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Two years into the current government’s term, the Better Health Pact, whose members are composed of users, patients, insurance companies, entities providing health services, health professionals, the pharmaceutical sector and leaders of the sector, They wrote a letter to the government expressing their concerns about the current health systemThis has presented challenges and difficulties over the past twenty-four months.
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In their document, they stress that care for the general population continues to deteriorate. As they explain, monitoring of service provision shows that services in some clinics and hospital facilities have been closed, and the number of available beds in intensive care units and specialist care units has decreased; 17% increase in user and patient requests, complaints, claims and suggestions (PQRS) The first quarter of 2022 increased by 11% compared to the same period in 2023, and the first quarter of 2023 increased by 11% compared to the same period in 2024.
“The number of health care residents has increased by more than 40% compared to the same period, also due to more difficult access to medical services; shortages of medications that patients regularly receive have not been corrected and have worsened. Finally, reports from high cost accounts (CAC) have recorded an increase in patients with these diseases, far higher than any trend that has occurred in the past.”they pointed out.
On the other hand, all the lenders’ unions have expressed dissatisfaction over low collections and portfolio growth and have demanded an effective liquidity strategy from the government, but they say the issue has not been addressed.
“The above, together with the intervention of the State Health Surveillance Service (SNS) in the EPS and the withdrawal requests made by other institutions – affiliates of the Social Health Security System (SGSSS) totaling 34 million – indicate that the depth of the problems affecting citizens has not been effectively resolved as of March 2024, and the financial situation of these EPS continues to deteriorate”, They manifested.
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They point out that the health sector suffers from structural under-financing Mar
Calculation of Capitation Payment Unit (UPC) The inability to cover the costs of care paid for by the UPC due to deficit financing of the top budget explains the roots of these difficulties that the health system is experiencing, which affect its entire value chain and that have not been resolved by the government so far despite numerous calls and warnings from patients, users, and academics and think tanks that follow up on these aspects.
“The government has not yet fully complied with the Orders A2881 and A2882 of 2023, published in the first months of this year, through which the Constitutional Court ordered the government to recover the EPS maximum budget and recovery rates for overdue debts for 2021 and 2022. To this we must add that by 2023, the debts of the national government’s maximum budget have been implemented in the same entity”. they said.
On the other hand, they are very concerned about the public response of the Deputy Minister of Finance to the Chamber of Commerce representatives when they asked about the debt repayment situation recently. The answer they received was: “As soon as state revenues show sufficient behavior to allow their distribution, in accordance with article 153 of Law 2294 of 2023, the resources to cover the maximum budget will be allocated.” In short, there is not enough money to pay for the health of Colombians. ”
As mentioned above, the National Government has not yet fully corrected the diagnosis made by the Undersecretary of Finance, Maria Fernanda Valdés Valencia, in a letter dated March 20, 2024 to the President of the Seventh Senate Commission. In the aforementioned report, the Ministry of Finance stated that by 2024, there was a Lack of P5.9 billion resources to pay the UPC and the Prime Minister.
“By the end of 2024, based on currently proposed trends in health care utilization, the projected UPC deficit is $2.3 billion, the maximum budget deficit is $2.7 billion, and the SOAT claims deficit is $800 billion.” show.
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In addition, during the review of the 2025 national budget, they were also concerned about The health system deficit is close to 3.6 billion pesos. According to them, based on the historical growth of the UPC They said the deficit could increase by P2.5 billion if the national government does not make a budgetary transfer of resources, which will be lacking when health insurance is shut down in 2024.
“The reaction to the great setbacks that the health system has suffered in the last two years has been the uncertainty generated by the national government in the sector due to the lack of effective management to address this problem and by its insistence on proposing the same health projects. The draft health reform presented to the Senate last April, allegedly from the national government, is very similar to Bill 339/2023 proposed in the previous legislature. This is not the first time that the draft has been submitted to the Senate for analysis by the majority of the system’s agents”, They promise.
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They finally remember that the project does not address the challenges facing our health system, that it is not aimed at benefiting users and patients, that it focuses on modifying the functions of certain entities and eliminating individual protections for health insurance and other advances that ensure the effective enjoyment of the right to health by the Colombian people.
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