Access to Medical Care Delays, Low Capacity & Lack of Translation Access to medical care is a persistent issue across PRCDs in mainland Greece. CPT reports since 2013 have highlighted this problem, yet a lack of appropriate action has been taken to align with the CPTs recommendations. AEMY, a public limited company, has been the medical provider of detention centres since 2017, when the responsibility was transferred to the Ministry of Health and the Health Unit SA.[225] However, medical staff shortages, including doctors, nurses, psychologists and translators have been frequently reported,[226] leading to the CPT raising extreme concern over the public health risks associated with PRDCs in Greece. Our research substantiated these arguments; only 20% of respondents reported satisfactory access to medical care, and 80% reported either extremely limited access for urgent cases whereby individuals would be transferred to hospital, or none whatsoever. Of all the cases we have analysed in our database, in all languages of exchange, access to medical and psychological care is one of the priorities of our clients and one of the main challenges. Multiple barriers were identified with regards to medical care, including a critical lack of doctors or translators - in most facilities there was just one doctor but in some centres there was only the presence of nurses - resulting in low capacity for care. As a result, appointments were available at limited times, creating long delays for individuals who needed urgent support. According to Article 16(c) RD, emergency healthcare and essential treatment of illness should be provided, and Article 51(7a) of Greek law[227] states that applicants should receive appropriate medical care during detention. Yet some respondents in Corinth reported delays of more than five months. Not dissimilar to the issues of inadequate access to legal translation, medical translation was rarely available to people in detention, who often had to use the support of fellow detainees to understand the doctor. This raises additional concerns regarding patient confidentiality. In addition, the people we spoke to frequently pointed to the dismissive attitude of doctors, who only responded to absolute emergencies, or provided basic painkillers. Even in emergency situations, the lack of immediate response to certain incidents by the police lead to medical actors being called too late. For There have been instances where two people have to committed suicide. That happened in the camp. The person was suffering, so he called the police, the person went to the washroom inside and then he hanged himself. And he died. From Pakistan. There have been instances of at least two or three people who have died because of an emergency. We call the police. By the time the police arrive, it is too late. Emmanuel, Corinth It must be a really serious condition in order for them to take it seriously. There is a doctor but the best thing he is gonna do is give you something to calm you. So people beat themselves in order to take them to the hospital. So probably they damage themselves. So that's why they take them to the hospital. Iliyes, Corinth Because they just take the people to the hospital that stab themselves, because a lot of people were doing it inside and I wasn't the kind of guy who was hurting myself so everything was fine, but I didn't like it, I wanted to be treated well, but in the same time I could not hurt myself to have his rights. Walid, Paranesti 65

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