Compulsory health insurance

Compulsory health insurance

Current Health Minister Baiba Rozentāle some media have made a statement that the health care needs more funding than the year 2009. annual budget. How, for example, "Universities and hospitals greater regional emergency health care provision that may be even just about two months, after which only the bankrupt hospital. Therefore, the budget allocated to the urgent need for the hospital at least 45 million. Ls. . '

All sectors of the budget is now reduced. This means that if health will not be able to balance the budget in the expenditure of income, then the 45 mln Ls would have to bear the other lines, such as retired teachers, police officers' salaries. Still increase revenues by increasing tax rates to get people to extend or create new taxes. This course is very unpopular move. Of the many reasons why not lift the tax burden, I want to emphasize that the difference between it and who pays taxes and who does not pay, it becomes more and turn to honest taxpayers in mind, the shadow economic benefits. I want to redistribute health care costs from the budget allocated. In contrast, a linear decrease in the current funding will be enough. I believe that the need for real reform. And in my head, as a logical solution for nearly all health care is nedienām - statutory health insurance (ova).

This idea is not new or unique, but still not implemented. Pamaklēju online by the idea that knowledgeable people say:

* Indulis Emsis (ZZS) - against, because it will only return for insurance;
* Valdis Keris (Latvian Medical Association vice-president) - to, as a proportion of private health insurance is not enough;
* Ivars Eglitis (TP) - for people who work and save for time spent ill, although he later changed his mind.
* Valdis Zatlers (National President) - to, as it will allow doctors to increase wages and reduce the proportion pateicābu;
* Baiba Rozentāle (TP) - to, as the number of insurance will be deducted from the wages;
* Jelena Alfejeva (BTA Vice President) - for, if it has improved in parallel, the existing system;
* Eric Gailāns (RSC Chairman of the Board) - for, workers take care of themselves, of other countries;
* There are several opinions about the fact that the health ministry to prepare a project or that have not been calculated. As a result, ova šobrīt introduced.

Of course all these views tend to reduce the significance, saying this is that populism or point of view, the author talked about personal interests, but the real model and calculation, which eliminates speculation about the topic, no. I think the point of view, the author did not become the minister of health, but health agencies. Namely health care is health care for residents of Latvia.

Why do I feel that the ovum will be exactly the model that can solve problems samilzušās health care, and improve the economy and health of the population?

1) Personal Experience - Since my employer, I have nopirics health insurance, I no longer neuztrucos for medical procedures. Of course, I followed him, did not exceed the limits, such as vaccination against tick-borne encephalitis is provided only once a year. But all other tests and my health insurance. I like it because I went to every specialist, if necessary, and not worry about the cost. Knowing that this insurance is paid four times more expensive than manīm is VSAOI paid monthly, will think that the year 1200Ls insurance should cover all, and for all.

2) Competition - insurance companies will compete with each other, offering the best prices and / or quality. Medical institutions that provide more of these services is the number of larger claims, the medical authorities to ieintereseātas treated and to choose their service directly.

3) Thanksgiving. Now, as a rule there, providing medical services they pay for in addition to gratitude, because it is believed that medical staff are not paid enough. Gratitude must be expressed and they have to pay taxes, but practical. Medical authorities have set their own prices and jānoalgo relevant specialist. The insured knew that the services received will be paid.

4) Speculation.

* While the current increase in the amount of tax revenue. So far, the state is to provide health care and it was done with the money collected in taxes. Why, if this money to help manage the insurance was suddenly not enough?
* Corruption. Is the situation in which public authorities regulate the flow of funds, not the real market is less risk of corruption?
* Insurers would return. Is that bad? Is the economy will not be warm? VOAVA direct salary will not be bound by the institutions that benefit the public authority has long followed the procedure to minimize the threat of corruption, and operates in accordance with politskajai position with the state to deploy resources more efficiently than private insurance?
* Insurance covers only capable. The basic insurance program should be guaranteed for all citizens. There are several ways to do it. You can identify the insurance from a particular obligation to ensure% of people who do not work. Or maybe not working with government guarantees in the main program, each of the selected insurance companies. In short, the following applies: the higher the salary, the better your insurance policy. But the insurance money collected in taxes for those who are not able to do so.

5) Envelope wages. Part of the social tax to be paid by insurance. These workers and employers wanting to understand. When an employer pays 24.09% of the social obligations, he saw this part of the tax return and possibly even parallel to ensure workers. Can be concluded that the interests of social payments increased.

6) GDP. If people regularly check the health, treatment costs and duration must be smaller. In turn creates a higher GDP are more healthy.

7) OE.

* Currently, the State pays for medical education, but that amount (this year: higher education milj.Ls 14.7; 5.9 million. Ls-service training) could be reduced partially transferred to private clinics and doctors appeared wallet. This is to ensure that medical education would benefit from investing in their future and those who choose to learn, not just those who have good grades, but also those who regard it as a professional perspective. And clinics would be interested in their personal literacy, if it can attract more of patients.
* Promotion of public health (8.3 million this year. Ls). Who else can better improve public health, and the opportunity to attend the annual health examination, sports activities and obtain the necessary vaccines for free? Part of this amount should be transferred to the insurance.
* Health care (503 million this year. L) - the percentage of the amount of space for the medical authorities will reach through insurance, which supports medical facilities of the most busy. National health expenditures 223, 11 L / year per capita. Is the money already nesanāktu good insurance policy? But that's not all.
* Health public funding agencies (24.6 million this year. Ls). How to privatize - 'Tuberculosis and lung disease state agency, state agency "Latvian Infectology Center" and "Sports medicine in the country aģetūru" and to move into the insurance fees required. Body above, now the company can get the same amount through their services. There is no way that someone could negribēt to privatization, but because there are currently hiring.
* E-health guidelines for implementation (0.47 million this year. Ls); Program funding has not changed, but must be improved to ensure communication between medical institutions and insurance. Today, e-health is such that I have every medical facility has a card, and medical history I knew no one - including my own.
* Quality Compliance and economic evaluation, market supervision (18.5 million this year. Ls). Kvaitātes and economic assessment contribute to the increased competition. In other words, the proportion of this amount is allowed to drain to the insurance provider.
* Russian Federation, a military retiree health care (3.5 million. Ls). Not to mention that this number tends to increase, which, in my opinion, would not say directly about social groups are. Following one of the numbers 2006 on the note that the retiree is 18 thousand. Relatives ~ 196 Ls uz vienu pensionāru, par summu so varētu viņiem apmaksāt veselības apdrošināšanu. Although it is clear that today the number of retirees like that higher, but I have not found the data.

Finally. All my thoughts of course are not made by a health care professional from an experienced expert opinion. However, I have been happy to see what the doctors saw the fact that you have insurance, and how they react, if it is paid by government manipulation. Although there are people who feel that they are healthy as a horse and hope that they are insured - the existing system today and because it was taken from healthy and sick pay. Only much more effective to help implement competitive conditions. Considering how old this idea jāuzkata negligence was not ready for a real plan, and should introduce a system like this. Those who fight ova, inefficient support functions, perhaps by self-interest or peer pressure.