The Thought Center thus we are in health presented an analysis on the budget execution of the National Fund for Social Benefits of Magisterium (FOMAG) between 2019 and 2025, in which it warns A sustained financial imbalance, accompanied by transparency problems and risks that call into question the sustainability of the health system for teachers and their families.
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The study indicates that the lack of reliable financial balances prevents rigorous monitoring of the execution of resources. “There is no reliable report that allows you to verify with security to the control entities”, Indicates the document, in reference to the absence of clear information that can be validated by the National Superintendence of Health.
One of the most critical findings corresponds to 2024, when The resources executed in health reached $ 4.8 billion, which represented an 184% increase in their execution. Most of this expense was associated with the increase in medical cost, contracts for assistance services and compliance with judicial failures, including sentences and conciliations. The result was a historical deficit of $ 2.1 billion, the highest in the recent background history.
By 2025, The initial appropriation projects a deficit of $ 568,000 millionwithout taking into account adjustments for inflation or the behavior of the medical cost. The report warns that the imbalance tendency is maintained and that, if not, it can seriously compromise the continuity of the health care of the magisterium.
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By 2025, the initial appropriation projects a deficit of $ 568,000 million, maintaining structural imbalance.
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“Maintain this structural unbalance and the absence of clear information compromises the financial sustainability of the system and the guarantee of the right to health of the teaching population”, Warned the center of thought.
The diagnosis also reflects the peculiarities of the covered population. The Colombian magisterium presents a profile marked by the maturity of its affiliates, with a majority of teachers between 45 and 65 years and a high proportion of women. To this is added a significant burden of pediatric beneficiaries and older adults. 50 % of the affiliates are concentrated in seven departments, which raises challenges in the field of planning and distribution of health services.
In the epidemiological field, the report highlights that cancer and chronic diseases are the main load in the system. In 2024 neoplasms were consolidated as the first cause of death, with 957 reported cases, followed by cardiovascular diseases. Eight types of cancer, including those of Cérvix, Colon-Recto, Mama and Prostate, register a deterioration in both mortality and prevalence.
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50 % of Fomag members are concentrated in seven departments, which represents a challenge in the planning of health services.
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Regarding the service provision network, the FOMAG has 2,561 health providing institutions and 6,032 headquarters. However, The concentration in 17 departments and the lack of qualification in 13 of those headquarters in the Special Registry of Health Providers generate doubts about the quality and transparency of the system. 76 % of providers are private, which reinforces the fragmentation of the network and the need for greater control and surveillance.
The thought center concludes that the Fomag’s financial situation is not only unsustainable in the medium term, but is also marked by transparency and traceability deficiencies. Inconsistencies between financial reports and budgetary archives persist, which prevents a real vision of the state of resources.
“It is essential to strengthen transparency, guarantee the coherence of budget information with the financial statements and adopt effective measures for spending control”, Concludes the analysis.
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Diana K. Rodríguez T.
Portfolio journalist
