1
00:00:04,159 --> 00:00:08,433
We are medical professionals,
heart surgeons and nephrologists.

2
00:00:08,520 --> 00:00:11,240
We are tired
of working

3
00:00:11,240 --> 00:00:15,280
without social, political and
economic recognition.

4
00:00:15,280 --> 00:00:18,699
We are exhausted from the shifts.
No new people are being hired

5
00:00:18,724 --> 00:00:21,600
or they all run away. As soon as they 
set foot in the hospital

6
00:00:21,600 --> 00:00:23,400
they flee to the private sector...

7
00:00:23,400 --> 00:00:27,360
Because of stress, money. There is no
Support for public health.

8
00:00:27,360 --> 00:00:30,080
I am a radiotherapist and 
oncologist working in Rome.

9
00:00:30,080 --> 00:00:33,971
We are a category that has experienced 
a shortage of assistant doctors,

10
00:00:34,027 --> 00:00:38,080
which in turn will lead to a
shortage of specialists

11
00:00:38,080 --> 00:00:41,985
due to low salaries 
and a bad quality of life

12
00:00:42,041 --> 00:00:43,272
in public hospitals.

13
00:00:43,320 --> 00:00:46,200
I am a junior doctor, studying 
internal medicine in my third year.

14
00:00:46,200 --> 00:00:47,930
We staff and run the 
outpatient clinics,

15
00:00:48,009 --> 00:00:50,216
Because there is a 
lack of regular staff.

16
00:00:50,295 --> 00:00:53,400
We are sometimes even 
left alone on the ward.

17
00:00:53,400 --> 00:00:57,000
We are tempted to go abroad,
but we stay in Italy,

18
00:00:57,000 --> 00:01:00,640
because we love our country, we want
the health service not to fail.

19
00:01:00,640 --> 00:01:06,520
1,650 euros net, with rent,
fixed costs, university fees.

20
00:01:06,520 --> 00:01:08,840
Sometimes I don't make it 
to the end of the month.

21
00:01:08,840 --> 00:01:11,800
Forget about starting a family,
so we really have to struggle.

22
00:01:11,800 --> 00:01:15,480
We had calculated that we 
earn about €3.50 per hour.

23
00:01:15,480 --> 00:01:19,360
It is not acceptable that an
assistant doctor earns so little.

24
00:01:19,360 --> 00:01:21,880
They don’t even have the protection
of being a permanent employee.

25
00:01:21,880 --> 00:01:25,720
Overtime is unpaid we 
get 1,300 net per month

26
00:01:25,720 --> 00:01:27,497
and the shifts are exhausting.

27
00:01:27,569 --> 00:01:30,800
We work at least 12 hours 
a day, six days a week,

28
00:01:30,800 --> 00:01:34,720
when we're only supposed 
to work 8 hours five days a week.

29
00:01:34,760 --> 00:01:38,640
Last year, I worked in surgery 
in the northeast of Italy,

30
00:01:38,720 --> 00:01:42,280
I worked between 100 
and 120 hours per week.

31
00:01:42,280 --> 00:01:46,080
I was getting €2.30 net per hour 
as a doctor and a surgeon.

32
00:01:46,132 --> 00:01:49,280
We are taking to the streets because 
defending the nursing profession

33
00:01:49,280 --> 00:01:51,981
means defending the citizens.

34
00:01:52,044 --> 00:01:54,360
Exceptional is 
only the work

35
00:01:54,360 --> 00:01:55,835
of the health personnel 
on the ground

36
00:01:55,860 --> 00:01:59,026
who are maintaining a system that 
has truly reached an impasse.

37
00:01:59,120 --> 00:02:01,600
We are here today to
send two messages.

38
00:02:01,600 --> 00:02:04,600
The first message to the citizens:
Like you, we are also victims

39
00:02:04,720 --> 00:02:08,180
of the dismantling of the service. 
We are not the executioners!

40
00:02:08,280 --> 00:02:09,400
The other message is
to the government:

41
00:02:09,400 --> 00:02:13,240
Four key words: resources,
reforms, security and training.

42
00:02:13,240 --> 00:02:17,240
We are in favour of equal care,
regardless of gender and origin,

43
00:02:17,280 --> 00:02:19,561
and we will continue 
to fight for

44
00:02:19,609 --> 00:02:21,760
the provision of
public healthcare.

