Mario Kohan, sobre los agroquímicos: “La sociedad hace bien en reclamar para que desde el gobierno tomemos acciones”

Revista BIFE entrevistó al ministro de Salud, Mario Kohan. La conversación se dividió en tres partes: 

1.Reflexión acerca del clima de época, la sociedad y la Salud Pública, los intereses de las corporaciones y los grupos antivacunas. El descreimiento de la evidencia científica, ¿por qué prente en la comunidad? Agroquímicos, marihuana y veganismo.

2. Nacional: macrismo, desprolijidades y el imperio de la discusión técnica. Nuevo gabinete de salud, y la vuelta del debate político. Kohan adelantó que en los próximos meses se discutirá la Dirección Nacional de Enfermería, “será un hito muy importante”, dijo.

3. La Pampa: El ministro consideró que la provincia se encuentra en un buen nivel, y que muchas veces por esa razón no se reciben los recursos que le correspondería. Dijo que la salud en La Pampa es cara por la extensión y distribución del territorio. Propuso rediscutir el financiamiento del sistema, “los recursos no son infinitos”. Aborto, enfermedades de transmisión sexual, derivaciones y Nuevo Hospital, salud mental y suicidios, fueron otros de los temas tratados.

-En primer lugar, ministro, una consulta bien coyuntural. ¿Qué opinión tiene sobre el debate de los agroquímicos? ¿Qué postura adopta el Ministerio de Salud? ¿Qué recomienda? ¿Han tenido casos de enfermos por agroquímicos?

La participación del Ministerio de Salud ha sido muy clara. Lo que podemos hacer desde la medicina es medir la consecuencia del mal uso o de quienes operan con los productos, pero no en el control. Salió publicado en un medio que un médico cordobés hizo un trabajo con agroquímicos y para ellos se demostró el daño a la salud, pero yo no sé que grado de control hubo a la hora de la utilización en ese caso particular. Hay denuncias de agrupaciones sociales que tienen una mirada negativa. Hay que encontrar el punto de equilibrio y pensar que toda la actividad agropecuaria pueda tener una produccion importante sin afectar el medio ambiente y la salud. Si usted se pone a ver lo que publica la Organización Mundial de la Salud respecto a alimentos es bastante preocupante. Dice más o menos así: si se conservara la capacidad productiva del planeta, para poder alimentar a la población se necesitarían casi dos planetas. Es sólo una reflexión. Por eso tenemos que encontrar un punto de equilibrio. Por otro lado, toda denuncia lo que hace es motivar a los que son responsables del conocimiento a encontrar el mejor camino e investigar. Porque si no hay denuncia no hay accion. La sociedad hace bien en reclamar para que desde el gobierno tomemos acciones. Esto se esta discutiendo en el mundo entero.

1. “La investigación médica científica ha sido seriamente contaminada, y esto nos ha hecho un enorme daño en la credibilidad. Hoy hay especialistas en análisis de estudios, para revelar dónde está la trampa”

-¿Qué opina de la sociedad y la salud, de la comunidad y el cuidado? ¿Qué percepción tiene de la época? 

No tengo una mirada optimista. Si uno toma los estudios de prevención publicados en el mundo, revelan el fracaso de la prevención secundaria, es decir, los enfermos ya no se están cuidando… Hemos equivocado el camino, esta es mi visión. A medida que la comunidad no se haga cargo de su salud, nosotros solos no vamos a poder resolverlo.

-¿A qué se debe, qué piensa?

Es una suma multifactorial. Podríamos decir que nos hemos equivocado en comunicar bien. O también quizá precisemos de otros saberes para tener penetración comunitaria.

No tengo una mirada optimista. Si uno toma los estudios de prevención publicados en el mundo, revelan el fracaso de la prevención. Los enfermos ya no se están cuidando”

-¿A qué se refiere?

