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DRAFT law Â° 83/XI Includes the Scalable to of the comparticipaÃ 1 Group BILL N. º 83/XI Includes the Scalable to of comparticipaÃ of the queratolÃ drugs and antipsoriÃ static for the patients with PsorÃ ase exhibition grounds psorÃ ase is a hiperproliferativa skin disease of unknown aetiology. This pathology, incurable and not contagious, shows a wide range in severity and distribution of injuries cutÃ ¢ µ s neas that you are the features. Men and women are affected equally. Most users of ase psorÃ ³ diagnosis occurs in the range in age between 20 and 40 years, but may arise at any stage of life, including the children. There are cases in which arises before the 15 years (27%); 10 (10%) before; before the 5 (6.5%) and before the two years (2%). The ase psorÃ usually affect multiple members of the same family. About 30% of patients have relatives who are also carriers of psorÃ ase. This chronic disease affects only 1% ³ 3% of the population. In Portugal, it is estimated that around 250,000 people suffer from psorÃ ase. Worldwide, the ase psorÃ affects more than 125 million µ s people. How is a disease that affects the skin, being enough vision, have profound effects psychological ³. Often the patient is traumatized with your look and feel with the reaction of the other 2 is your appearance. In fact, the µ s injury on the skin, which can look like scales, reddish spots or public stulas, lead, many times, that people have feelings of revulsion to the sick. This reaction is © aftermath, most of the occasion, the µ ignorance and lack of information. The stigma associated with the disease affects social life, family, emotional and psychological ³, and patient professional, conditioning the your daily life. The Neurologic µ that are features of this disease contribute to the increase of stress and other emotional disturbances, for your time, aggravate the situation of sick music fan. The appearance, extension, evolution and severity of neurologic µ s is associated psorÃ ase are very variable. These neurologic µ s preferentially affect your elbows, knees, lumbar region and scalp. However, in severe cases, these injuries µ s can cover large superfan cies of the body, including the face. Come to reach more than 90 percent of his body. About of 10% of patients develop psoriÃ arthritis, which has symptoms very similar to those of arthritis ³ reumatÃ ide. PsoriÃ arthritis practice translates into pain and deformity and small as large wall joints of µ s. This type of Pathology causes sometimes situation µ s notoriously invalidantes. According to the first national study on the impact of ase psorÃ on quality of life of patients, promoted by the Portuguese Association of PsorÃ ase (PSOPortugal), over a quarter of patients have other associated diseases, such as diabetes, high cholesterol, high blood pressure and depression. There are several types of PsorÃ ase. A really sick, and at different times of your life, can appear different types of psorÃ ase. Although the psorÃ ase be incurable, patients ' quality of life greatly improves due to the proper treatment of the disease, which is critical to reduce or inhibit the development of symptoms and prevent infection µ s minor. There is not a definitive cure for the psorÃ ase, but a varied set of treatments. The therapeutic to be taken depends on the type of psorÃ ase diagnosed and the features of the building itself sick ³. 3 the sum spent on buying medicines and creams, loÃ µ s and champÃ € ™ s ´ for treatment of psorÃ ase is quite considerable, reaching around 2,000 â € annually and, in some cases, exceeding even the 3,000 â ¬. In addition to these values the money spend on the food, which is essential in the case of these patients. The medications used to treat PsorÃ ase, used in more than 70% of cases, are reimbursed by the scalable C (37%), while the creams, the µ s loÃ and ´ champÃ don't have any kind of comparticipaÃ. The title for example, Calcipotriol betamethasone + tube of 60 g, for which there is no generic medicine Rico of substance in the therapeutic ProntuÃ utico, costs 48, 93â €, while a blister pack of 50 units of Acitretin 25 mg 60, costs of 24â €. Both medicines are currently reimbursed at 37%. According to the representative of the Portuguese Association of PsorÃ ase (PSOPortugal), John Cunha, "every day come reports of desperate people because they can not buy the medicines". Many patients have come to discontinue treatment, which causes a worsening of your disease, by not having the capacity to cope with the costs is therapeutic. The comparticipaÃ of medicines antipsoriÃ static application so ³ pica and systemic action © mica the 95% (scalable to) is a matter of social justice and public health. And even reasonable economic ³ mica. Therapy with drugs ³ gicos, whose biological expense amounts to 500â € monthly 1, and which is applied over a minimum of nine months a year, is vying to 100% by the State, which implies a high cost to the public Treasury is public. The comparticipaÃ of medicines antipsoriÃ static application so ³ pica and systemic action © mica the 95% representarÃ are well below expenditure for the State. This measure will also ensure the timely and rigorous treatment of the ase psorÃ that, for your time, if will translate into improvement of µ s condition of patients ' health. Soon, there is a subsequent © by increasing the number of cases of patients with a situation of aggravated health and, consequently, the decline of the number of patients requiring resort to biological drugs ³. Is unacceptable delay this measure, under the risk of perpetuating a situation of deep 4 discrimination and to contribute to the deterioraÃ of the quality of life of these patients, alongside the increased expense of the public Treasury to public.
Thus, under the wrapping µ s constitutional and applicable regulations, the Members and the Members of the Left block, present the following draft law: Article 1. º Subject this diploma in Scalable to of comparticipaÃ of the queratolÃ and antipsoriÃ medicines, of application have pica and systemic © ³ mica, when targeted at patients with PsorÃ ase.
Article 2. Â° ComparticipaÃ of medicines in Scalable to are reimbursed by the Scalable, as provided for in Decree-Law No. 118/92 Â, of 25 June, on redacÃ of your current, provided that the physician prescriber expressly mention in the recipe the present diploma, and are prescribed for the PsorÃ ase (L40), according to the sort feature international EstatÃ diseases and health problems (ICD-10) , the following medicines: the queratolÃ and antipsoriÃ medicines) static application so ³ pica; b) medicines queratolÃ and antipsoriÃ static of systemic application © mica.
5 Article 3. º entry into force the present law shall enter into force with the approval of the budget of subsequent State is your publication.
Lisbon, Potala are Benedict, 26 November 2009 The Members and members of left-wing Block
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