{"id":829,"date":"2013-04-10T11:36:00","date_gmt":"2013-04-10T10:36:00","guid":{"rendered":"http:\/\/bliss.pro\/fracture\/?p=829"},"modified":"2013-04-10T11:37:06","modified_gmt":"2013-04-10T10:37:06","slug":"amid-cutbacks-greek-doctors-offer-message-to-poor-you-are-not-alone-new-york-times","status":"publish","type":"post","link":"http:\/\/bliss.pro\/fracture\/amid-cutbacks-greek-doctors-offer-message-to-poor-you-are-not-alone-new-york-times\/","title":{"rendered":"Amid Cutbacks, Greek Doctors Offer Message to Poor: You Are Not Alone | New York Times"},"content":{"rendered":"<p>The New York Times, October 24, 2012<\/p>\n<div><img loading=\"lazy\" decoding=\"async\" itemid=\"http:\/\/graphics8.nytimes.com\/images\/2012\/10\/25\/world\/greece1\/greece1-articleLarge.jpg\" itemprop=\"url\" alt=\"\" src=\"http:\/\/graphics8.nytimes.com\/images\/2012\/10\/25\/world\/greece1\/greece1-articleLarge.jpg\" width=\"600\" height=\"330\" border=\"0\" \/><\/p>\n<div itemprop=\"copyrightHolder\">Angelos Tzortzinis for The New York Times<\/div>\n<p itemprop=\"description\">Elena, a cancer patient, at a clinic in Athens. Her illness long went untreated.<\/p>\n<\/div>\n<p>By\u00a0<a style=\"font-size: 0.857142857rem; line-height: 1.846153846;\" title=\"More Articles by LIZ ALDERMAN\" href=\"http:\/\/topics.nytimes.com\/topics\/reference\/timestopics\/people\/a\/liz_alderman\/index.html\" rel=\"author\">LIZ ALDERMAN<\/a><\/p>\n<h6>Published: October 24, 2012<\/h6>\n<div>\n<p itemprop=\"articleBody\">ATHENS \u2014 As the head of\u00a0<a title=\"More news and information about Greece.\" href=\"http:\/\/topics.nytimes.com\/top\/news\/international\/countriesandterritories\/greece\/index.html?inline=nyt-geo\">Greece<\/a>\u2019s largest oncology department, Dr. Kostas Syrigos thought he had seen everything. But nothing prepared him for Elena, an unemployed woman whose\u00a0<a title=\"In-depth reference and news articles about Breast cancer.\" href=\"http:\/\/health.nytimes.com\/health\/guides\/disease\/breast-cancer\/overview.html?inline=nyt-classifier\">breast cancer<\/a>\u00a0had been diagnosed a year before she came to him.<\/p>\n<\/div>\n<div><\/div>\n<div>\n<h6><img loading=\"lazy\" decoding=\"async\" style=\"font-size: 1rem; line-height: 1;\" alt=\"\" src=\"http:\/\/graphics8.nytimes.com\/images\/2011\/12\/17\/world\/video-greek-healthcare\/video-greek-healthcare-thumbWide.jpg\" width=\"190\" height=\"126\" border=\"0\" \/><\/h6>\n<\/div>\n<div>\n<div>\n<h6><a>Greece\u2019s Deep Cuts<\/a><\/h6>\n<\/div>\n<div><\/div>\n<\/div>\n<div>\n<div><a style=\"font-size: 1rem; line-height: 1;\">Enlarge This Image<\/a><\/div>\n<div>\n<div><a><img loading=\"lazy\" decoding=\"async\" itemprop=\"url\" alt=\"\" src=\"http:\/\/graphics8.nytimes.com\/images\/2012\/10\/25\/world\/greece2\/greece2-articleInline.jpg\" width=\"190\" height=\"127\" \/><\/a><\/div>\n<h6>Angelos Tzortzinis for The New York Times<\/h6>\n<p>At a pharmacy in Athens,\u00a0 patients waited for medicine.<\/p>\n<\/div>\n<\/div>\n<div id=\"readerscomment\"><\/div>\n<div>\n<p itemprop=\"articleBody\">By that time, her\u00a0<a title=\"In-depth reference and news articles about Cancer.\" href=\"http:\/\/health.nytimes.com\/health\/guides\/disease\/cancer\/overview.html?inline=nyt-classifier\">cancer<\/a>\u00a0had grown to the size of an orange and broken through the skin, leaving a wound that she was draining with paper napkins. \u201cWhen we saw her we were speechless,\u201d said Dr. Syrigos, the chief of oncology at Sotiria General Hospital in central Athens. \u201cEveryone was crying. Things like that are described in textbooks, but you never see them because until now, anybody who got sick in this country could always get help.\u201d<\/p>\n<p itemprop=\"articleBody\">Life in Greece has been turned on its head since the debt crisis took hold. But in few areas has the change been more striking than in health care. Until recently, Greece had a typical European health system, with employers and individuals contributing to a fund that with government assistance financed universal care. People who lost their jobs received health care and unemployment benefits for a year, but were still treated by hospitals if they could not afford to pay even after the benefits expired.<\/p>\n<p itemprop=\"articleBody\">Things changed in July 2011, when Greece signed a supplemental loan agreement with international lenders to ward off financial collapse. Now, as stipulated in the deal,\u00a0 Greeks must pay all costs out of pocket after their benefits expire.<\/p>\n<p itemprop=\"articleBody\">About half of Greece\u2019s 1.2 million long-term unemployed lack\u00a0<a title=\"Recent and archival health news about health insurance and managed care.