Cooperatist Public Health System
Health is a publich right, a common good, neither state provided nor corporate, which we have a right to promote.
Self-management of health is a fair and necessary ambition for the whole society that requires the improvment of health centers to a higher level. Health cannot be a business, therefore, our awareness can neither be a merchandize to the service of the state, the pharmaceutical industry and the rest of the dominant sanitary apparatus.
We can not ignore the important fight that is developing within the core of the public health, against the path taken for the rentability of health through the conversion of the public into private. However, the struggle must not be just for the recovery of a workplace or a private hospital. Another health system is nedded, a new paradigm around the health that paves the road for the development of a health system outside the hegemonic model.
The cooperative public health arises from historical foundations of the popular movement in defense of the right to health.
How do we udnerstand health?
Health is a social and cultural construct. “Wellness” and “sickness” are just two concepts defined by the person in his/her attempt to make sense of the phenomena beyond his/her comprehension.
Using this paradigm we are made to believe that we are unable to keep healthy in an autonomous manner: it is nothing more than a form of control and authority. Life is an individual experience. Each cell in our body has the information necessary to keep our lives going, it is the life itself. Therefore it is very important that we listen and unite with this natural intelligence. It is essential to free ourselves from the oppression to which we are subjected to in order to achieve a level of independence and freedom that allows us to self-manage our lives.
Health is for us existing with freedom and responsibility necessary to develop the human essence.
What goals do we want to achieve?
Rule out the idea that wellness and sickness are states, and build a society that directly relates lifestyle and quality of life.
What strategy do we follow?
The integral revolution, meaning a conscious transformation at all levels (political, cultural, emotional, ethical …)
To work towards this transformation we partake in the process of the Catalan Integral Cooperative, a transition proposal for a society model based on self-management in all areas of life as a way to meet the material and non- material basic needs of everyone in which health plays a vital role.
Contrarily, the dominant allopathic health system is based on wellness, medicine and healthcare.
Currently we are in the so-called “crisis of public health”, under which can be identify the failure of the hegemonic reductionist state model. Its corporate policies have created a market in which the human being is a patient/client who requires a health intervention well into the processes that follow its natural cycle.
To clarify what the current health care system consists of is the first responsibility to take. We cannot continue ignoring or turning away from the current health structures. Health is seen as a key sector within the capitalist system, and this generates and makes chronic the diseases as part of its strategy to become a significative economic factor. The human essence is a determining factor in the value chain of the economy in capitalism. Perpetuating the use of health centers is a matter of rentability and utility.
What is Cooperative Public Health System (CPHS)?
This model is based on participatory creation and action as part of the individual human development in all its dimensions and as a collective process of the whole. It means making a social investment in human capabilities in order to enable people to work in a synergetic and creative way to procreate a free society.
The conversion of patient-object (through which the concept of sickness is reinforced) into people-subject(where the human being is the most important) means making a qualitative leap in health as a right. This humanization passes through generating a bond between the people in the active pursuit of good health.
For that, this system incorporates the figure of the health facilitator, a person with the necessary tools to accompany others in the process of realizing one’s lifestyle as well as the quality of life that we will achieve so that progressively one will be able to self-manage him/herself (today, it has been already two years since a training program is initated based on this philosophy)
Schematically, the fundamental characteristics of the system are:
- A biopsychosocial-cultural-ethical-spiritual model prioritizing prevention and promotion of health
- A system in which the person is an active subject and responsible for maintaining his/her own health
- The unification of medicine according to the individual needs, and not of the market
- Efficient use of resources: reduction of institutions, technologies and medicine, except in cases when it is really necessary
- A direct community participation in health
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