Kiwon lafiyar Amurka a halin yanzu yana ba mu kyakkyawan darasi game da yadda tsarin jari-hujja ya kasance idan babu tsarin ɗabi'a. Manyan wadanda suka yi asara su ne ‘ya’yan Amurka.
Ƙungiya Mai Riba Daga Ciwon Yaro
Cibiyar Nazarin Ilimin Ilimin Yara ta Amirka (AAP), babbar ƙungiyar ƙwararrun likitocin Arewacin Amirka, ta kula da hauhawar farashin. rashin lafiya na yau da kullun da magani na yaran Amurka a cikin 'yan shekarun nan. Tare da Wakilan 67,000 a cikin Amurka, Kanada, da Mexico, AAP ta bambanta kanta a lokacin Covid-19 saboda dagewarta cewa yakamata a rufe fuskokin yara kuma yakamata a yi musu allurar rigakafin RNA, duk da sani daga farkon 2020 cewa mummunan Covid-19 yana da wuya sosai a cikin yara masu lafiya.
Asusun ta majiyoyin da suka hada da Moderna, Merck, Sanofi, GSK, Eli Lilly, da sauran kamfanonin harhada magunguna, membobin AAP sune ginshiƙan ginshiƙan. karuwa da sauri Kasuwar magungunan yara a Arewacin Amurka - ta fi kowane yanki girma. A matsayin ƙungiyar ƙwararrun da aka keɓe don tabbatar da samun kuɗin shiga ga membobinta, AAP kamar kowace ƙungiyar ƙwararru ce ko ƙungiyar kuma tana aiki ta wannan hanya.
Rashin amana a cikin ƙwararrun likitanci tun daga 2020 an yi sa'a yana kawar da kuskuren cewa ƙungiyoyin kiwon lafiya kamar AAP sun kasance masu sadaukarwa, sadaukar da kai ga jin daɗin wasu maimakon membobinsu. Buga kwanan nan na Abubuwan fifiko na AAP, wanda membobinta suka haɓaka, yakamata ya ƙarfafa wannan asarar amana don haka, duk da rashin jin daɗin kusancinsa, yana aiki a ƙarshe don ƙarfafa lafiyar jama'a ta hanyar fallasa abubuwan da ke tattare da hauhawar rashin lafiya.
Saita Abubuwan Gaba don Tabbatar da Riba na Tsawon Lokaci
Farashin AAP bayyana fifiko shi ne cire iyaye daga kowace hukuma a lokacin da za a yanke shawara kan ko za a yi wa ’ya’yansu allura da abubuwa daban-daban da masu daukar nauyinta ke samarwa ta hanyar kasuwanci. Duk da yake wannan ya zama abin dariya, yana da ɗan damar yin nasara a matsayin masu cin gajiyar ƙarshe, baya ga likitocin yara, masana'antun magunguna iri ɗaya ne waɗanda ke ɗaukar nauyin yaƙin neman zaɓe na yawancin membobin Majalisar Dokokin Amurka.
Dangane da dacewa, haɓakawa ko haɓaka cututtuka na yau da kullun a cikin yara yana tabbatar da kusan wasu cututtukan da ba su da ƙarfi ta hanyar girma. Saboda haka AAP yana taimakawa wajen kafa masu amfani da magunguna na tsawon rai. Kamfanonin Pharma ƙungiyoyi ne na riba zalla, kuma wannan shine ainihin abin da shugabanninsu da shuwagabannin su ke cajin masu hannun jarin su don haɓakawa. AAP yana aiki ne kawai azaman mai ba da taimako sosai.
AAP ta yi la'akari da cewa 'yancin kai na jiki yana ƙarƙashin buƙatun da Jihohi suka ƙulla kuma cewa bayan yakin duniya na biyu 'yancin ɗan adam na rashin tilastawa da kuma yarda da sanarwa suna ƙarƙashin ra'ayin wani. karbar kudi yin allura. Hanyarsa ta zo daidai da yakin kafin yakin motsin fasaha ko farkisanci na likita (wanda ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun likitocin ke yanke shawarar sanya matakan kiwon lafiya maimakon majinyata da kansu za su zaɓa).
Duk da haka, kafin yin magana game da cin gashin kansa na jiki da magungunan tilastawa, yana da kyau a yi sharhi game da jerin fifiko na AAP gabaɗaya, kamar yadda yake da ban sha'awa, yana fitowa daga ƙungiyar da nace a fili akan ba da fifiko ga lafiyar yara.
