Halos 90 bilyong piso na sobrang pondo ng PhilHealth, saan ba mapupunta?! | Kapuso Mo, Jessica Soho
Summary
TLDRThe Philippine Health Insurance Corporation (PhilHealth) faces controversy over its surplus funds, with the government proposing to redirect nearly 9 billion back to the National Budget for infrastructure. Critics argue this move undermines universal health care, especially for the poor who rely on PhilHealth for medical services. The script highlights the plight of a woman in Cebu who feared hospitalization due to financial constraints, despite needing urgent care. It also discusses the potential impact on benefits for members, including those with chronic illnesses, and the debate on whether the fund reallocation is legal and moral, considering the health sector's struggles during the pandemic and the need for improved healthcare infrastructure.
Takeaways
- đŒ The Philippine Health Insurance Corporation (PhilHealth) has a proposed budget surplus of 0.9 billion, which the government wants to reclaim and redirect from the National budget.
- đ« Some are protesting this move, arguing that the excess funds should be used to further improve healthcare services, especially for the needy.
- đ„ A woman in Cebu City gave birth on the side of the road, fearing she couldn't afford hospital delivery costs, highlighting the issue of accessibility to healthcare for the poor.
- đ PhilHealth is responsible for the health coverage of millions of Filipinos, but there are concerns about the allocation of its surplus funds.
- đč The surplus funds of PhilHealth are significant, with almost 9 billion in excess, yet there are debates on whether it should be used for healthcare projects or returned to the government.
- đą The Department of Finance has issued an order for PhilHealth to return its surplus funds to the National Treasury to fund other government programs, which has been met with criticism.
- đ€° A case was highlighted where a mother, a PhilHealth member, faced high medical bills for her child's treatment, questioning the adequacy of the current benefits provided.
- đ There have been increases in the benefit packages for certain medical conditions, such as breast cancer and stroke, but there are calls for further expansion of coverage.
- đ„ Private hospitals have expressed concerns about PhilHealth's proposal to return funds, as they are owed money from the discounts given to patients.
- đïž The debate over the surplus funds involves moral and legal considerations, with some arguing that the money should be used to improve healthcare infrastructure and services.
Q & A
What is the current issue with PhilHealth's budget?
-The government is proposing to return 0.9 billion pesos of PhilHealth's surplus funds to the National budget, which some argue should instead be used to further improve healthcare services, especially for the needy.
Why are some people protesting the return of PhilHealth's surplus funds?
-They believe the surplus should be used to enhance healthcare services, particularly for those in need, rather than being returned to the government.
What is the situation of the woman who gave birth on the side of the road in Cebu City?
-Despite an ambulance being present, the woman refused to go to the hospital due to fear of not having payment, highlighting the need for PhilHealth coverage to extend to such impoverished individuals.
How does PhilHealth aim to assist its members like Alvil?
-PhilHealth is supposed to provide significant discounts on hospital bills for its members, which is crucial for those like Alvil who have seen an increase in their premium contributions but are facing high medical costs.
What are the benefits that PhilHealth members are entitled to?
-PhilHealth members are entitled to discounts on hospital bills and certain medical services like dialysis for kidney disease patients, radiotherapy for cancer patients, and treatments for conditions such as stroke and newborn sepsis.
Why is there a call to increase PhilHealth's coverage or make hospital expenditures free for the poor?
-The call is due to the hardship faced by the poor who cannot afford hospital bills, and it is suggested that increasing coverage or making certain expenditures free would be a better use of PhilHealth's surplus funds.
What is the Department of Finance's stance on the surplus funds of PhilHealth?
-The Department of Finance has issued a circular order directing PhilHealth to return its surplus funds to the National Treasury to fund other government programs, arguing that the funds are not being utilized effectively.
What is the Philippine Medical Association's response to the proposed return of PhilHealth funds?
-The Philippine Medical Association has filed a temporary restraining order against the return of funds, arguing that it is immoral and against the Universal Health Care Act of 2019.
What are the arguments for using PhilHealth's surplus funds for infrastructure projects?
-Proponents argue that the funds should be used for infrastructure to support the broader economy and potentially create jobs, rather than being returned to PhilHealth where they might not be fully utilized.
How does the script highlight the plight of the healthcare sector during the COVID-19 pandemic and other health crises?
-The script emphasizes the struggles of the healthcare sector, particularly with the surge in COVID-19 cases, leptospirosis, and dengue, where many citizens cannot afford hospitalization or medication, underscoring the need for better allocation of funds.
What is the public's call to action regarding the management of PhilHealth's funds?
