This episode is sponsored by Médecins Sans Frontières/ Doctors Without Borders Taiwan Foundation
每日英語跟讀 Ep.983: MSF: What the coronavirus pandemic can teach us about universal healthcare
How are you supposed to wash your hands regularly if you have no running water or soap?
How are those with pre-existing health conditions going to take extra precautions if they already can’t afford or access the treatment they need?
Everyone is affected by the COVID-19 pandemic but the impact may be felt by some more than others.
試想以下問題：如果您沒有自來水或肥皂，該如何勤洗手？ 如果您住在貧民窟或難民營中，如何與人保持社交距離？ 如果您要逃離戰火，能不越過國界嗎？如果那些健康有問題的人早已無法負擔或獲得所需的治療，該如何採取額外的預防措施？ 每個人都受到了2019冠狀病毒病（COVID-19，或新冠肺炎）大流行的影響，但某些人可能比其他人更首當其衝。
As COVID-19 spreads further, it will continue to expose the inequalities that exist in our health systems. It will expose the exclusion of certain groups from accessing care, either because of their legal status or because of other factors that make them a target of the state.
It will expose the under-investment in free public healthcare for all, which means that access to quality care will for some be based on purchasing power and not medical need.
It will expose the failure of governments – not just health services – to plan for and deliver services that meet the needs of everyone. It will expose the life-threatening vulnerabilities caused by displacement, violence, poverty and war.
The people who will especially suffer will be those already neglected – due to austerity measures, who have fled because of war, who don’t have access to treatment for existing conditions because of privatised healthcare.
And it will also be those who can’t stock up on food because they already can’t afford a meal every night of the week, who are underpaid, overworked and deprived of sick leave, unable to work from home – and those trapped in conflict zones under bombing and siege.
And how are you supposed to treat patients without all the material that you need?
Many health systems bracing for the impact of COVID-19 have already been hammered to breaking point by war, political mismanagement, under-resourcing, corruption, austerity and sanctions.
They are already barely able to cope with normal patient loads.
COVID-19 is demonstrating how policy decisions of social exclusion, reduced access to free healthcare and increased inequality will now be felt by all of us.
These policies are the enemy of our collective health.
As MSF scales up its response to the COVID-19 pandemic, we will focus on the most vulnerable and neglected.
We will continue to scale up as much as it is feasible as this crisis spreads.
However, there are decisions that can be taken now that will already ease the impending disaster that many communities may soon face.
It means finding a way to integrate people into communities where they will be able to practice safety measures such as social distancing and self-isolation.
It will soon need to extend to other regions that will be hit by this pandemic and whose ability to cope is already compromised.
As MSF, we will also need to manage the gaps we will face in staffing our other ongoing emergency projects.
These are just some of the communities we cannot afford to let down. For them, COVID-19 is yet another assault on their survival.
This pandemic is exposing our collective vulnerability. The powerlessness felt by many of us today, the cracks in our feeling of safety, the doubts about the future.
These are all the fears and concerns felt by so many in society who have been excluded, neglected or even targeted by those in positions of power.
I hope COVID-19 not only teaches us to wash our hands but makes governments understand that healthcare must be for all.
MSF授權中文文章: https://www.msf.org.tw/news/202006/502 ; MSF授權英文文章: https://blogs.msf.org/bloggers/jonathan/covid-19-what-coronavirus-pandemic-can-teach-us-about-universal-healthcare