Finally, tomorrow the Government would make official the regulations of the chapter of the
mega
DNU
that deregulates the social works system.
The measure, which seeks to allow workers to
freely choose the services of the providers managed by the unions or the prepaid companies
, not only put the CGT on alert but also the private medicine companies that warn that
they could resort to Justice to stop the changes or increase the fees
to cover the higher costs that the financing of the solidarity health system will demand.
This regulation, which according to official sources would be published this Tuesday in the Official Gazette, opens a scenario of conflict with prepaid medicine companies because in its recitals it states that they
"are obliged to contribute to the Solidarity Redistribution Fund (FSR). for the total amount they receive".
That is, firms will have to face greater expenses.
"We still have accounts in problems. The latest increases were high but the delay in 2023 was enormous, more than 80 points.
There is no way that this greater increase in costs does not impact customer fees
," they warn in the sector. thus anticipating a greater adjustment in invoices.
In principle, the reform would force private medicine firms to contribute 20% of what they collect from their clients to the FSR.
Until now, this fund was only fed by 15% of the contributions that workers and employers contributed to union social works
, resources administered by the Superintendency of Health Services (SSS).
For months now, unions have been warning that 90% of these resources are allocated to providing services for the disabled - they were about $57 billion in January - relegating the financing of highly complex treatments and high-cost medications, for which they were originally intended. destined.
In principle, the regulatory changes would affect the smaller social works but not the bulk of the system.
Yes, the new tax would have rapid effects on prepaid accounts.
"Today they do not contribute to the Fund, and that is why
they can request protection because they consider that a new tax is set for them by decree
," business sources explained.
From the small table of the CGT, meanwhile,
José Luis Lingeri
(Health Works) assured that the underlying problems of the health system are not solved with these amendments.
“The deregulation of social works has already been in place since the 1990s. The free choice rule excludes the worker from having to remain in his original social work for a year and now he can do so without completing that period in the new one. activity you enter".
What the new regulations provide, according to Lingieri, is the
elimination of the "triangulation that was made between social security and prepaid benefits
", so now the worker will be able to make the contribution directly to the private medicine company if they choose that coverage.
Presidential spokesperson
Manuel Adorni
confirmed this morning that the regulations of
DNU 70/2023
will make it possible for “workers to have the freedom to direct their contributions to the social or prepaid work they choose from the beginning of their hiring,” which “will end the obligation to register for a job and be imprisoned in the union that brings them together.”
The Government also maintains that due to changes in regulations,
beneficiaries will be able to opt for a union health provider or a prepaid one - which is registered for this purpose - when starting a new job, without any type of intermediation.
This last aspect is key because it would make the entry of private medicine companies into the system "
voluntary"
through a new registry (National Registry of Insurance Agents -RENA-) that would be enabled for that purpose.
Once this regulation is made official, workers will be able to exercise the right of free choice once a year, at any time from the beginning of the employment relationship.