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Florence, November 22, 2020 – First the doctors protested, then the citizens, finally the politicians from right to left (also from the Democratic Party). L ‘Covid emergency fall it has made the short cloak of Tuscan healthcare once again show itself in all its weakness. This time it was the turn of medical guard. Since midnight the responses of the medical guard, the real garrison of the territory, it will only be possible by phone. This was established by an ordinance signed by President Eugenio Giani to have more doctors for continuity of care.
“The interruption of the continuity of care at 24 o’clock, with the introduction of telephone counseling only from 24 to 8, is a wrong choice in terms of care that will produce inadequate access to hospitals and serious consequences in the maintenance of the 118 and emergency rooms “was the first to discuss Italian Union Federation of United Doctors (Fismu), in relation, in fact, to ordinance 107 signed by the President of the Tuscany Region that provides for the replacement of the night medical watch by a telephone consultation service.
By Marco Bruni, Head of the Fismu care continuity company, “the on-call medical service is strategic in the area and is organized precisely to guarantee care activity throughout the day and for all days of the week as care continuity in primary care, from guaranteeing perfect continuity. “According to what is expressed in the text of the Region’s ordinance, the working hours of the medical guards that will be available with the suspension of the service” will be used during the day to contribute to the surveillance of health, as well as outpatient activities for patients with flu symptoms “. or staying in a health hotel.”
Then the citizens, especially those living in disadvantaged areas, far from first aid and first aid services, were heard. Some mayors have interpreted the needs of the area. The mayor of Sansepolcro (Arezzo), Mauro Cornioli, representing all the first citizens of Tuscany Valtiberina, wrote to Giani.
“As those responsible for the health of citizens, we mayors cannot endorse an option that penalizes small communities and, worse still, those in the mountains. Where 118 vehicles arrive with more difficulty and taking twice as long, we cannot leave the “void” in night health care. The medical guard is a “lifeline” and therefore is essential to guarantee the right to be attended to by our citizens, on a par with those who live in the city or in less peripheral centers. They did not even ask us about the issue, which therefore “fell from above” without the possibility of giving an opinion. Therefore, we reiterate our opposition to this provision, because health cannot be subject to rules of Therefore, we formally ask you to return to the decision: to revoke or rectify your order to maintain essential medical service at night. it is”.
From mayors to political representatives. On the Italian left, the PCI, Italia VIva, Lega and Forza Italia and also the Democratic Party. Everyone accuses the fragility of the system that “removes on the one hand to meet the needs of another sector, but the citizen and the efficiency of the local service always lose out.”
Elisa Tozzi (Lega) will pose a question to the regional council: “An absolutely negative judgment has come out of the same health professionals about a decision that runs the risk, at a particular and complex moment like this, of flooding the rooms even more. emergency”. . Marco Barzanti (PCI) expects a rethinking that will lead to the annulment of the ordinance.
“We are surprised by the decision made by the Tuscan governor Eugenio Giani who, with the regional ordinance, decided to withdraw the medical service after midnight. This choice at this time of serious emergency does not make sense,” says the vice president of the Forza Italia group. Stefano Mugnai in the Chamber and Fi deputy Elisabetta Ripani. And the Italian Left: “Trying to make up for the already evident deficiencies in territorial medicine by reducing even more the closest services in the area is exactly the opposite of what should be done, decongesting emergencies.” VIva’s Italian regional advisor, Maurizio Sguanci, also attacked: “The pandemic cannot and must not alter the health and welfare structure of our universal public system. At risk is the protection of the health of all.” citizens without adequate assistance responses, including those guaranteed by the medical guard. “
And even from the Democratic Party they begin to rethink: even Enrico Sostegni, regional councilor of the Democratic Party, president of the Sanitary Commission and Vincenzo Ceccarelli, leader of the PD group in the Tuscan assembly do not agree with the decision to suspend the medical guard from 24 to 8. According to the two regional councilors “we must keep the emergency medical service open 24 hours a day in disadvantaged areas. We appreciate the effort made to combat the health emergency linked to Covid -they add in a note- and we understand the need to have a greater number of doctors, but it must be taken into account that Tuscany is not made up only of cities and large centers, on the contrary it is a vast territory and there are more marginal areas that cannot be left uncovered and where this choice runs the risk of having the effects of a weakening of services that are difficult for local communities to sustain ”.
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