A colaboración de otras áreas del conocimiento y firmar convenios pero darle vida a esos convenios. Después no hay que olvidar que enfrentamos grandes corporaciones con intereses muy poderosos. Ahí ya entramos en un terreno que hay que ser muy explícito, porque no debe ser teñido por la ideología. El planteo que debemos hacer nosotros debe ser de lo más objetivo posible. Para poner un ejemplo, si el Estado nacional decide hacer una estrategia para que se baje la concentración de sal en los alimentos procesados, usted no está enfrentando el interés de un productor agropecuario, usted está enfrentando una industria poderosa en el mundo, y es muy difícil de vencerla. Del mismo modo sucede con la industria farmacéutica.

-Más adelante le consulto por la industria farmacéutica, no quiero correrme del foco en la sociedad ¿Puede ser que haya una tendencia a descreer de la evidencia científica y a guiarse por la creencia propia o a sobreponer la fe en cuestiones de salud?

El otro día escuché a un personaje importante que se dedica a técnicas de la comunicación, los famosos Tics y la inteligencia artificial, y lo primero que él definió fue que la verdad ha muerto. De solo repetir un mismo relato, eso se transforma en una verdad. Una verdad transitoria. Es mucho más fácil engañar una persona, que demostrarle que ha sido engañado. ¿Cómo se expresa la fe? En el ámbito científico significa algo que no requiere pruebas. En cambio, las ciencias duras hoy se expresan como opiniones justificables mediante pruebas. Lo otro es dogma.

Usted no está enfrentando el interés de un productor agropecuario, usted está enfrentando una industria poderosa en el mundo”

-¿Percibe que hay o no una tendencia hacia eso?

Por supuesto que la hay.

-¿En qué casos?

En muchos. Vamos a poner un ejemplo. Hasta el año 1900, la esperanza de vida era de 40 años, después crecieron exponencialmente. En Japón hoy la esperanza de vida es de 89 años. Y en Sierra Leona es de 50 años. Entonces hay una heterogeneidad. Ahora, ¿qué generó ese cambio? Los dos factores fundamentales fueron: el agua potable y la vacuna. Yo creo que nadie cuestiona emocionalmente el agua potable, pero la discusión emocional de la vacunación es moneda corriente, con los grupos antivacunas. Usted puede escuchar a personajes relevantes, que salen a opinar alegremente sobre ‘mis hijos son veganos, tienen muy buena alimentación, no necesitan que se vacunen’. A mi me da ataque de caspa cuando escucho eso, realmente es una afirmación terriblemente errónea que genera mucho daño. Hay colectivos que les explican a las futuras mamás que no se tienen que vacunar, porque el bebé… y una serie de cuestiones que no tienen absolutamente ningún argumento.

-¿Por qué sucede esto?

Hay una debilidad en la condición humana que genera que estas cosas provoquen atractivos. Y generan atractivos. Usted tiene fervientes antivacunas. Yo no digo que hay que salir a combatirlos, pero sería bueno que revisaran la información.

Es mucho más fácil engañar una persona, que demostrarle que ha sido engañado”

Una vez un médico en Jama, una revista prestigiosa internacional, publicó un informe tergiversado donde quiso demostrar que las vacunaciones provocan autismo. Después la revista lo desmintió y al médico le sacaron la matrícula, pero el daño que provocó quedó instalado en la comunidad. Otro ejemplo: no hace falta demostrar que el amamantamiento de los niños es clave, es fundamental para su desarrollo. La primera succión que hace el bebé, es la primera gran vacuna que recibe ese bebé. Y entonces ¿por qué convoca la Organización Mundial de la Salud (OMS) tantas veces para que definan que amamantar es fundamental? Yo creo que va en paralelo al negocio de la industria y con la leche maternizada, que no lo reemplaza.

-¿El veganismo es bueno, malo o no perjudica la salud?