Na farko, abin da ba a can. Daga cikin muhimman abubuwa guda goma na AAP wanda kawar da haƙƙin iyaye ko keɓewar addini ko al'adu a kan allurar rigakafin yara shine mafi girma, babu ko ɗaya da aka ambata akan abubuwan da watakila su ne manyan batutuwa uku da ke fuskantar yara a yau, kuma an tattauna su a bainar jama'a; kara kiba da annoba ta Autism cewa CDC ta sanar kamar na ban mamaki rabbai. Yayin da AAP ke lura da wannan matsala wasu wurare, yana mai da hankali kan ganowa da gudanarwa maimakon haifar da ganewa. Babu inda a cikin abubuwan da ya fi ba da fifiko guda goma da aka nuna da nuna sha'awar ganowa da magance abubuwan da ke haifar da hauhawar rashin lafiya. Mafi kusa shine ambaton ƙananan farashi don allurar insulin na yara. Lissafin fifiko na AAP ya yi watsi da abinci da rage matakan motsa jiki yayin da yake haɓaka aikin likitanci, da alama ba a manta ba game da raguwar babban bala'i a matsayin lafiyar jama'ar da suke iƙirarin yin hidima.
Ba abin mamaki ba ga ƙungiyar tallace-tallace zalla, amma rashin jituwa da ƙungiyar kiwon lafiya ta kimiyya, abubuwan da suka fi dacewa ba su haɗa da komai ba game da abubuwan da ke da alaƙa da tasirin tasirin. fiye da 70 alluran rigakafi, tare da haɗin gwiwar adjuvants da abubuwan kiyayewa, yanzu ana ba wa yara ta hanyar shekaru goma. Wannan adadin ya karu daga wasu shekaru 40 da suka gabata a hade tare da tabarbarewar sakamakon lafiyar yara. Sha'awar kawai da aka bayyana a cikin alluran rigakafin shine cire zaɓi daga waɗanda ke da damuwa game da irin waɗannan abubuwan, da tilasta bin doka. Ga al'ummar tunani, masu neman gaskiya wannan zai zama abin ban mamaki.
Iyaye a matsayin cikas don Komawa kan Zuba Jari
The hujja ya ruwaito daga Shugaban AAP Kyle E. Yasuda, MD, FAAP don cire duk wani zaɓi na sirri game da maganin rigakafi (alurar rigakafi) shine "cutar kyanda" a Arewacin Amirka a cikin 'yan shekarun nan. Jesse Hackell, MD, shugaban kwamitin AAP kan aikin aikin yara, ya lura cewa suna da alaƙa da mutuwar yara biyu, na farko a cikin "shekaru masu yawa.” AAP kawai ta faɗi, game da aminci, cewa alluran rigakafin “lafiya ne,” da’awar wawa a cikin magani da ilmin halitta a cikin abubuwan da ba su dace ba suna faruwa ga alluran kwayoyin halitta da gishirin ƙarfe, kuma sun bambanta daga mutum zuwa mutum (idan abubuwan da ba a saba gani ba sun faru, to 'lafiya' shine lokacin dangi). Ƙungiyoyi tare da allurar DTP na baya-bayan nan da mutuwar jarirai kwatsam, alal misali, an rubuta su sosai.
Game da cutar kyanda, mai yiyuwa ne yawancin membobin AAP suna nufin da kyau, amma da gaske an yi musu mummunar fahimta game da tasirin alurar riga kafi. A cikin ƙasashe masu arziki ciki har da Amurka, kusan dukkanin cutar kyanda mace-mace ya daina kafin a fara yawan alurar riga kafi. Wannan ba jayayya ba ne - an taɓa jaddada shi a makarantar likitanci kuma yana da kyau a cikin kididdigar kiwon lafiyar ƙasa. Ƙimar ci gaba a cikin abinci mai gina jiki, musamman ma a cikin rashi na micronutrient, shine dalili mai yiwuwa. Alurar riga kafi da yawa sannan ya rage yawan yaduwar kwayar cutar kyanda, amma zai iya yin tasiri kawai akan yawan mace-mace. Don haka, yin la'akari da farashin alluran rigakafin (abubuwan da ba su dace ba) da ƙarancin yiwuwar hana mutuwa da wuri ko nakasa al'amari ne na gaske, kuma yin watsi da shi ta hanyar sake maimaita 'lafiya da inganci' jahilci ne da wauta.
Alurar rigakafin kyanda yana da kyau wajen dakatar da yaduwa saboda yana da matukar tasiri wajen hana kamuwa da cututtuka. Wannan tasiri yana da mahimmanci ga hujjar cewa samun yawancin alurar riga kafi amfanin jama'a ne. Kusan duk mutanen da aka yi wa allurar za a ba su kariya, kuma ba tare da wata haɗari daga waɗanda ba a yi musu allurar ba. Don haka, rigakafin cutar kyanda da gaske yana da ma'ana kawai idan an yarda cewa bai kamata mutane su sami 'yancin zaɓar jikinsu da lafiyarsu ba, ko na 'ya'yansu. Mutuwar cutar kyanda ta ragu sosai, wacce ta yi ƙasa da nutsewa tun kafin a fara yin allurar rigakafi a Amurka, ta kawar da hujjar tauye haƙƙin iyaye. Sai dai idan, ba shakka, za mu hana yara yin iyo ko tafiya kusa da koguna ko bakin teku.
