{"id":27694,"date":"2017-04-01T08:56:27","date_gmt":"2017-04-01T06:56:27","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=27694"},"modified":"2017-04-03T18:00:32","modified_gmt":"2017-04-03T16:00:32","slug":"sest-jointu-denne-vzp-to-odmita-platit","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=27694","title":{"rendered":"\u0160est joint\u016f denn\u011b. VZP to odm\u00edt\u00e1 platit"},"content":{"rendered":"

T\u0159i gramy v jointech, dal\u0161\u00ed t\u0159i v j\u00eddle. Skoro pades\u00e1tilet\u00e1 Martina Kafkov\u00e1 denn\u011b u\u017e\u00edv\u00e1 l\u00e9\u010debn\u00e9 konop\u00ed, aby se zbavila siln\u00fdch k\u0159e\u010d\u00ed a nesnesiteln\u00fdch bolest\u00ed. Od sv\u00fdch sedmadvaceti let toti\u017e trp\u00ed roztrou\u0161enou skler\u00f3zou.<\/strong>
\n<\/p>\n

Loni po\u017e\u00e1dala V\u0161eobecnou zdravotn\u00ed poji\u0161\u0165ovnu (VZP) o p\u0159izn\u00e1n\u00ed individu\u00e1ln\u00ed n\u00e1hrady t\u00e9to l\u00e1tky. Ta ov\u0161em \u017e\u00e1dost opakovan\u011b odm\u00edtla. Pacientka ji nyn\u00ed pos\u00edl\u00e1 k soudu.<\/p>\n

P\u00e1r tah\u016f a k\u0159e\u010d pominula<\/p>\n

Jde o bezprecedentn\u00ed p\u0159\u00edpad. Kafkov\u00e1 poji\u0161\u0165ovnu \u017ealuje, \u017ee \u0159\u00e1dn\u011b neprojednala jej\u00ed \u017e\u00e1dost o individu\u00e1ln\u00ed hrazen\u00ed l\u00e9\u010debn\u00e9ho konop\u00ed. Pr\u00e1v\u011b konopn\u00e9 cigarety jsou to jedin\u00e9, co j\u00ed pom\u00e1h\u00e1 od bolest\u00ed.<\/p>\n

Zlom v pacient\u010din\u011b neut\u011b\u0161en\u00e9 situaci nastal ve chv\u00edli, kdy ji kamar\u00e1d nechal poprv\u00e9 „pot\u00e1hnout z jointu“.
\n„P\u00e1rkr\u00e1t si dala. K\u0159e\u010d j\u00ed hned pominula. Pom\u00e1halo j\u00ed to,“ popisuje otec Zden\u011bk Majzl\u00edk.<\/p>\n

Klientka \u0159\u00e1dn\u011b nerehabilituje<\/p>\n

Od t\u00e9 doby se zm\u011bnila situace a v l\u00e9k\u00e1rn\u00e1ch se objevilo l\u00e9\u010debn\u00e9 konop\u00ed. Pro invalidn\u00ed d\u016fchodkyni Kafkovou v\u0161ak p\u0159edstavuje jeho n\u00e1kup zna\u010dnou finan\u010dn\u00ed z\u00e1t\u011b\u017e. Obr\u00e1tila se proto na poji\u0161\u0165ovnu, aby j\u00ed p\u0159iznala individu\u00e1ln\u00ed n\u00e1hradu, nebo\u0165 pro ni l\u00e9\u010debn\u00e9 konop\u00ed p\u0159edstavuje jedinou \u00fa\u010dinnou l\u00e9\u010dbu.<\/p>\n

Poji\u0161\u0165ovna ov\u0161em argumentaci Kafkov\u00e9 odm\u00edt\u00e1. „Klientka \u0159\u00e1dn\u011b neabsolvuje rehabilitaci hrazenou z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed, kterou j\u00ed l\u00e9ka\u0159i doporu\u010duj\u00ed jako nezbytnou,“ zd\u016fvod\u0148uje mimo jin\u00e9 stanovisko VZP jej\u00ed mluv\u010d\u00ed Old\u0159ich Tich\u00fd.<\/p>\n