-The public is calling on President Bongbong Marcos and Secretary Recto to halt the return of surplus funds and ensure that they are used to address the healthcare sector's needs, especially in light of the ongoing health crises.
Outlines
đ„ PhilHealth Funding Controversy
The script addresses the issue of the Philippine Health Insurance Corporation (PhilHealth) requesting an additional 0.9 billion from the government, which some argue could be better spent on improving healthcare services, particularly for the poor. It tells the story of a woman in Cebu City who gave birth on the side of the road due to fear of not being able to afford hospital bills. The script highlights the challenges faced by PhilHealth members, such as increased premium contributions and the struggle to receive benefits, especially for those with serious illnesses like stroke or cancer. It also mentions the potential for the excess funds to be redirected to infrastructure projects, raising questions about the legality and morality of such a move, and the impact on healthcare access for those in need.
đŒ Department of Finance's Directive on PhilHealth Funds
This paragraph discusses the Department of Finance's directive for PhilHealth to return its surplus funds to the National Treasury to fund other government programs. It includes reactions from various stakeholders, including the Philippine Medical Association, which filed a temporary restraining order against the move, arguing it violates the Universal Health Care Act of 2019. The script also features an interview with Finance Secretary Ralph Recto, who explains the rationale behind the directive, emphasizing the need for efficient cash management and the importance of not increasing the national debt. The conversation touches on the government's responsibility to allocate funds where they are most needed, including health, education, and infrastructure, while also considering the financial health of the nation.
đ The Impact on Health Services and Frontliners
The script delves into the potential consequences of reallocating PhilHealth's funds, with a focus on the impact on health services and frontliners. It mentions that despite the surplus, private hospitals are owed significant amounts for services provided, and there are concerns about the ability of the health sector to cope with ongoing challenges, such as the COVID-19 pandemic and other diseases. The discussion includes the government's efforts to support frontliners and the need for infrastructure in healthcare. The script also highlights the government's perspective on the efficient use of funds, with a focus on not increasing the national debt and ensuring the sustainability of healthcare services.
đ Public Discourse and the Future of PhilHealth
The final paragraph emphasizes the importance of public discourse on the management of PhilHealth funds, particularly in light of the ongoing legal challenges and the moral implications of reallocating funds away from healthcare. It calls for a focus on the health and welfare of the most vulnerable, especially in the context of the COVID-19 pandemic and other health crises. The script concludes with a call to action for viewers to stay informed and engaged on the issue, encouraging them to subscribe to the GMA Public Affairs YouTube channel for updates.
Mindmap
Keywords
đĄPhilHealth
đĄUniversal Health Care Act of 2019
đĄSurplus Funds
đĄHealth Coverage
đĄNational Budget
đĄInfrastructure Projects
đĄPremium Contributions
đĄMedical Services
đĄTemporary Restraining Order (TRO)
đĄDepartment of Finance
đĄHealth Sector
Highlights
PhilHealth is facing a surplus of funds, with the government seeking to return 0.9 billion to the National budget.
Some protest the move, arguing the funds should be used to further improve healthcare services, especially for the needy.
A woman in Cebu City gives birth on the side of the road, fearing she cannot afford hospital delivery costs.
PhilHealth is mandated to provide universal health coverage, but there are concerns about the adequacy of its funding.
The surplus funds of PhilHealth are being considered for redirection to other government agencies for infrastructure projects.
The legality and morality of using PhilHealth funds for non-healthcare purposes are questioned.
Alvil, a PhilHealth member, faces high medical bills for her child's treatment, highlighting the financial burden on patients.
PhilHealth has increased premium contributions, affecting members like Alvil who now pay more but receive limited benefits.
There are calls to expand PhilHealth coverage for the poor, rather than reducing funds for healthcare.
PhilHealth's benefits have increased for certain conditions, but there are concerns about the sustainability of these benefits.
The Department of Finance has issued an order for PhilHealth to return excess funds to the National Treasury.
The Philippine Medical Association criticizes the fund transfer, claiming it violates the Universal Health Care Act of 2019.
The government defends the fund reallocation as a better management of resources, prioritizing essential services.
Private hospitals express concern over PhilHealth's debt and the potential impact of fund reallocation on their operations.
The public is urged to consider the broader implications of fund allocation on healthcare and other sectors.
The case is brought before the Supreme Court to decide on the appropriate use of PhilHealth's surplus funds.
The discussion highlights the moral and practical dilemmas in managing public health funds in the Philippines.
