lt;br&gt;&lt;a href=&quot;http://www.bmj.com/rapid-response/2011/11/03/public-managers-greek-hospitals-produce-every-year-debt-exceeding-hospital&quot; rel=&quot;nofollow&quot;&gt;http://www.bmj.com/rapid-respo...&lt;/a&gt;&lt;br&gt;&lt;br&gt;&lt;a href=&quot;http://www.bmj.com/content/339/bmj.b3783?tab=responses&quot; rel=&quot;nofollow&quot;&gt;http://www.bmj.com/content/339...&lt;/a&gt;&lt;br&gt;&lt;br&gt;&lt;br&gt;&lt;br&gt;Stavros Saripanidis, Consultant in Obstetrics and Gynaecology]]></description>
		<content:encoded><![CDATA[<p>I would like to quote here my relative electronic Letters to the Editor of the BMJ:</p>
<p><a href="http://www.bmj.com/content/342/bmj.d2408?tab=responses" rel="nofollow"></a><a href="http://www.bmj.com/content/342" rel="nofollow">http://www.bmj.com/content/342</a>&#8230;</p>
<p><a href="http://www.bmj.com/content/343/bmj.d7284?tab=responses" rel="nofollow"></a><a href="http://www.bmj.com/content/343" rel="nofollow">http://www.bmj.com/content/343</a>&#8230;</p>
<p><a href="http://www.bmj.com/content/343/bmj.d4803?tab=responses" rel="nofollow"></a><a href="http://www.bmj.com/content/343" rel="nofollow">http://www.bmj.com/content/343</a>&#8230;</p>
<p><a href="http://www.bmj.com/content/342/bmj.d200?tab=responses" rel="nofollow"></a><a href="http://www.bmj.com/content/342" rel="nofollow">http://www.bmj.com/content/342</a>&#8230;</p>
<p><a href="http://www.bmj.com/content/343/bmj.d6299?tab=responses" rel="nofollow"></a><a href="http://www.bmj.com/content/343" rel="nofollow">http://www.bmj.com/content/343</a>&#8230;</p>
<p><a href="http://www.bmj.com/rapid-response/2011/11/03/public-managers-greek-hospitals-produce-every-year-debt-exceeding-hospital" rel="nofollow"></a><a href="http://www.bmj.com/rapid-respo" rel="nofollow">http://www.bmj.com/rapid-respo</a>&#8230;</p>
<p><a href="http://www.bmj.com/content/339/bmj.b3783?tab=responses" rel="nofollow"></a><a href="http://www.bmj.com/content/339" rel="nofollow">http://www.bmj.com/content/339</a>&#8230;</p>
<p>Stavros Saripanidis, Consultant in Obstetrics and Gynaecology</p>
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		<title>By: Robert J Reynolds</title>
		<link>http://blogs.bmj.com/bmj/2011/12/22/kathi-apostolidis-demolishing-the-greek-national-healthcare-system-the-amateur-way/#comment-14941</link>
		<dc:creator>Robert J Reynolds</dc:creator>
		<pubDate>Tue, 27 Dec 2011 15:00:00 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.bmj.com/bmj/?p=13613#comment-14941</guid>
		<description><![CDATA[We live in a system with &#039;moral tolerance&#039; - even requirement - for &#039;uncertainty and depression&#039; from inequality and unemployment.

Ruled by Conflict of Interest, there is - top to bottom - no escape from corruption, unconscious-subtle to deliberate-outrageous.

Corruption extends to the professions, even to medicine, inviting &#039;public trust&#039; but failing to endorse democratic determination of the aims of healthcare.

Making a virtue out of necessity, our myth-makers have come to trumpet the cause of the individual, not just for aristocracies but across the whole population: we are thereby made hypocrites.

Though we see that no equality of &#039;opportunity&#039; can survive in a casino-culture, we affect shock at the persistence of &#039;disparity&#039; in healthcare and outcomes, across &#039;classes&#039; as across castes, in fact across incomes spectra and between nations with different degrees of inequality.

So great is the fall in &#039;economic command&#039; now being faced in the West, adequate control of our aggregate spending power - enabling industry to meet domestic and export targets - requires national rationing of income.

Those who should lead, the professions included, hang-back in thrall to petty fears, failing to advocate Equality for Democracy, perhaps in hope &#039;we might still come out on top&#039;, prepared as ever to ride the coat-tails of Mammon, discounting direct and opportunity costs for the children of all.

