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Erosion of Social Security in Europe

Learn about Doctors for the People, a healthcare organization in Europe since 1971, promoting the right to healthcare for all through patient-centered care and international solidarity. Uncover the erosion of social security in Europe due to increased out-of-pocket costs and financial strains on individuals. Explore the impact of the economic crisis on healthcare in Greece, highlighting the need for social struggle to safeguard public healthcare systems. Discover the importance of combating neoliberal policies in maintaining universal health coverage. Join the movement for accessible and equitable healthcare for everyone.

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Erosion of Social Security in Europe

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  1. Erosion of Social Security in Europe Geneeskunde voor het VolkMédecine pour le Peuple www.gvhv-mplp.be

  2. What is Doctors for the People? • 11 health care centres • Established in 1971 • Right to health • Right to healthcare • free and equal access for everyone (fee for service ↔ capitation) • patient-centered care • Multidisciplinary • Struggle for healthy working and living conditions • Empower patients • International solidarity (anti-imperialist)

  3. 1. Social security in Europe

  4. Financing through wages Totale loonkost Brutoloon Nettoloon Bedrijfs voor- heffing Werk- nemer- bijdrage Werkgevers- bijdrage 13% 34% Naar fiscus Naar RSZ Directe loon Indirecte loon

  5. Protection against the big risks of life

  6. Importance

  7. 2a. Erosion in B. health care: the stories • Annie • Terry • Theo & Alida

  8. 2b. Erosion in B. health care: the facts • 2009: 1/8 financial problems due to costs of health care • In case of chronic illness: 1/3 • 2008 NHI: 14 % postpone health care because of financial problems • '97: 8,5% // '04: 10,1%

  9. 2c. Erosion in B. health care: the causes • OECD: out of the pocket increased to 28% • Biggest factors: • Increaseco-payment • Increase costs for hospitalization (< extra fees on wage of specialists and medical material) • Underlying reason: lack of financing of doctors and hospitals by state • Costs grow < aging population & new technologies • Wage contribution diminishes < neoliberalism • ! leads to privatization

  10. 3. Europe and the crisis

  11. “What is going on is a silent revolution - a silent revolution in terms of stronger economic governance by small steps. The member states have accepted – and I hope they understood it exactly – but they have accepted very important powers of the European institutions regarding surveillance, and a much stricter control of the public finances.“ • J.M. Barroso, June 2010

  12. Greece: the guinea pig of Europe • Economic disaster: • Debt: 105,4% GDP 2007-> 142,8% GDP 2011 • Unemployment: 6,6% 2008 -> 16,5% 2011 • Youth: 18,6% -> 40,1% • Austerity  40% cuts in hospital budgets • Public hospitals: 133  83 • Understaffing, shortage of medical supplies, bribes to jump queues

  13. “Health effects of a financial crisis: a Greek tragedy” (Lancet 2011) • 2007-2009 • Homicide and theft rates doubled • Suicides rose by 17% • HIV-infections would rise by 52% between 2010-11 • < more heroin users, less street workers • < more prostitution • MDM: “There is a deepening humanitarian crisis in Greece, but nobody wants to see it.”

  14. Conclusions • Health for all can be achieved partly through a strong social security • Only social struggle can get us there • BUT: neoliberalism & the crisis = a huge threat

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