Wednesday , September 28 2022

Political responsibility of the Minister Emilio Santelices for the serious HIV / AIDS crisis in Chile


"I do not know the reasons why she has resigned. Sometimes people complete their bike," said Minister Emilio Santelices to explain the resignation of the enforcement of Ana María San Martín in his position as Head of National Prevention Program and HIV / AIDS Management of the Ministry of Health. A clear explanation when it comes to the highest health authority that should know and (i) know about the work carried out by its officers and the details of public policies that are intended to be developed and implemented.

This is not the first time Emilio Santelices tried to take the ball off the field, hiding the real reasons for the resignation of San Martín, a nurse by profession and a public health specialist since the 80's, when no-one was involved in having HIV / AIDS troubles, fits and reports the pandemic to the most serious and vulnerable populations, including gay men, trans-social communities and women's sex workers.

What the Health Minister hides in his words is his own political responsibilities for the serious crisis that is facing public health in the treatment of HIV / AIDS, a crisis with Chile among the 10 countries in the world where there is more increase in new HIV positive cases, according to the recent UNAIDS study.

I say political responsibilities because Dr. Santelices leaves as an airplane on HIV / AIDS issue, creating a clear expectation and even community adhesion, including myself, that we see and feel a positive new opportunity for Dr. Santelices to prosecute the wrong public policies in HIV / AIDS for more than 10 years shows obvious shortcomings that are reflected in the international body figures that confirm the bad news that was known during the former president Michelle Bachelet. The problem is, rather than improving, the bad news of yesterday is now transforming into much worse particles.

The political director of the National Program is the responsibility of political responsibilities for the HIV / AIDS crisis and the application of the National HIV / AIDS Plan of the Ministry of Health, but the right minister Emilio Santelices can not cope with this urgent challenge. , appointment counselors, personal friends, who are not aware of public policy shortcomings. Last month, Emilio Santelices appointed the doctor asked Carlos Beltrán, president of Chile's Corporación Sida, a personal advisor on HIV / AIDS issues, creating social suspicion and anxiety in the world of Beltrán's clear everlasting relations with the economic interests of the pharmaceutical industry. The late doctor Carlos Beltrán has recently been accused of the lack of serious practices in the administration of treatments for HIV / AIDS, which was publicly stated by the native Nationwide Nuclear activist Willy Morales and may be in arguing in the courts of justice.

Last September, taking an extra fake step, Emilio Santelices appoints journalist Alejandra Hewstone as the person responsible for organizational links between the Ministry of Health and social organizations that work with HIV / AIDS and Carlos Beltrán as a technical consultant to Hewstone, a non-governmental proprietor selling services to Chile State and a few former minister Eduardo Frei, former Christian Democrats Claudio Hoffmann. Currently, the General Regulation of the Republic is studying this appointment, rejected by social institutions. It led to the loss of the administrative powers of the National HIV / AIDS Program and lack of political support from health authorities for technical work of Ana María San Martín, including the harassment of labor suffered by the permanent function of the Ministry of Health, a situation that we could see at meetings and Meetings assembled by Minsal himself.

Harassment and concern is that the highest public health authority of President Sebastián Piñera says "ignoring the reasons" for unfortunate resignation because he is talking about the adequate, bad and / or adequate information Failure that he receives from his advisers, especially Dr Carlos Beltrán, since March this year, tried to argue public prominence with officials of the Ministry of Health, especially with Ana María San Martín, noting meetings, holding meetings of outside the offices and encouraging the same organizations to make open criticism of public policy in HIV / AIDS of the ministry that he advises.

From the beginning, we asked whether we raised public criticism about the double or triple role that Dr Beltrán plays as a specialist doctor, ministerial advisor and president of the Chile Sida Corporation, a medical institution that is 39 receiving economic support from the pharmaceutical industry clearly creates legitimate doubts of conflicts of interest, a matter that promised Piñera's President resolved through the introduction of Public Confidentiality Law.

The Health Minister is a naive or right sin in identifying the reasons for the resignation of the Head of the National HIV / AIDS Program, when we, but not, the activists and social institutions with work in HIV / AIDS, which has risen the voice criticizing the failures in public policy, asking the highest health authority to comply with what was promised and not mortgaged made in HIV / AIDS prevention of the Minsal one, adopting inconsistent decisions such as the appointment of personal advisers with profitable interests that are not related to public health.

I am talking about criticism, concerns and concerns when a HIV / AIDS prevention campaign has been carried out, as a result of the resolution of such advisers, who called for a fast HIV test in primary care centers, without counting them in every public health facility. from the country

I am talking about criticism, concerns and concerns when they have not been invited to social organizations and Michelle Bachelet, in the same prevention campaign, social organizations and Michelle, "the press" had been notified of the appearance on television and this communication initiative. The case is designated in the justice courts through a Defense Appeal by the Sida Maule group and the General Manager of the Republic. The same minister received a letter from social organizations with work on HIV / AIDS, a letter that has not answered.

I am talking about criticism, concerns and concerns when the Health Minister invites – last May – for the press and social organizations to submit an approved National HIV / AIDS Scheme, committing 18 billion additional pesos in the A national budget for the implementation of this ambitious National Plan that would consider new strategies such as incorporating the female condom in public policies, PrEP preventative treatment classification for negative HIV people, competitive funds for organizations social and the creation of new HIV / AIDS care centers receive the more than 25,000 HIV positive people who do not know but need to be diagnosed as soon as possible.

A few days ago we reported ourselves, again through the press, that the additional 18 billion budget for the National HIV / AIDS Scheme has dropped to 5 billion. According to the minister, the remainder would be obtained from "savings" when buying medicines. Those of us who know about HIV / AIDS on the ground know that this is a bad excuse. Already before the confirmation of the budget break of the one Emilio Santelices in the Third newspaper, between us and a Protecting Resource to enforce the minister to fulfill his weak words. The Supreme Complaint must resolve the stamped complaint in the unexpected legal action.

In short, Emilio Santelices Cuevas, the highest authority in public health and HIV / AIDS Government of Chile, can not be unconscious of the reasons for the resignation of the Head of National HIV / AIDS Program because she responsible for warning, in advance, Know that and to take. It must be assumed because the political responsibility in the severe crisis in HIV / AIDS lies in it; A responsible authority for making wrong decisions, responsible for notifying, responsible for not listening, is responsible for poor advice, which is responsible for breaking & # 39 ; the trust that social institutions put on their person.

The yarn is always broken by the worst and the resignation of Ana María San Martín is a reflection of that poor practice of national politics. Let's be clear: The Head of the National HIV / AIDS Program of the Ministry of Health does not resign due to technical failures, but due to lack of political support from the Ministry of Health authorities and the continual disturbance suffered by personal advisers the minister It is not acceptable or tolerant to try and seek a technical officer without the power of making decisions when political leaders have names and surnames: Minister Emilio Santelices, Deputy Secretary Paula Daza, councilors Carlos Beltrán and Alejandra Hewstone.

The Minister Emilio Santelices now has to dispose of a neighboring health authority mask who pauses patients and visits hospitals, assuming their own political responsibility in the HIV / AIDS pig crisis in Chile .

Emilio Santelices is a responsible politician and must assume his strategic mistakes that apply the same reflection that he stated in front of the press for the sudden and enjoyable departure of Ana María San Martín, stating that "sometimes people & Complete circle ". For me, it is clear and obvious that Minister Emilio Santelices has finished and accomplished his own circle.

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