No quiero esquivar la respuesta. Yo contesto si tengo evidencia científica. No me he dedicado a estudiar el tema. Esta semana en La Pampa se puso en marcha el plan Argentina Contra el Hambre. El ministro de Desarrollo Social, Daniel Arroyo, no es un hombre improvisado. Entonces, más allá de la tarjeta, el mensaje que transmitió fue no sólo la posibilidad de acceder al alimento, sino qué alimentos hay que darle a los niños: leche, carne, frutas y verduras. Esto no puede faltar en la alimentación. Nosotros, además de tener una población con hambre, tenemos una población mal nutrida, que es condenar a una sociedad a tener déficit cognitivos, que está en desventaja con la población bien alimentada. Todos los fundamentalismos nunca son buenos.

Usted puede escuchar a personajes relevantes, que salen a opinar alegremente sobre ‘mis hijos son veganos, tienen muy buena alimentación, no necesitan que se vacunen’

-¿Qué novedades hay respecto al cannabis medicinal? Hay gente que dice que hay mucha demanda, más allá de la epilepsia refractaria.

Es un debate abierto. La sociedad está presionando y cuando eso ocurre se termina visibilizando la temática. Lo que hoy está publicado en el mundo entero revela que hay datos débiles. Igual no está cerrado el tema. Más alla de cualquier especulación, lo que hoy está demostrado es lo de la epilepsia refractaria como acompañamiento. En cuanto a la ley es muy reestrictiva. Hay que tener paciencia. También hubo movimientos sobre otros productos en otras épocas, y la fe en un producto no demuestra nada. Hay que investigar más. No siempre la presion colectiva termina demostrando la efectividad del producto.

-¿Fumar marihuana es perjudicial?

Nunca fumé, no tengo experiencia personal.

-¿Nunca se fumó un porro?

No… algunos dicen que no genera adicción. Yo tengo mis serias dudas. Pero por ejemplo hace pocos días en un artículo se señaló que los fumadores son propensos a tener arritmia cardíaca. En general la gente no sabe qué consume. Como cuando fumábamos cigarrillos. Antes no se tenía el conocimiento que se tenía sobre el daño que genera la nicotina y otras partículas. Habrá que esperar el conocimiento.

-¿Debe legalizarse?

Yo insisto. Por ahí lo mío también hay que tomarlo con cautela. Yo tal vez también tenga un sesgo. Lo que está claro es que el consumo problemático de sustancias existe y no lo podemos ignorar. Y hay puertas de entradas. Una es el alcohol. Yo creo que si distribuimos alegremente la marihuana va a ser una nueva puerta de entrada para posteriormente avanzar en otro tipo de sustancia. No creo que haya que facilitar cualquier puerta de entrada al consumo problemático. Tampoco soy de los tipos que les gusta prohibir las cosas. Pero la responsabilidad de a quién le compete. Y es la sociedad la que se debe cuidar hacia dónde vamos. 

Yo creo que si distribuimos alegremente la marihuana va a ser una nueva puerta de entrada para posteriormente avanzar en otro tipo de sustancia”

A veces me pregunto si desde el homo sapiens hemos progresado tanto. Sí, claro que progresamos. ¿Pero hacia dónde nos está llevando este progreso? ¿Necesitamos todo lo que tenemos? Mi mirada es: más allá de los colectivos pro algo o contra algo, deben ser analizadas en forma responsable, y la forma responsable no significa prohibir, sino decir si se puede, si no se puede, y si se puede de qué manera, y quién lo debe otorgar y bajo qué controles.

-Ahora lo llevo de la sociedad a las corporaciones. Le pregunto: ¿Esta tendencia de la que hablábamos de descreer de la evidencia científica, tendrá que ver también con que las ciencias y los médicos pasaron a ser en algún momento los nuevos sacerdotes cuyas palabras son irrefutables y mediante la cual las corporaciones han hecho grandes negocios?

