The government has re-launched the universal health insurance (AUS). It is timely to remember that AUS law was enacted in April 2009 but its implementation has been delayed by the refusal of the Ministry of Economy (MEF) to allocate resources. Despite this, the MOH launched the attentions of the AUS in Huancavelica, Apurimac, Ayacucho and Window in Callao, but have no funding what has happened is that the debt of the SIS to health facilities has increased. Ie hospitals, the decision by the Ministry of Health, have begun to provide care of the unfunded AUS.
Now the government has pledged 78 million soles, which must be added to the 420 million that the SIS budget to meet the new demand generated in Huancavelica, Apurimac, Ayacucho and twenty districts of Lima. Taking into account that those 420 million SIS provides your care package (LPIS) to about 8 million members, and that they will be adding about 4 million, which in practice is given a lower funding . Increases the number of members by 50%, but the budget only by 18%. What happens is that he is putting more water the broth.
more water to broth
If we add that, even before the SIS AUS funding was inadequate and high cost diseases can not be covered, we think that behind this launch in Lima there is an intention García policy to incorporate in his last speech this flag. On the other hand, you can not achieve a timely and quality care if they do not attack the gaps in the health system and poor infrastructure in disrepair, lack of personnel, finance unsustainable, poor equipment, medicines unsecured arrears .
The Government notes that these shortcomings will be overcome because EsSalud, healings and armed police and private clinics to provide care under the AUS. What I forgot to mention that the MOH is desired functional integration has been discussing and looking for thirty years without being able to achieve. There is no guarantee that today will be so only because it says Garcia, the inertia of the fragmented health is stronger than any stump speech. On the other hand, the costs of care in the MOH are not the same as in EsSalud or in private, so in the immediate is highly unlikely to be able to choose between health care providers. Another
contradictions AUS release is that the SIS must now finance two packages of care. The LPIS for members of the SIS in areas without AUS, and Essential Plan Health Insurance (PEAS) for members in areas of the AUS, which will generate administrative complications. But something more serious: LPIS provided care to more complex needs (renal failure, kidney transplant), while the privileges PEAS single layer of care, and more complex cases only goes up to the diagnosis (cancer of the cervix and breast). Taking into account that the fund for serious diseases (FISSAL) is underfunded and officials living passing the hat to big companies for donations, it is clear that there is no with a defined north. Buying health
happens that consolidates a limited perspective of health, strengthening insurance for the poor. Join to achieve this because the person has to prove to be poor. That is, the state does not recognize the right to health care for the status of citizen, but by poverty status, we also consider that the care packages for the poor do not cover the entirety of the attention, but a fraction. Meanwhile, others will have comprehensive care (EsSalud in theory should provide), and others who have neither the SIS nor EsSalud, must purchase their health in the market. Thus the argument is meritorious that the AUS is a shortcut to the privatization via insurance companies, which are free to operate the field through the institutions Health Fund Administrators (IAFAS) that the law creates AUS.
What the country needs to define the model of access to health, and that means a national debate, because the health implications have an impact on almost all other sectors of the country. Or are we going to differentiate between poor and nonpoor, or use the health system to equalize rights and freedoms. The argument of the shortage of health resources is a myth, the MEF turned over a check for $ 50 million for the H1N1 vaccine in the blink of an eye, because that was a large laboratory with that amount could certainly slow the 7 000 deaths of children who fail a year of life and the hundreds that comes every winter cold. It's a matter of knowing where to steer the boat and not get carried away by the immediacy.
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