La Ley de Asistencia Sanitaria Universal de Filipinas: Una visión diferente / The Philippine Universal Health Care Law: A Differing View

Autores/as

  • Gene Alzona Nísperos PhD. Profesor Asistente y Sección de Medicina Comunitaria. Departamento de Medicina Familiar y Comunitaria, Facultad de Medicina. Universidad de Filipinas, Manila, Filipinas.
  • Eric David Bicaldo Ornos MD-PhD candidato, Facultad de Medicina, Universidad de Filipinas, Manila, Filipinas Identificación ORCID: http://orcid.org/0000-0001-6300-0292

Resumen

La Organización Mundial de la Salud propugna la cobertura sanitaria universal (CSU) como medio para abordar la desigualdad sanitaria y permitir que los sectores más pobres de la población tengan acceso a la atención sanitaria. En Filipinas, los esfuerzos del gobierno para ponerla en práctica han evolucionado a lo largo de los últimos diez años, dando lugar a la aprobación de la Ley de Cobertura Sanitaria Universal en 2019. La ley se basa en gran medida en el financiamiento de la salud como motor central de las reformas del sistema sanitario. En este artículo se describen y analizan los principales actores de la aplicación de la Ley de Cobertura Sanitaria Universal, en particular el programa de seguros en el que se basa, la agencia que se encargará de aplicarla y el principio general en el que se basa la ley. Éstos están cargados de problemas y pueden dificultar que se logren los resultados buscados. En lugar de una dirección basada en el financiamiento de la salud, se postula un enfoque basado en los derechos como un mejor marco y ruta de acción para lograr la salud para todos. Palabras clave: financiamiento sanitario; seguro sanitario; equidad, acceso a la atención sanitaria Abstract The World Health Organization espouses Universal Health Care (UHC) as a means to address health inequity and allow the poorest sections of the population to access health care. In the Philippines, government efforts to implement this have evolved over the last ten years, resulting in the passage of the Universal Health Care Act in 2019. The law relies heavily on health financing as the central driver of the healthcare system reforms. This article describes and analyzes key actors on the implementation of the UHC Act, particularly the insurance program it is anchored on, the agency that will be primarily tasked to implement it, and the overarching principle behind the law. These are burdened with problems and may be anathema to the outcomes sought. Rather than a health financing-based direction in health development, a rights-based approach is posited to be a better framework and roadmap to achieve health for all. Key words: health financing; health insurance; equity, access to healthcare

Biografía del autor/a

Gene Alzona Nísperos, PhD. Profesor Asistente y Sección de Medicina Comunitaria. Departamento de Medicina Familiar y Comunitaria, Facultad de Medicina. Universidad de Filipinas, Manila, Filipinas.

PhD. Profesor Asistente y Sección de Medicina Comunitaria. Departamento de Medicina Familiar y Comunitaria, Facultad de Medicina. Universidad de Filipinas, Manila, Filipinas.

Eric David Bicaldo Ornos, MD-PhD candidato, Facultad de Medicina, Universidad de Filipinas, Manila, Filipinas Identificación ORCID: http://orcid.org/0000-0001-6300-0292

MD-PhD candidato, Facultad de Medicina, Universidad de Filipinas, Manila, Filipinas Identificación ORCID: http://orcid.org/0000-0001-6300-0292

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2022-05-31

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