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In a press briefing on Sunday, the spokesperson of the Ministry of Health and Population, Dr. Jageshwor Gautam, said, ‘Only the categories separated by government; will be helped by government. The announcement added to the public’s anxiety. The government has come up with a clear policy for the people – test for Covid 19 and treat it at your own expense. Although the scope of PCR testing has been reduced, the government has taken an unfortunate decision to increase the number of infected people and not to reassure the people. The government tried to avoid the health protection of the citizens while the doctors warned that the situation could get worse as the shoppers for Dashain ignored the health protocol and the number of people going to crowded places increased. When the people’s representatives from the parliament to the lower level understood the tithe allowance during the epidemic, the government gave a gift to the citizens on the tithe – the government cannot take responsibility for the treatment of covid. Many slammed the communist government’s decision to share the dream of a socialist-oriented state. Criticism on social media, political parties have urged to correct the decision. However, the government is not thinking of reversing its decision. Therefore, questions have arisen and pressure has increased on the government to reverse the decision. Perhaps not only the opposition but also the leaders of the CPN (Maoist) have demanded the government to convene a meeting with the opposition and experts for a serious review. Some small parties have warned to agitate if the decision is not correct. Although the Supreme Court has ordered a free investigation, the government has not considered it necessary to listen. The National Human Rights Commission (NHRC) has urged the government to ensure the constitutional right of citizens to health by providing free health care to Corona-infected patients. The commission has pointed out that the government should not go against the provisions of the constitution and the act. Senior leaders of the ruling party have criticized the government’s decision. Former Prime Minister and senior CPN (Maoist) leader Madhav Kumar Nepal has also demanded the government to immediately reverse the discriminatory, irresponsible and unaccountable decision taken to create more terror among the people. “Such a decision is totally inappropriate as the state should be with us as guardians of all citizens in times of crisis,” he said. The government cannot abdicate its responsibility to treat all citizens equally during such an epidemic. It is also a serious matter that the government should not be too sensitive to the problems of the poor, destitute and economically disadvantaged, helpless and economically disadvantaged people, ‘Nepal said in a statement on Tuesday. I strongly urge the government to immediately reverse this discriminatory, irresponsible and unaccountable decision taken to create more terror among the common people by treating all citizens. ‘The all-round crisis created by Covid-19 is deepening. We all have