Entiendo la pregunta. Sin ninguna duda la investigación médica científica ha sido seriamente contaminada, y esto nos ha hecho un enorme daño en la credibilidad, y nos ha hecho un enorme daño en la individualidad profesional. Para ponerlo con un ejemplo, en los 80 aparecieron los estudios multicéntricos. Uno de los más relevantes que cambió la vida a la humanidad, el infarto de miocardio. Ese estudio costó mucho trabajo porque el productor del fármaco se negaba a entregarlo porque tenía miedo al fracaso. Es decir, lo poco que vendía le parecía bien. Conclusión: la empresa que producía entregó el fármaco. El estudio fue impactante. Cuando la industria vio la calidad de estos estudios clínicos ramdomizados, empezó a participar, y cuando participa la industria, la historia cambia sustancialmente. Hoy cada vez que obtenemos un nuevo estudio randomizado necesitamos gente que tenga un análisis crítico del resultado, porque a los estudios los han dotado de una serie de condiciones muy diferentes que hacen que sean muy engañosos, no es fácil que un médico y sobre todo las nuevas generaciones estén alertas a estas situaciones. Le digo más, hoy hay especialistas en análisis de estudios, para revelar dónde está la trampa. La participación de la industria desplazó la investigación no comercial y elaboró un circuito comercial, donde hay intereses.

Pero hacia dónde nos está llevando este progreso? ¿Necesitamos todo lo que tenemos?”

-¿La Organización Mundial de la Salud también participa de esto?

La OMS también denuncia esto. Si me pregunta si la OMS hace mucho para desbaratar estas cosas, la verdad es que yo no veo mucha participación. No hay investigación independiente. Estas redes de investigación que se transformaron en un hito económico, lamentablemente nos metió a los médicos en eso, o nos metimos, porque no somos tan inocentes, y los resultados son bastante negativos. Se compran voluntades, editorializan de una manera confusa, los bancos de datos están cerrados, no se publican los estudios negativos, solo se publican los estudios positivos. Y es fundamental publicar la evidencia de que algo no es útil de modo tal que no se repitan esos estudios.

Se compran voluntades, editorializan de una manera confusa, los bancos de datos están cerrados, no se publican los estudios negativos, solo se publican los estudios positivos”

-¿Cree que hay algo de esto con el coronavirus, algo que se ha inflado por intereses económicos de corporaciones?

Es un tema que hay que tomar con seriedad. No alarmar a la comunidad. A mí me da la impresión de que los primeros casos sucedieron mucho antes. Yo creo que no hubo las denuncias oportunas en el momento justo.

2. “La impresión del nuevo gabinete es que es muy sólida, responsables con las respuestas”

-A nivel nacional, usted asumió como ministro en la mitad del macrismo ¿Cómo vio aquel gobierno y cómo ve este, cómo se trabaja con uno y con otro?

Yo me he quejado amargamente de algunos temas en la gestión de Macri. Ocurrieron muchas desprolijidades. Llegó un momento que no se tenía credibilidad lo que se planteaba. No había discusiones políticas. Las discusiones eran técnicas. Yo le dije en más de una oportunidad al gabinete de Salud, que no quiero que me contesten con algo que me haga feliz, sino para tener previsibilidad. Una de las tareas fundamentales del ministro es asesorar de la mejor manera a su gobernador, entonces qué le puedo decir al gobernador si usted trae una información mala. O falta de entrega del material.

Lo nuevo… qué puedo decir. La impresión del nuevo gabinete es que es muy sólida, responsables con las respuestas, están aún en la etapa diagnóstica, y se están encontrando con algunas dificultades que no previeron.

La Dirección Nacional de Enfermería es un tema que en los próximos meses lo vamos a discutir acá. Va a ser un hito importante en los nuevos cambios”

Por ejemplo una de las primeras cosas que hizo el ministro Gines fue poner en funcionamiento la Interrupción Legal del Embarazo. Nosotros, en ese sentido, somos una provincia modelo. Volviendo al tema, creo que tenemos un ministro que tiene experiencia y espalda política. El gabinete es muy sólido. Y han creado por ejemplo una Dirección Nacional de Enfermería porque se pretende darle la jerarquía que la profesión lo requiere. Es un tema que en los próximos meses lo vamos a discutir acá. Va a ser un hito importante en los nuevos cambios.

