The health reformone of the largest bets of the government of Gustavo Petro has been one of the bills that has generated the most criticism among different sectors, such as the health or politics.
The latest move has been made by the Conservative, Liberal and ‘U’ parties‘, who are part of the government coalition, but mentioned that they will not support the reform project as it is, Therefore, they created a document with initiatives to agree with the President of the Republic.
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The communities agree that the EPS They cannot disappear, as they fear with the project led by Minister Carolina Corcho. In the proposed initiative, the EPS are kept alive, which they now propose to call ‘Health and Life Management Entities’ (Egvis), with an official, private or mixed nature.
In addition, they seek that the promoters maintain the function of “intelligently managing the health risks of people and communities where they operate and that select them.”
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In other words, the EPS would continue to retain affiliates, albeit prioritizing, as the Government proposes for the entire system, care “highly resolving at the primary or basic level, close, focused on the user and the place where they live and work, above market considerations”.
Another focus is that of the Primary Care Centers (CAP)which is one of the ones that even guilds like Acemi and Gestarsalud They see positive within the government project.
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The community proposes, unlike the initial reform, that people have the right to freely choose the Health and Life Management Entityof your preference, within the offer available in the respective region.
“The National Government will promote the strengthening of the Caps of a public nature, especially in rural and dispersed areas or where limitations are detected for the access to health services by the population.”, they explain.
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The user, likewise, will be able to move from EPS at any time and will be allowed to choose the doctor of their choice within the system.
With respect to the management of resources, the parties propose that the ADRs allocate directly to IPS and pharmaceutical and the Health and Life Management Entities are in charge of auditing. They do not want “bureaucratization” or increase the risk of corruption and that is why they eliminate regional authorities.
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This proposal is added to the counter-reform presented by German Vargas Lleras, natural head of Radical Change. The initiative of this party is focused, like the majority of those who oppose the project of the Executive, in keeping the EPS with the same functions that they already perform.
In turn, the Democratic Center It is his proposal for a bill, he assured that the health system does not need a structural reform and they propose “improve and strengthen the current health system”.
It is expected to see if the Government includes what is proposed by the parties and that the reform report is prepared, so that the debates in Congress begin.
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