Transcripts
May bagong issue ngayon ang Phil health
may sobra kasi itong pondo na aabot ng 0
billion ang gusto ng gobyerno maibalik
ang pera sa National budget Pero
ipinoprotesta ito ng Ilan dahil Bakit
hindi na lang daw gamitin ang sobrang
pera para pagbutihin pa ang pagbibigay
ng serbisyong
pangkalusugan lalo na para sa mga
nangangailangan sa gilid na ng kalsada
sa Cebu City naabutan ka makailan ng
panganganak ang babaeng ito ayon sa mga
saksi kahit may umantabay namang
ambulansya ang babae hindi pa rin sumama
tumanggi rin siyang magpadala sa ospital
sa takot na wala siya may pambayad
paabot ligtas kaya niyang
[Musika]
mailulusot dapat ng Phil health coverage
ang mga katulad niyang mahihirap na kung
sakaling magpapa siya makakakuha siya ng
benefit Sa panganganak mula sa Phil
health lalo pa't napaulat na ang Phil
health na siyang nangangasiwa sa
Universe health coverage ng mga Pilipino
sobra-sobra pa lang ngayon ang
pondo aabot ng halos 9 billion ang sobra
sa pera nito pero imbes na ang pondo ng
Phil health ilaan direkta sa mga
proyektong pangkalusugan ibabalik pala
ito sa gobyerno para mailaan sa ibang
mga ahensya ang laki pa ng bayarin Bakit
siya ilalaan sa infrastructure Bakit sa
Phil health kukunin
napakahirap na mahirap talaga walang
maasahan ang pagbalik ng extrang pondo
ng Phil health sa gobyerno legal ba o
nararapat lalo pa't marami tayong mga
kababayan nangangailangan ng tulong sa
kanilang
kalusugan isa sa mga umaasa sa
makukuhang benepisyo sa Phil health si
alvil na Kamakailan lang naconfine ang
anak na si albea matapos itong madulas
masakit daw po B to nakangiwi na po yung
face niya nag City scan po siya nakita
po yung 24 cc na dugo sa brain kinin po
agad ng mga gamot umasa si alvil na
malaki ang makukuha niyang discount
dahil Phil health member siya lalo't ang
premium contribution ng mga katulad
niyang miyembro ni tulang Pebrero
nagkaroon ng increase nakasaad kasi siya
sa batas by 2025 dapat po na iincrease
natin to 5% kada buwan nagbabayad si
alvil ng premium pay na Php500 na
kinakaltas sa kanyang sweldo at Php500
na sagot naman ng kanyang employer pero
si alvil halos atakihin sa puso 398 na
yyung running bill namin ang kinaltas po
sa bill 76,000 po napaupo na lang ako
Ito lang po ba talaga yung kayang ibigay
ng Phil health ang gastusin ni alvil
madadagdagan pa dahil sa kakailanganin
niyang laboratory tests yung
conventional angiogram medyo may
kamahalan Hindi rin namin alam Saan
kukunin kasi hindi po ako nakabalik sa
trabaho simula nung naospital yung anak
ko kaya nung nabalitaan ni alvil na May
sobrang pondo ang Phil health napatanong
siya nandito ako nag-struggle sa ospital
ang laki pa ng bayarin ba Hindi po nila
i-prioritize
yung mga pasyente
sa Phil health o Philippine health
insurance corporation nakadepende ang 50
milyong mga Pilipino para sa kanilang
health insurance maliban sa diskwento sa
hospital bill ang ilang qualified
members entitled sa ilang medical
services gaya ng dialysis para sa mga
may sakit sa bato at radiotherapy para
sa mga May cancer may benefit claims din
para sa mga pasyenteng na stroke may
newborn sepsis at num niya i-expand po
natin siya from php8,000 na coverage to
around 90,000 already ischemic stroke is
from 28,000 to around 76,000 Iyung
pag-aakyat natin ng benepisyo ng breast
cancer from 100,000 to 1.4 malaking
bagay ang mga ito Pero para sa mga kapos
o talagang walang-wala mas mainam raw
sana kung lalakihan pa ang coverage o
hindi kaya mailibre ng tuluyan ang
gastusin sa ospital lalo ang pondo ng ph
health sobra-sobra pala aside from the
90 billion po ang there still a
remaining 500 bilon po sa PH heal nasa
batas naman din na kami ay dapat
magkaroon ng tinatawag na reserve fund
Dahil sobra sa pondo ang PH health ang
Department of Finance nagpalabas ng
circular order na naguutos sa PH health
na ibalik ang sobra nilang pondo sa
National treasury to fund The un program
appropriations
Congress deter that there is another Ato
