It is necessary and urgent to transform Law 87-01, of Social SecurityIn this law, insurance is individual and not joint.
Likewise, the construction of a true health system involves all Dominicans, regardless of their position.
This is what the doctor thinks Mary Anne Butleran internal medicine physician and former dean of Health Sciences at the Pontifical Catholic University Madre y Maestra (PUCMM). She believes that the current Social Security legislation promotes the privatization of services, excluding a large number of Dominicans from the possibility of affiliation, given their informal income status. The consequences of this model, and of privatization reforms in general, have been disastrous in the vast majority of countries that adopted it. Health coverage must be achieved for the entire population, including employees as well as the unemployed, the elderly and people with disabilities, said the professional.
Can read: Mary A. Butler: Dominican Republic health systems have major gaps
Everyone contributes
The doctor also assures that the solution to the problems that afflict the healthcare system All Dominicans have it. “This includes the user of the services to the provider of these, from the ambulance driver to the neurosurgeon who operates in the best health center, from road safety to care for the elderly, it is a matter of everyone’s will” he affirms.
It recommends working to ensure that, from home, school, university, public and private institutions, they assume their share of responsibility so that the health system is strengthened and achieves its objectives. It refers to participating in order to modify indicators as relevant as maternal mortality, infant mortality, pregnancy in adolescents and mental health.
recommendations
Other recommendations include strengthening primary care and improving access to and coverage of quality services for vulnerable populations.
Likewise, research capabilities should be strengthened so that decision-makers have scientific sources to make the most appropriate decisions.
It is important to highlight that the DR, in the context of the Region of the Americas, has shown improvement in recent years in indicators such as per capita health expenditure and out-of-pocket expenditure, among others, although we have not yet reached the goals proposed by the World Health Organization. It is a country with low public spending on health. More is spent on cures than on prevention. This definitely requires greater budgetary investment in health, he insists.
The professional recommends using technology not only to solve complex health problems, but also to adapt it to the means and mechanisms of Primary Health Care.
The academy
Universities should actively participate in the formulation of health policies through a formal mechanism, the professional recommends. At the same time, they should stimulate and support research in the health area that provides solutions to the health problems in the country.
Recommends that increasing the number of members is one of the great challenges of the Dominican Social Security System (SDSS). There should not be a Dominican without health insurance, it is not just about having a card, it is about being healthy.
Protection for all
All Dominican citizens, and immigrants with regular immigration status, must have the right to be protected by Social Security. Likewise, it is necessary to guarantee a fair, dignified and sufficient pension, based on the amount of the family basket.
Butler expressed his hope that all stakeholders would be taken into account when changing the Social Security Act.
Health
Health contributes to the social and economic development of a nation, in the same way that development favors the health of people, he says.
The functions of a health system include, in addition to governance, financing and service delivery, the generation of human resources, the doctor explains. Human resources are essential for the functioning and effectiveness of the health system.
From the role of service providers (doctors, nurses, laboratory technicians) to health administrators and managers, everyone is important in order to implement health policies.
Recommends the implementation of fair, dignified, proportional and motivating incentives for health personnel, which would guarantee that they are established in remote places, such as the border region
