For several years, Entrar Afuera has focused on the intersections between public institutions and community lead practices. What happens when an institution opens up and drops its permanent control over processes, protocols, workers and users? It is probably in these rare occasions when people experiment a more expanded, democratic and open relation towards public institutions. … Sigue leyendo Laboratory of Community Health Practices
Cosa ha significato e significa partecipazione nel percorso basagliano? Consiste nella radicale trasformazione delle istituzioni, della cultura e della società in cui si collocano e a cui contribuiscono a dare forma, per perseguire obiettivi di salute e giustizia sociale.
Una intervista che prova a ricorrere la deinstituzionalizzazione del manicomio: l'esperienza diretta dell’istituzione totale; la sua chiusura; l'invenzione di nuove pratiche e nuove istituzioni; fino al precipizio del nostro presente.
A petición de Cristina Vega, que estaba compilando un libro sobre las intersecciones entre cuidados, comunidad y común, tradujimos al castellano extractos de una entrevista que Giovanna Gallio le realiza a Franco Rotelli sobre el sistema sanitario triestino, así como un Manifiesto por la ciudad social, como ese horizonte que inspira la práctica sanitaria de las Microáreas.
Rethinking care profoundly implies a complex and demanding exercise, which involves comprehending anew connections, and connections_with_others, practicing the _with_. The alternative health service in Trieste that works with micro areas is a very good example how care could be practiced differently as a democratic living together.
There are different models: on one side Trieste, with an extraordinary accumulation of knowledge and experience in the field of health, which is currently confronted with the national restriction of welfare, with political and administrative interlocutors that aren’t especially friendly, and recently with the social situation in which we lack movements that might allow us to play in new ways with the relationship between the inside and the outside of the institutions; on the other side there are the Greek experiences, which are extraordinarily capable of innovation in the field of what Rotelli calls the “contraptions”, the “artefacts”, the “engineering”. However, these kinds of experiences are born and develop out of absolute emergencies, so their longevity is always in question.
I am always astonished when I speak with a young doctor and I ask him what he does. And he explains it. If you ask him about the context in which a certain practice is enacted, either he knows nothing, or he refuses to know. Sometimes he has a vague notion of it. But there is nothing more overdetermined than what happens in the field of health: huge institutional assets, big economic interests, powerful professional corporations. And then there are the citizens as users of the services, who are what should matter in all this. There are enormous issues on a political, organisational, administrative and cultural level revolving around this doctor doing his work. But he is unaware of all of this.
Sari Massiotta. Whether it is possible or not to rethink territorial health care policies and care practices from within the institutions today depends principally upon the institutions’ own ability to put themselves at risk: to move through urban life and the perception of the forms of social life that articulate care. Instead of trying to make life orderly and reify health through technical assistance, the workers would become fellow-residents articulating an internal tension, critical of the public institutions’ capacity to act.
Monica Ghiretti. The transformation of the institution also entails the experience of those who, at the threshold between the city and the institution, start experimenting: those who open the doors of institutional spaces, challenge the codes of the institution and therefore their own identities. The worker puts his or her own power at risk, but in so doing doesn't turn away from his or her institutional responsibilities to the city. The worker moves through the territory every day, constructing a practice of health based on initiative rather than a medical system of waiting.
Margherita Bono. The Trieste model’s ability to construct different ways of working derives not only from being inside the complexities of everyday urban life, but rather from the force of disarticulation that invades the institutional character of the institution itself. Breaking down the separations between the different segments of the State, forcing them to talk amongst themselves, to rethink themselves, and to lose themselves in the midst of the problems. If you look closely enough, no one is normal.