Local view for "http://purl.org/linkedpolitics/eu/plenary/2008-09-25-Speech-4-043"

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"en.20080925.4.4-043"2
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"Responsibility for the health systems in the Union rests first and foremost with Member States. Responsibility for the organisation and provision of healthcare and medical services in accordance with Article 152 of the Treaty is fully recognised. The proposal aims to introduce and ensure a transparent framework for the provision of safe, high-quality and effective cross-border healthcare within the Union, at the same time ensuring a high level of health protection while fully respecting the principle of subsidiarity. Although I wholeheartedly approve of the intention and goals set in the directive, I should like to point out certain shortcomings of the proposal that could be overcome. Some are afraid that this type of care might place the health insurance systems in some Member States under undue pressure. We need a more precise definition of procedures relating to providing care and reimbursement in respect of repeated hospitalisations and damages, as well as treating complications. We must set a time horizon for reimbursement of costs and at the same time clearly state that the directive neither will not wants to solve the long-term healthcare issues in such establishments where the health and social systems usually meet. The term ‘beneficial for the patient’ must be specified. The medical aspects should be taken into consideration in the first place, not subjective benefits. When specifying the terms ‘hospital care’ and ‘outpatient care’, it would also be good to specify the term ‘specialised outpatient healthcare’. In addition to that, the problem of the method of reimbursement of prescriptions issued in other countries still remains. Ladies and gentlemen, just like on those other occasions when we witnessed the introduction of free movement in the past, certain worries exist. In my opinion, however, they are not insurmountable."@en1
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