45
00:02:21,760 --> 00:02:23,880
There is a 
precise plan

46
00:02:23,880 --> 00:02:26,863
for the destruction of 
the public health service

47
00:02:26,919 --> 00:02:28,360
on the part of 
this government.

48
00:02:28,360 --> 00:02:29,480
Certainly there has been

49
00:02:29,480 --> 00:02:33,991
a decline in health services 
for over 20 years.

50
00:02:34,120 --> 00:02:37,302
This budget will 
probably not

51
00:02:37,358 --> 00:02:39,840
provide the push needed
to turn the crisis around.

52
00:02:39,840 --> 00:02:45,320
If I invest a lot of money 
to buy technology

53
00:02:45,411 --> 00:02:49,040
and at the same time I cap spending ,
then the result is to cut staff.

54
00:02:49,240 --> 00:02:52,240
It is clear that if there are 
no funds and no nurses,

55
00:02:52,265 --> 00:02:54,185
then the services
will not be provided.

56
00:02:54,240 --> 00:02:57,096
There will be patients who 
cannot be resuscitated,

57
00:02:57,136 --> 00:02:59,040
and I say that as a 
resuscitating anaesthetist,

58
00:02:59,040 --> 00:03:02,080
if there is no new money
for public health.

59
00:03:02,080 --> 00:03:05,600
There will no longer be a free 
health system for all.

60
00:03:05,640 --> 00:03:08,040
What motivates you 
to stay in Italy?

61
00:03:08,040 --> 00:03:10,000
Emigrating is not easy.

62
00:03:10,000 --> 00:03:12,120
Leaving the family,
leaving the home.

63
00:03:12,120 --> 00:03:14,280
And then it would
also not be right.

64
00:03:14,280 --> 00:03:19,137
It would not be right
for our citizens.

65
00:03:19,200 --> 00:03:21,840
I believe in the mission.

66
00:03:21,933 --> 00:03:25,320
Being a doctor is not a profession, 
it is a life choice.

67
00:03:25,320 --> 00:03:27,360
The strong motivation 
comes from within.

68
00:03:27,408 --> 00:03:29,893
I stay in Italy because 
of my family,

69
00:03:29,925 --> 00:03:32,774
because I believe in the possibility 
of changing this system.

70
00:03:32,846 --> 00:03:34,776
But there are so many
colleagues I know

71
00:03:34,800 --> 00:03:38,675
who have left Italy,
for France, for Germany,

72
00:03:38,731 --> 00:03:41,160
where not only the
salaries are higher,

73
00:03:41,160 --> 00:03:43,920
but also the recognition 
for health workers.

74
00:03:43,920 --> 00:03:46,094
A year ago, I was already 
here on the street,

75
00:03:46,158 --> 00:03:50,560
despite the commitment 
of the Ministry of Health.

76
00:03:50,560 --> 00:03:53,280
Unfortunately, the resources 
are still insufficient.

77
00:03:53,280 --> 00:03:56,240
A crisis that goes back many years
to previous governments.

78
00:03:56,240 --> 00:03:59,160
The devolution of health care 
to the regions was the death blow.

79
00:03:59,160 --> 00:04:03,000
With a government that says you
don't need a minimum wage in this country.

80
00:04:03,200 --> 00:04:04,280
There are junior doctors who

81
00:04:04,280 --> 00:04:06,787
say that if you take 
the university fees out,

82
00:04:06,843 --> 00:04:10,240
they earn between 
€2 and €4 per hour.

83
00:04:10,240 --> 00:04:12,200
It's a paradox, 
because they leave.

84
00:04:12,200 --> 00:04:15,886
So we spend €200,000
to train a doctor,

85
00:04:15,941 --> 00:04:17,860
who will leave, because 
we won't pay them.

86
00:04:17,892 --> 00:04:19,139
Only morons do that!

87
00:04:19,164 --> 00:04:22,800
They are nationalists and let
the people we train

88
00:04:22,800 --> 00:04:24,120
go abroad

89
00:04:24,120 --> 00:04:25,600
and they take foreign workers,

90
00:04:25,600 --> 00:04:28,680
who, of course, have 
every right to work here!

91
00:04:28,680 --> 00:04:30,407
But it's nonsense.

92
00:04:30,478 --> 00:04:33,080
You just have to want it.
You can get the money

93
00:04:33,080 --> 00:04:36,834
by taxing additional profits,
you can fight tax evasion.

94
00:04:36,914 --> 00:04:39,423
The Italians can’t seek medical 
attention. Those who have money can.

