On France 5, the boss of the AP-HP wonders about the responsibility
of citizens vis-à-vis vaccination, asking a controversial question about
the unvaccinated: « Are we giving up [à la vaccination] without bearing
any consequences?
On the evening of January 26 on the set of It’s up to you
(France 5), the director general of the AP-HP, Martin Hirsch, hinted at
the responsibility of the unvaccinated and the possible consequences
they must assume, in short the non-free treatment: « In general, […]
when a free prevention tool is available, can be used and is recognized
by the scientific community as something [d’]useful, give it up… Do you
give it up without bearing any consequences? Or do we effectively
combine the fact that we reach out to heal but we say that there is no
reason why there should not be consequences – when there will be
consequences on other patients who will be difficult to treat and who,
themselves, can do nothing about it?
A journalist then asks him the question of whether tomorrow, logic
would not push, for example, to use the same process for smokers wishing
to seek treatment for lung cancer. “You are a thousand times right and
that is why the debate is delicate,” he retorts.
“I find that there is a very big difference and that we cannot blame
someone on a behavior, an addiction,” he adds, stressing that “the
healthcare system is open to everyone. « . Nevertheless, he questions:
“A screening system, we must [le faire] every five years. Do we have to
have exactly the same protection and the same reimbursement rate, if we
neglect it [par rapport à] someone who doesn’t neglect him? »
« I would not like one day to say that health care spending is
exploding because [que] a whole section of so-called irresponsible
behavior […] call into question the responsibility of all”, argues
Martin Hirsch.
He had already mentioned the non-free treatment for the unvaccinated
of Covid, through a forum published on January 25 on the site of the World : “We
can ask the question in crude terms: is it logical to benefit from free
healthcare when you have refused free vaccination for yourself and you
are doubly endangering others, by being able to contaminate them and by
being able to take a place in intensive care needed for another
patient?”
In argument, Martin Hirsch believed that there was “perhaps a way of
finally giving real meaning to prevention by linking protection and
respect for prevention”. “It is an eminently complex and sensitive
question, but which must be tackled if we do not want to see the systems
of solidarity weakened by lack of adhesion or by their
non-sustainability”, he had argued.
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