\u010c\u00e1ste\u010dn\u011b ochrnut\u00e1 Martina Kafkov\u00e1 z T\u00fdna nad Vltavou za\u010dala m\u00edt v\u00e1\u017en\u00e9 zdravotn\u00ed probl\u00e9my ve sv\u00fdch sedmadvaceti letech. Tehdy poprv\u00e9 zakopla na rovn\u00e9m chodn\u00edku. „Zasm\u00e1li jsme se tomu, proto\u017ee nem\u011bla o co zakopnout,“ l\u00ed\u010d\u00ed serveru Lidovky.cz jej\u00ed otec Zden\u011bk Majzl\u00edk momenty, kdy je\u0161t\u011b netu\u0161il, co se dce\u0159i d\u011bje.<\/p>\n

Odk\u00e1zan\u00e1 na elektrick\u00fd voz\u00edk<\/p>\n

Bezd\u016fvodn\u00e9 klop\u00fdt\u00e1n\u00ed se ale objevovalo \u010d\u00edm d\u00e1l \u010dast\u011bji. K tomu se p\u0159id\u00e1valo i mot\u00e1n\u00ed hlavy a dal\u0161\u00ed pot\u00ed\u017ee. Rok nato chodila Kafkov\u00e1 o berl\u00edch. V pr\u016fb\u011bhu dal\u0161\u00edch dvou let skon\u010dila na voz\u00edku. Dnes ho s ohledem na pokro\u010dil\u00fd stav nemoci nem\u016f\u017ee u\u017e ani ovl\u00e1dat. Sama toti\u017e nezvl\u00e1d\u00e1 \u017e\u00e1dn\u00e9 \u00fakony. Kdy\u017e v\u00fdjime\u010dn\u011b p\u00ed\u0161e e-mail, \u0165uk\u00e1 kotn\u00edkem na noze do kl\u00e1vesnice. Jednu v\u011btu p\u00ed\u0161e i n\u011bkolik minut.<\/p>\n

Pomoct j\u00ed nedok\u00e1\u017eou u\u017e ani jej\u00ed rodi\u010de d\u016fchodci. „Jen ji polo\u017eit do vany je t\u00e9m\u011b\u0159 nemo\u017en\u00e9,“ \u0159\u00edk\u00e1 otec. Kafkov\u00e1 proto \u017eije v \u00fastavu sv. Josefa v \u017dir\u010di, kter\u00fd se specializuje na pacienty s roztrou\u0161enou skler\u00f3zou. „P\u0159ed dvan\u00e1cti lety Martin\u011b jej\u00ed l\u00e9ka\u0159ka \u0159ekla, \u017ee u\u017e nem\u016f\u017ee navy\u0161ovat d\u00e1vky l\u00e9k\u016f, proto\u017ee by to pro ni m\u011blo fat\u00e1ln\u00ed n\u00e1sledky. Nato dcera \u00fapln\u011b ztuhla. M\u011bla siln\u00e9 k\u0159e\u010de a bolesti. Le\u017eela v posteli jak prkno. N\u011bkdy jsem ji t\u0159eba na\u0161el le\u017eet na zemi. Sama se nemohla zvednout. Je jak hadrov\u00e1 panenka,“ vypr\u00e1v\u00ed Majzl\u00edk.<\/p>\n

Po n\u011bkolika m\u011bs\u00edc\u00edch, kter\u00e9 otec popisuje jako „\u010dirou hr\u016fzu“, p\u0159i\u0161el pro pacientku z\u00e1sadn\u00ed zlom. Okusila od kamar\u00e1da konopnou cigaretu a k\u0159e\u010d pominula.<\/p>\n

\u0160lo o jedin\u00e9 chv\u00edle, kdy se dok\u00e1zala jeho dcera radovat. Navzdory \u0161patn\u00fdm vyhl\u00eddk\u00e1m. V\u00ed, \u017ee se nem\u016f\u017ee trvale vyl\u00e9\u010dit. „Alespo\u0148 povolily ty ukrutn\u00e9 bolesti. Konzultovala to proto se svou l\u00e9ka\u0159kou. Ta j\u00ed \u0159ekla, \u017ee jestli j\u00ed to pom\u00e1h\u00e1, tak a\u0165 kou\u0159\u00ed d\u00e1l, ale \u017ee sama j\u00ed to p\u0159edepsat nem\u016f\u017ee,“ vzpom\u00edn\u00e1 Majzl\u00edk.<\/p>\n

