Laura (34), an ophthalmologist, calls her office to ask for help. wears contact lenses and has been treated with them for more than a decade. On the other hand, the historical secretary asks him to find out if he still has the paper. “The doctor stopped working on some plans,” explains the voice on the other. “But I’ve been sick for years,” said Laura. “You can come in secret,” they answered.
These situations are repeated more and more. And, according to a survey carried out among teachers, over 35% reduced the number of social changes and unpaid work last year.
The accounts would be associated, at least in part, with the fees they receive for providing these services. The information comes from a survey carried out on 845 doctors Wiri Salud medical care platform.
It can be deduced from the work that 68% meant that he earned “at least double or more”. Meanwhile, 21% indicated that “the fees are a little higher” while only 1% are considered to “agree with the service”. Of those surveyed, 11% stated that they do not work with social services or providers.
34% said they work more than 12 hours in the same day, which represents 4% more than last year.
Along the same lines, 52% of teachers referred to the workload as “too much”, against 46% who had said the same in 2021.
“It’s difficult to get a head start at times, especially in some special situations. Consultation fees are usually low, around 2,000 pesos and paid in 60, 90 or even 120 days, advises Antonio Di Nanno, psychiatrist and assistant secretary of the Association of Private Activity Doctors (AMAP).
He says that doctors have met the condition that teleconsultations should be offered to patients, according to Di Nanno, not to replace a professional visit. “It also turns into a kind of procrastination when it comes to accepting institutions or even managers who are interested in participating with some social work,” I maintain.
and ongoing notes related to the pandemic. “The health of doctors has been badly hit and the level of tolerance has dropped. There is a love of medicine, but it seems to me that there is no place for less and less respect,” adds the AMAP reference.
Diego Calvo, obstetrician-gynecologist specializing in maternal-fetal health, says that various scientific societies, such as the Society of Obstetrics and Gynecology of Buenos Aires (Sogiba), are working to renew the fees. “They are growing more slowly than the growth. In many cases, many jobs are used, but more and more work is needed to maintain”, Calvo confirms.
He attends to preparation and social work, although he states that his main work is to perform ordered ultrasound examinations. He says that there are expenses, such as materials for making papules, to be passed on to the sick. And he promises to know that doctors who use blue copayments to lose some patients without money.
“In general, second-line unpaid companies usually fall further behind with payments and are left with only clear coverage,” says Calvo.
In this sense, it stands out that it becomes difficult to complain that patients have an appointment, or even because there are doctors who try to stop.
Drama left without a doctor
What happened to Lorena Gutiérrez, mother of Martina (12), with her daughter’s dentist. “Once he told us that he would stop working on our prepaid. He explained to us that it was unstable because of the financial situation,” said Lorena, who decided to continue private treatment for her daughter.
Melisa Macaluso (37) was diagnosed with hypothyroidism at the age of 20 and, since then, regularly takes her hormone supplements with an endocrinologist. But since last July he could no longer spare him because he had stopped working with prepaid.
“They know me by email, who said that I owe them more than four months’ worth of benefits and because of this, if I wanted to stay, I would have to start paying for a private consultation, at that time $2,000 + VAT,” he shares with Clario.
“I don’t know how much it is now, but I know that it is very difficult for me to get an appointment with another profession. Due to the great demand, there are months of waiting. So I am left without a prescription for Levothyroxine, which I have to take every day”, he comments.
Consulted by this newspaper, Claudio Belocopitt, president of the Argentine Health Union (UAS) and Medical Switzerland, says that “it is true that doctors are no longer paid to care for medical companies or social work”. there are others who join. “Swiss medical professionals are added to us every month,” he says.
In particular, he confirms that they will certainly receive better fees, although he teaches that it is the doctors who opt for the Cape, because it continues to be the most burdensome of the taxes for doctors. “It works on them and they have a very solid volume of patients,” adds Belocopitt.
President UAS, physician fees, like many other revenues of the health system, must be improved. And he emphasizes that “there is a major financial crisis” and that “measures must be taken to make the system fairer and more equitable for all parties.”
In particular, it deals with the coverage of benefits linked “to school or to transport people with some kind of disability”. “The state should take care of these expenses, not the health system,” he remarks.
And it shows that there is still a long way to go in the use of high-cost drugs, which in some cases, protected companies, must cover by court order.
Both Osde and Galen were consulted in this matter, but they did not prefer to express themselves in the matter.