When it comes to controlling high-frequency diseases, it is normal to suggest a legal framework that provides prevention and treatment through health measures that affect people and society. It should design public health strategies with persistence and continuity and must have resources to finance actions for health insurance. When the disease is widespread and causes high mortality, these legal initiatives should be well established and enjoy social and political consensus.
This year, we understood the preventive drugs that prescribed the formula to control tuberculosis and the implementation of the mother and child's transcendental laws, which form bases to reduce malnutrition and infant mortality through complementary nutrition. Both successful enterprises were the product of the social medical genius of Eduardo Cruz Coke during the government of Arturo Alessandri Palma in 1938, before completing the term recently.
Laws in the field of health may affect the freedom and autonomy of people because they ultimately report and violate confidentiality, limiting their mobility with a necessary type of isolation or necessary immunization to prevent contamination. In addition to impacts on inequality and higher expenditures, communities are also subject to restrictions for similar reasons.
In the case of cancer, in Chile, which is a complex and difficult to control disease, 53,320 new cases are planned by the World Health Organization (GLOBOCAN) by 2018, with 28,443 deaths and a five-year prevalence of 135,618 survivors. with condition. The cause of death is already in the first five regions of the country.
This has led to advances in policies that lead to interesting results, such as prevention, progressive restrictions on tobacco consumption, early identification of women's cancer, and resource allocation to identify guarantees (AUGE for cost-effective drugs, Ricarte Soto's Law). However, all this leads to tremendous inequality and confusion between diagnostics and intervention tools by opening up opportunities for increasing gaps through the unregulated use of resources. Second, it is even more dramatic when families and communities are exposed to large expenditures to meet procedures that are not always effective.
In the absence of a culture of rationality that provides the balance between the effectiveness and cost of the media used, we fall into a more complex situation. This is the so-called jurisdiction of medicine, a global trend that aggravates a problem that is inherently difficult to intervene in the courts in attempting to solve fundamental rights related to medicine. This conflict of competence, together with some other aspects, makes it indispensable to have a legal framework for dealing with cancer with rationality and breadth. With a general Cancer Law, there are better research topics, population and hospital records, civil society participation and public-private partnerships, cost-effectiveness analysis, human resources training, and more.
Already a few years ago there was a parliamentary operation in the congress, which was working on the new National Cancer Control Plan, which will be released soon in cooperation with many countries, and President Piñera accepted public support. For the parliamentary movement.
It is time to implement this draft law for better control of cancer in Chile.