Economist Arismendi Díaz Santana considered that the agreement between the Government and the Dominican Medical College (CMD) will cost taxpayers more than three billion, without generating any benefits in favor of the poor.
“Once again the authorities renounce the promised change, doing more of the same,” highlighted the first general manager of the National Social Security Council (CNSS).
He maintained for a long time that he had not seen a more unilateral and unbalanced relationship, since it only benefits doctors.
He explained that the unilateral pact contains 15 commitments: 14 specific to the Government and only one from the CMD, but very vague.
He specified that the Government grants staggered salary increases, level salaries, continue the construction of apartments for doctors, recognize pension rights, increase incentives for distances and the delivery of RD$25 million for the Institute of Prevention and Social Protection of the CMD.
Instead, he pointed out that the CMD only undertakes to encourage compliance with the established working hours.
However, Díaz Santana said that the agreement does not talk about productivity, evaluation and accountability.
He explained that if article 173 of Law 87-01 that creates the Dominican Social Security System is applied, doctors would double their income, as fair compensation for their dedication, for the increase in the quality of services and the considerate treatment of the patients.
In agreement, however, it has no guarantee of the most timely and quality services for the poorest families.
He understands that health authorities have lost the opportunity to increase the capitation of the subsidized regime and reduce family out-of-pocket expenses.