\" href=\"http:\/\/topics.nytimes.com\/top\/news\/health\/diseasesconditionsandhealthtopics\/health_insurance_and_managed_care\/index.html?inline=nyt-classifier\">health insurance<\/a>, a number that is expected to rise sharply in a country with an unemployment rate of 25 percent and a moribund economy, said Savas Robolis, director of the Labor Institute of the General Confederation of Greek Workers. A new $17.5 billion austerity package of budget cuts and tax increases, agreed upon Wednesday with Greece\u2019s international lenders, will make matters only worse, most economists say.<\/p>\n<p itemprop=\"articleBody\">The changes are forcing increasing numbers of people to seek help outside the traditional health care system. Elena, for example, was referred to Dr. Syrigos by doctors in an underground movement that has sprung up here to care for the uninsured. \u201cIn Greece right now, to be unemployed means death,\u201d said Dr. Syrigos, an imposing man with a stern demeanor that grew soft when discussing the plight of cancer patients.<\/p>\n<p itemprop=\"articleBody\">The development is new for Greeks \u2014 and perhaps for Europe, too. \u201cWe are moving to the same situation that the United States has been in, where when you lose your job and you are uninsured, you aren\u2019t covered,\u201d Dr. Syrigos said.<\/p>\n<p itemprop=\"articleBody\">The change is particularly striking in cancer care, with its lengthy and expensive treatments. When cancer is diagnosed among the uninsured, \u201cthe system simply ignores them,\u201d Dr. Syrigos said. He said, \u201cThey can\u2019t access\u00a0<a title=\"Recent and archival health news about chemotherapy.\" href=\"http:\/\/topics.nytimes.com\/top\/news\/health\/diseasesconditionsandhealthtopics\/chemotherapy\/index.html?inline=nyt-classifier\">chemotherapy<\/a>, surgery or even simple drugs.\u201d<\/p>\n<p itemprop=\"articleBody\">The health care system itself is increasingly dysfunctional, and may worsen if the government slashes an additional $2 billion in health spending, which it has proposed as part of a new austerity plan aimed to lock down more financing. With the state coffers drained, supplies have gotten so low that some patients have been forced to bring their own supplies, like\u00a0<a title=\"Recent and archival health news about stents.\" href=\"http:\/\/topics.nytimes.com\/top\/news\/health\/diseasesconditionsandhealthtopics\/stents\/index.html?inline=nyt-classifier\">stents<\/a>\u00a0and syringes, for treatments.<\/p>\n<p itemprop=\"articleBody\">Hospitals and pharmacies now demand cash payment for drugs, which for cancer patients can amount to tens of thousands of dollars, money most of them do not have. With the system deteriorating, Dr. Syrigos and several colleagues have decided to take matters into their own hands.<\/p>\n<p itemprop=\"articleBody\">Earlier this year, they set up a surreptitious network to help uninsured cancer patients and other ill people, which operates off the official grid using only spare medicines donated by pharmacies, some pharmaceutical companies and even the families of cancer patients who died. In Greece, doctors found to be helping an uninsured person using hospital medicines must cover the cost from their own pockets.<\/p>\n<p itemprop=\"articleBody\">At the Metropolitan Social Clinic, a makeshift medical center near an abandoned American Air Force base outside Athens, Dr. Giorgos Vichas pointed one recent afternoon to plastic bags crammed with donated medicines lining the dingy floors outside his office.<\/p>\n<p itemprop=\"articleBody\">\u201cWe\u2019re a Robin Hood network,\u201d said Dr. Vichas, a cardiologist who founded the underground movement in January. \u201cBut this operation has an expiration date,\u201d he said. \u201cPeople at some point will no longer be able to donate because of the crisis. That\u2019s why we\u2019re pressuring the state to take responsibility again.\u201d<\/p>\n<p itemprop=\"articleBody\">In a supply room, a blue filing cabinet was filled with cancer drugs. But they were not enough to take care of the rising number of cancer patients knocking on his door. Many of the medicines are forwarded to Dr. Syrigos, who set up an off-hours infirmary in the hospital three months ago to treat uninsured cancer patients Dr. Vichas and other doctors in the network send his way.<\/p>\n<p itemprop=\"articleBody\">Dr. Syrigos\u2019s staff members consistently volunteer to work after their official shifts; the number of patients has risen to 35 from 5. \u201cSometimes I come home tired, exhausted, seeing double,\u201d said Korina Liberopoulou, a pathologist on site one afternoon with five doctors and nurses. \u201cBut as long as there are materials to work with, this practice will go on.\u201d<\/p>\n<p itemprop=\"articleBody\">Back at the medical center, Dr. Vichas said he had never imagined being so overwhelmed with people in need.