A negative view of PhilHealth....
Found this on the blogosphere, written by Dr. Alfonso Amores who's based in Lapu-Lapu City, Cebu. It's a less than stellar view of PhilHealth, the government agency mandated by law as administrator of the National Health Insurance Program. Without any allusions to it being accurate or not, I'm sure a lot people I know who visit this blog would find this interesting. The original post can be found here, in Dr. Amores' Lapu-Lapu Times.
PHILHEALTH - HEADING FOR DISASTER
When I first came home about 5 years ago, I started hearing about "Philhealth". Then I started hearing about the cards being given to the indigents (arguably for election favors). One time, there was a big news about how the City of Lapu-Lapu gave free Philhealth cards to thousands of squatters. The city paid some millions for it, but when I computed it, it was barely Php1,000 per family per year (God knows how many in the family). The big news that came with it was that now, all health care needs of the family was taken care of. Dream on! Php1,000 will not even buy one one day's antibiotics in case of a serious infection.
Everybody got into a celebratory atmosphere, dancing in the streets and lauding the success of the government in giving this favor to the poor of our society. No one stopped dancing to ask: "Wait a minute, who's paying for this?" We are! Remember how may thousands of cards were given away as the election was approaching? We are paying for all of that now. By some actuarial estimates we are short by no less than Php50-100 billion.
In my 20 years of practice in Plastic Surgery in the USA, I lived right through the growing pains of Medicare. It was a huge mess (still is a mess today). Simply, the US government just could not afford the price.
And we can? Heck! We could not even pay the principal of our foreign debt! Still, people in the government are talking about national health program. No!No!No! We are too poor. We cannot afford that.
Here is a set of free advise to the people in the know in the government:
* If you really want to be altruistic (meaning all through the cycle, not just election time), have a charity health insurance program (let's call it say, Medicaid). This is not Philhealth. There are honest limitations: good for government hospitals only, no private clinics, etc. And, only families that are below certain income level can avail. Everybody above gets Philhealth or private insurance..voluntarily.
* For Medicaid and Philhealth programs there are limitations too. First and formost, there has to be a Utilization Review Committee for every participating hospitals. (We in the US realized this too late. Only when Medicare was tethering on the brink of bandruptcy did we impose this). This will prevent physicans, hospitals and patients abusing the system. Remember a few years back when more than a dozen hospitals in Bohol were caught overbilling Philhealth?
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