Our &#039;choice&#039; of healthcare outcomes, starts with our &#039;choice&#039; of income-distribution: if not in good times, and not in hard-times, when might we &#039;settle&#039; for Equal Democracy? Just before &#039;deserved&#039; extinction may be too late.
 ]]></description>
		<content:encoded><![CDATA[<p>We live in a system with &#8216;moral tolerance&#8217; &#8211; even requirement &#8211; for &#8216;uncertainty and depression&#8217; from inequality and unemployment.</p>
<p>Ruled by Conflict of Interest, there is &#8211; top to bottom &#8211; no escape from corruption, unconscious-subtle to deliberate-outrageous.</p>
<p>Corruption extends to the professions, even to medicine, inviting &#8216;public trust&#8217; but failing to endorse democratic determination of the aims of healthcare.</p>
<p>Making a virtue out of necessity, our myth-makers have come to trumpet the cause of the individual, not just for aristocracies but across the whole population: we are thereby made hypocrites.</p>
<p>Though we see that no equality of &#8216;opportunity&#8217; can survive in a casino-culture, we affect shock at the persistence of &#8216;disparity&#8217; in healthcare and outcomes, across &#8216;classes&#8217; as across castes, in fact across incomes spectra and between nations with different degrees of inequality.</p>
<p>So great is the fall in &#8216;economic command&#8217; now being faced in the West, adequate control of our aggregate spending power &#8211; enabling industry to meet domestic and export targets &#8211; requires national rationing of income.</p>
<p>Those who should lead, the professions included, hang-back in thrall to petty fears, failing to advocate Equality for Democracy, perhaps in hope &#8216;we might still come out on top&#8217;, prepared as ever to ride the coat-tails of Mammon, discounting direct and opportunity costs for the children of all.</p>
<p>Our &#8216;choice&#8217; of healthcare outcomes, starts with our &#8216;choice&#8217; of income-distribution: if not in good times, and not in hard-times, when might we &#8216;settle&#8217; for Equal Democracy? Just before &#8216;deserved&#8217; extinction may be too late.<br />
 </p>
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		<title>By: Kathi Apostolidis</title>
		<link>http://blogs.bmj.com/bmj/2011/12/22/kathi-apostolidis-demolishing-the-greek-national-healthcare-system-the-amateur-way/#comment-14683</link>
		<dc:creator>Kathi Apostolidis</dc:creator>
		<pubDate>Tue, 27 Dec 2011 01:55:02 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.bmj.com/bmj/?p=13613#comment-14683</guid>
		<description><![CDATA[some recent articles from the local english language press for those wishing to learn more ....&lt;br&gt;1. More Greeks turn to Doctors of the World - &lt;a href=&quot;http://bit.ly/tIhxgx&quot; rel=&quot;nofollow&quot;&gt;http://bit.ly/tIhxgx&lt;/a&gt;&lt;br&gt;2. More patients turning to state hospitals -   http:/&lt;a href=&quot;http://bit.ly/rY28eg&quot; rel=&quot;nofollow&quot;&gt;http://bit.ly/rY28eg&lt;/a&gt;  &lt;br&gt;3. Work stoppages in health and public services - &lt;a href=&quot;http://bit.ly/tBTiDT&quot; rel=&quot;nofollow&quot;&gt;http://bit.ly/tBTiDT&lt;/a&gt;&lt;br&gt;4. Doctors warn that health service might collapse - &lt;a href=&quot;http://bit.ly/t6LRF1&quot; rel=&quot;nofollow&quot;&gt;http://bit.ly/t6LRF1&lt;/a&gt;&lt;br&gt;5. How the new measures change our lives - &lt;a href=&quot;http://bit.ly/s1O73f&quot; rel=&quot;nofollow&quot;&gt;http://bit.ly/s1O73f&lt;/a&gt;&lt;br&gt;6. Doctors in orthopaedic supplies scandal told to repay €2m - &lt;a href=&quot;http://bit.ly/vu0KHB&quot; rel=&quot;nofollow&quot;&gt;http://bit.ly/vu0KHB&lt;/a&gt; &lt;br&gt;&lt;br&gt;and a lot more in the political dailies...&lt;br&gt;,,,,,,,,&lt;br&gt;&lt;br&gt;]]></description>
		<content:encoded><![CDATA[<p>some recent articles from the local english language press for those wishing to learn more &#8230;.<br />1. More Greeks turn to Doctors of the World &#8211; <a href="http://bit.ly/tIhxgx" rel="nofollow">http://bit.ly/tIhxgx</a><br />2. More patients turning to state hospitals &#8211;   http:/<a href="http://bit.ly/rY28eg" rel="nofollow">http://bit.ly/rY28eg</a>  <br />3. Work stoppages in health and public services - <a href="http://bit.ly/tBTiDT" rel="nofollow">http://bit.ly/tBTiDT</a><br />4. Doctors warn that health service might collapse - <a href="http://bit.ly/t6LRF1" rel="nofollow">http://bit.ly/t6LRF1</a><br />5. How the new measures change our lives - <a href="http://bit.ly/s1O73f" rel="nofollow">http://bit.ly/s1O73f</a><br />6. Doctors in orthopaedic supplies scandal told to repay €2m - <a href="http://bit.ly/vu0KHB" rel="nofollow">http://bit.ly/vu0KHB</a> </p>
<p>and a lot more in the political dailies&#8230;<br />,,,,,,,,</p>
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		<title>By: atsapas</title>
		<link>http://blogs.bmj.com/bmj/2011/12/22/kathi-apostolidis-demolishing-the-greek-national-healthcare-system-the-amateur-way/#comment-14684</link>
		<dc:creator>atsapas</dc:creator>
		<pubDate>Fri, 23 Dec 2011 10:16:53 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.bmj.com/bmj/?p=13613#comment-14684</guid>
		<description><![CDATA[Shocking and demoralising it may sound, however, it is indeed a realistic, precise and objective description of healthcare in Greece today! Thank you Kathi for sharing this excellent post!]]></description>
		<content:encoded><![CDATA[<p>Shocking and demoralising it may sound, however, it is indeed a realistic, precise and objective description of healthcare in Greece today! Thank you Kathi for sharing this excellent post!</p>
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