Tehdy je\u0161t\u011b nebylo l\u00e9\u010debn\u00e9 konop\u00ed dostupn\u00e9 v l\u00e9k\u00e1rn\u00e1ch. Na pulty se dostalo teprve v lo\u0148sk\u00e9m roce. Kv\u016fli cen\u011b na n\u011bj ale dos\u00e1hnou jen n\u011bkte\u0159\u00ed pacienti. Vysok\u00e1 cena byla p\u0159ek\u00e1\u017ekou pr\u00e1v\u011b i pro Kafkovou, jej\u00ed\u017e p\u0159\u00edjem tvo\u0159\u00ed prim\u00e1rn\u011b invalidn\u00ed d\u016fchod.<\/p>\n

„L\u00e9\u010debn\u00e9 konop\u00ed mus\u00ed u\u017e\u00edvat nad\u00e1le. Pom\u00e1h\u00e1 j\u00ed od k\u0159e\u010d\u00ed i bolest\u00ed. Denn\u011b vykou\u0159\u00ed asi \u0161est joint\u016f, co\u017e jsou t\u0159i gramy konop\u00ed. Dal\u0161\u00ed t\u0159i gramy po dvou d\u00e1vk\u00e1ch si d\u00e1v\u00e1 do j\u00eddla. Na ob\u011bd a na ve\u010de\u0159i,“ l\u00ed\u010d\u00ed ne\u0161\u0165astn\u011b jej\u00ed otec. A\u010dkoli nem\u00e1 \u0161anci na uzdraven\u00ed ze z\u00e1ke\u0159n\u00e9 choroby, konop\u00ed j\u00ed alespo\u0148 \u010d\u00e1ste\u010dn\u011b zlep\u0161uje kvalitu \u017eivota.<\/p>\n

Loni po\u017e\u00e1dala VZP o p\u0159izn\u00e1n\u00ed individu\u00e1ln\u00ed n\u00e1hrady. Odkazovala se na z\u00e1kon o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed. Ten \u0159\u00edk\u00e1, \u017ee „zdravotn\u00ed poji\u0161\u0165ovna hrad\u00ed ve v\u00fdjime\u010dn\u00fdch p\u0159\u00edpadech zdravotn\u00ed slu\u017eby jinak zdravotn\u00ed poji\u0161\u0165ovnou nehrazen\u00e9, je-li poskytnut\u00ed takov\u00fdch zdravotn\u00edch slu\u017eeb jedinou mo\u017enost\u00ed z hlediska zdravotn\u00edho stavu poji\u0161t\u011bnce“. Podle Kafkov\u00e9 je l\u00e9\u010debn\u00e9 konop\u00ed jej\u00ed jedinou \u00fa\u010dinnou l\u00e9\u010dbou. Jen\u017ee poji\u0161\u0165ovna tuto \u017e\u00e1dost odm\u00edtla.<\/p>\n

Kafkov\u00e9 nepomohlo ani n\u00e1sledn\u00e9 odvol\u00e1n\u00ed. Na za\u010d\u00e1tku b\u0159ezna pro tok M\u011bstsk\u00e9mu soudu v Praze podala spr\u00e1vn\u00ed \u017ealobu. VZP nicm\u00e9n\u011b argumenty Kafkov\u00e9 a jej\u00edch advok\u00e1t\u016f Vladislavy K\u0159ivov\u00e9 a Michala V\u00edtka, kte\u0159\u00ed poskytuj\u00ed klientce bezplatn\u00e9 pr\u00e1vn\u00ed slu\u017eby, nebere v potaz.<\/p>\n

„Klientka odm\u00edt\u00e1 jak\u00e9koliv jin\u00e9 navr\u017een\u00e9 varianty l\u00e9\u010dby, kter\u00e9 p\u0159ipadaj\u00ed podle standard\u016f odborn\u00e9 spole\u010dnosti v \u00favahu. Z\u00e1jem m\u00e1 pouze o konop\u00ed. Za t\u00e9to situace ov\u0161em rozhodn\u011b nelze hovo\u0159it o tom, \u017ee by konop\u00ed bylo jedinou mo\u017enost\u00ed l\u00e9\u010dby,“ uv\u00e1d\u00ed mluv\u010d\u00ed poji\u0161\u0165ovny Old\u0159ich Tich\u00fd. Podle platn\u00e9 legislativy nav\u00edc \u00fadajn\u011b nem\u016f\u017ee klientce n\u00e1kup konop\u00ed pro jej\u00ed pot\u0159eby financovat.<\/p>\n

