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Healthcare: Herdea(CNAS):When talking about localities not covered by doctors,we're talking about local authorities' weak involvement
The chairwoman of the National Health Insurance House (CNAS), Dr. Valeria Herdea, spoke on Friday, at the activity balance of the six months since taking over the mandate, about the depopulation of the medical system due to the "weak involvement" of the local authorities, who, in her opinion, "do not assume" the provision of decent conditions.
"When we talk about localities not covered by doctors, we are talking about localities where, perhaps, the local administration does not get involved or gets involved up to a point, does not assume, because it has to offer certain conditions. We are talking about telemedicine, we are talking about equipment, we are talking about equipment that the Insurance Company no longer takes into account, so it must be renewed. This renewal process is an investment process. (...) There are many causes that lead to the depopulation of the medical system In recent years, the situation has slightly gone for the better. I want to see hospitals that are modern, but with the infrastructure that they have. Because they have top specialists who don't have what to work with. The infrastructure is rusty, and then I wonder: Where is the local administration in all this? Where are the taxes if they don't get there?," Herdea explained.
The head of CNAS gave, as an example, several localities in Suceava county, located on the border with Ukraine.
"There are four towns on the border with Ukraine, in Suceava. If you want a doctor, lawyer, priest, notary, you need to make an effort to understand that these people, who are still educated people, come there and stay there if you support them. You can't send someone if you don't offer them some minimum conditions. That's why we're trying to develop alternative systems to help these people. For example, one thing that's gratifying is that we now have only one locality without a family doctor. They opened work points and took over large areas," Valeria Herdea pointed out.
She mentioned that for attracting medical staff in rural areas, which are difficult to access, bonuses are granted that can reach 200%.
"We have 52.5% of the population in the city and the rest is in the rural area. I would like to talk about places where there is water, where there is electricity, where there is a road that does not slide or houses that do not slide. And I want average staff, together with the doctor, that he can pay, because otherwise there is no one. (...) We are making every effort to bring in young people, to motivate them, we got the link and we are in progress partnership projects with the pharmaceutical universities and medicine in the country, so that they are included in the curricular preparation, in the specialization of these young doctors, including a short internship in the countryside, so that they see what the rural area means, we try to supplement people's access to medical services in areas where there is no easy access. For these areas, there is a commission that also establishes the area increase, this offer and opening exists from the House and this area increase goes, for example, to Sulina or in other parts that are difficult to access up to 200%. They are progressive, but they also need the effort of those there. At Caraorman, Mila 23 and the Crisan side, there I even met a mayor who got involved," the CNAS chair said.