www.thesuburban.com<\/a><\/p>\nFor the next several months, we will be presenting French versions of selected editorials and opinion pieces that touch on Quebec issues vital to our communities. We urge you, our readers, to share them with your friends and the French media. And, we invite our colleagues from French media\u2014whether press or electronic\u2014to reprint and discuss these French versions.<\/i>
\n
<\/i>
\nBeryl Wajsman<\/i>
\nEditor <\/i><\/p>\n
Avis au ministre de la Sant\u00e9 M. H\u00e9bert : Les gens ne croient plus \u00e0 rien et ce, pour de bonnes raisons. <\/p>\n
Le d\u00e9bat r\u00e9cent sur la \u00ab r\u00e9gionalisation \u00bb des h\u00f4pitaux et o\u00f9 ils peuvent se faire soigner peut embrouiller m\u00eame les gens raisonnables qui pensent qu\u2019il ne s\u2019agit pas d\u2019un simple malentendu, mais d\u2019un ballon d\u2019essai qui a mal tourn\u00e9. <\/p>\n
Comme le lecteur peut s\u2019en rappeler, il y a quelques semaines, le Minist\u00e8re de la Sant\u00e9 a \u00e9mis des directives \u00e0 l\u2019H\u00f4pital G\u00e9n\u00e9ral Juif \u2014 mondialement reconnu, entre autres, dans leur sp\u00e9cialit\u00e9en traitement du cancer \u2014 \u00e0 l\u2019effet que les gens qui viennent de l\u2019ext\u00e9rieur d\u2019une r\u00e9gion g\u00e9ographique sp\u00e9cifique ne devraient pas \u00eatre admis comme patient \u00e0 l\u2019h\u00f4pital ni avoir droit \u00e0 des soins. La raison pour laquelle cette d\u00e9cision a \u00e9t\u00e9 prise est que la \u00ab pression \u00bb ne devrait pas \u00eatre sur les \u00e9paules des h\u00f4pitaux qui sont situ\u00e9s au centre-ville et que les gens seraient \u00ab mieux \u00bb dans un \u00e9tablissement de sant\u00e9 r\u00e9gional plus proche de chez eux. (Il faut reconna\u00eetre que HGJ est un h\u00f4pital qui ne refuse personne. Jamais.) <\/p>\n
Cette tentative de justification s\u2019est av\u00e9r\u00e9e sp\u00e9cieuse dans les heures suivantes. Les services de sant\u00e9 publique ont \u00e9t\u00e9 centralis\u00e9s en premier lieu en raison des politiques des gouvernements successifs du Qu\u00e9bec. \u00c0 peu pr\u00e8s 80 pour cent de l\u2019infrastructure m\u00e9dicale efficiente de la grande r\u00e9gion de Montr\u00e9al est d\u00e9sormais localis\u00e9e dans un espace de trente blocs. On ne peut oublier la cl\u00f4ture forc\u00e9e de l\u2019H\u00f4pital Reine Elizabeth, de Reddy Memorial et les autres centres de soins m\u00e9dicaux qui ont \u00e9t\u00e9 \u00ab int\u00e9gr\u00e9s \u00bb dans des \u00e9tablissements plus grands pour des raisons, soi-disant d\u2019\u00e9conomie d’\u00e9chelle.<\/p>\n
Au lieu d\u2019atteindre l\u2019objectif cibl\u00e9, le r\u00e9sultat est la surpopulation et la n\u00e9gligence. Qu\u00e9bec doit sabrer son budget d’une ann\u00e9e \u00e0 l’autre ; ne peut garder ses dipl\u00f4m\u00e9s de l\u2019\u00e9cole de m\u00e9decine dans la province et les h\u00f4pitaux comme Lasalle,St.Joseph \u00e0 Lachine et l\u2019h\u00f4pital g\u00e9n\u00e9ral du Lakeshore \u2014 o\u00f9 se trouvent d\u2019excellentes installations physiques \u2014 n\u2019ont pas le personnel suffisant. <\/p>\n
Les dollars vers\u00e9s pour la recherche et les dipl\u00f4m\u00e9s qui demeurent se tournent autour des grands \u00e9tablissements comme HGJ, MUHC et CHUM. La bureaucratie est le seul secteur des employ\u00e9s des soins de sant\u00e9 du Qu\u00e9bec qui est en croissance. C\u2019est quelque chose qu\u2019aucun gouvernement n\u2019a os\u00e9 toucher par peur de croiser le fer avec les syndicats. Le Qu\u00e9bec a le pourcentage le plus \u00e9lev\u00e9 de bureaucrates en soins de sant\u00e9 dans le monde occidental industrialis\u00e9, au taux de 52 pour cent, le Qu\u00e9bec d\u00e9passe ais\u00e9ment m\u00eame la France. <\/p>\n
Ainsi, lorsque le ministre de la Sant\u00e9 du Qu\u00e9bec essaie de placer la question dans les termes de \u00ab r\u00e9gionalisation \u00bb vous feriez mieux de le comprendre comme \u00ab centralisation \u00bb et m\u00eame \u00ab d\u00e9sespoir \u00bb. Le gouvernement essaie avec acharnement de garder les \u00e9tablissements que nous avons en op\u00e9ration. Un gouvernement qui a perdu 2 milliards de dollars, est en grave d\u00e9ficit qu\u2019il doit r\u00e9duire. Et il va continuer \u00e0 r\u00e9duire la tranche la plus importante du budget \u2014 soins m\u00e9dicaux \u2014 au lieu de r\u00e9duire les programmes de g\u00e9nie social qu\u2019il brandit comme aiguillon dans son qu\u00eate interminable pour les \u00ab conditions gagnantes \u00bb d\u2019un r\u00e9f\u00e9rendum de souverainet\u00e9.<\/p>\n