Pacient nen\u00ed laboratorn\u00ed zv\u00ed\u0159e<\/p>\n

Odm\u00edtav\u00e9 rozhodnut\u00ed poji\u0161\u0165ovny nicm\u00e9n\u011b Kafkov\u00e1 s advok\u00e1ty pova\u017euje za nespr\u00e1vn\u00e9, nadto i nez\u00e1konn\u00e9. „Nereflektuje hmotn\u011bpr\u00e1vn\u00ed n\u00e1mitky \u017ealobce, stav\u00ed \u017ealobce do pozice experiment\u00e1ln\u00edho subjektu farmaceutick\u00fdch v\u00fdrobk\u016f, v d\u016fsledku \u010deho\u017e je napaden\u00e9 rozhodnut\u00ed nejenom nez\u00e1konn\u00e9, ale tak\u00e9 v rozporu s garantovan\u00fdmi lidsk\u00fdmi pr\u00e1vy \u017ealobce, ale i ka\u017ed\u00e9ho \u010dlov\u011bka bez ohledu na jeho zdravotn\u00ed stav,“ stoj\u00ed v dev\u00edtistr\u00e1nkov\u00e9m dokumentu, kter\u00fd m\u00e1 server Lidovky.cz k dispozici.<\/p>\n

D\u00e1le se odkazuj\u00ed na z\u00e1kon o l\u00e9\u010divech, kter\u00fd obsahuje pr\u00e1vn\u00ed \u00fapravu p\u0159\u00edpravk\u016f s obsahem konop\u00ed pro l\u00e9\u010debn\u00e9 pou\u017eit\u00ed. „Z toho lze dovodit, \u017ee s\u00e1m z\u00e1konod\u00e1rce \u00fa\u010dinnost l\u00e9\u010debn\u00e9ho konop\u00ed uzn\u00e1v\u00e1, kdy\u017e jej zahrnuje do z\u00e1kona o l\u00e9\u010divech. Je zde tedy jasn\u011b patrn\u00e1 v\u016fle z\u00e1konod\u00e1rce poskytnout sv\u00fdm ob\u010dan\u016fm l\u00e9\u010debn\u00e9 konop\u00ed jako jedno z l\u00e9\u010div, \u010d\u00edm\u017e z\u00e1konod\u00e1rce tak\u00e9 vyj\u00e1d\u0159il sv\u00e9 p\u0159esv\u011bd\u010den\u00ed o jeho \u00fa\u010dinnosti,“ uv\u00e1d\u011bj\u00ed pr\u00e1vn\u00edci. Poji\u0161\u0165ovna podle nich nem\u016f\u017ee tuto v\u016fli z\u00e1konod\u00e1rc\u016f pop\u0159\u00edt sv\u00fdm tvrzen\u00edm, \u017ee nepova\u017euje \u00fa\u010dinky l\u00e9\u010dby konop\u00edm za dostate\u010dn\u011b prok\u00e1zan\u00e9.<\/p>\n

A advok\u00e1ti zmi\u0148uj\u00ed i dal\u0161\u00ed argumenty. T\u0159eba to, \u017ee vy\u010derp\u00e1n\u00ed v\u0161ech mo\u017enost\u00ed l\u00e9\u010dby hrazen\u00fdch poji\u0161\u0165ovnou nen\u00ed podm\u00ednkou stanovenou z\u00e1konem. Takov\u00e1 argumentace je pr\u00fd „mimo\u0159\u00e1dn\u011b podobn\u00e1 aplikaci na testovac\u00edch zv\u00ed\u0159atech ve farmaceutick\u00fdch laborato\u0159\u00edch“. Nav\u00edc je podle nich nemysliteln\u00e9, „aby v 21. stolet\u00ed uva\u017eoval org\u00e1n, zodpov\u011bdn\u00fd za zdrav\u00ed ob\u010dan\u016f, o \u017ealobci jako o testovac\u00edm subjektu“.<\/p>\n