<\/p>\n<p itemprop=\"articleBody\">As he spoke, Elena appeared, wearing a pleated gray head wrap and a loose plum blouse. She was coming for drugs to help her cope with the aftermath of chemotherapy she had recently received from Dr. Syrigos.<\/p>\n<p itemprop=\"articleBody\">Elena said she was left without insurance after quitting her teaching job to care for her cancer-stricken parents and a sick uncle. By the time they died, the financial crisis had hit Greece and, at 58, it was impossible for her to find work.<\/p>\n<p itemprop=\"articleBody\">She said she panicked when she was found to have the same type of breast cancer that killed her mother: the treatments would cost at least $40,000, she was told, and her family\u2019s funds were depleted. She tried to sell a small plot of land, but no one was buying.<\/p>\n<p itemprop=\"articleBody\">Her cancer spread, and she could not find treatment until a few months ago, when she sought out Dr. Vichas\u2019s underground clinic after hearing about it through word of mouth. \u201cIf I couldn\u2019t come here, I would do nothing,\u201d she said. \u201cIn Greece today, you have to make a contract with yourself that you will not get very sick.\u201d<\/p>\n<p itemprop=\"articleBody\">She said she was dismayed that the Greek state, as part of the bailout, had pulled back on a pillar of protection for society. But the fact that doctors and ordinary Greeks were organizing to pitch in where the state failed gave her hope in her bleakest hours. \u201cHere, there is somebody who cares,\u201d Elena said.<\/p>\n<p itemprop=\"articleBody\">For Dr. Vichas, the most powerful therapy may not be the medicines, but the optimism that his Robin Hood group brings to those who have almost given up. \u201cWhat we\u2019ve gained from the crisis is to come closer together,\u201d he said.<\/p>\n<p itemprop=\"articleBody\">\u201cThis is resistance,\u201d he added, sweeping his eyes over the volunteers and patients bustling around the clinic. \u201cIt is a nation, a people allowed to stand on their own two feet again with the help they give each other.\u201d<\/p>\n<p>Dimitris Bounias contributed reporting.<\/p>\n<div>\n<p>This article has been revised to reflect the following correction:<\/p>\n<p><strong>Correction: October 26, 2012<\/strong><\/p>\n<p>An article on Thursday about the impact of Greece\u2019s financial crisis on its health care system misstated the terms of a loan agreement signed by Greece in July 2011. The agreement stipulated that after their health care benefits expire, Greeks must pay all costs out of pocket; it did not provide benefits for up to a year for those who lose their jobs. (Since before the loan agreement, the Greek government has provided unemployment benefits and health care for the unemployed for a maximum of one year.)<\/p>\n<p><a title=\"Amid Cutbacks, Greek Doctors Offer Message to Poor: You Are Not Alone | New York Times\" href=\"http:\/\/www.nytimes.com\/2012\/10\/25\/world\/europe\/greek-unemployed-cut-off-from-medical-treatment.html?pagewanted=all\">Article original<\/a> sur le site du New York Times.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The New York Times, October 24, 2012 Angelos Tzortzinis for The New York Times Elena, a cancer patient, at a clinic in Athens. Her illness long went untreated. By\u00a0LIZ ALDERMAN Published: October 24, 2012 ATHENS \u2014 As the head of\u00a0Greece\u2019s largest oncology department, Dr. Kostas Syrigos thought he had seen everything. But nothing prepared him [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[27,28],"class_list":["post-829","post","type-post","status-publish","format-standard","hentry","category-articles","tag-grece","tag-sante"],"_links":{"self":[{"href":"http:\/\/bliss.pro\/fracture\/wp-json\/wp\/v2\/posts\/829","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/bliss.pro\/fracture\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/bliss.pro\/fracture\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/bliss.pro\/fracture\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/bliss.pro\/fracture\/wp-json\/wp\/v2\/comments?post=829"}],"version-history":[{"count":2,"href":"http:\/\/bliss.pro\/fracture\/wp-json\/wp\/v2\/posts\/829\/revisions"}],"predecessor-version":[{"id":832,"href":"http:\/\/bliss.pro\/fracture\/wp-json\/wp\/v2\/posts\/829\/revisions\/832"}],"wp:attachment":[{"href":"http:\/\/bliss.pro\/fracture\/wp-json\/wp\/v2\/media?parent=829"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/bliss.pro\/fracture\/wp-json\/wp\/v2\/categories?post=829"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/bliss.pro\/fracture\/wp-json\/wp\/v2\/tags?post=829"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}