Dear friend, dear friend, it turns out that on March 25, the President of the Mexican Red Cross , first, and the Secretary of Health our country then announced in media statements, now if, from the 1st. April, antibiotics alone will be sold in pharmacies by presenting of the respective prescription.
http://www.eluniversal.com.mx/primera/34661.html
http://www.exonline.com.mx/diario/noticia/primera/pulsonacional/clausuraran_farmacias_si_omiten_receta/905117
This is what gives this title, especially when I ask Another one?.
And we are already accustomed to our politicians and managers from all areas of public administration statements that frankly do not know if it is to forget some of the sad situation in which the nation is willing to make us laugh , or frankly are out of their brilliant minds. Definition
Antibiotic .
antibiotic The term was proposed by Selman A. Waksman, discoverer of streptomycin to identify substances with antimicrobial activity and structures learned from living organisms.
time later, the term was agreed to define any substance extracted from living things, and they be bacteria, fungi, algae, able to override the life of microorganisms.
The antibiotic is a living world. but the advance of technology, the growing knowledge of the formulas of various antibiotics, the possibility of synthetic preparation basis of chemical bases blurred source value thereof. Hence, then, we have: Antibiotics are safe medicinal substances that have the power to kill or stop the growth of infectious organisms in the body.
organisms may be bacteria, viruses, fungi, or tiny animals called protozoa.
A particular group of these agents are drugs called antibiotics, from the Greek anti ("against") and bios ("life"). Some antibiotics are produced by living organisms such as bacteria, fungi and spores. Others are partly or fully synthetic is produced artificially.
Penicillin is perhaps the best known antibiotic. Their discovery and subsequent development have enabled the medical profession effectively treat many infectious diseases, including some that once threatened the life.
Antibiotics and the General Health Law.
Well above relating to the terms of Mexican law in this regard, the General Health Law , in Article 226, Section IV, says "Medicines for purchased medical prescription but can refill as many times as directed by the doctor "
law also referred to in Article 227 says " The Ministry of Health, will determine the drugs within each one of the groups referred to in the preceding article "
The Ministry of Health, includes and ranks within the group IV antibiotics, and define: " Antibiotic or antimicrobial: substance of natural or synthetic origin that inhibits or destroys the growth or reproduction of microorganisms. "
It follows that not to do anything because everything is covered, established and regulated by law since the law was published and therefore was binding since 1984, "Or is it ? Did not observed in Mexico and obey the laws?
Use and abuse of antibiotics and antimicrobials.
Well, medical science (And of course, doctors, professionals in health care), they know and recognize that when an antibiotic is used inappropriately, there are strains, ie, species of microbes or bacteria that are resistant to it, so the problem is real, ie the time comes when an antibiotic is no longer effective and should be used more and more powerful drugs (and expensive), however, the most delicate and serious problem, is that it may happen that there is no effective medication to treat certain disease in a given patient, leaving it without more help than his own physical strength he could provide.
From the above we deduce that the measure is correct (in theory), but will be timely? Is it viable?, We believe it, and knowing the environment as well as the status of access to the health of the Mexican people will try to explain why is this my opinion and that's what I think will happen if the measure were true, of I think advance can not be applied.
The Mexican and the right to health.
Our Constitution establishes the right to health for all Mexicans, in Article IV, and one of its fractions says "Everyone has the right the protection of health. The law will define the bases and conditions for access to health services and establish the concurrence of the Federation and the states in matters of public health, as available to the section XVI of Article 73 of this Constitution. "
In reality, there are several ways to have the "right to health", look at them:
1 .- Some have paid for the "Seguro Popular" created during the administration of Vicente Fox Quesada surely with good intentions, where the Health Ministry itself would be responsible for providing health care beneficiaries integral, but in practice, it lacks the necessary resources for infrastructure and medical personnel to provide medical care only to the insured, let alone the general public; It follows that the provision of service is very poor. 2 .-
care for the uninsured by the Ministry of Health, or if you comment, let them focus on epidemiological prevention efforts and vaccination campaigns, it is fair to say, they do quite well.
3 .- All workers, mandated by law, must be enrolled in the Instituto Mexicano del Seguro Social (IMSS), so that they can count on pension benefits, disability, maternity, death, child care and especially health care. Here we should mention (Please do not confuse) which is an institution open to the general population, is only to serve employees and their families so that I almost dare say that is a private institution, since resources for operation are provided by employers for the most part and at a fraction of the workers themselves, as well as a significant contribution to the federal government. We can say that this institution has the best medical and surgical equipment and diagnostic but ....
The situation regarding the provision of medical services is well known (and suffered) by the Mexican working class and their families, not to mention the rapidity with regard to obtaining an appointment, appointments to two, three months (sometimes even more) for a specialist consultation, let alone when you need any surgical intervention, if you go almost dying something is done, but if not, you'll have to wait months. Anyway here attention is usually given as I stated and that all beneficiaries know, its very most honorable exceptions, they are "peas in a pound", so long as you can, we turn to private medical services.
4 .- All staff working in the service of the Mexican state (teachers, employees of any federal administrative agency, state or municipal) must be registered with the Institute of Security and Social Services for State Workers (ISSSTE) for be entitled as mentioned in Social Security, the difference is that this is for the government and its personnel, except military personnel. The situation is similar or slightly worse than in the IMSS. 5 .-
private medical services are an option that has the general public to early care of their health needs, but generally a medical specialist it takes about ten minimum wages, without counting the cost of analysis or drugs, less than treatments requiring hospitalization. Besides there are more ca $ $ $ o, (I know many) of "doctors" who denigrate the profession and his "oath" and there have been literally 'merchants of health'.