Pr\u00e1zdn\u00e9 pulty v l\u00e9k\u00e1rn\u00e1ch<\/p>\n

Situace v \u010cesku v souvislosti s l\u00e9\u010debn\u00fdm konop\u00edm se v posledn\u00edch dnech dostala do pop\u0159ed\u00ed. Objevila se toti\u017e zpr\u00e1va, \u017ee do\u0161ly jeho z\u00e1soby. Pr\u00e1zdn\u00e9 \u0161upl\u00edky v l\u00e9k\u00e1rn\u00e1ch siln\u011b znepokojuj\u00ed l\u00e9ka\u0159e i nemocn\u00e9, jak ji\u017e LN d\u0159\u00edve informovaly.<\/p>\n

„N\u011bkte\u0159\u00ed pacienti je\u0161t\u011b maj\u00ed star\u00e9 z\u00e1soby. To ale b\u011bhem jednoho nebo dvoum\u011bs\u00edc\u016f skon\u010d\u00ed,“ \u0159\u00edk\u00e1 b\u00fdval\u00fd vl\u00e1dn\u00ed zmocn\u011bnec pro uv\u00e1d\u011bn\u00ed l\u00e9\u010debn\u00e9ho konop\u00ed do praxe a \u010dlen organizace Kopac Tom\u00e1\u0161 Z\u00e1bransk\u00fd. Situaci m\u016f\u017ee zachr\u00e1nit dovoz ze zahrani\u010d\u00ed. Spolek pacient\u016f ale varuje, \u017ee St\u00e1tn\u00ed \u00fastav pro kontrolu l\u00e9\u010div \u0159\u00edzen\u00ed zkomplikoval, a proto takov\u00e9ho z\u00e1jemce nem\u00e1.<\/p>\n

S\u00daKL nicm\u00e9n\u011b tvrd\u00ed, \u017ee se jeden u\u017e p\u0159ihl\u00e1sil.<\/p>\n

—<\/p>\n

O nemoci<\/p>\n

– Roztrou\u0161en\u00e1 skler\u00f3za je chronick\u00e9 autoimunitn\u00ed onemocn\u011bn\u00ed, p\u0159i kter\u00e9m imunitn\u00ed syst\u00e9m napad\u00e1 centr\u00e1ln\u00ed nervovou soustavu. To ovliv\u0148uje schopnost nervov\u00fdch bun\u011bk v mozku a m\u00ed\u0161e spolu vz\u00e1jemn\u011b komunikovat.
\nNemoc postihuje zejm\u00e9na mlad\u00e9 dosp\u011bl\u00e9 (od 20 do 40 let).
\nNeexistuje \u017e\u00e1dn\u00e1 l\u00e9\u010dba. L\u00e9ky se zam\u011b\u0159uj\u00ed na zm\u00edrn\u011bn\u00ed obt\u00ed\u017e\u00ed a zpomalen\u00ed progrese onemocn\u011bn\u00ed.<\/p>\n

O dovozu konop\u00ed<\/p>\n

– Dov\u00e1\u017eelo se z Nizozemska, bylo asi t\u0159ikr\u00e1t dra\u017e\u0161\u00ed ne\u017e konop\u00ed od \u010desk\u00e9ho p\u011bstitele. Za gram \u010desk\u00e9ho zaplatili pacienti kolem 100 korun, za gram nizozemsk\u00e9ho zhruba 300 korun. Pacienti konop\u00ed zpravidla inhaluj\u00ed p\u0159es speci\u00e1ln\u00ed odpa\u0159ova\u010d. L\u00e9ka\u0159i z brn\u011bnsk\u00e9 nemocnice doporu\u010dovali rovn\u011b\u017e konzumaci v tepeln\u011b upraven\u00e9 \u010dokol\u00e1d\u011b a nemocni\u010dn\u00ed l\u00e9k\u00e1rna za\u010dala z konop\u00ed vyr\u00e1b\u011bt i tobolky.<\/p>\n

\u0160\u00c1RKA KAB\u00c1TOV\u00c1
\nLidov\u00e9 noviny<\/p>\n","protected":false},"excerpt":{"rendered":"

T\u0159i gramy v jointech, dal\u0161\u00ed t\u0159i v j\u00eddle. Skoro pades\u00e1tilet\u00e1 Martina Kafkov\u00e1 denn\u011b u\u017e\u00edv\u00e1 l\u00e9\u010debn\u00e9 konop\u00ed, aby se zbavila siln\u00fdch k\u0159e\u010d\u00ed a nesnesiteln\u00fdch bolest\u00ed. Od […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":1457,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-27694","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27694","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=27694"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27694\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/1457"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27694"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27694"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27694"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}