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A total of 62 federations, federations and associations of patients, users, workers, academics as well as past and former Deputy Ministers of Health and Finance, who are directly and indirectly part of the health sector, have expressed concern about the content of the current project. Reformation from government Gustavo Petroas well as with regard to the procedure provided for by Seventh Committee of the House of Representatives.
Through a letter called “Proposal for a National Pact for a Better Health System in Colombia”, He made an urgent appeal to the national government and the Congress of the Republic to consider several points from which he could Warning of risks to patients, users, institutions and the sustainability of the health system It may come true, if the text under discussion today is approved. And for that, The bill is withdrawn.
according to these, It is not clear whether the health reform introduced by the national government contributes to advances in the fundamental right Rather, it jeopardizes the progress made in the effective enjoyment of the right, including the freedom of choice of the citizens of the insurer and the provider, and threatens the principles of competence, universality and solidarity established by them. political constitution.
In addition, they announced 14 points which they refer to as troubling.
It does not solve coverage and access problems that arise in the regions. On the contrary, it breaks down and disintegrates levels of care, affects its safety, does not guarantee continuity of patient treatment, and eliminates the role of patient agency, which leads to barriers to access for the population. .
Another is that Scattered agency jobs and comprehensive risk management in different GPs, creating confusion in roles and responsibilities to patients and the system.
In addition to It does not guarantee the financial sustainability of the system Conversely, it violates the financial protection that means to the state Unit Capital Payment (UPC).
He warned that this “leads to the complete nationalization of the system by concentrating most of its functions in public agencies, and health insurance will disappear completely, to move to the public health system.”
turn, which The participation of the private sector in providing the service is not encouragedunaware of the efforts made in quality, technological advancement, training of human talent in health and investment, placing Columbia in a prominent position in the hospital’s display of excellence.
Also, which proposes centralized management of resources in Resource Manager of the General System of Social Security in Health (Adres), The institution that stated that it does not have the capabilities or infrastructure to be responsible for the entire financial process and administrative management of the system. in addition to Creation of regional account funds with associated bureaucratic structures, Exposes the system to service failures, resulting in loss of life.
Likewise, they stressed that the process has taken place so far in the Congress of the Republic He violated many provisions of Law No. 5 of 1992“by which regulations of the Congress, Senate, and House of Representatives are made,” which govern the handling of laws in Colombia.
“The countless obvious and documented procedural errors noted during the deliberations in the Seventh Committee of Congress suspend the task of permanence of the bill. In addition, an important group of jurists is of the opinion that many of the provisions in the bill should be addressed by legislative act, as they undermine Guarantee the basic right to health, ”they emphasized.
They explained it in detail for all of this There is a great risk that the reform will be unconstitutionalWith the loss of time and serious risks to the system, and thus the request to withdraw the bill.
“The national government is respectfully asked to withdraw Bill No. 339 of 2023, and in response to the call of President Gustavo Petro, to build reforms together, to convene a large national table for a broad discussion, with the presentation of basic technical and scientific evidence, with the participation of citizens and health sector organizations,” they noted.
They pointed out that this is not just a formality to build a common reform guided by the constitutional mandate of the fundamental right to health, as well as the inalienable right to social security and Health Legislative Law 1751 of 2015, this way Progressive, sustainable, efficient and Leads to resource protection and system sustainabilitybut above all, to the best, timely and high-quality care for all Colombians throughout the national territory.
These are all leftovers “Proposal for a National Pact for a Better Health System in Colombia”
the so-called “Proposal for a National Pact for a Better Health System in Colombia” It was signed by the Confederations, Unions, former Ministers and former Deputy Ministers:
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