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{"id":225,"date":"2015-04-09T19:28:00","date_gmt":"2015-04-09T19:28:00","guid":{"rendered":"http:\/\/assistansbloggen.se\/?p=225"},"modified":"2015-04-09T19:28:00","modified_gmt":"2015-04-09T19:28:00","slug":"nar-kommunen-ser-pengar-istallet-for-den-enskilde-individen","status":"publish","type":"post","link":"http:\/\/assistans.tv\/blogg\/2015\/04\/09\/nar-kommunen-ser-pengar-istallet-for-den-enskilde-individen\/","title":{"rendered":"N\u00e4r kommunen ser pengar ist\u00e4llet f\u00f6r den enskilde individen"},"content":{"rendered":"

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Dagens inl\u00e4gg forts\u00e4tter i samma stil som ig\u00e5r med tankar och reflektioner kring det som h\u00e4nder rakt framf\u00f6r \u00f6gonen. Dagens inl\u00e4gg handlar om n\u00e4r jag och min kollega \u00c5sa en g\u00e5ng f\u00f6ljde med en klient till ett m\u00f6te hos en kommun.<\/p>\n
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Klienten \u00e4r ett litet barn som har behov av assistans dygnet runt. Jag t\u00e4nker inte g\u00e5 in allt f\u00f6r detaljerat p\u00e5 behoven utan mer \u00f6vergripande. Om det inte g\u00f6rs kontinuerliga kontroller av klientens v\u00e4rden varje halvtimme och att \u00e5tg\u00e4rder s\u00e4tts in efter dessa kontroller, leder det till att klienten f\u00e5r best\u00e5ende hj\u00e4rnskador, och i v\u00e4rsta fall till att klienten d\u00f6r. Det \u00e4r tack vare att klienten har assistans dygnet runt som n\u00e5got av detta inte har skett.<\/div>\n
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M\u00f6tet hos kommunen handlade om en ompr\u00f6vning av ans\u00f6kan om personlig assistans. Under m\u00f6tet fick vi tr\u00e4ffa tv\u00e5 handl\u00e4ggare fr\u00e5n kommunen som st\u00e4llde fr\u00e5gor i likhet med vilka f\u00f6r\u00e4ndringar som hade skett sen senaste m\u00f6tet. Till en b\u00f6rjan var det inga konstigheter d\u00e5 de \u00e4ven sj\u00e4lva var medvetna om klientens behov av assistans. Men efter ett tag b\u00f6rjar m\u00f6tet ta en annan v\u00e4ndning, fokus flyttas fr\u00e5n klienten och dennes behov, till att handla om pengar (!) d\u00e5 handl\u00e4ggaren tar upp de besparingskrav som kommunen har. Handl\u00e4ggarna b\u00f6rjar f\u00f6rklara att de \u00e4r i ett sv\u00e5rt l\u00e4ge d\u00e5 besparingskraven \u00e4r s\u00e5 h\u00f6ga och trots att de ser behoven s\u00e5 menar de p\u00e5 att vi m\u00e5ste vara medvetna om att dessa krav finns. Urs\u00e4kta mig, men hur sjukt \u00e4r inte det att vid ett s\u00e5dant h\u00e4r m\u00f6te d\u00e4r en ans\u00f6kan om personlig assistans ska g\u00e5s igenom hamnar i en diskussion om besparingar.<\/div>\n
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Att kommuner har olika besparingskrav p\u00e5 sig \u00e4r inte chockerande i sig, s\u00e5 \u00e4r det nog hos de allra flesta kommuner runt om i landet. \u00d6verallt ska det f\u00f6rs\u00f6kas dras in p\u00e5 b\u00e5de det ena och det andra. Men det \u00e4r m\u00e4rkligt hur man kan sitta och dra upp en s\u00e5n sak n\u00e4r det g\u00e4ller en ans\u00f6kan om personlig assistans. Klienten behov av assistans f\u00f6r\u00e4ndras inte f\u00f6r att kommunen m\u00e5ste spara pengar. R\u00e4tten till personlig assistans f\u00f6r\u00e4ndras inte heller bara f\u00f6r att kommunen m\u00e5ste spara pengar! Lagen \u00e4r densamma oavsett besparingar eller inte. Det enda som f\u00f6r\u00e4ndras i det h\u00e4r l\u00e4get \u00e4r kommunens s\u00e4tt att se p\u00e5 behoven, ist\u00e4llet f\u00f6r att se den enskilda individen ser de pengar!<\/div>\n
