Baran: "'Invisible' 'again the mentally ill for the government"
Question of the KINAL Xanthi MP to the Minister of Health on the occasion of a new provision for the prescription of medicines of uninsured patients
A question for the medical coverage of the mentally ill was submitted by the KINAL MP from Xanthi, Baran Burhan, to the Minister of Health. In the question co-signed by MPs Giorgos Fraggidis and Evangelia Liakouli, it is stated: / 2022 - Government Gazette 899 / Β / 28-2-2022), for the prohibition of prescribing drugs to uninsured patients, former beneficiaries of law 4368/2016, by doctors outside the NSS.
However, as community psychiatrists point out, with this horizontal measure the leadership of the Ministry of Health directly puts the rights of the mentally ill, especially in a country like Greece, where psychiatric reform is still in demand and the psychological price of many months of incarceration. , due to covid-19, was particularly heavy.
In particular, however, the mentally ill who are served free of charge in the non-profit NPID structures, which belong to the wider public mental health sector, are mainly affected, with these fellow citizens usually suffering from serious mental illnesses such as psychosis, bipolar disorder and other serious disorders. .
Pursuant to the above measure, after the end of the extension up to 30/4 given for its implementation, the uninsured mentally ill will henceforth have to turn only to public health structures (public hospitals / health centers), in order to be prescribed their treatment. In fact that creates further problems since the doctors and the other nursing staff do not know their condition individually. The problems are exacerbated, of course, in island and isolated rural areas, where public mental health structures are minimal to non-existent.
As noted by mental health professionals, this whole condition can lead to relapses in the treatment of the mentally ill, as most receive consistent psychoactive drug treatment, rendering them "outcasts" of a public health system that according to its latest plans , did not take them into account at all.
Given that it is at least irresponsible on the part of the government to legislate a measure without having previously secured the strengthening and staffing of the ESY. In order to achieve its application smoothly, resulting in differentiating the categories of patients based on their specific characteristics, such as e.g. the mentally ill.
Given under the above measure known financially vulnerable social groups, such as the mentally ill will be left without immediate access to treatment and even without any personalized care.
Since in the cases of most mentally ill people the doctor's trusting relationship with the patient takes a long time to build and is decisive for the outcome of his treatment.
Based on the above, the Minister is asked:
How does he intend to ensure the uninterrupted prescribing for the uninsured mentally ill after the extension on April 30, 2022? “.