In this environment it is observed that not all Mexicans have access to OUR RIGHT TO HEALTH, given the announcement with great fanfare that now if "Antibiotics, prescription-only" We will ask
health authorities Do you really believe that the vast majority of people who come to the farmacia a comprar medicamentos sin receta lo hacen por decidia o por simple gusto?
Como creemos que no nos van a contestar, diremos ENFÁTICAMENTE QUE NO, no van a la farmacia por medicamentos sin receta, acuden por que no tienen los recursos económicos suficientes para sufragar lo que cuesta una consulta médica, igualmente se automedica por necesidad de contar con algún paliativo que le permita sobrellevar o aún superar sus dolencias físicas.
Tendrán todas las respuestas a preguntas como:
Que hacer cuando un médico prescribe telefónicamente un antibiótico? Ya sé que dirán eso no se hace, la realidad es que si se hace y con mucha mayor frecuencia de la que pudiera think, for example: you take your child to a specialist at the state capital, prompting the doctor to let you know how it evolves, you do two or three days later by telephone and the doctor tells you or an adjustment or While a new drug that you do not have the recipe.
want to rob the people the right to try to heal, when the state can not guarantee?
I want you to imagine what might happen in the unlikely event that attempted to give effect to this measure:
1 .- As not everyone can afford a doctor, and as usual, "our" government wants to solve a problem creating a larger, and in this case, addressed to the weakest link, not least, pharmacies who ultimately leave the ultimate responsibility for their ordinances. As a result of this, many close their doors, becoming more acute the problem of unemployment, not to mention border pharmacies only remaining sales made by American consumers. as if they were missing problems for our northern brothers!
also worth mentioning that even if not, would not work, can you imagine a pharmacy that would comply with the law 100% and pharmacy in the back do not? How would you monitor the Ministry of Health of the above, if only as an example, the Sanitary District No. 2 of Michoacan, located in Zamora, have just SIX health verifiers? How to inspect compliance if they have to verify all establishments, careers and everything related to compliance with the General Law of Health and the Health Code TWENTY CITIES? Health verifiers, Will 'armor' against bribery?
2 .- At this point our rulers Have not you noticed that EVERYTHING IS PROHIBITED, promotes and creates illegal black market? 3 .- There would
black market antibiotics and now they expend in hiding, in ambulatory, in markets such as Tepito and stop it counting.
4 .- There will undoubtedly be more theft of drugs, unfortunately some criminal groups have made this a 'modus vivendi'. 5 .-
give higher rates of drug adulteration and counterfeiting. Although you may not believe, Mexico figures are about 12% of total sales of this serious offense. 6 .-
recipes will be sold by many medical professionals, not all have the ability, professional ethics, and honesty necessary, there will be many "sell" recipes "as there are now for psychotropic drugs, which for 20 or 30 pesos issued the prescription. 7 .- There
prescription forgery, in any cyber, anyone with basic computer skills, they may be doing. Does the physician's signature? By God .... 8 .- There
printers selling "prescription" in white. 9 .- There
"resale", ie I buy prescription and you sell it to you, of course, a utility.
All this could happen, so I think it best to educate people and take other steps, including:
1 .- Check that drug dependents have adequate capacity and sufficient to do its work ethically and accountability. Are all pharmacy providers will be under the 'Course for dispensing drugs in pharmacies'?
2 .- The General Health Law establishes how to dispense a prescription, and it does not change anything as input, similar pharmacies are illegal, since that's ONLY what they do, change your medication on the other and therefore must comply with the regulations.
3 .- The same law also set to be issued a prescription, and the requirements that it should take, should not require doctors to comply with the law?, Then educate them, lords of Health and firm hand with them too. 4 .-
medicinal products with health record, do you really be trusted? Lords of the Ministry of Health, all doctors and pharmacists know that this is a fallacy, so there are working in it. Antibiotics Laboratory 'duck' also cause microbial resistance, lack of seriousness, quality control, but yes, they have health record.
I mention to you some situations also must be corrected before the first measure announced:
1 .- Walmart type stores and Costco, sold these products and bulk containers. 2 .-
drugs "miracle" that advertise on TV and announced that governing has been like planting in the desert, nothing.
3 .- Something serious as well as advertised, is that people are understanding that may be the answer to favor Dr. Simi, (in their pharmacies no doctor $$$), setback after Mr. Slim and his "First Level." Is it true?
Certainly, we have a government as effective and a highly educated population and skilled workforce, better than in first world countries, "do not laugh-a measure of that caliber, announced on March 25 and must be implemented whole, in all pharmacies throughout the country, April 1, record time! SIX DAYS ONLY! Efficiency Model!.
Alas, another bad decision, only encourage corruption, more expensive medications and paid the most will be those who do not have to "buy" the prescription in private practice, fortunately, we all stay the same, speaking a day , quiet morning. It seems that the Mexican government realizes that change the most important factor for any society is education.
The fundamental problem for which the laws are not enforced, it is because our politicians and legislators should not have understood that developed laws for men and not men for laws.
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