For many years, the health system, like other areas, has been in decline and even more so now following the pandemic and the country’s socioeconomic problems, causing all health services to be really deteriorated or to put it another way. way, the health service is bankrupt.
All the Clinics, Sanatoriums and Assistance Centers suffered a tremendous deterioration, some had to close their doors and others are dying, simply because they cannot replace the supplies used.
In order to provide an optimal benefit, they must invest an amount and at the moment of receiving the payments they never cover the costs of the supplies, creating an unfeasible situation to be able to continue subsisting. They merge working.
In other words, the expenses are exceeded by the amounts received. So as a palliative resource, seeing the deterioration of services, patients necessarily resort to the hospital system despite having their Social Work or Prepaid.
Although from the institutional point of view, the Hospital competes with private services, generating an adequate level of assistance, with hierarchical professionals and with constant building improvements, it is currently collapsed due to the circumstances described.
From the political-administrative point of view, the Chivilcoy Hospital is really synonymous with good organization. However, it should not absorb all the needs of the population, because sooner or later the resources will run out.
At the institutional level, the hospital system is subsidized by public collections, while the private health system only receives payments from the Social Work, Prepaid and Labor Insurance system.
As a doctor I have lived within this problem since I started working as a professional. I have lived through the bankruptcy of private health companies, knowing perfectly well the origins of the problems and, unfortunately, the consequences that this implies for the population.
Weeks ago, on a cold Sunday, I have seen in the Hospital of this city at least twenty people waiting in line to be assisted by the medical guard, some using a blanket to withstand the cold.
I have also seen that there are already Clinics that cannot have doctors on duty due to the pressing socioeconomic situation.
You must be aware of the current situation because if this continues, obviously, unfortunate events will occur, because patients who need emergency care are not only exposed to complications due to their state of health, but they may also not arrive on time for treatment. have adequate care, living in a state of desperation, looking for a friendly doctor to meet the needs.
We should not allow this to happen. We would have to look for solutions, petitioning those responsible for the health system, making them recognize reality.
The doctors of our Association of Traumatology (ATOOB) for similar reasons disaffiliated from FEMEBA (Medical Federation of the Province of Buenos Aires), which was not representative, did not solve any problem for registered professionals and only existed to collect improperly a percentage of our fees. In the same way, Private Clinics and Services are represented by FECLIBA (Federation of Medical Clinics of the Province of Buenos Aires) who, by the way, should address the current situation to resolve it.
It would seem that in this institution they are sleeping, inert or perhaps politically compromised in the decline of our health system.
All the Clinics in the other towns experience the same problems as Chivilcoy, Bragado, 25 de Mayo, Alberti, Saladillo, Nueve de Julio and others.
Some filed bankruptcy and others were bought by representatives of some unions (Truckers).
It really is a degraded country where ethical and moral values lost their importance being displaced by wrong policies with a cloak of corruption.
Also in the same context, we should think of all health workers, nurses, scrubbers, maids, administrative staff and all the people involved in this work. Every private health service company, month following month with serious complications, pays the legally established salaries and contributions, while hospital services are always subsidized by the state, leading to a numerically overcrowding of employees, unduly increasing fiscal spending.
At the time of evaluating the health situation we should not have political flags of any party. Health, safety and education are top priorities.
The solutions are taken in the first instance recognizing the reality and evaluating the seriousness. If we do not see the present, we will never have an orderly future.
I consider it necessary for there to be a dialogue table with all the companies in the health system, representatives of Social and Prepaid Works and with the municipality to politically request immediate solutions.
Dr. Simn Manterola
MP 70589