A ranar Juma'a a watan Agusta 2021, Dr Sally Price ta sami kiran waya daga Hukumar Kula da Ma'aikatan Lafiya ta Australiya (AHPRA). An yi karar ta da ba a bayyana sunanta ba, kuma AHPRA za ta bi diddigin bincike.
"Don haka, ba shakka, ina duba imel na duk rana," in ji Dokta Price, wanda ya kwatanta binciken da ya biyo baya a matsayin, "mai lalacewa" da "mai matukar damuwa."
A lokacin, Dokta Price GP ne mai aiki a Perth, tare da ƙarin cancantar ilimin likitancin abinci da Ayurveda. A cikin fiye da shekaru 30 na aikin, Dr Price ba ta taɓa samun ƙararraki ba a baya, kuma an san ta game da wanene daga cikin majiyyatan ta zai iya yin kuka ga AHPRA.
Lokacin da email din AHPRA ya iso a cikin akwatinta na inbox, Dr Price ya yi mamakin ganin wannan korafin ba daga majiyyaci ba ne, sai dai daga wata ma’abociyar bibiyar shafukan sada zumunta, wanda a iya saninta ba ta taba haduwa ko tuntuba da ita ba.
Koken ya ta’allaka ne da labaran labarai guda biyar na Facebook, hudu daga cikinsu an sake buga su ne daga wata kungiya mai fafutukar neman zabe mai suna Reignite Democracy Australia (RDA). Biyu daga cikin sakonnin sun yi nuni da kokarin 'yan siyasa (a Ostiraliya da Italiya) na yin tir da umarnin rigakafin. Wani labari kuma shi ne repost yana ba da haske game da tasirin yanayin jin tsoro.
Mai korafin ya bayyana sake buga bayanan a matsayin "maganin rigakafin," kodayake babu wani daga cikin sakon da ya ba da shawara kan rigakafin ko kuma ya bayyana wani ra'ayi kan allurar Covid. Wannan shine kawai abin da ake buƙata don AHPRA don ƙaddamar da bincike a hukumance game da halin Dr Price.
Bayanin matsayin AHPRA a kan shirin rigakafin Covid (Maris 2021) ya kafa shinge ga irin waɗannan korafe-korafen da ba su da tushe don haifar da bincike, lokacin da suka hana likitocin musamman bayyana saƙon da za a iya fassara su azaman rigakafin rigakafi a kan kafofin watsa labarun su:
"Babu wani wuri don saƙon rigakafin rigakafi a cikin ayyukan kiwon lafiya na ƙwararru, kuma duk wani haɓaka da'awar rigakafin rigakafin ciki har da kan kafofin watsa labarun, kuma talla na iya kasancewa ƙarƙashin matakin doka."
An baiwa Dr Price sati biyu ta amsa, a lokacin ne ta shiga da kungiyar ta na biyan diyya cikin tsananin damuwa da baya da baya, sanin cewa sunanta, kuma watakila ma lasisinta na kan layi. An shawarci Dr Price mai ƙarfi da ta ba da damar sake yin 'karatuttuka' a kan kuɗin ta, don guje wa mummunan sakamako, kamar dakatarwa, ko sanya sharuɗɗan.
AHPRA ta amince cewa Dr Price ya kamata ya yi karatun sa'o'i 10 na sake karatunsa kuma ya gabatar da wasiƙar tunani mai cikakken bayanin abin da ta koya daga aikin. "Abin da ya kamata ka yi shi ne ka ja makwancinka ka gaya wa AHPRA cewa ke yarinya ce mara hankali," in ji Dr Price.
A matsayin wani ɓangare na sake karatun ta, an buƙaci Dr Price ya yi nazarin Ƙungiyar Likitoci ta Australiya (AMA) Code of Ethics (2017). Abin ban mamaki, wannan ya tabbata a cikin tunanin Dr Price cewa AMA's Code of Ethics da AHPRA matsayi na matsayi game da shirin Covidien rigakafin sun yi hannun riga da juna. "Yayin da nake nazarin ka'idar AMA Code of Ethics, na ji daɗin yadda furucin AHPRA ya yi watsi da ɗabi'unmu na sana'a, kuma hakan ya ƙara damuna sosai," in ji Dokta Price. "Ya nuna min cewa babu wani abu da ya dace."
Dr Sally Price a wani gangamin adawa da doka a Forrest Place. Credit: Justin Benson-Cooper/The Sunday Times
AMA's Code of Ethics ya ce dole ne likitoci, "sunyi la'akari da farko jin daɗin majiyyaci," (Mataki na 2.1.1) kuma dole ne su ba da cikakken izini kafin yin kowane gwaji, jiyya ko hanyoyin (Mataki na 2.1.4). Dokta Price ya ce bayanin matsayin AHPRA da kuma ka'idodin ka'ida sun sanya tsarin kiwon lafiyar jama'a a gaban majiyyaci kuma ya sanya "ba shi yiwuwa" likitoci su ba da izini ga marasa lafiya.
