The Minister of Health and Social Protection participated in the forum ‘What is the best reform?’ coordinated by the National Association of Businessmen of Colombia (Andi). There he spoke about the importance of the reform project presented by the Government and what would happen if the proposed articles were changed a lot.
(‘The Government will withdraw the reform if the essentials do not pass’: Minsalud).
In the event, in which the president of Andi, Bruce Mac Master, and the vice president of Health of the same entity, Ana María Vesga, also participated, They referred to the difficulties that the current system presents and how to improve it.
Cork mentioned that the EPS have “a hegemonic role” and for this reason “functions must be removed”, because this overload has generated problems in the current health system.
Regarding the role of the promoters, the minister added that “vertical integration generates many perversions, so we believe EPS should have fewer features”, referring to the fact that in the project proposed by the Government they would have fewer responsibilities, which would be assumed by the ADRES.
“The Address is going to be changed: it is going to be denationalized and the businessmen will be part of the board of directors. In addition, the bill is intended to be decentralized and thus become an information system ”, Cork said.
At the moment, The ADRES is in charge of managing the resources of the General System of Social Security in Health (SGSSS) and, as mentioned by Bruce Mac Master citing the president of the entity“Adres does not have the capacity to assume these new functions.”
(The EPS feel the shock of the challenge of the reform).
The head of one of the portfolios that is at the center of the political debate accepted that the projects that come out of the Legislative are not the same as those that are presented, but assured that if “The essence of the project is not passed in Congress, the Government will withdraw the reform”.
In this sense, it opened the door to a possible inclusion of the proposals of the Liberal, Conservative and ‘U’ parties regarding the project presented by the Government and which must be debated in Congress.
If the Government approves taking these proposals into account, they must be included in the paper that will be discussed in the House of Representatives. The same as with the articles of the Democratic Center project.
Unlike the counter-reform that Radical Change proposed at the head of its natural leader, Germán Vargas Lleras. In this case, because it was filed as statutory law and must follow a different process.
The commitment to primary care is one of those fundamental points in the Government’s initiative, because they want health coverage to be achieved in rural sectors.
He made special emphasis that in these rural areas “the State must guarantee first-level care.”
Mac Master asked Minister Corcho about the free choice in terms of Primary Care Centers (Capirs).
In this sense, the minister mentioned that now “We are in a non-free election and it is going to happen to a free election with the new system.”
But this free choice is going to occur in medium and high complexity, that is, only in these stays is it that patients can decide where they want to be treated.
(Health unions “have faith in him” at the proposal of the parties).
Likewise, the financing of these primary care centers was another of the questions.
And the minister said that this financing will be achieved with “the reorganization of system resources and recurring resources of the Ministry of Health”.
Faced with these centers, he added that “the Capirs already exist, they are only deteriorated”, which led her to sign that “It is going to build on what has been built, social security will not end.”
At the close of the event, the president of Andi, Bruce Mac Master, mentioned that he is concerned that in the transition from the current health system to the new one, there will be “a blackout of the health system”.
Together they concluded that it is necessary to achieve equity in access to health, but the difference is in the forms.
Therefore, Corcho insisted that this country “It is not the prepaid and complementary services, most people have no income” to access those services.
BRIEFCASE
