06/15/2021 1:45 PM
Updated 06/15/2021 1:46 PM
"We are going to have to rethink the entire health system," Vice President Cristina Kirchner said on Monday, an idea that she had already outlined a few months ago. She spoke of "going to
an integrated system between the public sector, social works and prepaid "
And he did it 24 hours before the prepaid companies appear in court to claim the lack of adjustment in the fees.
What does the former President have in mind?
circulates among the private sector with some of the ideas of this reform.
It is entitled
"Central axes for a health program 2020/2024"
and it would have been generated in the plant of the Instituto Patria, which supports the K.
The work proposes the creation of
the Argentine National Integrated Health System (SNISA)
, which would be under the umbrella of the
Superintendency of Health Services
(SSS), which would be reformulated.
It also seeks to consolidate
a regulatory framework through a National Health Law
"and - to the extent possible - to have a New Constitution, incorporating health as a human right and SNISA as a national structure that includes all jurisdictions. and sub sectors, "says the report.
The work proposes to
in health of the national State through a National Health Fund and to implement a
system of recovery of the benefits
that state entities give to social and prepaid works.
"The public subsector will obtain
remuneration for the services provided
to beneficiaries of social security and private insurance; in the case of Social Works with which agreements are signed, average discounts of up to 33% of market values will be made or of defined nomenclator, which may be considered an
explicit subsidy from the State
to social security and workers
in exchange for a system of automatic collection
of what is billed from the same AFIP collection or, failing that, from the SSS of all benefits, "he details.
Furthermore, the Instituto Patria proposes to establish a new modality for the
"free choice" between social works
that prevents underfunding;
develop an investment program for the start-up of the hospitals built "and today negligently abandoned" and ensure the progressive territorial integration of the public sector "until a Network of Public Health Establishments in All Argentina (REsPueSTA) and the works national and provincial social "for a more efficient and effective use of health resources."
The proposed reform would also impact laboratories.
In addition to urging the relaunch of the National Agency for Public Drug Laboratories and investing in state production, the project contemplates defining "a basic national formulary, considering
to ensure the Right to Health."
Along these lines, it points to the "use of the purchasing power of the State when it results in clear advantages
in the control of abusive prices
promoting centralized and joint purchases of the Nation, Provinces, PAMI, trade union and provincial Social Works, of the Armed Forces, of the legislative and judicial and university powers that choose to ascribe to the SNISA ".
Another noteworthy point is that the national development of drugs and medical products in general will be promoted through
patent and intellectual property policies
In addition, it promotes "
a national joint
" for health personnel to help reduce the gap in working conditions between jurisdictions, co-financed by the National Health Fund.
And a plan for the training of
100,000 new nurses
throughout the country.
Regarding occupational health, they foresee the transition from a system focused on risk to a system focused on health promotion.
"Integration of the occupational health area to SNISA to replace the occupational risk system"
Another relevant point is to transform occupational medicine into "tools to improve the health of workers instead
of means of persecuting absenteeism
The periodic review of the list of occupational diseases with the inclusion of "
is also promoted
It will seek to develop a
unique medical history
throughout the country.
The document also has a section on health and gender, problematic drug use and the health needs of indigenous peoples.
It also proposes extending maternity leave to six months and extending paternity leave, together with
a Universal Allowance for people who carry out unpaid care tasks
For prepaid, the delay in the amounts of the fees paid by the affiliates is around 35%
Due to the lack of adjustment in fees, prepaid medicine companies go to court
With prepaid in her sights, Cristina again demanded that the health system be reformed