Our current program text (Social Affairs & Healthcare)

Already on it. @Lydia and I actually worked on the proposals regarding bodily autonomy together last weekend

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Sorry for the late answer, I would like to propose a few points to add to our program, especially on social issues.

Social affairs and healthcare

All people have the right to the highest attainable standard of the quality of health care and education. This includes preventive, curative and palliative health care. It also includes the underlying social determinants of health, such as safe food, potable water, basic sanitation and adequate housing, safe and healthy working conditions and a healthy environment.

One of the Pirates priority is to fight discrimination, while putting forward inclusion. We also apply the no one left behind policy. We thus believe that any citizen should be granted social protection together, minimum safety net and high working conditions standards.

Availability & comfort of the patient

Pirates want an equal access to health care for everyone, irrespective of the resources available to a state, and support:

  • No discrimination (direct or indirect) in access to health care, irrespective of the resources available to a state.
  • Health goods and services accessible to everyone. States must ensure that no persons face barriers in accessing their right to health including the access to information about health and health services.
  • Health goods and services affordable for everybody regardless of their income level.
  • Health laws and policies designed and implemented in a transparent manner and with meaningful participation of persons affected by it. All health systems must include a framework for accountability, which should include access to effective judicial or other appropriate measures for violations of the right to health.
  • Reducing patents for medicines or at least avoiding administrative prolongation of patents.
  • Easier cross-border care utilization: Improving opportunities to use health care systems abroad on the account of domestic health insurance companies.
  • Cross-border care should not lead to the implementation of policies that are running against privacy, nor against patients control and consent over the use of its data.
  • EU health card for the world: Negotiation of the validity of the European Health Insurance Card (Blue Card) in the non-EU countries.
  • No matter how health systems have been structured (private, public or mixed), the health services should be available, accessible, acceptable and of good quality for all persons and should guarantee universal health care for all.

Free Movement of Workers

EU nationals working in another EU country have to overcome dozens of administrative obstacles to work in and fully integrate into another EU country – especially different social security systems, different nature of the payment into these systems, registration to health care systems etc.

Therefore the EU should encourage its Member states to continue in removing administrative barriers to the Free movement of Workers through the harmonisation of social security systems and public healthcare systems, especially the harmonisation of payments into these systems and sharing the information between the member states.

Fighting discrimination

We propose policies that promote equal rights and opportunities for all individuals regardless of gender or sexual orientation. We prioritize mainstreaming gender equality and LGBTQIA+ rights. This would involve ending discrimination and violence against women and LGBTQIA+ individuals, promoting reproductive health and rights, and ensuring equal pay and employment opportunities.

Just transition

As advocates of the digital and green transitions, we acknowledge the interconnectedness of social, digital, and environmental issues, especially in certain regions. We therefore promote adequate EU funding to the most impacted regions, and for the promotion of new required skills. We push for life-long learning via up-skilling and re-skilling for instance. Ensuring that STEM sectors are appropriately staffed, with a view of integrating underrepresented categories is a priority.

As part of no one left behind policy, we do believe that providing funding to vulnerable households for their transition regarding transport, heating, insulation, etc. is necessary.

Social standards

Pirates defend the idea of universal access to education, knowledge, healthcare and minimum social protection. On the latter, we need protect vulnerable groups from poverty and exclusion, including through policies that guarantee a minimum income and adequate social services.

Workers shall be granted appropriate and good working conditions. Teleworking and platform work are becoming more and more prominent but are still facing regulatory gaps. We must ensure that new forms of work are not enhancing employees surveillance nor degrading their working conditions and rights.

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Since fighting discrimination is one of the Pirates priority, why don’t we propose it as a seperate topic in the election program?

The following words can then be copy-pasted in that new chapter:
“We propose policies that promote equal rights and opportunities for all individuals regardless of gender or sexual orientation. We prioritize mainstreaming gender equality and LGBTQIA+ rights. This would involve ending discrimination and violence against women and LGBTQIA+ individuals, promoting reproductive health and rights, and ensuring equal pay and employment opportunities.”

Also, we can then put focus in prohibiting discriminatory algoritmes, used by governments (such as used in the Netherlands).

Or, the lack of legal oppertunities to defend against discrimination, for example, as result of discriminatory legal systems or Violation of Rule of Law.

As I see so far, these important elements are currenly missing in our election program.

I do agree that discrimination has a severe and negative impact on someone’s health. However, in order to eliminate discrimination, better legal structures and measures are required.
So, I hope you/everyone agree(s) to include a seperate chapter about combatting discrimination.

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Shall the fight of discrimination be expanded further behind Social Affairs, the natural place to add it would be the chapter Human Rights. We might move it there.

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I fully agree with that. Thank you so much!

To my opinion, discrimination is the result of the inability to get access to Human Rights or EU-law.
The legal base for combatting discrimination is already sufficiently established in Human Rights such as by the Council of Europe (in ECHR or Istanbul convention), UN (in f.e. Convention Against Torture) and by the EU, see preambule European Union.

So there is a direct link between discrimination and Human Rights, especially if the discrimination is institutionalized by governments and courts.

I might have couple of proposals. Feel free to criticize if you feel them way too far reaching (or to improve my English, if you find it poor).

Minimum wage
European countries shall ensure adequacy of minimum wage for the employees working in European Economic Area. While we recognize impossibility to define it uniformly in current Europe, we believe the employees shall be provided with transparent access to information and proper legal protection to be able to negotiate fair wage. No double standard for refugees and other non-citizens working in Europe shall be allowed.

Better integration of public healthcare insurance
Commuters, citizens living in borderlands and many others often struggle with an access to available healthcare. We will further promote integration of national health insurance schemes to ensure better availability for medical services to reduce transport costs and increase comfort for our citizens.