a sa pamagitan ng
pagk sa mga natulog at nagam na per ng
go
con Saang prama
magagamit baka meron kayong
magandang sagot
palus for
unacceptable plano kasing gastusin ang
malaking bahagi ng pondo para sa
infrastructure projects ng gobyerno
Naniniwala po kayo na legal po ito Opo
hindi ko gagawin kung hindi ito ilal How
about morally morally yung pagbigay ng 6
libong trabaho potentially at yung
pagtago ng ekonomiya Palagay ko moral na
moral yon ang hakbang na ito binatikos
ng Philippine medical Association pati
na ng anim na dating secretaries ng
Department Of Health labag daw kasi ito
sa universal health care Act of 2019
immoral yung transfer ng ah Fil health
fun pag nanakaw po yun eh alin sunod ho
sa batas any pondo ng ph health kung
sumobra po kayo gagamitin lang niyo sa
dalawang bagay palakihin po yung
benepisyo ng bawat pasyente Ninakawan ka
na niloko ka pa at ang feeling ko
ginagago nila ang Pilipino dapat
magkaroon na ng tr kung hindi luhaan ang
bawat Pilipino agad nag-file ang
Philippine medical Association ng
temporary restraining order o tro sa
korte suprema nakipag-ugnayan kami sa
Department of Finance si Finance
secretary Ralph Recto nagpaunlak ng
interview secretary Recto una sa lahat
pakipaliwanag nga po Bakit kailangang
Ibalik sa National budget or sa treasury
yung sobrang pondo ng Phil health
Inutusan kami ng kongreso nasa Gel
appropriations Act of 2024 repasuhin
ninyo tignan ninyo yung mga natutulog na
pera na nandiyan sa goc na hindi
napapakinabangan at kung may sobra
Gamitin natin pagpopondo ng UN program
fund ng budget sa dami ng
pangangailangan ng 115 million Filipinos
mula sa kalusugan sa edukasyon
siguraduhin natin yung cash natin yung
cash management natin na gagamit natin
ng maayos sa Sana maisip din nila ang
trabaho ng Department of Finance ang
ginagastos natin sa isang araw php1.4
billion a day ang nakokolekta natin sa
buwis tax and non-tax Revenue 11.8
billion a day ang inuutang natin araw
araw ah 4 billion a day hindi ko nais
dagdagan ang utang ng ating bansa hindi
ko nais dagdagan ang buis na sasaluhin
ng mamamayang Pilipino So kung may
natutulog na pera diyan at pwedeng
pakinabangan kaso si natinang tama Bakit
hindi siya ay unconstitutional siya
illegal ang pondo ng universal health
care kung sumobra hindi pwedeng kunin ng
gobyerno yung universal health care ako
ang principal author ni actually
sa isue sabihin m na natin kontrabida
kung kontrabida pero ginagawa ko yung
tungkulin ko may basis ho ba yung
sinisigaw ng mga kontra ho dito sa
pagbalik ng pera na pera namin yan wala
tayong binawas diyan hindi natin kinuha
dito yung members contribution ang
binalik sa treasury ay yyung mga
subsidiya na galing sa National
Government na hindi nagastos ng Phil Yes
I'm sure ang sasabihin ng mga tao eh
pondo rin naman ng gobyerno yon Why make
a this
galing din naman sa taxes yan k subsidy
yan or contribution from field health po
ba sabi ko nga 115 million tayo at
trabaho namin sa dof hanapan ng pondong
yan na hindi Dadagdagan ang utang ng
Pilipinas kung may sobrang pondo yung
Phil health dagdagan ng benepisyo oo
hindi mo pwedeng iwas o dagdagan na lang
para yung babayaran o yung kakaltasan sa
hospital bills sa mga maospital na mga
nangangailangan Cor mas malaki yung
makukuha nilang discount Hindi ho daw ba
pwedeng ganon na lang ginagawa ngayon
yun nabawasan ba yung ah benefit package
ng feel health hindi nadagdagan 30%
across the board Libre ba ang mammogram
Kaya maraming may breast cancer eh kasi
hindi maka-afford yung mahihirap eh
magkano colonoscopy 30,000 isang silip
Hindi naman libre para sa lahat pero may
pondong affiliate na nandiyan na na
sobra ba hindi ginamit Hindi mo ba
pwedeng pag may sobrang pondo dito k
sobra yung pamalengke mo O di Itabi mo
muna para dagdagan mo yung mga kailangan
mo kailangan mo pala ng grocery mga
ganyan Hong thinking O tama e big bigla
yung anak mo nagkasakit yung pang
grocery mo gagamitin mo sa sa sakit kw
