removal of EPS from the Public Health System in Colombia, One of the key points of the health reform proposed by Minister Carolina Corcho will no longer be on the agenda of President Gustavo Petro’s government.
This is one of the points of love. The agreement that President Gustavo Petro, Senator Efráin Cepeda and former Governor Dilian Francisca Toro arrived at Monday nightDespite being the heads of conservative parties and being part of the governing coalition, ‘la U’ warned the Executive that they would not support a project that would destroy the gains of the current system.
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For the above reason, both the societies and the Liberal Party presented a new proposal to the president last week, which includes some changes in reform.
Last Monday, EL TIEMPO announced the main points of the initiative, which it identified as overlapping in various aspects, such as strengthening primary health care, eliminating vertical integration and direct return.
(In context: Health Reform: liberals, conservatives and ‘U’ proposal to Government)
However, according to what was discussed at that meeting of the Whig chairman, ex-president César, in the Palace, they are leaving the future of EPS, and in that sense there is already an agreement for them not to come to an end. , was not available. Gaviria, for planning reasons.But in theory, he shares understanding with the President.
Liberals also ensure that EPS, now called Health and Life Management Assets, is kept alive. They would continue to be their subsidiaries and manage their health plans.
Likewise, they prioritize primary care (as requested by Management) and set aside two endemic problems in the system: vertical integration (EPS generates care needs with contracted healthcare providers) and delays in payment. EPS to IPS.
The function of making payments and auditing these accounts would remain exclusively in the hands of Adres, a public institution. Who will become one of the most important figures in the healthcare model in Colombia. This is one of the main points of the Health reform proposed by the Government.
(We recommend: Health: these are the ’20 thick lines’ of liberals, conservatives and ‘U’)
Also, Colombians would not have to accept the State-imposed service provider, one of the effects of the Corcho proposal. This means that users continue to have free choice in terms of Managing Entity, CAPS and doctors.
And given the enormous financial costs of creating Primary Care Centers (CAPS) for every 25,000 people the Government proposes, many The fulfillment of this function by existing public hospitals is the key to the preventive health model committed by President Petro.
House of Representatives speaker David Racero announced on Monday night that reform was salvaged: “We have white smoke. Health care reform is gaining more and more power in concert. We will have a mixed public-private system,” said the congressman.
This newspaper has learned that the said system will be organized as follows: The private sector will be articulated through the Health and Living Managers (EPS) who will receive 5% for management. The public will consist of all public hospitals in the country, these will be Primary Care Centers (CAPS).
The tariff system will have a floor and a ceiling. Now, with respect to the debts that EPS will leave for liquidation, these will be paid by the state from the national budget, effective in the future. Brokers with weak financial situation will be able to obtain loans from the State so that their users are not vulnerable.
Toro added that the main items of reform will be supported by primary care empowerment, comprehensive care in remote areas, out-of-school services, interoperable information system, human talent in health work dignity and the National Social Security Institution in Health. Fewer members and citizen participation among others than recommended by the government.
The principle of understanding would not only save reform, but also preserve the health of the pro-government steam cylinder in Congress, as the aforementioned parties warned if the President did not pay attention to property lines (as health was not entirely public at first). Again) they were willing to carry out their own reform projects; this project, in practice, received the support of 38 votes in the Senate and 76 votes in the House, members of the three groups in Congress.
So, without the support of ‘La U’, conservatives and liberals, health care reform was virtually dead, because The historical Covenant’s votes are not enough to approve it.
(In context: Health Reform: liberals, conservatives and ‘U’ proposal to Government)
The agreement was reached even though Minister Corcho had pointed out at an Andi event hours earlier that the project could be withdrawn from Congress if the “essence” of the original proposal was not preserved. So far, it has not decided to come to an agreement with the parties.
Senator Cepeda, on the other hand, said that the process will be socialized with the bench at the meeting where they will sit at the technical table this Wednesday.
“The current EPS continues to build on what has been built, as the health manager, but as we have expressed by the Address in our project with direct rotation and no vertical integration, it will be gradual as the Address is prepared. The transition period will be decided,” he added.
On the other hand, Opposition congressmen such as David Luna and Paloma Valencia have been harshly critical. “Minister, please, we must be open to discussion and criticism. They cannot claim that Health Reform, which is also extremely dangerous, has passed without any change,” said Luna.
Valencia further noted: “Congress is the one who decides the laws of the Republic, and if the Government doesn’t like the Congress to perform its function, it should withdraw the project. Congress will know how to turn out a project that will serve the Colombians, not just the minister”.
POLITICAL WRITING AND ELTIEMPO.COM
Source: Exame
I am Bret Jackson, a professional journalist and author for Gadget Onus, where I specialize in writing about the gaming industry. With over 6 years of experience in my field, I have built up an extensive portfolio that ranges from reviews to interviews with top figures within the industry. My work has been featured on various news sites, providing readers with insightful analysis regarding the current state of gaming culture.