Clairement, ce qu\u2019il doit faire est de r\u00e9duire la bureaucratie. Donner plus d\u2019argent aux m\u00e9decins pour que les institutions r\u00e9gionales puissent fonctionner. Au lieu de ce faire, il essaie d\u2019attirer les patients qui re\u00e7oivent d\u00e9j\u00e0 des soins de sant\u00e9 dansles \u00e9tablissements sur l\u2019\u00cele-de-Montr\u00e9al vers les \u00e9tablissements \u00e0 l\u2019ext\u00e9rieure de l\u2019\u00eele, mais ils ne peuvent aller nulle part. Non seulement qualitativement \u2014 les h\u00f4pitaux plus petits ne peuvent offrir les soins que les plus grands peuvent \u2014 mais \u00e9galement quantitativement, puisqu\u2019il n\u2019y a pas assez de m\u00e9decins. Les gens vont mourir. <\/p>\n
Apr\u00e8s plusieurs jours de manchettes, cette r\u00e9alit\u00e9 a commenc\u00e9 \u00e0 se faire comprendre et le ministre M. H\u00e9bert a annonc\u00e9 que le financement allait suivre le patient et pas l\u2019\u00e9tablissement. Bon, \u00e7a aurait d\u00fb toujours \u00eatre le cas. Mais personne n\u2019y croit plus, particuli\u00e8rement avec les r\u00e9v\u00e9lations quasi hebdomadaires de corruption et de gaspillage dans la construction de deux nouveaux super-h\u00f4pitaux.<\/p>\n
La raison pour cette centralisation turbo charg\u00e9e est que les gens vont mieux chez eux. Et qu\u2019avec cette technologie de pointe, \u00e0 peu pr\u00e8s un tiers des patients seront consid\u00e9r\u00e9s comme patients en consultation externe tant et aussi longtemps que l\u2019\u00e9quipement est achet\u00e9. Ainsi, les h\u00f4pitaux ont \u00e9t\u00e9 con\u00e7us avec cette id\u00e9e en t\u00eate et les lits disponibles sur l\u2019\u00eele seront coup\u00e9s d\u2019un tiers quand les super h\u00f4pitaux deviendront op\u00e9rationnels.<\/p>\n
Le seul probl\u00e8me est qu\u2019avec autant d\u2019argent gaspill\u00e9s, il reste peu d\u2019argent pour payer les montants n\u00e9cessaires afin de payer les \u00e9quipements pour soigner les patients \u00e0 l\u2019ext\u00e9rieur de l\u2019h\u00f4pital au lieu de les forcer \u00e0 passer des jours \u00e0 l\u2019urgence \u00e0 cause du manque de m\u00e9decins. Maintenant, non seulement nous allons manquer de m\u00e9decins, mais aussi d\u2019\u00e9quipements. <\/p>\n
Lors de la derni\u00e8re \u00e9lection, la premi\u00e8re ministre Mme Marois a remis sur table la question du d\u00e9part d\u2019un tiers des dipl\u00f4m\u00e9s de McGill vers l\u2019\u00e9tranger. Dans sa fourberie usuelle, elle n\u2019a pas pu expliquer que la plupart de ceux qui sont partis sont des \u00e9tudiants \u00e9trangers qui payent 50 000 $ par ann\u00e9e pour leur \u00e9ducation. Ils n\u2019\u00e9taient pas subventionn\u00e9s par le Qu\u00e9bec tel qu\u2019elle le laissait entendre. Cependant, elle \u00e9tait compl\u00e8tement silencieuse \u00e0 propos des d\u00e9parts en grand nombre des dipl\u00f4m\u00e9s de la facult\u00e9 de m\u00e9decine de l\u2019Universit\u00e9 de Montr\u00e9al. Ils sont, pour la plupart, subventionn\u00e9s par le syst\u00e8me ainsi que francophones et votent avec leurs pieds et partent. <\/p>\n
Le d\u00e9bat actuel n\u2019est pas \u00e0 propos de r\u00e9gionalisation, mais de d\u00e9sespoir. Et personne ne croit plus \u00e0 rien.<\/p>\n
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Il ne s\u2019agit pas de r\u00e9gionalisation, mais de d\u00e9sespoir Par Beryl Wajsman R\u00e9dacteur-en-chef www.thesuburban.com For the next several months, we will be presenting French versions of selected editorials and opinion pieces that touch on Quebec issues vital to our communities. We urge you, our readers, to share them with your friends and the French media.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1255","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"\n
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