BIJ1 stands for a healthcare system that belongs to, by and for everyone. We want care that is accessible, affordable, equitable, supportive and equal for all. People rather than money should be the focus. That is why care should be in the hands of the government. Care must be managed by the people who actually come into contact with care: the care provider and the person receiving care. In this way, we are working towards care that works for everyone.
CARE IS NOT A MARKET
For a long time we have left care to the devastating free market. Quality and innovation now suffer as a result of profit and competition. Knowledge, experience and capital have to compete against each other. Market forces have then only made care more expensive. Large pharmaceutical companies can drive up prices further because of their de facto monopolies. Hospitals go bankrupt, as a result of which there are longer waiting lists and adequate care can no longer be provided.
The right to care is therefore under pressure. The complexity of the various care laws is also making it increasingly difficult for people to access the right care. The decentralisations were made on the basis of a good principle: care must be organised closer to the people. However, they were also an austerity measure that further turned healthcare into a maze.
BIJ1 wants to lead the need for care and quality instead of profits and cost savings. The care system, from youth care to medical care, needs to be overhauled. Competition must give way to cooperation. By bringing care back into the hands of the government, it can become everyone’s care. A National Care Fund makes care affordable and takes it out of a profit model. In doing so, we strengthen the right to care, everyone should be able to easily apply for care or support, and the system, in which everyone must fit into treatable cubicles, is tackled.
PUT ON CARE WORKERS AND EXPERTS BY EXPERIENCE
BIJ1 learns from generations of experience and disability activists and has as its basis: nothing about us, without us. This is also true in the care sector. Because nobody knows better how it should work than the people who provide care and the people who receive it. The knowledge of experts by experience (both care providers and recipients of care) must therefore have an equal position alongside scientific knowledge. Care should be in the hands of people, not shareholders, managers and directors.
BIJ1 wants care to be about control, self-determination and certainty. Control over your own work when you work in healthcare. Self-determination about the care you receive. And certainty on a fair salary and the freedom to do your job without wasting time on administration, but also the certainty of quality care.
NOT DISCRIMINATION, BUT INCLUSION
In our society, people with a demand for care are seen as individuals with a problem. However, the actual cause of the problem is often the organisation of society. There are too many people who have less access to good care because they are excluded. More room is needed for knowledge about and experience with the great diversity of bodies and identities. Greater inclusiveness is needed for better disease prevention and tailor-made care.
In order to make care more accessible and equitable, BIJ1 proposes the following measures.
EVERYONE’S CONCERN: MAKE CARE FOR ALL OF US
- We will set up a National Care Fund that will replace the many insurers. We are going to levy premiums through progressive taxation. All care, including dentistry and optometry, will be paid for from this Care Fund and the personal contribution will be abolished.
- Care must not be a profit model. We put hospitals and (para)medical care providers in public hands. Instead of losing money to managers, commerce and profit, we invest more in staff and quality care. In this way, the continuity of care is also safeguarded.
- Non-medical care institutions and organisations, such as in youth care and mental healthcare, are nationalised and collectivised. This means, for example, that we’ll group several youth care organisations into one organisation. In this way, we combat divisions between organisations and forms of care, we work on the basis of cooperation and coordination, and we eliminate organisational interests and bureaucracy between organisations.
- Too much of the care budget does not actually go to care itself, but to its organisation. We demolish unnecessary management layers from care and invest this money in actual healthcare.
- We’ll bring the production of medicine and medical equipment into public hands in order to control and keep prices down. In addition, we make international agreements and rules to limit the power of large pharmaceutical companies. We focus on price control and limitation of imported medicines and equipment. Monopolies on medicines are combated and the lobbying power of patent holders on health care is reduced.
CARE FOR ALL OF US: MAKE CARE ACCESSIBLE
- GP practices become care centres in the neighbourhood where care comes together and you can turn to for any care or support request. We invest in specialised practice support. Professionals have to provide indications; the municipality takes a break. Moreover, the municipality is no longer concerned with monitoring, but only with access to care.
- Continuity of care must be better guaranteed. One plan, one director’ will become the basis of help for people with a care or support question, regardless of which care law covers that question.
