2023 is the true year of the Gustavo Petro government’s reforms. What we have seen so far is just the beginning. Among the many raised are two that I consider to be the most delicate: health and pensions.
I want to mention health reform which is not much known. But from what we know, it should be noted that this may not affect what is achieved in coverage. It is worrying that Minister Carolina Corcho is announcing the end of the affiliation and the end of the EPS in general.
As Roberto Angulo puts it, “the minister of health is more determined to demonstrate that the health insurance system is dysfunctional than to resolve the widely agreed diagnosis.”
I don’t go into the complex aspects of health financing. We leave that for a later column.
The following are positive aspects of our system that should not be touched. Positive points to be highlighted by the doctors and users I have consulted:
1. Successful expansion of coverage at the national level
2. The current health plan, along with the benefit plan update, allows the patient to be offered everything from the simplest to the most complex, such as a heart transplant or left ventricular assist. Additionally, most drugs were involved.
On the other hand, there are some areas where improvements are needed and they are the ones that we should engage in an open debate on which we reach a consensus:
1. There are differences in opportunity and focus between the contributory and subsidized regimes
2. Disparity in care between public and private hospitals.
3. Transparency in the management of health resources. Systematic theft follow.
4. Prevention programs that are run to attend to the disease.
5. Difficulty achieving continuity of care. Patients are admitted to the emergency room and if there is no agreement, they are turned away despite the fact that the clinic or hospital has the resources and technology to provide them with comprehensive care.
6. Free choice is not complete.
With regard to health reform, there is one issue on which I think we all agree:
Colombia needs a better health information system. Not only to follow the flow of resources, but to obtain reliable information on health care and outcomes.
If @petrogustavo government managed to remove that system, it would not only be the first step towards a profound transformation of health in Colombia, but it would also bring our system to the level that few countries have, but which today Works without touching it.
There are many things that can be achieved. For example, knowing in real time:
– what each load of health is used for
– How much did we pay or should pay for a single drug, and each procedure
– Online Medical Records
– Service time for appointments of various specialties
– How are we in height, weight, all necessary information at the population level to build prevention and comprehensive care programs.
We can quickly identify and address the biggest gaps in health provision, bringing reliable indicators of outcomes with, as Johnatan García Ruiz puts it: “Transparent, easily accessible, reliable and real-time information.” Imagine a health system with.”