Tag Archive for 'AMKA'

A campaign to unite families separated between Germany and Greece (3)

A man separated from his wife and young child stuck in Greece – he is dying of cancer in Germany

This family belong to Aachen!

Zinab* came to Greece with her husband Farhad and son Ahmed who is 8 years old. Now Farhad is in Germany, separated from his wife and son and he is in the late stages of cancer, with only months to live.

The family are Kurdish, from Afrin (Syria). It was in Turkey that Farhad found out he was seriously ill with cancer. But because he is Kurdish, none of the hospitals in Turkey answered the family’s questions or cared for his wellbeing. The family were harassed regularly in Turkey only because they are Kurdish. It was not a safe place for them.

So, in March 2018 the family risked their lives to find safety in Europe and travelled by boat to the Greek island of Samos. They spent 40 days sleeping crowded together in a summer tent in the ‘hotspot’ Vathy on the island. Farhad was incredibly sick – vomiting and unable to eat. Due to the dire living conditions his situation worsened.

When the doctors examined him, they said he was dying. It was cold and raining and the ground was wet beneath them in the tent. Ahmed was begging his parents to leave Greece – he couldn’t use the toilets they were so dirty. There was no warm water to wash with. Farhad was suffering in pain and his family had only cold water to bathe him and cold earth to sleep on.

Because Farhad needed urgent medical attention, the family were transferred to a refugee camp on mainland Greece. Farhad was in the isolated camp almost one month still in severe pain.

Once in the mainland camp, Farhad’s pain did not cease. On three occasions an ambulance had to travel the long distance to the family’s camp because Farhad was in such pain. They injected him with pain killers. Eventually, he was taken to hospital, where he stayed for 2 months. Farhad had many tests and an emergency surgery that lasted eleven hours. Zinab was warned that he might not survive this. Zinab and Ahmed slept in the hospital for 4 days because the camp they were supposed to live in was over an hour away.

A few days before Farhad left hospital, Zinab and their child were moved to an apartment in Athens and Farhad was discharged there. He had to go to the hospital every week and was constantly taking medication. The family stayed around six months together in Athens but everyone, including Farhad’s doctors, said that he would have a better chance of survival if he was treated in Germany because they had a better equipped public health system and secured access to the necessary medicines there. Farhad said his Greek doctors treated him very well but he hoped he would have more chance to heal elsewhere and survive his dangerous sickness.

Throughout his time in Greece, Farhad was suffering, he had even thought of committing suicide to end the pain. It was an unbearable decision and a gruelling journey but in January 2019 Farhad travelled alone to Germany as the family had no possibility to go together. He went to Germany to get well and to struggle for his life and for his family.

The family had no idea that they would end up separated for such a long period. When they understood how difficult it was to be together again, they found a lawyer in Athens who is assisting with their case for family reunification through the German embassy. But over one year later, the family remain apart. It is difficult to get essential documents from Syria because of the war and Farhad does not have long to live. 

The family video call almost every day but it is a cruel replacement for life together, especially when little time is left. In his waking hours Ahmed talks of his father – he tells his friends at school he will go soon to be with his father in Germany, he asks his mother when he will be able to kiss his dad again, or walk with him the streets. While asleep, Ahmed dreams of Farhad.

Zinab also cannot bear life without her husband beside her. She fears that nobody is there to do the simple things for him, to talk with him, give him a glass of water.

In the last weeks, Farhad has had multiple operations. Little Ahmed cries for days on end, he says he wants to see his father, he wants his family to be together. Zinab tries to be strong but she also cries often.

“We should be with him now, and he needs us too!”

Zinab

* names changed

Some facts about obstacles that cancer patients in Greece face

For many years, all cancer patients in Greece face huge obstacles to obtain timely access to necessary diagnostics, examinations and treatments. Austerity measures have hit the public health system hard since the start of the debt crisis in Greece in 2009. Cancer patients are among the ones who suffer most.

Funding for state-run hospitals was cut by more than 50% in the last decade. They suffer from severe shortages in everything, from sheets, gauzes and syringes, to doctors and nurses. The patients who can afford it, thus often turn to private health care. The others struggle.

A new study titled “A New National Health System” commissioned by Dianeosis, found out that Greece nowadays spends only 5 percent of its gross domestic product on public healthcare versus the European Union (EU) average of 7 percent.

“The minimum safe limit for every health system, as we have repeatedly stressed, is 6 percent of GDP.” 

Panhellenic Medical Association 2019

The authors of the study ascribe the healthcare crisis in Greece to cuts to funding, under-staffing and mismanagement—the source of which is linked to a decade of austerity measures. As one consequence, the young generation of Greek doctors was forced to emigrate in search for jobs. It is estimated, that more than 15,000 doctors left the country, mainly for the UK, Germany, Cyprus and Sweden.

The difficulties of accessing and using health services in Greece have grown particularly for those who need them most, thus jeopardising the element of equality and social justice. More than that, the study found, that today one in five Greek people are unable to pay for health services when they need it; one in three cancer patients are unable to see their doctor regularly while one in four have difficulties obtaining the medicine they need.

