Health in Greece is sick. As sick as the brains of those who take such decisions and force thousands of people to painful death as they deprive them of life-saving medicine. Call it ‘Third Austerity Package’, call it ‘a country in bankruptcy’, call it however you want, fact is: the well paid ministers of this government together with well-paid MPs and other state officials who earn several thousands euro per month, they will let the needy and the sick without essential medication and basic health care.
Last week deputy minister of ‘health’ Salmas and minister of labour Vroutsis decided independently from the ‘austerity package’ to impose a 10%-25% participation in prescription medicine purchase for the chronic-ill of following categories: kidney insufficiency, epilepsy, Alzheimer’s, dementia, vascular BURGER, Charcot disease, PARKINSON, several types of Diabetes, Wilson disease and other chronic illnesses (Full List Here, in Greek).
Zero percent contribution will be paid by cancer, HIV and other chronic diseases, however only for drugs directly related to their diseases.
The patients will have to pay 10% contribution for drugs directly related to their disease and 25% for drugs not directly related and regardless of whether the accompanying diseases like heart problems, diabetes, hypertension are caused because of the primary disease.
Now who will decide whether the kidney failure is related to diabetes or vice versa is not clear and whether the drugs for Alzheimer’s will cost 10% contribution but the vascular medication will need 25% own payment?
Without any exemptions for low-incomes, the chronic- ill patients of the above mentioned categories, some of them who need medication worth several hundreds euro every month will have to pay even more than 100 euro out of their own pockets. Even if their pension is no more than 500-600 euro.
For example a kidney patient on hemodialysis needs medicine of some 500 euro per month. If s/he has to pay a contribution and has a low-income, the patient and his family will face a dilemma: either buy medicine or let him starve. and thus in times, where the majority of the average households have one member with income and work.
Only terminally ill kidney patients on dialysis will be exempted from the contribution.
“This is unacceptable, because kidney patients undergoing dialysis have many other serious health problems, including cardiovascular, blood sugar, hypertension, etc,” says Gregory Leontopoulos, general secretary of the Panhellenic Federation of Kidney Patients.
As mentioned, one patient undergoing hemodialysis may need more than 500 euros a month to buy drugs, depending on their health condition. “Not everyone has the ability to pay such large sums of money each month to deal with serious health problems,” he said and warned: “If we do not change the decision, we will will mourn victims.”
The news about the insured patients participation in the medicine purchase has spread the horror among groups of chronic ill, especially those who are bound to 240hour care like the dementia and Alzheimer’s patients. President of the Greek Alzheimter’s Association Magda Tsolaki, wrote a dramatic appeal to the Minister of Health stressing the necessity that these patients are exempted from the participation.
Below some excerpts from the letter:
“Alzheimer’s patients are mostly elderly and retired. Although they are confirmed to be 100% disabled they do not receive any social welfare benefits or allowances.
The average monthly income of such patients does not exceed 785 euro, while the minimum pensions from OGA and IKA are not more than 350 euro and 470 euro per month respectively. 400,000 retirees receiving a pension between € 600 and € 1.000 per month.
The generative chronic disease that causes the progressive decline of the memory and all associated functions like bathing, eating, dressing while is accompanied with significant behavioral changes.
Underlining the costly economic impact for the patients and their families, Tsolaki requests the exemption form the participation saying that without available resources, the patients would be deprived of medicine with the effect of a quicker deterioration of their health situation and an escalation of the behavioral disturbances that will force families and care takers to send such patients into state institutions and more costs for the Greek health care system.”
Fanciful Tricks to Cut Health Care
The tricks applied by those responsible to cut health care for chronic-ill have no limits. They cut physiotherapy for patients with multiple sclerosis, TBI, peripheral neuropathy, diseases of the Central Nervous System,
if the patient has already been treated in rehabilitation clinic or hospital rehabilitaion centre or any rehabilitation program. At the same time, the insured patient will have to take advantage of the physiotherapy within 3 months after ordered by the doctor.
Hospitalization only with 25 euro admission fee!
The new austerity package foresees cuts of 1.1 billion euro in the Greek medical and prescription medicine, but also cuts in doctors’ salaries in order to finance the national health care organization EOPYY, the newly established scandalous organisation that unified the insurance funds and went broke before completing two years of life.
With the new austerity package, insured patients will have to pay 25 euro to be admitted to hospital for surgery or medical checks and will pay 1 euro per prescription as of 1.1.2014.
If they’re still alive….
Greece needs Euthanasia Law?
Minister Vroutsis? Minister Salmas? Who are these ministers, the politics-passersby? Who voted for them? How many votes did they receive in June elections that authorize them to rule over the destiny of thousands of sick and needy?
A friend was telling me about the continuously rising costs she has to pay for her two sick parents, both over 80. A doctor has to be called in at least once a month (60-80 euro). Every two months one of the parents has to undergo blood tests (80 euro). Cost of diapers ((50 euro). Contribution for prescription medicine (at least 20 euro). With the new regulation, she will have to pay additional 40-70 euro for prescription drugs. To the medicine costs she needs to spend some 150-200 euro per month to buy for them food and pay utilities. One of the pensions of the aging and sick couple goes for a caretaker (400 euro). Τhe friend also comes up to their taxes and emergency property taxes as they live in a 70 qm home.
The friend lost her job two years ago, she uses her savings to support her parents. On their side, they lost an annual income of 4,320 euro after the Christmas/Eastern bonuses were cut into half, when the social welfare allowance was deleted with one click and they have to pay contributions of 30 euro/month each to EOPYY. With they new austerity package they will lose at least another 1,200 euro per year as the rest of the Chistmas bonuses will desappear. The IKA pensioners get together 1,090 euro.
Maybe Salmas, Vroutsis & Co should consider to pass also an euthanasia law as the chronic-ill and their families will be unable to carry the additional financial burden.