3.”Algunos tratamientos se imponen de manera inadecuada, y estamos desfinanciando el sistema de salud”

-¿Se sigue viendo a La Pampa como una provincia modelo hacia fuera como se decía antes?

Yo no sé si fuimos provincia modelo. Sí es una provincia respetada porque se ve un trabajo serio, responsable, y la provincia siempre le dio preeminencia a Salud. Por ejemplo, para la detección precoz del cáncer de mama, tenemos un 70% de pacientes estudiados, y La Pampa figura como la primera provincia en detección de cáncer de mama. La segunda es San Juan con 35%.

A veces me enojo porque cada vez que nos señalan como modelo, nos dicen que como nosotros estamos bien, lo que nos correspondería a La Pampa de repente se desvía a otra provincia que está peor. ‘Ustedes para qué quieren si están bien’, es el planteo. Yo no creo que estamos bien, estamos en un nivel adecuado. Si uno recorre la provincia, tenemos muchos déficit.

Yo no sé si fuimos provincia modelo. Sí es una provincia respetada porque se ve un trabajo serio”

-¿Cuáles?

Edilicios, tener que mejorar postas de salud, o modernizar. Todos estos años La Pampa dio un bien servicio de salud, más allá de hechos puntuales que nos pueden criticar. Pero el nivel asistencial en La Pampa es de bueno para arriba. Ahora, si vos no me das lo que voy a necesitar, me quedo estancado y en algún momento voy a empezar a caerme. Entonces, nuestra provincia, que es octava en extensión territorial y con gran distribución, un paisano en cada pueblo, el servicio de salud es muy caro. Esto hay que entenderlo, por la gran extensión y la distribución. Y el Estado debe estar en todos lados. La Pampa es una provincia cara. Ahora bien, si uno está en peores condiciones que yo, ayudemos al que está peor, pero si vos hacés las cosas bien y sos cuidadoso de los fondos públicos, en lugar de premiarte te terminan castigando porque no te dan el recurso.

El análisis que hacemos de una provincia tan extensa como esta, yo digo que estamos haciendo muy buenas inversiones porque trabajamos sobre un sistema de salud, o sea no es un modelo, es un desarrollo sistémico. Está bien, impacta que uno inaugure una obra edilicia, pero yo trato siempre de transmitir que traemos una ambulancia porque el sistema mejora en función de los cálculos que venimos haciendo, por ejemplo, si tienen sentido tantos traslados en ambulancia, etcétera. A partir de todos estos análisis sistémicos, nosotros hemos diseñado estrategias, como la famosa telemedicina, que está siendo vista por todo el país, y que guían cómo asistir al infartado. Así como eso, tenemos programas de detección precoz del cáncer de mama, de la rinopatía diabética…

Plano del nuevo Hospital de Alta Complejidad

‘Ustedes para qué quieren si están bien’, es el planteo. Yo no creo que estamos bien, estamos en un nivel adecuado. Si uno recorre la provincia, tenemos muchos déficit”

-¿Y con respecto al cáncer infantil?

Bueno, está demostrado estadísticamente que a partir de tantos niños nacidos, se tiene una determinada cantidad de pacientes con cáncer.

Le consulto por la Asociación Luci, que advertía que los padres y los médicos a veces subestiman los síntomas de los niños y no le realizan el estudio completo por donde se podría detectar el cáncer…

Tenemos una serie larga programas de campañas de detección de distintas enfermedades, de enfermedades cardiovasculares, que matan 19.7 millones de habitantes por año, la hipertensión arterial es la enfermedad no infecto contagiosa más difundida de la humanidad, un tercio de la población adulta lo padece, uno de cada tres ni tiene idea que es un hipertenso. Entonces tenemos tantas cosas que atender que a veces puede ocurrir esto –no estoy excusándome- de que la sensibilidad diagnóstica puede llegar a diluirse de una manera determinada. Es una rueda muy grande para mover en un territorio extenso.