95
00:04:39,510 --> 00:04:41,590
Crosetto and Prime Minister Meloni

96
00:04:41,615 --> 00:04:45,015
ask for the Stability Pact to be repealed
in order to buy more weapons.

97
00:04:45,040 --> 00:04:46,532
We ask for the repeal

98
00:04:46,563 --> 00:04:49,316
so that more doctors and 
nurses can be employed!

99
00:04:49,348 --> 00:04:52,184
Minister Schillaci is sitting next to
Undersecretary Gemmato,

100
00:04:52,223 --> 00:04:54,938
who owns shares 
in private hospitals

101
00:04:55,000 --> 00:04:58,334
and cheerfully says: The waiting lists 
in the public hospitals are too long,

102
00:04:58,374 --> 00:04:59,326
come to me.

103
00:04:59,366 --> 00:05:03,120
There is a huge wage gap.
I know that nurses in India

104
00:05:03,120 --> 00:05:06,120
earn about $500 a month

105
00:05:06,800 --> 00:05:08,440
if they come to Italy.

106
00:05:08,440 --> 00:05:11,720
They would probably be 
paid less than our nurses

107
00:05:11,920 --> 00:05:15,480
so future labour contracts
will probably be adjusted

108
00:05:15,480 --> 00:05:16,648
to these conditions.

109
00:05:16,704 --> 00:05:17,616
I have worked in Germany.

110
00:05:17,640 --> 00:05:21,360
We also have to imagine
that the constant abandonment

111
00:05:21,360 --> 00:05:24,800
leads to a further 
deterioration in care.

112
00:05:24,800 --> 00:05:25,895
We have to commit ourselves

113
00:05:25,934 --> 00:05:29,280
to try to defend what has been 
achieved over the years.

114
00:05:29,355 --> 00:05:31,402
I was suggested 
staying abroad,

115
00:05:31,458 --> 00:05:33,576
there are free 
refresher courses,

116
00:05:33,600 --> 00:05:38,240
there are also opportunities for career
advancement, which is not the case in Italy.

117
00:05:38,240 --> 00:05:40,280
I received an offer 
as a recent graduate

118
00:05:40,280 --> 00:05:44,526
to Germany, where the salary 
was three and a half times as high.

119
00:05:44,557 --> 00:05:46,891
We are increasingly exploited

120
00:05:46,930 --> 00:05:50,520
to fill the holes left by the
public administration.

121
00:05:50,520 --> 00:05:52,440
It's not just a 
question of salaries,

122
00:05:52,440 --> 00:05:54,920
it's about the 
dignity of work.

123
00:05:54,920 --> 00:05:59,010
We've always been so critical
of the American health system.

124
00:05:59,057 --> 00:06:01,760
But we are moving
in that direction.

125
00:06:01,840 --> 00:06:05,600
Doctors in private hospitals have had
the same contracts for twenty years,

126
00:06:05,738 --> 00:06:08,938
They give money to private organisations,
but I have the impression

127
00:06:08,985 --> 00:06:12,366
that this money goes to the employers 
and not to those who work there.

128
00:06:12,405 --> 00:06:14,760
If we are not listened to,
we will inevitably

129
00:06:14,804 --> 00:06:17,081
make our absence 
felt in the hospitals,

130
00:06:17,114 --> 00:06:19,680
not only for one day. Maybe 
there will even be mass cancellations.

131
00:06:19,680 --> 00:06:22,543
The citizens are
extremely disappointed,

132
00:06:22,599 --> 00:06:26,480
endless waiting lists and they are 
forced to seek private care.

133
00:06:26,480 --> 00:06:27,520
A section of the population

134
00:06:27,520 --> 00:06:29,840
today decided 
not to be treated.

135
00:06:29,840 --> 00:06:31,720
They can't get access 
to a specialist.

136
00:06:31,720 --> 00:06:34,320
I ask the citizens to 
be on our side.

137
00:06:34,320 --> 00:06:38,160
We are not defending a powerful 
caste. We are defending

138
00:06:38,160 --> 00:06:41,160
health workers who want to 
remain in the public service

139
00:06:41,520 --> 00:06:45,400
and who want to guarantee 
high-quality care!

140
00:06:45,400 --> 00:06:48,920
I sincerely hope that public
health care will be saved.

141
00:06:48,991 --> 00:06:50,221
Do you still believe in it?

142
00:06:50,602 --> 00:06:51,848
I want to say yes.

143
00:06:51,896 --> 00:06:53,094
That's why I'm here.

