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Health reform: María del Mar Pizarro expressed her annoyance at the decisions of Congress


The health reform faces resistance in Congress, and María del Mar Pizarro firmly points this out - credit marpizarro.com/Web
The health reform faces resistance in Congress, and María del Mar Pizarro firmly points this out – credit marpizarro.com/Web

Recently, the accidental congressional commission charged with analyzing the health reform presented its report, which reflects the agreements and disagreements reached after intense dialogue tables with various sectors involved in the debate on the document, decisions that bothered Maria del Mar Pizarro and that she did not hesitate to let him know.

Although the purpose of the commission was to achieve consensus, the text delivered to the plenary session of the Chamber did not show significant progress in the existing differences between more than 40 congressmen from different parties, although with a majority close to the Government, for the coalition of the Historical Pact.

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Discrepancies persist mainly in the formation of health service provider networks and in the transition regime; However, certain agreements were reached on other aspects of the reform.

According to Andrés Calle, president of the Chamber, a consensus was reached 81 of the 93 articles proposed in the reform. Among the points of agreement, the need to eliminate the financial intermediation of the Health Promotion Entities (EPS) and prohibit vertical integration in the second and third levels of medical care stands out.

This implies that the health managers, which would be the new name for the EPS, would be in charge of comprehensive health management, while the State would assume financial risk management to guarantee that the resources allocated to the EPS are sufficient for the entire year.

The health reform is still on the conversation table in Congress, so the pros and cons increasingly seem to be more marked - credit @CamaraColombia/X
The health reform is still on the conversation table in Congress, so the pros and cons increasingly seem to be more marked – credit @CamaraColombia/X

Another agreed point refers to the improvement of working conditions for workers in the health sector. These employees would be prioritized in the transition regime between the current health system and the one recommended in the reform, in addition, users would be allowed to choose their Primary Health Care Center (Caps), with preference for those located near their places of residence.

However, disagreements persist on key issues. The formation of networks of health service providers continues to be an issue without consensus, since it is proposed that the Ministry of Health assume this task currently in charge of the EPS, and an agreement was not reached on the responsibilities of the National Health Council, the sector’s consulting entity.

The definition of the functions of the Caps, in charge of primary health care, was also not resolved, as was the duration of the transition regime. Furthermore, the question of the cost of implementing the reform and the adjustments necessary for the Administrator of Health System Resources (Adres) can assume new responsibilities remains unclear.

In the midst of these tensions, María del Mar Pizarro, sister of Senator María José Pizarro, expressed her opinions on the health reform - credit Colprensa - @delmarpizarro/X
In the midst of these tensions, María del Mar Pizarro, sister of Senator María José Pizarro, expressed her opinions on the health reform – credit Colprensa – @delmarpizarro/X

The report presented must be put to a vote in the plenary session of the House of Representatives. If approved, the discussion on health reform would advance to its third debate in the Seventh Committee of the Senate.

In the midst of these tensions, Maria del Mar Pizarrosister of the senator María José Pizarroexpressed his opinions on social networks.

In a tweet, Pizarro commented: “We spent 14 days debating health reform. We reached agreements on 81 articles, both opposition parties and independents expressed their differences and we tried to reach a middle point. Now they say that there was no consensus and that the report presented is of no use to them either.”.

In another message, Pizarro noted: “What they have always wanted is to sabotage the reform. Both @MarthaAlfonsoJ and @AlfreMondragon did an admirable job coordinating the commission so that now congressmen, who were not even part of the dialogue tables, “they come to know all the work that was done.”

In the midst of these tensions, María del Mar Pizarro, sister of Senator María José Pizarro, expressed her opinions on the health reform - credit @delmarpizarro/X
In the midst of these tensions, María del Mar Pizarro, sister of Senator María José Pizarro, expressed her opinions on the health reform – credit @delmarpizarro/X



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