the responsibility to control and manage it and basically the government. It is also clear that this is an epidemic and a global phenomenon that cannot be solved immediately by our own will. However, none of us can shirk our responsibilities,” said CPN (Maoist) spokesperson Narayan Kaji Shrestha. He suggested to the government, “The government needs to review its policies, plans and decisions so far, taking into account its responsibilities and relevant legislation, and take immediate steps to make them more effective.” At the same time, all political parties and all sections of the society should cooperate in this. It would be appropriate for the government to convene a meeting of political parties and experts, including the opposition, as soon as possible. The Congress has urged the government to take special measures to protect the people from the epidemic by providing free corona testing and treatment. “Congress has taken the decision of the current government, which is proving to be a failure to protect the people from the Corona epidemic, from taking responsibility for testing and treatment as a very serious act of responsibility,” said Congress spokesperson Vishwaprakash Sharma in a statement. And, the Congress has a question, ‘It is the duty of the government to shoulder the responsibility of all, considering the impact Corona has had on the economic life of the people. Even in accordance with the legal provisions for the treatment of infectious diseases, the government cannot shirk its responsibilities. Since the government has not complied with the Supreme Court’s order to make arrangements for free some time ago, who will listen to the government if the people, media, opposition and the court do not listen to anyone? The question has arisen. The Congress has said that “there is a terrible question mark in the intellectual and material existence of the government”. He said the uncertainty at Covid Hospital, delays in preparing community isolations, lack of ventilators, black market of remediators, unorganized quarantine and even a policy on corpse management have raised serious questions about the government’s “intellectual and physical existence”. It has been confirmed that the government itself is determined to end the illusion that there is a government in the country after it has shied away from the responsibility of treatment. Former Prime Minister and JSP leader Baburam Bhattarai has a question, ‘Corona treatment cost do yourself. Go to the hospital as soon as you are unconscious. Unemployed workers return to the village crying. Workers returning from India go hungry and return to India on the eve of Dashain. Do whatever the students who have been stranded for months after the school-college closure. Surrounding commissions and allowances as burp. Why such a government is needed? A press statement issued by the CPN (Revolutionary Maoist) led by Mohan Vaidya said, “The government’s decision to conduct the examination, treatment and management of the corpses of those infected with Covid-19 is a play on public health.” This is against the belief that basic health is a fundamental