A ƙarshe, game da damuwa game da allurar rigakafi, iyaye da yawa ba su jin daɗi da rawar sel waɗanda aka girbe daga 'yan tayin da aka zubar, galibi suna raye a lokacin girbi. Bugu da ƙari, yawancin membobin AAP na iya yarda da maganganun cewa wannan ba gaskiya ba ne, amma duk da haka gaskiya ne. Shi ne yadda muka samu al'adun tantanin halitta don samar da alluran rigakafi da yawa, don haka DNA na waɗannan matattun mutane da ba a haifa ba har yanzu na iya gurɓata allurar. AAP, a matsayinta na cibiya, a hukumance ta yarda cewa ya kamata a kawar da matsalolin al'adu da addini da suka taso daga wannan.
Don haka, a ƙarshe, gardamar AAP tana kama da ɗaya daga cikin direbobi biyu masu yiwuwa. Ko dai (1) suna da akidar akida cewa kawai su kasance masu iko ko masu yanke shawara kan kula da lafiyar yara maimakon iyaye (hanyar likita-fascist), ko (2) suna ganin rawar da suke takawa a matsayin inganta kasuwa mai fa'ida sosai ga masu daukar nauyinsu, wanda kuma kai tsaye suke amfana, da kafa yara har tsawon rayuwarsu na rashin lafiya da kuma amfani da magunguna. Yana da ƙalubale don yanke shawarar wanda ba shi da daraja.
Yiwuwar ta uku kuma mai yiwuwa ne. Yawancin membobin AAP suna tafiya ne kawai tare da kwarara kuma ba su daina yin tunani ta hanyar abubuwan da manufofin ƙungiyar su ke ba. Duk da haka, dalilin yin watsi da gangan tunani mai yiwuwa ya sauko zuwa ga cakuduwar kuɗi da son kai, wanda ke komawa ga ƙwararrun direbobi biyu da aka ambata a sama.
Likitan Fascist bai kamata ya sami gaba ba
Babu shakka AAP za ta ci gaba da hanyarta ta hanyar samar da magunguna ga yara, makauniyar bin ka'idoji da suka dogara da samfuran masu daukar nauyinsu, da kuma wulakanta su da kuma keɓe ra'ayoyin iyayen da suka fahimci gaskiyar tabarbarewar lafiya a cikin yaran Arewacin Amurka. Iyaye suna karanta jerin abubuwan da suka fi dacewa na AAP zai zama wauta don aminta da 'ya'yansu ga irin wannan kulawa. Samar da cewa 'yan siyasa su riƙe mutunci da mutunta ƴancin da aka ɗauka an tabbatar da su a cikin Kundin Tsarin Mulki na Amurka kuma ta hanyar ƙa'idodin haƙƙin ɗan adam, AAP za ta gaza a ƙoƙarinta kuma ta ƙara zama mara amfani ga maganganun jama'a. Idan sun sami hanyarsu, za mu ƙara komawa hanyar da muke tunanin mun yi yaƙi don cin nasara.
Muhimman hakkoki na kowane ɗan adam don yin nasa hanyar rayuwa, da kariya da kula da ƴaƴansu, suna arfafa duk wani ingantaccen tsarin al'umma. A cikin al'ummomin fasikanci, ana cire irin waɗannan yanke shawara kuma a kai su a hannun masana da hukumomi masu iko. Dole ne mutane su bi kawai a matsayin bayi. Sana'o'in likitanci da makarantunsu suna da dogon tarihi goyon bayan irin waɗannan hanyoyin, kuma AAP yana da alama yana ƙara ƙudiri don maimaita wannan hanyar. Kamata ya yi a sami dukkan girmamawar da irin wannan tsarin rashin da'a ya cancanci.
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David Bell, Babban Masanin Kimiyya a Cibiyar Brownstone, likitan lafiyar jama'a ne kuma mai ba da shawara kan ilimin halittu a cikin lafiyar duniya. David tsohon jami'in kiwon lafiya ne kuma masanin kimiyya a Hukumar Lafiya ta Duniya (WHO), Shugaban Shirin Malaria da cututtukan zazzabi a Gidauniyar Innovative New Diagnostics (FIND) a Geneva, Switzerland, kuma Daraktan Fasahar Kiwon Lafiya ta Duniya a Asusun Kula da Lafiya na Duniya na Intellectual Ventures a Bellevue, WA, Amurka.
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