When it comes to controlling high frequency diseases, it is common to suggest a legal framework that allows it to be prevented and treated through sanitary measures that have implications for people and the community. Also, for a government that has to design and implement public health strategies that have continuity and continuity, for health insurance that must have the means to finance actions. When the disease is predominant and causes high mortality, these legal initiatives must be well-founded and enjoy social and political consensus.
This year we marked the adoption of transcendental laws, such as preventive drugs that proposed the formula for the control of tuberculosis and the state of the mother and child who established the basis for reducing malnutrition and infant mortality through complementary feeding. Both successful initiatives were the product of the social medical genius Eduardo Cruz Cokea during the reign of Arturo Alessandra Palma in 1938, just before his term was completed.
Laws in the field of health can affect the freedom and autonomy of people, because in the end they require notice and compromise confidentiality, limit their mobility to some type of isolation to prevent infection or immunization. Communities also suffer from restrictions for similar reasons, in addition to impact on inequality and higher spending.
In the case of cancer, complex and severe disease control, the World Health Organization (GLOBOCAN) plans 53,320 new cases by 2018, along with 28,443 deaths and a five-year prevalence of 135,618 survivors. with conditions. As the cause of death, it is already the first in five regions of the country.
This disease has led to advances in policies with interesting results in prevention, progressive restrictions on tobacco consumption, early diagnosis in women's cancer, and the allocation of guarantees (AUGE, Ricarte Soto Law on High Costs of Drugs). However, all added leaves the vast areas of inequality and confusion between the diagnosis and the means of intervention, opening up opportunities to increase gaps through the unregulated use of resources. The latter is even more dramatic when families and communities have high costs to cover procedures that are not always effective.
In the absence of a culture of rationality that establishes a balance between the effectiveness and the cost of the media, it falls into a more complex situation. This is the case with the so-called crash of medicine, a global trend that exacerbates the issue that is very difficult when intervening from courts in an effort to settle basic health rights. This conflict of jurisdiction, along with several other aspects, makes it necessary to have a legal framework for dealing with cancer with rationality and breadth. There are research problems, population and hospitals data, civil society participation and public-private partnerships, cost-effectiveness analysis, human resources training and much more, which will be better done with the General Cancer Law.
A parliamentary proposal has already been proposed a few years ago, which has crossed the support of the Congress, the Ministry of Health is working on a new National Cancer Control Plan that will soon come out in cooperation with many, and President Pinera publicly supported his support for the above-mentioned parliamentary request.
It is time to take this law to better control cancer in Chile.