right of a citizen. In a critical situation, it is necessary to raise a strong voice against corruption, irregularities and public health games, demanding the repeal of the decision taken by the government. The common party has demanded the government to immediately rectify such a decision against the provision of the fundamental right of every citizen to get free basic health care from the state and even the recent order of the Supreme Court. His question is, “How can a government led by Prime Minister KP Oli, which has spent millions of rupees from the state treasury for its treatment in Nepal and abroad for years, run away from its constitutional obligation by arguing insensitively and irresponsibly that the state cannot afford the treatment of citizens during the Great Depression?” Spokesperson of the masala Ram Prakash Puri said that the government’s announcement that it would not take responsibility for the treatment and that the patients themselves should take responsibility for it was irresponsible. The government has demanded to take back its decision and declaration and provide services to the people by making all-accessible, scientific and appropriate arrangements for the control and treatment of Kovid-19. Twenty-one political organizations have warned against the government’s announcement that the government will not be responsible for the treatment of Kovid-19 and the patients will have to take responsibility for it. CP Gajurel said in a statement, “If the decision is not overturned within three days, we will be forced to take to the streets to protest against the Kovid-19 epidemic.” What is the effect? Former health minister and Congress MP Gagan Thapa says, “After Sunday’s decision, there is no difference between the people and the government.” In a democratic setup, there is no place to go below this. No one could have imagined such a thing. Now the citizens have started debating why they should pay taxes. The government’s decision sent a message that I was not in trouble. Meaning there was a crisis of faith. It is very difficult to play a basic role in such a crisis. According to the Ministry of Health, the number of isolation beds in the country is only 19,745. The Ministry of Health had earlier urged everyone not to come to the hospital until they were unconscious as the number of infected people was more than the number of isolated beds. Similarly, the government urges even the asymptomatic infected to stay at home. 27,000 infected people are living in their homes. However, addressing a regular corona media briefing organized by the ministry on Tuesday, Health and Population Minister Bhanubhakta Dhakal claimed that the health infrastructure was ready to treat all the citizens. At present, there are 956 covid ICU beds and 410 ventilators. This is a worrying point in itself. Infected people with serious illnesses is more concerned about the lack of ICU beds and ventilators. Lack of it can increase mortality. As of Tuesday, 765 people had died due to cobwebs. So far, the number of infected has reached 139,129. The number of those who have recovered is 96,609. At the same time, the