European pension fund
Multiple countries face crises of national pension schemes due to demographic changes and migration between European countries. Therefore Pirates propose foundation of common European pension fund. The fund shall not be considered a replacement of national pension schemes but rather additional complement to them to provide necessary minimum income where needed. No one in Europe shall face poverty in the elder-hood. The pensions shall be available fairly to everybody, without needless restrictions based on age or other criteria.

Energy poverty
Common European energy market brought significant pressure on many households on our continent. We demand common definition of energy poverty that would allow access to fulfill reasonable energy demands of every European citizens. Instead of further funding to fossil industry, European social-climate fund shall be expanded to help with burden of energy prices.

Should we also include the basic income idea and housing?

What arose from yesterday discussion in the meeting was the following:

  • privacy concerns on cross-border health;
  • strong wording for LGBTIA+ community, especially on gay marriage and parenthood recognition around Europe;
  • proposals around gender, its distinction from medical reasoning (and in relation to the next point on consent);
  • ensuring that patient is consenting to any treatment or surgery, especially in the case of intersex people or sex reassignment with a strong emphasis on body autonomy (see @saleurs message);
  • access to safe abortion;
  • a coherent and comprehensive pandemic policy when it comes to medical policy but also patent policy;
  • in relation to that, ensuring safe supply chains while trying to bring back production to Europe on certain crucial medical products;
  • ensuring great consultation of relevant stakeholders, activity branch and unions when it comes regulate social policies at the EU level;
  • just transition;
  • minimum income/wage policies;
  • regulating new forms of work (telework and platform work mostly);

Don’t hesitate if you have any other point to add that I forgot?

Some context on this at the EU level:

Energy poverty will be defined for the first time at the EU level in the forthcoming social climate fund :tada: so we could probably try to have an even finer wording. On the fund itself, it should not be able to fund fossil fuels, but vulnerable households with the objective of:building renovation, energy efficiency, decarbonation of heating and cooling, access to low and zero emission transport, incentivising the use of public transport, with the possibility of direct income support in certain circumstances. The do no significant harm applies.

When it comes to minimum wage we also have a directive that has been voted (even though the extent to which it will change the current minimum wage schemes is debatable) - with Nordic countries being excluded as they rely on collective agreements: Parliament adopts new rules on adequate minimum wages for all workers in the EU | News | European Parliament

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I am missing a point there **Training in Germany versus study It ist vor care in the EU ** This point is important for 3 countries in Europe Austria, Switzerland and Germany. In the rest of Europe nursing is studied :blush:

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Thank you, for your Work. :blush:

Hello,
There was a little text discussed in Strasbourg under the drugs chapter that was suggested to be moved to Health. I found the note about that the other day so, here it is:

Heavy psychoactive drugs used within the established medical system should be prescribed in a careful way, considering the risks of addition and other problems.

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Missing some points:

  • All data from patients that are recorded digitally should be included in an Electronic Patient Records system. The patient (or representative of) should control who has access. That implies that data is stored in a way that allows a patient to review her/his own data or can ask a second opinion from an expert. IP can never be a reason to limit access to data.

  • it is important that members of families with (suspected) inherited diseases are free to have a diagnostic test. Using the outcome of such a test in a way that harms the patient e.g. by increasing insurance payments, should therefor be forbidden.

  • fitness, menstruation and other healthcare apps for the general public deal with sensitive patient data. before being allowed in the EU they should pass a test if the app conforms to the EU privacy regulations.

Yes me is missing there also 1 Theme study verus care training the Staatem of the European Union, trains, the rest of Europe studies care. Therefore, Switzerland, Austria and Germany should be obligated, which can also be studied in these countries care. So that worldwide and Europe-wide work is possible. But I think now it is too late to bring in there still. If nevertheless, please refers me with.

I am editing some parts. There is an annotated version on Etherpad.
I covered all motion in the german cryptpad (I think)

Need to read through this whole thread to see if something is still missing

Is your addition:
One of the Pirates priority is to fight discrimination, while putting forward inclusion. We also apply the no one left behind policy. We thus believe that any citizen should be granted social protection together, minimum safety net and high working conditions standards.
covered in the current text (Etherpad), or do we need to change anything?

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Good text for the topic of social affairs and inclusion

Hello european Pirates.

At our meeting of Czech pirates from mental health team bout european program and at our brainstorming we find some things about mental health what ould be reali good.

Prevention

  1. Prevention at the first place
  2. Greater access to mental health services. The service network should be sufficient everywhere.
  3. Community care as a resource to support mental health.
  4. Destigmatizing the field of psychiatry - making it more attractive and supporting the field.
  5. Support the implementation of mental health care reform, with special focus on vulnerable groups, build up multidisciplinary teams, build capacities for integrating mental health in all policies.

Care
6. street work and outpatient care takes precedence over residential.
7. Psychiatric residential services are expensive and so we are advocating greater involvement of field and prevention teams.
8. Emphasis on the rights of psychiatric patients.
9. Greater inclusion in society for people with mental health difficulties.
10. Support of mental health across the lifespan with a particular focus on youth and seniors in a healthy environment, including support of early intervention and preventive measures.

Education
11. Unaffordable child and adolescent care needs to be addressed immediately. The shortage of experts needs to be addressed. We want to simplify the preparation of experts.
12. We support the efforts of the European Association for Psychotherapy - psychotherapy should be more widely available.
13. Mental health as a priority at schools
14. Increasing the powers of nurses - to strengthen specialisation training in psychiatry.
15. Simplifying the recognition of education and attrition, which is for people from abroad from the 3rd non-EU country.

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