Among the “merits” of Covid certainly includes having brought to light the strengths and weaknesses of medicine in Italy. At the center of daily speeches has ended the much mistreated public health, cut by the governments that have followed one another in recent years and cornered by politicians who have declared the uselessness of family doctors. More generally, the emergency linked to the epidemic has increased the attention around the subject of health, exasperating the interest in the treatment and prevention of the perfidious disease.
The political and media debate has often seen the infamous as protagonists protocols of the Ministry, to which doctors are tied to such an extent that they do not find themselves having responsibilities if they follow them but the patient suffers serious consequences. A perverse logic developed well before the outbreak of the pandemic, as Dr. Andrea Stramezzi. The doctor who promotes the use of early home therapies spoke to the microphones of Fabio Duranti and Francesco Vergovich at A Special Day.
“The guidelines and protocols are born and introduced if I’m not mistaken by the Prodi government. And until then, those who studied medicine had to deal with the patient’s pathology immediately with the patient himself. So understand it, study it, visit it. And try to understand how to help, improve his suffering and how to deal with his pathology or pathologies.
So having to reason with his head in science and conscience, using the tools he had been taught. And obviously also the scientific literature, updates, etc … Not today. Today as today there are guidelines and protocols, so the doctor no longer has to think. He no longer thinks, he no longer tries to spend himself, to get involved and try to find solutions.
The physician who uses the protocol and guidelines is protected, regardless of how the patient will fare. If I stick to the guidelines and the patient dies, I have no responsibility. If I go outside the guidelines and save it, but maybe it has a small consequence, I risk a lot. This is madness, a standardization of medicine, a computerization of medicine ”.