26 Jun 2006

Greening the NHS

The Green Party of England and Wales has excellent health policies, based on a holistic approach showing that social justice and sound environment create health.

this is from the Manifesto for a Sustainable sociey

H100 Health is the condition in which individuals and communities achieve their full physical, intellectual, social and spiritual potential. Health for individuals is only possible in the context of a healthy environment and society. The healthy society is one which guarantees a safe and clean environment; material security for all its citizens; good work; adequate housing; a balanced and unpolluted diet and clean water; appropriate education; a safe transport system; accessible and sensitive public services; equality of opportunity; a secure present and hope for the future. All Green Party policies are designed to promote the health of individuals, communities and society.

GPEW of course opposes the creeping marketization of the National Health Service.


A forgotten reason for the crisis in the NHS is the massive drugs bill, fuelled by private pharmaceutical companies that use patents to maintain a monopoly. This is a scandal that is ignored by the media.

The Guardian at least today has a good piece on the dangers of these companies, love to see the 'Pro Test' people have a go at the excesses of the big pharm companies, they to me seem like a very good example of where capitalism is disfunctional both to bunnies and human beings.see Drug firms a danger to health - report




£33 billion on marketing drugs! Ecosocialist health care is an alternative, again Cuba is great with a more effecient health service than capitalist nations

Global Snapshots: Cuba - a triumph of public healththis is from Student British medical journal

Global Snapshots: Cuba - a triumph of public health
The James Bond film Die Another Day once again brought the eminence of Cuba's healthcare system into the spotlight. The prestigious fictional Cuban clinic featured in the film is depicted as executing groundbreaking gene therapy. Fiction, yes, but just how close is this to the truth? Cuba, many believe, has accomplished mission impossible. Despite the collapse of the Soviet Union, its prime financier, and the stringent restrictions of a US embargo, Cuba has triumphed: While Cuba's primary health care lacks equipment that British general practitioners take for granted and spends a fraction of the UK budget on health, it has health indicators equal to those of Europe.1

Obviously, there is more to Cuba's health than cigars. The constitution guarantees free medical treatment and preventive care, including prescriptions and vaccines.2 According to the Kaiser Family Foundation, a non-governmental organisation that evaluated Cuba's healthcare system in 2000-1, Cuba is a shining example of the power of public health to transform the health of an entire country by a commitment to prevention and by careful management of its medical resources.3

But Cuba's health struggles are not all a success. Many medicines--even those once produced by the country's prestigious pharmaceutical industry--are almost unobtainable because their components are on the US embargo list.2 The system of quarantining HIV positive and AIDS patients has also sacrificed human rights in the guise of public good. Before 1993, the government isolated patients infected with HIV, allowing them to leave sanatoriums only with escorts.4



AP/JOSE GOITIA
Now Mécdecins Sans Frontiéres has joined forces with the government to implement a new policy promoting public awareness, availability, access to condoms, and treatment with essential drugs. The cooperation of the government with international aid agencies regarding AIDS arose when healthcare workers realised that Cuba cannot afford to quarantine everyone infected with HIV.4 Despite these advances in social recognition only slightly more than half of the people infected can get the drugs they need, and of those who do, many get them from friends and relatives from other countries.3

Cuban expenditure on health, as a percentage of gross domestic product, is higher than any country in the hemisphere except for Canada and 34% higher than the United States.5 Cuba's health policy has been characterised as a dual policy of equity and priority for vulnerable groups.6 Although the country's health policy is less than faultless, important lessons remain to be learned. Despite tremendous scarcity, the country has managed to achieve enviable health indicators through a focus on primary health care. Perhaps necessity is the mother of invention after all.



Charlotte Chamberlain, medical student intercalating in international health, University College London
Email: email


studentBMJ 2003;11:131-174 May ISSN 0966-6494


London Library and Information Development Unit. Meeting healthcare librarians in Cuba. www.londonlinks.ac.uk/rliu/northcirc/issue25/cuba.htm (accessed 8 Apr 2003).
Roberts D. The US attack on Cuban health. www.coha.org/opeds/cuba_healthcare.htm (accessed 9 Apr 2003).
Essif M. Health care in Cuba. Kaiser Family Foundation, 21 April-2 May 2001. www.kff.org/docs/fellowships/essifcubareport.html (accessed 7 Apr 2003).
Darling J. New day for AIDS policy in Cuba. The nation which has quarantined people with HIV, is now allowing an international group to design a public health campaign to prevent virus spread. Los Angeles Times July 24, 1997. http://www.aegis.com/news/lt/1997/lt970706.html (accessed 9 Apr 2003).
Kirkpatrick AF. The US attack on Cuban health. CMAJ 1997;157:281-4.
Garfied R, Santana S. The impact of the economic crisis and the US embargo on health in Cuba. Am J Public Health 1997;87:15-9.

3 comments:

Joe Otten said...

While no fan of big pharma myself, they do have patents on products they have invented. It isn't all manna from heaven.

If we were happy only to use drugs that existed 20 years ago, we wouldn't have to pay for any of it. We aren't and we do.

Allowing that corporations have psychopathic personalities, it seems that perhaps only psychopathic corporations can be trusted to do medical research with private money. Anybody else would go all bleeding heart and give the profits away.

If you would rather somebody died, rather than use an expensive new drug to stay alive, that would make you a monster. The corollary is that opposing the existence of big pharma would also make you a monster.

Anonymous said...

But then who says what's profitable is the same as what's important? Perhaps we're missing some great advances because somebody decided another research project would raise more dosh!

And would supporting a system thet leads to inflated drug prices make you a monster too?

Joe Otten said...

I daresay we're missing lots of possible avenues for research. That's a good argument for better public funding for research.

But private funding for research doesn't prevent public funding. The question is, on top of whatever publicly funded research we're willing to pay for, are we happy to have private money also put into medical research, instead of just into cars, bombs, toothpaste and all that.

I am happy to see it happen, because many rich world lives will be saved in the short term, and many lives worldwide in the long term after the patents have expired. These are all, rich and poor, extra lives saved. Or symptoms relieved or whatever. A good thing.

Do away with the high prices on patented drugs and the consequence is not the same drugs cheaper, but the same drugs not existing, and the capital going into making socks, or movies or nail polish instead.

Imperialism Is the Arsonist: Marxism’s Contribution to Ecological Literatures and Struggles

Derek Wall ’s article entitled  Imperialism Is the Arsonist: Marxism’s Contribution to Ecological Literatures and Struggles , argues that Ma...