Almost every day there is a new episode in the series of the health reform. One of the last is the alternative paper that was filed the Liberal party, one of the most critical of the government’s project and that he also announced that he will present his own reform initiative in the second legislative period.
(See: Health reform: Petro requested resignations and the project falters).
To that extent, the alternative presentation of ‘the reds’ distances itself from the points of the initiative led by Carolina Corcho, the Minister of Health, in which they propose mixed insurance, free choice and the non-creation of regional funds. Points similar to the ‘blue lines’ of the Conservative party.
Thus, liberals propose 99 articles that are framed in those three points.
Article 11, for example, which describes comprehensive health risk management, mentions that it must be mixed, that is, it must be assumed by the State and private entities.
“Comprehensive health risk management implies both the articulation and coordination of the different public, private and mixed actors of the General System of Social Security in Health (Sgsss) and other social sectors and, in addition, contemplates the responsibility of the State to avoid impoverishment of individuals and communities for expenses associated with health events, within the framework of social financial protection”, is described in the article.
(See: “Shortage of medicines has no relation to the health reform”).
Continuing with the idea of a mixed health system, unlike the public commitment that is in the articles of the Government and that analysts criticize, Liberal representative Germán Rozo told Portafolio that they also think a “Mixed insurance, in which the experience that private companies already have (the EPS) is taken into account”.
In the articles, this is how the insurance model they propose is defined: “The State will guarantee the comprehensive management of technical and financial health risks, both individual and collective of the entire population, through the General System of Social Security in Health (Sgsss), which will be supported by the other sectors in an articulated manner. for addressing the Social Determinants of Health”.
And adds: “Social Health Insurance will be guaranteed through public, private or mixed actors or the State directly, when there is no other way to guarantee effective access to health services in rural areas with difficult access or dispersed population.”.
(See: ‘Novel’ of the health reform: what separates parties and the government).
One of the things that defines the community led by César Gaviria is that if the State decides to assume the insurance -as it is in the Government’s presentation- “it must have the same technical requirements as the managers”.
The free choice of users about Primary Care Centers (Caps) It is another of the points that the liberals highlight.
They propose that: “Affiliates have the right to freely choose the Health and Life Management Entity of their preference. Likewise, you will be able to choose within the offer of the Comprehensive and Integrated Health Services Networks (Riiss) of each Health and Life Management Entity. In addition, they can move”.
The other point to highlight is that in the alternative article eliminates the regional funds -that the Executive’s articles are maintained-, because they create “bureaucratization of the health system”.
Although the ‘red lines’ of the liberals are very similar to those of the conservatives and ‘the U’, the red community did not sign the majority paper that The other two parties did sign, and he decided to present his alternative paper.
(See: Health reform: positions for and against EPS unions).
This week that begins, new episodes of the novel that the modification of the country’s health system has become are expected. The recording ‘set’ will be the Seventh Commission of the Chamber, where the protagonists -government and congressmen- will define the future of the articles, the coalition and the system.
CLAUDIA M. QUINTERO RUEDA
Journalist Portfolio