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En annan sak som man kan ha i \u00e5tanke n\u00e4r man pratar om besparingar och sedan kopplar det till vilka resurser som det g\u00e5r att ge den enskilda individen \u00e4r kortsiktigheten vs. l\u00e5ngsiktigheten av besparingar. Som sagt s\u00e5 tycker jag inte \u00f6verhuvudtaget att man ska beh\u00f6va prata pengar, men n\u00e4r diskussion har hamnat i det h\u00f6rnet s\u00e5 b\u00f6r \u00e4nd\u00e5 denna aspekt av l\u00e5ngsiktighet tas upp. Vad leder besparingskrav till i detta fall om den personliga assistansen beh\u00f6ver sk\u00e4ras ner? Jo det leder till att kommunen sparar pengar just det \u00e5ret, eller n\u00e4sta \u00e5r. Men vad h\u00e4nder med klienten? Som ovan har skrivits, tack vare den personliga assistans som klienten har idag s\u00e5 har inte best\u00e5ende hj\u00e4rnskador uppst\u00e5tt och klienten har inte heller avlidit. Vid nedsk\u00e4rningar av assistans kommer detta s\u00e5 sm\u00e5ningom att bli f\u00f6ljderna, och vad inneb\u00e4r det f\u00f6r kommunen om vi \u00e4nd\u00e5 \u00e4r inne p\u00e5 att prata pengar? Jo det inneb\u00e4r att hj\u00e4lpbehovet blir \u00e4n mer omfattande, dvs. det blir dyrare. Klienten kanske inte kan bo hemma och m\u00e5ste placeras p\u00e5 gruppboende, vilket inneb\u00e4r \u00e4nnu mera pengar. \u00d6kat behov av resurser i skolan, \u00f6kade sjukhuskostnader, osv. Ja det g\u00e5r att forts\u00e4tta diskutera kostnader, men det vill jag inte g\u00f6ra och det ska man inte heller g\u00f6ra<\/b>, eftersom det h\u00e4r handlar om n\u00e5gons liv. Alla har r\u00e4tt till ett v\u00e4rdigt liv, men vari ligger v\u00e4rdigheten d\u00e5 man m\u00e5ste b\u00f6rja dra upp argument vad en m\u00e4nniska och dennes hj\u00e4lpbehov kostar? Helt pl\u00f6tsligt har man hamnat i en v\u00e4rderingsfr\u00e5ga av en m\u00e4nniska, av v\u00e5ran klient. Som alla nog redan vet s\u00e5 g\u00e5r det inte att s\u00e4tta ett v\u00e4rde p\u00e5 ett liv, och det ska inte heller f\u00f6rs\u00f6ka g\u00f6ras.<\/div>\n
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Som sagt behovet och r\u00e4ttigheten till personlig assistans kvarst\u00e5r trots att kommunen m\u00e5ste spara pengar = besparingar p\u00e5verkar inte lagen. Kommunen f\u00e5r helt enkelt spara sina pengar p\u00e5 s\u00e5dana s\u00e4tt d\u00e4r inte m\u00e4nniskors liv b\u00f6rjar r\u00e4knas i pengar.<\/div>\n
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P.s. Ett inl\u00e4gg om statens ansvar i det hela kommer fram\u00f6ver.<\/div>\n
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\/\/Liselotte Olofsson<\/div>\n
Jurist<\/div>\n
Assistansjuristerna<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Dagens inl\u00e4gg forts\u00e4tter i samma stil som ig\u00e5r med tankar och reflektioner kring det som h\u00e4nder rakt framf\u00f6r \u00f6gonen. Dagens inl\u00e4gg handlar om n\u00e4r jag och min kollega \u00c5sa en g\u00e5ng f\u00f6ljde med en klient till ett m\u00f6te hos en kommun. Klienten \u00e4r ett litet barn som har behov av assistans dygnet runt. Jag t\u00e4nker … <\/p>\n