nagtabi ka para sa sakit eh wala namang
Sakit yung anak mo kailangan mong dagdag
na pagkain ilalagay mo sa pagkain muna
Okay so parang ganun yung ginagawa ninyo
that's part of it nung naisa publiko ang
sobrang budget ng Phil health umalma na
agad ang private hospitals Association
of the Philippines Bakit naman daw
magbabalik ang Phil health ng pondo
gayong may utang pa sila sa mga
pribadong ospital mula sa inabonohan
nilang diskwento sa hospitalization ng
ilang mga pasyente ang estimate namin
mga around 4 to 6 billion pa yun pala
meron pa silang ganon kalaking pera
tapos parang hirap na hirap silang
magbayad sa amin bakit ganon we have
started paying all those malaki na po
ang porsyento na nabayadan natin pero
yung mga taga health sector
understandably ang sabi nga ng mga bata
ngayon ang bias nila Syempre for the
health sector din eh nakita naman yes
magandang tanong yan Oo Eh nakita naman
daw ho natin ang nangyari nung pandemic
na napaka challenge ng ating health
sector ang daming
pangangailangan Bakit hindi na lang daw
po ibalik lang din sa health sector yung
extrang pondo well yan ang unang ginawa
natin we paay 20 7 billion to the
frontliners nung pandemic dagdagan Dapat
natin yung imprastruktura kahit may feel
heal ka kung walang ospital magagastos
mo ba yung pH health isa sa mga programa
ng ph health ang tinatawag na konsulta
package naglalayon itong magbigay ng
libreng konsulta at gamot sa Barangay
ito ang inaasahan ni Danilo para sa
maintenance medicine ng kanyang ina na
may high blood E wala ho akong trabaho
kasi ngayon e pero sa mga nakalipas na
linggo mahirapan na raw makahingi nito
sa kanilang health center sa Barangay
Malanday sa valenzuela Wala raw gamot ko
anam e bast sinabi mo pag wala wala the
lgu is now procuring for our own
constituents na ibibigay natin sila o na
limited capacity pero hindi naman
nagkakaroon ng kawalan kakulangan meron
siguro pero sinasabi rin po yun
secretary ha na pag binalik sa National
Government yan eh kukurakutin lang pag
pupunta na naman sa anti-flood projects
mga G ba hindi na lang m ipagawa ng
health centers gagawin din natin yun eh
so in your defense you're saying
secretary This is better management of
the funds pinag-aralan natin tama naman
dapat nagpa-publish
para makasagip ka ng tao samantala
balikan natin ang babae sa Cebu na
tumangging magpadala sa ospital at
piniling manganak sa gilid na lang ng
kalsada dahil sa wala siyang perang
pampa nse may mga rumesponde naman daw
na medical workers at volunteers pero
tumanggi pa rin ang babae ang Ginang na
piniling manganak sa kalsada at ang
iniluwal niyang
sanggol parong
[Musika]
namatay nakakalunos kasing isipin lagi
na nangungutang ang mga tao pag
na-hospital ang iba nagtitiis ang iba
nagpapakamatay na lang that is a basic
human right Dapat ipaglaban natin ito
yun nga lang bago pa maisumite ang
temporary restraining order nakapag
remit na pala ng 20 at 10 billion sa
National treasury samantalang ang
nalalabi pang ph0 billion nakatakdang
Ibalik sa susunod na taon Nakikiusap ako
sa inyo President Bongbong Marcos
secretary Recto po tigilan niyo na yung
pagta-traydor
na marami paang sobrang pondo ang
gobyerno o ang mga ahensya nito katulad
ng Phil health gayong saksi tayo kung
gaano naghirap ang sektor ng kalusugan
sa nagdaang covid-19 pandemic at nitong
pagdami na naman ng mga kaso ng
leptospirosis at dengue marami tayong
mga kababayan hindi kayang magbayad sa
ospital o bumili ng gamot man lang sa
kabilang banda naman may ibang mga
pangangailangan na kay ka ilangan ding
tustusan ng gobyerno nasa korte suprema
ngayon ang pagpapasya kung saan ba dapat
mapunta ang sobrang pondo ng Phil health
gayun man Mabuti rin na ang isyung ito
napag-uusapan ngayon ng publiko morally
unacceptable yung paglago ng ekonomiya
Palagay ko moral na moral yun lalo ang
nakasalalay rito kalusugan at kapakanan
lalo na ng mga higit na nangangailangan
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