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After the protest, hospitals were disappointed with the finance solutions: Like a band-aid - Walla! news

2021-01-13T20:40:53.706Z


After the directors of the institutions on the verge of economic collapse protested to the Treasury demanding assistance in financing salaries and medicines, the ministry's representatives went with them - but the lack of a state budget makes it difficult to find a long-term solution. Among the proposals raised at the meeting: promoting the new cap law and advancing the annual aid grants


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After the protest, hospitals were disappointed with the finance solutions: like a band-aid

After the directors of the institutions on the verge of economic collapse protested to the Treasury demanding assistance in financing salaries and medicines, the ministry's representatives went with them - but the lack of a state budget makes it difficult to find a long-term solution.

Among the proposals raised at the meeting: promoting the new cap law and advancing the annual aid grants

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  • Zeev Rothstein

  • hospitals

  • Ministry of Finance

Sonia Gorodisky and Meirav Cohen

Wednesday, 13 January 2021, 22:12

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In the video: Hospital directors protest in front of the Ministry of Finance (Walla! NEWS system)

The directors of the public hospitals met today (Wednesday) with Deputy Finance Minister Yitzhak Cohen and representatives of the budget department, as part of their demand for financial assistance in financing salaries and medicines.

According to them, they are on the verge of economic collapse due to budgetary discrimination against government hospitals, and their situation has even worsened against the background of the corona crisis.

"We are going into empty pockets and hoping they will be filled," hospital administrators said at the start of the meeting.



The Treasury defined the meeting as "productive."

In the absence of the state budget, the long-term solutions for financing public hospital activities are not feasible at this stage, so two proposals have been made available in the short term - that finance officials will strive to promote expeditiously: promoting the new "cap law" and advancing annual support funds.



However, after the meeting, hospital administrators countered that they were offered only temporary solutions.

"It's very frustrating that the Treasury is giving us a band-aid for a bleeding wound."

The parties have decided to continue debating things tomorrow.

Protest demonstration by public hospitals in front of the Treasury, today (Photo: Flash 90, Yonatan Zindel / Flash 90)

The first solution proposed is to promote the "new cap law", which regulates the rules of accounting between the insuring health funds and the hospitals, and is supposed to help the public hospitals financially.

In fact, the law divides the budget pie for the coming years, amounting to NIS 18 billion a year, and passes as part of the Arrangements Law.

The method sets a minimum (floor) and maximum (ceiling) payment of HMOs to hospitals for hospitalization and additional services they purchase.



The Cap Act has not been updated for years, and is actually based on 2015-2014 data.

One of the goals of the law is to reduce the budget gap between government and public hospitals, and against this background government hospitals oppose updating it.

However, the finance and health ministers have already agreed that the new cap law will be promoted.

According to a source in the Treasury, if the new cap passes, then already in the immediate term public hospitals will receive "significant sums".

More on Walla!

NEWS

Public hospitals are on the verge of economic collapse: "Going from hand to mouth"

To the full article

The second solution raised at the meeting is to advance the support funds provided at the end of the year to earlier stages, since these are entities with severe cash flow difficulties.

Hospitals said the money usually arrives late, towards the end of the year, so they are forced to take out loans and have no cash flow certainty.

The director of the public hospitals wanted to centralize the issue so that the information about the amounts of money due to them would be received quickly.



The Ministry of Finance wanted to point out that only last year the public hospitals received a budget of about NIS 850 million as part of the assistance given to the health system to deal with the corona.

According to the source, this is an "astronomical amount that the public hospitals have never received. The directors of the public hospitals admitted that they managed to" close the year 2020 thanks to the same funds that were transferred. "

Prof. Rothstein: "It's a nightmare"

This week, the public hospitals opened a protest in front of the Ministry of Finance until the budget issue was settled, and their heads held a press conference in front of the office in Jerusalem today.

The list of medical institutions includes Hadassah, Shaare Zedek, Laniado, Maayan Hayeshua and the three hospitals in Nazareth - the English, the French and the Holy Family.



Laniado Hospital CEO Nadav Chen accused that “for a long time the public hospitals have been starved even though they are the most efficient.

The system sees us as a stepson who should not be treated and starved. "



He said," The corona has forfeited the last cards we could play with.

We met with senior officials from the Ministry of Health and the Ministry of Finance.

The Minister of Finance has promised that we will end the year 2020 without debts and in an equal manner.

Over the past year we have built departments, recruited manpower - and we have nowhere to pay them.

We are causing suppliers to collapse, and some of our suppliers have stopped supplies.

There is starting to be a shortage of medical equipment.

Next Wednesday our emergency supplies are running out and we will not be able to deal with saving lives.

The hospitals in Jerusalem, Nazareth and Netanya are entitled to the same budgets as the residents of Tel Aviv and Nahariya. "

"2021 can not look like this."

Public Hospital Directors vs. Finance, Today (Photo: Flash 90, Jonathan Zindel / Flash 90)

The director of Shaare Zedek Hospital, Prof. Ofer Marin, warned that if no solutions were found, "from Sunday we will not treat non-urgent patients."



"I did not think that as a doctor I would have to talk about money in the difficult year in the health care system," Marin said. "We've been to the Ministry of Finance dozens of times and we managed to end 2020 with our tongues out. We came here to say that 2021 can not look like this. January will end without budgetary and cash flow capacity. This situation is over. We will not move until the Ministry of Finance tells us that Jerusalem residents receive treatment. "The same goes for the residents of Tel Aviv. We need the same resources. The health economy in the State of Israel is deficient in a government decision: Government hospitals receive budgets to cover the deficit, but we do not. We will start to see empty beds."



Prof. Zeev Rothstein, director general of Hadassah Hospital in Jerusalem, also joined in, warning that the "red line" had been crossed. "If the State of Israel is at war and the soldiers are the medical staff, I can not pay them or our suppliers. The situation was not perceived. I feel like it's a nightmare that you may have to rub your eyes to believe it's happening. The state benefits from having philanthropists and donors so that the state has hospitals, but we do not have the father in the form of the state budgeting for us and we do not have a mother in the form of health funds who takes care of us, "he said.



" I do not want to be a hospital manager who cannot pay his staff, "Rothstein added." We were in the Treasury, but the treatment takes longer than we can take on our backs. This is not our personal problem. We are not looking for rewards, but rather that they will let us do our job. Our call: Do not put us in a situation where we are insolvent, it is harmful and can not be. "

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Source: walla

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