number of active infected people has reached 41,755 so far. Many infected people are at risk of dying without a ventilator. The government has not considered it necessary to comply with the recent Supreme Court order to make arrangements for free. Political power, civil society and the media have questioned the government’s policy. No attention has been paid to the investigation of the scandal linked to Covid-19. However, the government also says – test the corona yourself, the cost of treatment yourself. This begs the question: what does the government do for the people? And, together, another question naturally arises: what is more important to the government than the lives of the people?
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बविता शर्मा कान्तिपुर दैनिक पत्रपत्रिकावाट ५ कार्तिक २०७७, बुधवार काठमाडौँ — आइतबारको प्रेस ब्रिफिङ्मा स्वास्थ्य तथा जनसंख्या मन्त्रालयका प्रवक्ता डा.जागेश्वर गौतमले ‘आर्थिक रूपमा विपन्न, अशक्त तथा असहाय अवस्थामा रहेका नागरिक, असहाय एकल महिला, अतिअपांगता भएका नागरिक, ज्येष्ठ नागरिक, अग्रपंक्तिमा खटिने स्वास्थ्यकर्मी, सरसफाइ कर्मचारी, सुरक्षाकर्मी लगायतको मात्रै सरकारले परीक्षण र उपचार गर्ने’ बताएपछि सर्वसाधरणमा भयानक चिन्ता थपियो । जनताका लागि सरकारको स्पष्ट नीति आयो– कोभिड १९ लागे आफैं परीक्षण गर र आफ्नै खर्चमा उपचार गर । पीसीआर परीक्षणको दायरा घटाइएको भए पनि संक्रमितको संख्या दिनहुँ बढ्दै गएको अवस्थामा सरकारले जनतालाई विश्वास दिलाउने होइन थप त्रसित पार्ने दूर्भाग्यपूर्ण निर्णय लियो । दसैँका लागि किनमेल गर्नेले स्वास्थ्य प्रोटोकल बेवास्ता गरेको र भिडभाडयुक्त ठाउँमा जाने क्रम बढेकाले स्थिति अझ भयावह हुन सक्ने चिकित्सकहरूले चेतावनी दिइरहेका बेला सरकार नागरिकको स्वास्थ्य सुरक्षालाई लिएर पन्छिन खोज्यो । सांसददेखि तलैसम्मका जनप्रतिनिधिले महामारीका बेला दसैँ भत्ता बुझेको बेला सरकारले नागरिकलाई दसैँमा उपहार दियो–कोभिड उपचारमा सरकार जिम्मा लिन सक्दैन । समाजवादउन्मुख राज्यको सपना बाँडिरहेको कम्युनिष्ट सरकारको यो निर्णयलाई लिएर धेरैले जिब्रो टोके । सामाजिक संजालमा आलोचना भयो, राजनीतिक पार्टीहरुले निर्णय सच्चाउन आग्रह गरेका छन् । तर, सरकार आफ्नो निर्णयबाट दायाँबाया गर्ने सोचमा छैन् । त्यसैले प्रश्न उठेका छन् र निर्णय फिर्ताका लागि सरकारमाथि दबाब बढेको छ । सरकारको नीति र नियत बुझेरै होला विपक्षीले मात्र होइन नेकपाकै नेताहरुले समेत गम्भीर समीक्षाका लागि विपक्षी र विज्ञसहितको बैठक बोलाउन सरकारसँग माग गरेका छन् । कतिपय साना दलले निर्णय नसच्चाए आन्दोलन गर्ने चेतावनी दिएका छन् । सर्वोच्च अदालतले निःशुल्क जाँच गर भनेर आदेश दिएको भए पनि सरकारले त्यसलाई सुन्न जरुरी ठानेको छैन । सत्तारुढ दलकै वरिष्ठ नेताहरुले सरकारको निर्णयको आलोचना गरेका छन् । पूर्वप्रधानन्त्री तथा नेकपा वरिष्ठ नेता माधवकुमार नेपालको पनि ‘सबै नागरिकको उपचार गर्नुपर्नेमा आम नागरिकमा थप आतंक सिर्जना हुने गरी गरिएको उक्त विभेदकारी, गैरजिम्मेवार र जनताप्रति अनुत्तरदायी निर्णय अविलम्ब फिर्ता लिन’ सरकारसँग माग गरेका छन् । ‘संकटका बेला राज्य सबै नागरिकको अभिभावकका रुपमा साथमा रहनुपर्ने बेलामा भएको यस्तो निर्णय विल्कुल अनुचित छ । यस्तो महामारीका बेला सबै नागरिकलाई समान रुपमा उपचार गराउनुपर्ने दायित्वबाट सरकार विमुख हुन मिल्दैन । त्यसमा पनि गरीबी, अभाव र बेरोजगारीले पिल्सिएका, बेसहारा तथा आर्थिक रुपमा विपन्न नागरिकको समस्याप्रति सरकार अत्यन्त संवेदनशील हुनुपर्नेमा नहुनु गम्भीर विषय हो,’ मंगलबार नेता नेपालले विज्ञप्तिमार्फत् भनेका छन्, ‘संक्रामक रोगसम्बन्धि हाम्रा विद्यमान कानुनी प्रावधानहरुले पनि सरकारलाई यो दायित्व सुम्पिएका छन् भन्ने कुरालाई ध्यानमा राखी सबै नागरिकको उपचार गर्नुपर्नेमा आम नागरिकमा थप आतंक सिर्जना हुने गरी गरिएको उक्त विभेदकारी, गैरजिम्मेवार र जनताप्रति अनुत्तरदायी निर्णय अविलम्ब फिर्ता लिन म सरकारसँग जोडदार माग गर्दछु ।’ ‘कोभिड–१९ ले उत्पन्न गरेको चौतर्फी संकट गहिरिँदै गएको छ । यसको नियन्त्रण तथा व्यवस्थापनको जिम्मेवारी हामी सबैको हो र, मूलतः सरकारको हो । यो महामारी र विश्वव्यापी परिघटना भएकाले हामीले मात्र चाहेर तुरुन्त समाधान गर्न सकिने स्थिति हुँदैन भन्ने कुरा पनि स्पष्टै छ । तर, हामी कसैले पनि आफ्नो जिम्मेवारीबाट पञ्छन मिल्दैन,’ नेकपा प्रवक्ता नारायणकाजी श्रेष्ठको भनाई छ । उनको सरकारलाई सुझाव छ, ‘सरकारले आफ्नो दायित्व र सम्बन्धित ऐनलाई ध्यान दिँदै अहिलेसम्मका नीति, योजना र निर्णयहरुलाई पुनरावलोकन गरी थप प्रभावकारी बनाउन तत्काल कदम चाल्नु पर्ने आवश्यकता छ । साथै सबै राजनीतिक पार्टीहरु र समाजका सबै पक्षले यसमा सहयोग गर्नु पर्दछ । सरकारले यथाशीघ्र प्रतिपक्षी पार्टी लगायतका राजनीतिक पार्टीहरु र बिज्ञहरुको बैठक बोलाई परामर्श गर्नु उचित हुनेछ ।’ कांग्रेसले कोरोना परिक्षण र उपचार निःशुल्क रूपमा गरेर महामारीबाट जनतालाई जोगाउन बिशेष संवेदनशीलताका लागि सरकारलाई आग्रह गरेको छ । ‘कोरोना महामारीबाट जनतालाई जोगाउन असफल प्रमाणित भइरहेको वर्तमान सरकारले परिक्षण र उपचारको दायित्वबाट पन्छिन गरेको निर्णयलाई कांग्रेसले अत्यन्तै गैह्र जिम्मेवार ब्यवहारका रूपमा लिएको छ,’ कांग्रेस प्रवक्ता विश्वप्रकाश शर्माले जारी गरेको विज्ञप्तिमा छ । र, कांग्रेसको प्रश्न छ, ‘कोरोनाले जनताको आर्थिक जीवनमा परेको असर दृष्टिगत गरेर सबैको दायित्व सम्हाल्ने कर्तव्य सरकारको हो । संक्रामक रोग उपचारको कानूनी व्यवस्थाअनुरुप पनि सरकार जिम्मेवारीबाट पन्छिन मिल्दैन । सर्वोच्च अदालतले केही अघि निःशुल्क रूपमा प्रबन्ध मिलाउन दिएको आदेशसम्म सरकारले पालना नगर्नुले जनता, मिडिया, प्रतिपक्ष, अदालत कसैको पनि नसुन्ने सरकार कसको सुन्छ ? भन्ने प्रश्न उब्जिएको छ ।’ कांग्रेसले ‘सरकारको बौद्धिक र भौतिक दुवै अस्तित्वमा भयानक प्रश्न चिन्ह’ खडा भएको बताएको छ । उसले भनेको छ, ‘कोभिड अस्पतालको अनिश्चितता, सामुदायिक आइसोलेसनहरु तयार गर्न ढिलाइ, भेन्टिलेटर अभाव, रेमडिसिभरको कालोबजारी, अव्यवस्थित क्वारेन्टाइन र शव व्यवस्थापनमा सम्म लहडको नीतिले ‘सरकारको बौद्धिक र भौतिक दुवै अस्तित्वमा भयानक प्रश्न चिन्ह’ खडा गरिसकेको छ । उपचारको दायित्वबाट पन्छिए पश्चात् त ‘देशमा सरकार छ’ भन्ने बचेखुचेको भ्रमको अन्त्य गर्न सरकार आफै उद्दत रहेको पुष्टि भएको छ ।’ पूर्वप्रधानमन्त्री एवं जसपा नेता बाबुराम भट्टराईको प्रश्न छ, ‘कोरोना उपचार खर्च आफैं व्यहोर । बेहोस भएमात्रै अस्पताल जाऊ । बेरोजगार श्रमिक रूँदै गाऊँ फर्क । भारतबाट फर्केका श्रमिक भोकै परेपछि दसैँको मुखमा भारततिरै फर्क । महिनौंदेखि स्कूल–कलेज बन्द भएर अलपत्र परेका विद्यार्थी जेसुकै गर । आसेपासेहरू कमिसन र भत्ता डकार । यस्तो सरकार किन चाहियो ?’ मोहन वैद्य नेतृत्वको नेकपा (क्रान्तिकारी माओवादी) को प्रेस वक्तव्यमा छ, ‘कोभिड–१९ बाट संक्रमितहरुको परीक्षण, उपचार तथा शव व्यवस्थापन सबै आफैंले गर्नुपर्ने भन्ने सरकारको निर्णय जनस्वास्थ्यप्रति गरिएको खेलवाड हो । यो आधारभूत स्वास्थ्य नागरिकको मौलिक हक हो भन्ने मान्यताविरुद्ध छ । गम्भीर स्थितिमा सरकारले गरेको उक्त निर्णय खारेजीको माग गर्दै भ्रष्टाचार, अनियमितता र जनस्वास्थ्यप्रतिको खेलवाडका विरुद्ध दरो आवाज उठाउन जरुरी छ ।’ साझा पार्टीले ‘हरेक नागरिकले आधारभूत स्वास्थ्य सेवा राज्यबाट निःशुल्क पाउने संविधानको मौलिक हकको व्यवस्था र सर्वोच्च अदालतको हालैको परमादेशसमेत विरुद्धको यस्तो निर्णय तत्काल सच्च्याउन’ सरकारसँग माग गरेको छ । उसको प्रश्न छ, ‘वर्षौँदेखि नेपाल तथा विदेशमा गरिएको आफ्नो उपचारमा राज्यकोषबाट पटकपटक करोडौँ खर्च गरेका प्रधानमन्त्री केपी ओलीको नेतृत्वमा रहेको सरकार महाव्याधिका बेला नागरिकको उपचार खर्च राज्यले धान्न सक्दैन भन्नेजस्तो असंवेदनशील र गैह्रजिम्मेवारपूर्ण तर्क गरेर आफ्नो संवैधानिक दायित्वबाट कसरी भाग्न सक्छ ?’ मसालका प्रवक्ता रामप्रकाश पुरीले उपचारको जिम्मेवारी नलिने र विरामी आफैंले यसको जिम्मा लिनुपर्ने सरकार घोषणा गैरजिम्मेवारीता नाङ्गो रुप भएको बताएका छन् । सरकारले आफ्नो निर्णय र घोषणालाई फिर्ता लिएर कोभिड–१९ को नियन्त्रण र उपचारको सर्वसुलभ, वैज्ञानिक र समुचित व्यवस्था मिलाइ जनतालाई सेवा उपलब्ध गराउनुपर्ने मसालको माग गरेको छ । ‘अहिलेसम्म कोभिड–१९ को उपचार खर्च सरकारले व्यहोर्दै आएकोमा अब आइन्दा उक्त उपचारको जिम्मेवारी नलिने, बिरामी आफैंले यसको जिम्मा लिनुपर्ने’ सरकारको घोषणाविरुद्ध आन्दोलन गर्ने २१ राजनीतिक सङ्गठनहरुको चेतावनी छ । सीपी गजुरेलले जारी गरेको विज्ञप्तीमा छ, ‘यदि तीन दिनभित्र यो निर्णय खारेज गरिएन भने यसको विरोधमा हामी कोभिड–१९ को महामारीको पनि परवाह नगरी सडकमा उत्रन बाध्य हुनुपर्ने कुरा पनि यसै साथ जानकारी गराउन चाहन्छौं ।’ यसको असर के होला ? पूर्वस्वास्थ्य मन्त्री एवं कांग्रेस सांसद गगन थापा भन्छन्, ‘आइतबारको निर्णयपछि सरकार हुनु र नहुने कुराको नागरिकलाई केही पनि फरक छैन । एउटा प्रजातान्त्रिक सेटअपमा योभन्दा तल जाने ठाउँ नै छैन । यस्तो कसैले कल्पना गरेको हुँदैन । अब नागरिकले कर किन तिर्ने भन्ने बहस सुरु गरेका छन् । सरकारको निर्णयले अप्ठ्यारोमा सरकार मसँग छैन भन्ने सन्देश गयो । मतलब ठूलो विश्वासको संकट भयो । यस्तो संकटमा आधारभूत भूमिका पुरा गर्न धेरै गाह्रो हुन्छ ।’ स्वास्थ्य मन्त्रालयका अनुसार देशभर आइसोलेसन बेडको संख्या १९ हजार सात सय ४५ मात्रै छ । आइसोलेसन बेडभन्दा संक्रमितको संख्या बढी भएपछि स्वास्थ्य मन्त्रालयले यसअघि नै बेहोस नहुँदासम्म अस्पताल नआउन सबैलाई आग्रह गरेको थियो । त्यस्तै, लक्षणविहीन संक्रमितलाई समेत घरमा बस्न सरकारको आग्रह छ । २७ हजार संक्रमित घरमै बसेका छन् । यद्यपि मन्त्रालयले मंगलबार आयोजना गरेको नियमित कोरोना मिडिया ब्रिफिङमा सम्बोधन गर्दै स्वास्थ्य तथा जनसंख्यामन्त्री भानुभक्त ढकालले सबै नागरिकहरूको उपचार गर्न सक्ने गरी स्वास्थ्य पूर्वाधारहरू तयारी अवस्थामा रहेको दावी गरेका छन् । अहिले कोभिड आइसियू बेड ९ सय ५६ र भेन्टिलेटर ४ सय १० छन् । यो आफैंमा चिन्ताजनक अंक हो । गम्भीर बिरामी परेका संक्रमितलाई आइसियू बेड र भेन्टिलेटरको अभाव हुन्छ कि भन्ने ठूलो चिन्ता छ । यो अभावमा मृत्यदर बढ्न सक्छ । मंगलबारसम्म ७ सय ६५ जनाको कोभिडका कारण ज्यान गइसकेको छ । हालसम्म १ लाख ३९ हजार १ सय २९ संक्रमित संख्या पुगेको छ । निको हुनेको संख्या ९६ हजार ६ सय ९ छ । योसँगै देशभरी सक्रिय संक्रमितको संख्या हालसम्म ४१ हजार ७ सय ५५ पुगेको छ । धेरै संक्रमितको भेन्टिलेटर नपाएर मृत्यु हुने खतरा छ । सर्वोच्च अदालतले केहीअघि निःशुल्क रूपमा प्रबन्ध मिलाउन दिएको आदेशसम्म सरकारले पालना गर्न सरकारले आबश्यक ठानेको छैन । राजनीतिक शक्ति, नागरिक समाज र संचारजगतले सरकारको नीतिमाथि प्रश्न उठाएका छन् । कोभिड–१९ सँग जोडिएर आएका काण्डैकाण्डको छानविनमा ध्यान छैन । तर, पनि सरकार भन्छ– कोरोनको आफैं परीक्षण गर, आफैं उपचार खर्च ब्योहोर । यस्तोमा प्रश्न उठ्छ– जनताका लागि सरकारले के गर्छ ? र, सँगै अर्को प्रश्न स्वभाविक हुन्छ– जनताको जीवनभन्दा सरकारका लागि ठूलो कुरा के हुन्छ ?