Nuestra provincia, que es octava en extensión territorial y con gran distribución, un paisano en cada pueblo, el servicio de salud es muy caro”

Por eso me parece interesante de destacar esto de que el gobierno hace un enorme esfuerzo de mantener un buen sistema de salud acorde a la comunidad pampeana, y no es barato, es todo lo contrario. Pero nosotros mostramos un grado de satisfacción a la hora de saber que cubrimos la necesidad de la comunidad. Y también sabemos que la comunidad nos va a exigir cada día más.

-Dígame un dificultad que hoy tenga Salud Pública en La Pampa.

Puede decir algo sobre el financiamiento de la Salud, que debe ser tratado con responsabilidad, no solo en el ministerio de nación y provincia, sino responsables de obras sociales y la sociedad plena. Nosotros tenemos que discutir cómo se va a seguir financiando el sistema de salud. Algunos tratamientos se imponen de alguna manera inadecuada, y estamos desfinanciando el sistema de salud. El sistema solidario de salud se desfinancia. Cuando usted levanta la mano y vota a favor de que se haga tal procedimiento, está bien si la sociedad lo quiere, pero la sociedad también tiene que saber que si pide un procedimiento, debiera renunciar a otro, no se puede tener todo. Y si hablamos en particular de los procedimientos y de los medicamentos, cuando las obras sociales provinciales que tienen un seguimiento muy fino ven que la torta del presupuesto de salud lo consume en medicamentos, usted está en un problema gravísimo. Es muerte asegurada. En casi todo el país pasa esto. Todos tenemos que tener responsabilidad. Qué quiere la sociedad para sí misma. Hasta dónde el derecho individual es más importante que el derecho colectivo. La pregunta que yo hago es que si usted piensa en una intervención quirúrgica que no es vital, o que podría no ser vital, está bien demoslá, pero sepamos que vamos a dejar de vacunar o vamos a dejar de comprar medicamentos para la presión arterial o la diabetes. En Inglaterra por ejemplo se les otorga el procedimiento pero se les advierte que si lo quieren tienen que renunciar a otra cosa. Los recursos no son infinitos. Y todos tenemos que ser responsables.

Nosotros tenemos que discutir cómo se va a seguir financiando el sistema de salud”

-Ya que hablamos de cuestiones que son costosas, por ejemplo el tema de las derivaciones en la provincia, ¿cómo es?

Mire, yo hablo de nuestro ejercicio, desde que nosotros comenzamos en 2018. Hemos trabajado fuertemente en esa área. Tenemos debilidades. Una de ellas son las camas de terapia intensiva. Tenemos derivaciones en terapia intensiva. Todavía seguimos teniéndola. Hemos mejorado mucho en eso. Hemos logrado disminuido el número de derivaciones. No obstante, se siguen haciendo. La solución está en el nuevo hospital. Va a tener 28 camas de terapia intensiva. Hoy tiene 12 el Lucio Molas. Más las camas que están en el Centeno, y en el resto del sector privado, creo que ese cuello de botella se termina definitivamente.

-¿Cuándo se termina el Nuevo Hospital?

En abril del año que viene se termina la cuestión edilicia. Y otros meses más para terminar de equiparlo.

Si usted quiere una cirujía que no es vital, está bien demoslá, pero sepamos que vamos a dejar de vacunar o comprar medicamentos para la presión arterial o la diabetes”

-¿Qué sucede con la Meningitis, que habían dicho que no habían vacunas?

Cuando ingresó el nuevo gobierno se encontraron en la aduena con 14 millones y medio de vacunas. Rápidamente declararon la ley de emergencia. Ahora están ingresando todas estas vacunas progresivamente. Yo creo que antes que finalice este mes ya vamos a estar recibiendo las vacunas. ¿Por qué se está demorando un poco? Porque la intención del ministro, y me parece razonable, es no mandar en cuenta gotas como se hizo en alguna oportunidad.