Access to necessary medication is a big problematic with possibly fatal consequences. Cancer drugs are vital, but often inaccessible. In February 2020, the Pharmaceutical Association of Athens denounced the severe lack of specialised medicaments in Greece, amongst others drugs used to control the side effects of chemotherapy for cancer patients, but also for the chemotherapy itself. The Hellenic Cancer Federation (ELLOK) taking action, appealed on 22.1.2020 to the Ministry of Health to take action in order to normalise the disposal of medicines. Deficiency of basic antineoplastic drugs for cancer patients, according to the Federation, means serious delays and cancellations of chemotherapy that have led patients and doctors to despair. 

Many medicaments reach Greece but are then traded to other countries such as Germany who pay higher prices. Then there are medicines that are essential but so cheap that no company will import them to Greece. These should be covered by emergency imports, but the government agency responsible has no funds to pay for them and has stopped placing orders. At the same time, Greek commercial pharmacies are owed by the government, according to the Panhellenic Pharmaceutical Association (PFS), so many request payment for medication from patients up front.

“It is one thing to ask a patient to bring his own blanket to the hospital. And quite another to deny him a drug that means the difference between life and death.”

Persefoni Mitta, head of the Association of Cancer Patients in Macedonia and Thrace

In the case of refugees and migrants, there are even greater obstacles to access free medical care, especially since July 2019 when the right wing New Democracy party was elected. The new government refused to ascribe the Social Insurance Numbers (AMKA) to third country nationals. Medicines sans Frontiers (MSF) estimated in the beginning of this year that 55,000 protection seekers had remained without access to public health care, and specifically denounced the devastating situation for seriously sick children in the ‘hotspot’ of Moria.

“We see many children suffering from medical conditions, such as diabetes, asthma and heart disease, who are forced to live in tents, in abysmal, unhygienic conditions, with no access to the specialised medical care and medication they need.”

Dr Hilde Vochten, MSF’s medical coordinator in Greece

Only this month (April 2020) is a parallel system called PAAYPA supposed to function in which asylum seekers should be ascribed a temporary Social Insurance Number. It was announced that the system would start from 15 April onward but is not yet working as promised. 

Covid-19 has presented further barriers to healthcare as protection seekers reaching Greece must first register their claim for asylum in order to regularise their stay, and only then will they be eligible for a PAAYPA number. As the Greek Asylum Service has been closed since 13 March and will remain closed until at least 15th May, people seeking protection are unable to claim asylum. Therefore people with chronic and serious diseases may have to wait for months until they can access necessary healthcare. Until then, only emergency care is available.

Furthermore, for as long as protection seekers cannot claim asylum, they cannot access the cash allowance for asylum seekers, which means that they have to pay for all medicines themselves.

Protection seekers arriving from the land border in Evros region face a systematic lack of reception conditions as their asylum claims are usually not registered in the Reception and Identification centre (RIC) of Fylakio. Upon release they reach Thessaloniki or Athens themselves staying most of the times for weeks or months homeless.

At the same time, protection seekers arriving on the Aegean Islands are stuck among thousands of others in the infamous ‘hotspot’ camps of Moria (Lesvos), Vathy (Samos), Vial (Chios), on Leros and Kos living in highly precarious conditions in tents or overcrowded containers. Since recent changes in law, newcomers after March 2020 are regularly detained and face even greater gaps when it comes to accessing the public health care system.

UNHCR Greece highlighted the problems in Moria ‘hotspot’ recently:

“Abdul, 67, sitting on a stool outside his tent. In Afghanistan, Abdul had been diagnosed with lung cancer. Abdul said he had been treated with nothing more than paracetamol since arriving in the camp. Medical workers at Moria and the local hospital are overwhelmed. NGO and volunteer doctors work around the clock. Even so, often they can only attend to the most urgent emergency cases and even serious chronic conditions are left untreated.”

UNHCR, 21 February 2020

During the Covid-19 pandemic, Greece has declared a nationwide lockdown from 23 March 2020. Meanwhile asylum seekers and refugees cannot #stayathome but have to #stayinthecamp. Until today, three refugee camps on mainland Greece have been locked down for a 14-day-quarantine as residents were diagnosed with Covid-19. Human rights activists all over the world demand that we #leavenoonebehind and evacuate Greek refugee camps and release people from detention. Calls have grown loud to relocate unaccompanied minor refugees from Greece and the first 62 have travelled to Luxembourg and Germany.

We must also raise our voices for the families who have been separated between two countries, who are victims of borders and restrictive migration policies such as the ones of Germany, who is systematically rejecting family reunification requests for more than two years.

Severe delays in accessing the urgent examinations and the necessary medicines, in order to provide for the medical diagnostics and adequate therapy/surgery for cancer patients can cost human lives.

STOP CUTS IN PUBLIC HEALTH CARE!

PROVIDE HEALTH PROFESSIONALS WITH ALL THE TOOLS THEY NEED TO SAVE LIVES!

ACCESS TO FREE HEALTH CARE FOR ALL!

CLOSE THE CAMPS AND OPEN HOMES!

REUNITE ALL FAMILIES!