«Snami, Smi and other acronyms continue to say they do not want the agreement, but remain at the table with Sisac and the regions. They are actually not against this convention but against Fimmg. Instead, we represent the 65% of family doctors and on the 19th we will strike against the dismantling of the MMG's autonomy». Fimmg Deputy Secretary Sylvester Scotti confirms the May mobilization initiatives. The members will suspend the trials on sending the dematerialized recipe and the participation in commissions and committees and will meet the citizens.
The meeting in the presence of the sector committee and the president Claudio Montaldo he had to clarify with the unions and Sisac how much the policy act had inherited from the March agreement which stipulated that the fees of the GPs would not be affected to finance the new groups (Aft) and the organizational autonomy of the doctors was guaranteed . Instead it went badly, Fimmg got up and left.
«Franco Rossi coordinator of Sisac, the interregional agency of officials who acts as our counterpart, clarified that he signs the contract and not in the terms agreed in the political agreement with the sector committee and the government. They stay subjudice all the questions in which the doctor's autonomy is at stake. Everything is done to make us employees with paths that involve service orders, controls, checks and sanctions».
What happens if the ASL decides how the doctor is organised?
«We today squeezed between two "employers" give guarantees and functionality to the patient and to the service: the NHS pays me, but if the citizen doesn't choose me, I don't put the dish on the table. In recent years, however, the regions have pressed to devalue the variable quota, which gives a figure of the quality and commitment of the doctor, compared to the fixed quota. This - says Scotti - has given more income protection, but has flattened us, certainly with respect to the risk of running into a state of subordination. Fimmg goes on strike to maintain the autonomy of the MMG and the doctor-patient relationship. The alternative is the convention of the regions, the top-down health house, where a trained doctor will work who could be replaced by a nurse in the future.
To the other unions I say: here is what happens when they are divided, to say that the Fimmg strikes "for the convention" and not against this interpretation, to blame the Balduzzi law by keeping silent that health care is in the hands of politics less and less and more and more officials". It seems like light years have passed (and instead it's only a few days) since there were rumors of a "mentorship" of the sector committee on Sisac. Scotti concludes: «In a context of blocked contracts, officials who are overly responsible for the use of public money and fugitive politics, it would be nice if the other unions, hospital doctors and even nurses too, understood the value of the doctors' strike of 19: we need to launch the signal, and compact».
Meanwhile, Cisl Medici, Fp Cgil, Intesa Sindacale, Simet, Smi, Snami, Sumai and Uil Fpl, strengthen their inter-union aimed against "the Balduzzi law and the consequent guidelines". Enzo Scafuro di Smi tries to understand how much the regions can really change their attitude: "We believe it is appropriate to wait for the new draft agreement in the coming days and continue along the lines of the proposals of the inter-union document, which on the one hand says no to the Fimmg strike, on the other he hopes for the unity of the category on a strong proposal for the reform of primary care and of the territory".
Mauro Miserendino – Saturday, 09 May 2015 – Doctor33
Related news: FIMMG. National strike on May 19 and communication campaigns – Milillo: It will be a hot month
SNAMI. Balduzzi is the "original sin". Fimmg "says" to strike for what?
CISL Doctors. Inter-union press release for general medicine
Mmg strike, Montaldo: it doesn't surprise me or worry me
«The strike is one of the moments of the dialectic it doesn't surprise me nor worry me» so the Ligurian health councilor Claudio Montaldo, president of the sector committee - the interregional body responsible for drawing up the frameworks within which the agreements of local doctors are negotiated, comments, on the sidelines of the opening of FarmacistaPiù, the decision of the unions of family doctors Fimmg and paediatricians Fimp, to confirm the May 19 strike. «Yesterday I was present at the meeting with Sisac aimed at clarifying the problems and my invitation was to negotiate. Sisac's mandate is clear and there is political agreement. The goal is the agreement» continues Montaldo «now we need to sit down at a table and find an agreement. At that point we will see who really wants it». The path to the pharmacists' convention for which, Montaldo underlines, «will be sent the address document next week is more downhill. On this front» he concludes «we are at a good point».