Shawarar da AHPRA ta bai-daya na cewa dole ne dukkan likitoci su yi daidai da shirin allurar, shi ma ya ci karo da tanadin AMA Code na cewa likitoci za su iya ƙin bayar da wasu jiyya ko hanyoyin bisa lamiri (Mataki na 2.1.13), kuma za su iya bayyana ra'ayoyin jama'a da suka saba wa halin da ake ciki (Mataki na 4.3.3). Bugu da ari, ka'idar tana buƙatar likitocin "sunyi aiki mai inganci, gujewa ko kawar da kashe kashe kuɗi a cikin kiwon lafiya ..." (Mataki na 4.4.1), da kuma cewa suna amfani da "ilimi da basirarsu don taimakawa waɗanda ke da alhakin rarraba albarkatun kiwon lafiya, suna ba da shawara don rarraba gaskiya da adalci." (Mataki na 4.4.3) Waɗannan talifofin suna nuna hakki ga likitoci su yi magana kuma su ɗauki mataki sa’ad da suka gaskata cewa za a iya inganta manufofin kiwon lafiyar jama’a.
Da yake jin sabani game da yadda ake yin aikin likita mai kyau a ƙarƙashin waɗannan sharuɗɗan, Dr Price ya yanke shawarar ɗaukar ɗan hutu don tunani da sake haduwa. Ta kai kara ga AHPRA da Ombudsman, tana neman ko dai a yi mata uzuri daga bukatu na bayanin matsayin AHPRA, ko kuma AHPRA ta bayyana yadda za ta iya yin aiki a karkashin yanayinsu tare da kiyaye ka'idodin AMA's Code of Ethics. Ba a bayar da izini ko bayani ba, don haka Dr Price ya ƙaddara cewa ci gaba da yin aiki a matsayin GP ba zai yuwu ba. Rijistar ta ta kare.
Dokta Price ya ce, a halin yanzu, tsarin ya kauce daga ainihin manufarsa na barin likitoci su zama likitoci da kuma sanya marasa lafiya a gaba. Ta yi magana da al'adar tsoro a cikin aikin likita. "Abin da ya kamata a fahimta shi ne likitoci suna jin kamar wani yana bayansu koyaushe yana jiran ya soka musu wuka a baya ko kuma ya sanya jaka a kai. Haka ake ji a karkashin AHPRA," in ji ta.
Tsohon shugaban AMA, Dr Kerryn Phelps, ya gabatar da yanayin ka'idojin ka'idojin AHPRA a cikin hasken ƙasa makonni da yawa da suka gabata.kwanan nan ta bayyana cewa tana da maganin rigakafi na Covid. A cikin ƙaddamarwa ga Binciken Long Covid na gwamnatin tarayya (Submission #510), Phelps ya rubuta, dangane da bayanin matsayin AHPRA da aka ambata,
"Masu kula da ma'aikatan kiwon lafiya sun yi watsi da tattaunawar jama'a game da abubuwan da suka faru bayan allurar rigakafi, tare da yi wa likitoci barazanar cewa kada su yi wata sanarwa a bainar jama'a game da duk wani abu da zai iya kawo cikas ga shirin rigakafin na gwamnati' ko hadarin dakatarwa ko asarar rajistar su."
Wannan ra'ayi ne kuma masanin zuciya da Ƙungiyar Ma'aikatan Kiwon Lafiya ta Australiya (AMPS) wanda ya kafa, Dr Chris Neil, wanda ya yi gargadin a cikin kwanan nan labarin don Mai kallo Ostiraliya, cewa ƙwararrun likitocin da yawa sun yi imanin cewa ba wai kawai bayanin matsayin AHPRA ba ya saba wa doka, amma cewa "yana cikin tushen wani canji mai haɗari a cikin Magungunan Australiya." Neil ya yi nuni ga sauye-sauye ga Dokar Kasa ta Kasa don Dokokin Kwararrun Lafiya da aka gabatar a watan Oktoban da ya gabata a Majalisar Queensland.
Canje-canje, wanda AMA ke adawa da shi sosai, zai kara tursasa likitocin su yi daidai da manufofin jama'a da jami'an gwamnati suka yanke, kuma za su haifar da al'adar 'laifi har sai an tabbatar da cewa ba su da laifi' ta hanyar ba da suna a bainar jama'a tare da tozarta kwararrun likitocin da ke kan bincike. AMPS ya tafi kan tsaro tare da a Dakatar da Likitanci rangadin kasa, wanda likitoci, shari'a da sauran kwararru suka taru don yin magana da masu sauraro game da abubuwan da ke tattare da tantancewa a cikin likitanci.
Dokta Price ta ce tana jin rauni saboda kwarewar da AHPRA ta yi mata, kuma ba za ta koma wannan sana’a ba. "Ban tabbata ina son dawowa ba, idan magani zai koma ga ka'idarsa, zan sake tunani."
An sake bugawa daga marubuci Mayarwa
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Rebekah Barnett 'yar'uwa ce ta Cibiyar Brownstone, 'yar jarida mai zaman kanta kuma mai ba da shawara ga Australiya da suka ji rauni da rigakafin Covid. Ta sami BA a cikin Sadarwa daga Jami'ar Western Australia, kuma ta rubuta wa Substack dinta, Dystopian Down Under.
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