-Chagas y dengue, ¿cómo está la situación?

El mosquito del dengue circula por La Pampa también. Yo diría lo mismo que el ministro Ginés, que estoy más preocupado por el dengue, que ya tenemos una enorme cantidad, que por el corona virus.

-¿Chagas?

No tenemos vinchucas infectadas. Los casos nuevos pueden ser de madre a hijo, que son los casos tratables. Lo que sucede con el Chagas es que se va a estudiar cuando se exporte a los países más desarrollados. El trabajo que se hizo en La Pampa, que fue combatir la vinchuca, al día de hoy podemos decir que no tenemos vinchuca infectada.

Los recursos no son infinitos. Y todos tenemos que ser responsables”

-Enfermedades de transmisión sexual, ¿hay un reflote?

La OMS, si yo no me equivoco, está denunciando 8.5 millones de casos nuevos por años de enfermedades de transmisión sexual. Naturalmente Argentina no escapa a eso, y mucho menos La Pampa. Pero el 95% se podrían evitar si se utilizara el profiláctico. Por eso fue terrible cuando se dijo que el profiláctico tenía un porcentaje de filtración. No se está usando como se debería utilizar.

-¿Por qué?

Porque se relajaron los cuidados. El VIH Sida, que antes era una enfermedad mortal, hoy es una enfermedad crónica, entonces nos relajamos. Cuando la sífilis provocaba las catástrofes que provocó, hoy si se detecta oportunamente con una dosis de penisilina el tipo vuelve al combate de vuelta sin ninguna secuela. Y esto es un drama terrible. Hablamos de Sida, sífilis, gonorrea, clanidea, hpv, la hepatitis b.

-¿Cómo es la situación de la salud mental en La Pampa?

Es toda una revolución poner en funcionamiento la nueva ley de salud mental. Lo más importante es vencer las barreras, entre los mismos actores en el ámbito de salud y hacia otros ministerios de la sociedad plena. Porque ciertas patologías son estigmatizados, y victimizados como si fueran delincuentes. Romper con todo eso cuesta mucho trabajo. Las sociedades se salvan en comunidad, nadie en forma individual.

Yo creo que nadie está de acuerdo con el aborto. Es una consecuencia indeseada en la mayoría de las veces, incluso de la propia gestante”

-Los suicidios, ¿qué puede decir?

Acabo de firmar la creación de una comisión. A veces perdemos alguna oportunidad de poder detectar… lo que está demostrado es que muchos pacientes que en alguna oportunidad pudieran ser víctimas de un suicidio van a los centro de salud buscando ayuda pero por otra causa, entonces a veces no tenemos la sensibilidad diagnostica para percibirlo. Y ahí hay una oportunidad notable que perdemos. Pero esto pasa en el mundo. Espero que algún día podamos tercer esta tendencia.

-Aborto, ¿cómo está en La Pampa?

Nosotros somos la provincia modelo de la ILE. Ahora tenemos otro debate. Yo espero que sea discutido de manera seria, no tiene que ser de una manera pasional. Hay que valorar la vida en el sentido de que se pierde y qué se gana.

-¿Y usted está de acuerdo con el aborto?

Yo creo que nadie está de acuerdo con el aborto. Es una consecuencia indeseada en la mayoría de las veces, incluso de la propia gestante. El embarazo adolescente, que acá decayó mucho, es un embarazo no deseado, ¿y en qué termina? Y lo que tenemos que hacer es evitar que esa niña se embarace. “No las queremos madres, las queremos niñas”, es una frase bastante feliz. Yo no estoy a favor o en contra, sino a favor de discutir responsablemente todos los temas.

“No las queremos madres, las queremos niñas”, es una frase bastante feliz”

-La ESI es importante?

Totalmente.

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