- There will be more self-determination for people receiving care. Everyone will have the freedom to choose which counsellor they want to be helped by.
- Forced care is being implemented in line with the UN Convention on the Rights of Persons with Disabilities and greater self-determination is being introduced for those who engage in misunderstood behaviour. Freedom-restricting measures in institutions (such as segregation cells) will be banned.
- The ‘hard cut’ will be abolished out of youth care: when you turn 18, care should not suddenly stop. Youth care should only stop when the BIG 5 of income security for the person has been arranged.
- Financing of the GGZ must be dissociated from diagnoses. In this way, we will stop the ongoing diagnosis and work towards a GGZ with fewer waiting lists, where the human dimension is central.
- Our elderly deserve respect. The quality criteria for nursing homes must be tightened up. Care homes must not be a dumping ground. That is why we support the earlier initiative of care homes, which bring together social functions and care.
- We embrace the FNV plan ‘Drastically simplifying youth care’ and implement it.
- We support the illiterate in processing and understanding important medical and government information.
CARE BY EXPERTS
- We are reducing the workload and regulatory burden in healthcare by reducing the administrative burden and abolishing time-recording. In this way, the time of care workers can go to people who need care as much as possible: craftsmanship comes first. We are combating staff shortages, long waiting lists, staff turnover and burn-outs.
- All care workers, from nurses in medical care to youth care workers, must be paid more fairly. The work of informal carers must also be recognised and revalued, which is reflected in a fair financial valuation of their work.
- Care institutions will be organised more cooperatively, so that care workers can shape their own profession, at individual, organisational and sector level.
- At organisational level, there must be good (in)formal opportunities for people with a disability or chronic illness to think and decide on the basis of equal cooperation.
- The use of experiential knowledge will become a permanent part of the curriculum in all programmes for care workers.
- In order to recognise the expertise of the experts by experience and to treat it on an equal footing with that of other professional groups, the position of ‘experience worker’ is included in the collective agreement (CAO) of various branches of healthcare. National guidelines will be drawn up for the payment of experienced volunteers, so that this unique experience and expertise is appreciated.
- People with a request for help are entitled to appropriate care and support. It should be easy and accessible for people to submit their complaints or objections and to exercise their rights when necessary. Everyone has access to independent client support.
CARING FOR EVERYONE
- Greater monitoring of compliance with the UN Convention on the Rights of Persons with Disabilities in the Social Sphere should be carried out by drawing up a national framework of standards.
- The use of interpreters and sign interpreters should not be paid for out of the care seeker’s budget, but should be reimbursed by the government as standard.
- Neurodiversity is given a place in the training programmes of GGZ care providers, so that more is done on the basis of variation in the human brain. Therapy forms that suppress the natural state of a neurodivergent person, and can therefore be harmful, should not be used.
- Research shows that mental health problems for people of colour are recognised less. Greater attention must be paid to combating racist stereotypes in the training of doctors, carers, home and elderly care and medical staff. Culturally-sensitive care has an important place in this.
- We’ll ensure equal access to care for all, regardless of residence status.
- The white cisgender man should not constantly be at the centre of medical research. More resources should be put in research into illnesses, medicines and treatment methods in people of colour and women (of colour).
- Chronic stress and trauma caused by racism must gain greater recognition as causes of health problems, such as depression and cardiovascular disease.
- Suicidality and homelessness under neurodiverse and LHBTQI+ adolescents is alarmingly high. More attention must be paid to appropriate care, guidance and suicide prevention for the LHBTQI+ community. Throughout the country, safehouses will be set up where they can go in case of emergency situations.
- The care for trans persons (5) will be regarded as regular care and is included in the basic curriculum of medical programmes. In addition, the supply of trans care will be increased in order to shorten waiting lists: expertise should be shared between the five largest hospitals. All treatments and operations will be reimbursed. In addition, trans persons no longer need to have a diagnosis in order to receive care. And general practitioners can prescribe hormone treatments.
- Training courses will be provided to make care workers aware of their (unconscious) prejudices, attitudes and expectations, and protocols will be developed to combat racism, sexism and discrimination based on sexual orientation.