Colombia’s healthcare ‘crisis’

In past races in Colombia, security was consistently a top worry of citizens. Yet, with the security circumstance in places like Bogota much worked on in the previous 8 years, surveys have shown that social issues such a positions, training and medical care have turned into the essential nervousness individuals will think about when casting a ballot in this political race for president on Sunday.

Medical care is one issue that has been discussed a ton in Colombia of late. The framework is overwhelmed by private medical coverage organizations.

The public medical care framework for individuals who can’t manage the cost of private protection – about portion of Colombia’s 44 million individuals – is paying off debtors by certain evaluations as much as $3 billion dollars.

So, there is basically no more cash in government coffers to finance broad medical care for the individuals who need it the most and can’t bear the cost of private protection. Indeed, even the public authority has conceded lately the framework is in emergency.

The following is a meeting I directed for the current week in Bogota with Jose Felix Panti?o where we talked about the medical care issue in more profundity.

Panti?o, 83, is the leader of Colombia’s National Academy of Medicine, a Yale clinical school graduate, the previous leader of one of Colombia’s most esteemed colleges, and a previous priest of wellbeing.


J???ose Felix Panti?o, President of Colombia’s National Academy of Medicine. Photograph Maria Elena Romero/Al Jazeera ?

Question: What is the principle issue with Colombia’s medical services framework, from your perspective?

Jose Felix Panti?o: “The principle issue is that Colombia used to have an extremely impressive general wellbeing framework and this framework depended on organization of public medical clinics, the most significant were the college emergency clinics. Not any longer. Right now we at this point don’t have a general wellbeing framework it is for the most part private, for benefit. What’s more, what is left of our public framework simply doesn’t work similarly it used to.”

“What has happened is that medical services which was a social movement turned into a business action and the business of wellbeing turned out to be actually the overwhelm part in the solid framework here. So we don’t have in Colombia an association that is socially arranged – not intended for benefit. What we have here is a progression of private insurance agencies that give medical coverage, paid ahead of time, for the most part for benefit. We ponder a large portion of the cash that goes to wellbeing in Colombia is in the possession of the private insurance agencies.”

Question: But there is a public arrangement in Colombia, clarify the distinctions with public and private.

Jose Felix Panti?o: “It is convoluted, yet what we have here is a required wellbeing plan. There is a private arrangement for the rich individuals, which is very satisfactory. And afterward there is a public arrangement for individuals in the following regiments, which is the sponsored plan, however that is an arrangement that is a lot more modest. As you drop in the social financial levels the wellbeing plans accessible to Colombians are less and less and less. Individuals in the most minimal financial class, monetarily talking, are the ones that get the most noticeably terrible consideration in Colombia.”

Question: Some significant things are shrouded in the public plans right?

Jose Felix Panti?o: Things like pre-birth care are accessible to nearly everybody in the framework, and in enormous urban areas it is satisfactory. Yet, medical care gave in the modest communities is extremely lacking. So individuals who have experienced the most are individuals who have the most un-monetary force. On the off chance that you have cash you can have great medical services, assuming you don’t have cash, you have care that is decreasing as per the lower pay levels.

Question: Who is benefiting the most from the framework as it is presently? Furthermore, what is the financial deduction behind the manner in which the framework is as of now set up?

Jose Felix Panti?o: “individuals benefiting are the private insurance agencies. I think (President Alvaro) Uribe has actually the very financial reasoning that Bush had in the United States. They feel that on the off chance that you offer the chances to the rich individuals they become more extravagant and at last lavishness will stream down to poor people. Yet, that doesn’t occur. The rich individuals get more extravagant, and more extravagant, and more extravagant, and the less fortunate individuals get less fortunate and less fortunate. Today toward the finish of Uribe’s administration we have more needy individuals than we had when he began as president.”

Guillermo Orosco is in danger of his body dismissing his kidney relocate on the grounds that he just makes about $150 per month and the basic meds he needs are $2,000 per year. Photograph: Maria Elena Romero/Al Jazeera

Question: How has wellbeing turned into a significant issue in the official mission?

Jose Felix Panti?o: “We do trust the following president that will be chosen Sunday will change this framework. It’s been difficult to risk up to now, on the grounds that the current president – Alvaro Uribe – was the Senator who introduced the bill in the 1990’s (that made the framework what it is today). So he thinks of it as his bill, and he would not like to transform it. Disregarding every one of the contentions we have given. So we do have at the current time an extravagant and extremely inconsistent medical services in Colombia.”

Question: What necessities to change? What’s more, what is the underlining issue of the current way the framework is set up?

Jose Felix Panti?o: “I think what must be done is change the framework. Since right now the situation is upheld by the residents who purchase health care coverage. In the event that you have a pay you purchase in the framework and a percent of that goes into the framework for destitute individuals’ health care coverage. However, what has happened is that this has turned into a business activity as opposed to a social activity. Medical care here in Colombia is a business and doesn’t fill a social need. What’s more, the issue is that in case you are a leader of an insurance agency selling medical care, the lone way you have greater benefits is by reducing the medical care of individuals. You can not have as much research facility tests, you can not have demonstrative imaging, you can not have explicit conferences. So we are currently in an exceptionally terrible circumstance and I am not talking from a political viewpoint. I was clergyman of wellbeing I dealt with the wellbeing framework in the old years. I do know very well the public framework, and what has happened now is that Colombia is the lone country on the planet, alongside the US, that has wellbeing in the possession of the private area, for benefit.”

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