I lived in Germany two decades ago and a reflection has followed me since then: what was the German’s next day like, the one who could not emigrate, with his city – say Cologne – completely destroyed? This reflection became all the stronger, the more I saw it, about 50 years later, completely reconstructed and thriving.

We must face the covid-19, although without all the structure and knowledge. We must learn to live one day at a time, incrementally. With each relevant new fact, we will change our approach, as there is no miracle solution yet. Fortunately!

If the short term is imposed on us, for reasons of survival to the coronavirus, how will we do with the medium / long term, after an unprecedented discontinuity like this? We are at a breaking point, bringing this new normal to the center of attention, full of doubts, risks (fears) and opportunities (hopes).

As Peter Drucker said – “We cannot predict the future, but we can create it” – it is time for great leaders to choose a list of converging themes, many of them lurking for some time, but lacking the impetus to be put into practice. In our health sector, critical issues need to be brought to the fore, such as: 

– renewed concept of safety care;

– national industry of critical items;

– new communication tools – the virtual becoming real?;

– rethought consumption pattern – is there an elective in health?;

– a more balanced business model, in short.

Specifically in our country, we are experiencing a crisis that exposes the struggle between the public and the private. And it comes from everywhere – right or left. In a crisis like this, ideological issues have less relevance than science notes. In a crisis like this, there is no room for opportunistic agendas, which further deepen the fiscal difficulties we are experiencing. In this context, I highlight the work of the supplementary health sector, which has shown its great capacity for reaction and also the willingness to support the public sector, helping it in the coordination and assembly of the arsenal to fight the epidemic.

In conclusion, I think we should not miss the chance to look at our inefficiencies and disabilities. We have to let ourselves be inspired, once and for all, by several peoples who have gone through great tragedies – natural or wars – and who had to courageously redo their list of priorities, with a view to the reconstruction of a dream, not waiting for miracles or even looking for shortcuts. We need to look ahead to practical education, preventive health care and the area of new technologies, which can elevate our country to the position of a relevant player in this new world, where distances have practically been obliterated by communication at the speed of light.

Paulo Barreto

Executive Director of Hospital São Lucas – SE

Digital Assessment – IQG

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