GOVERNANCE IN HEALTH POLICY
(Part One)
not have money to pay for drugs, consultation with a specialist or always dissatisfied with the care received at the ISSSTE, Seguro Popular IMSS or produces discomfort, irritation and sometimes anger.
knows this who has gone through similar situations but also is well aware of any ruler, is the party that is. However, and despite being a misconception, for most Mexicans health is protected when it is about medical, medicine and hospital. Why wrong? Because health is not to need doctors and medicines.
Thanks to this culture of sickness and disease care system health programs - including education, have the highest priority in public policies and government plans. Even the politicians fight. Health (or rather the attention of the disease) is the face of humanity and education, hope in the future.
So good to know who's who in this social health. In Veracruz, for example as in all states of the country, this policy is decided by the federal government. Decide what is done, how it is and how guidance. State governments are only executors of the policy operators.
Whether justified or objections regarding this centralism, is to recognize that in recent decades, Mexico has made significant advances in health but certainly not everything that is needed to say with certainty that Mexicans enjoy the full measure of fairness in the exercise of this constitutional right.
why no debate, no complaints and disputes between the federal government and states. The latest evidence of this was expressed by the master Juan Ramón de la Fuente to receive recognition at the Medical Merit from the President Felipe Calderón.
"Mexico, from its origins, has been a country that has been discussed between centralism and federalism in all spheres of public life. The case of health is no exception. There has been progress federalists, but there have been centralist measures. I, personally, have always favored federalism. But what I find most important is not what position favored by each one, but the debate returns with rigor to fence in several areas, so you can at the time the Government of the Republic to make better informed decisions.
What I think is good is not we be in this ambivalence between being a part of the decentralized system and some centralized "
Lighter can not be said. In health, between the federal government and the states have an irregular situation that is affecting negatively because ultimately this dispute is essentially political and economic situation and more specifically associated with the struggle for power.
Take into account that the health and education issues have been preferred by all governments and is not causal, but causal. These are policies that reinforce high degree of political legitimacy of governments in turn build clientele while voting.
However, in the current economic and social conditions of Veracruz, partisan diversity in the popular representation and severe budget constraints, the key question that seems to start and he has answered the Governor Javier Duarte is:
remains valid "governance as strengthening government capacity, improving the tools, unlocking the power government or it was time to switch governance to governance, more current, which means that even giving the government and the state is not sufficient capacity to govern and manage the complexity of today's society.
health policy and in particular the prevention and health promotion offers a splendid field to identify potential and risks the answer to the question holds for the simple reason that prevention and promotion as irreplaceable involve the presence of the individual, family and community and a dynamic of its responsibilities and interactions with the state.
http://despertartemprano.blogspot.com/
Email: romeo-gonzalez@hotmail.com
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