This obfuscation and secrecy not only include the text of the law, but extends to the details of the budget of health insurance people did not know them very little, which says the Health Minister or the President of the Health Insurance Authority in the press, where conversations are used only to demonstrate the direction in which the intention Government to take in the amendment of the law, and the annual book of statistics issued by the General Authority for health insurance and other data and statistics of the Ministry of Health treated Kalosrar war and can not even journalists, researchers and specialists access to the bare minimum of which is extremely difficult.
We rely here primarily on the text of the bill, which was distributed to members of the People in 2000 and re-distribution has also been a few months, the same text also rely on the figures contained in the study of the head of the health insurance provided to the former specialized national councils on the cost and the contributions of different groups of insured, and the highlight of the documents denied the right!!
Summary and call to government propaganda that health insurance is facing a chronic deficit in the budget is also facing an increasing deterioration in the level of service, and the new law will solve all problems, and it is taking place in the context of privatization and health insurance subject to the principle of trade (with maintaining the health of citizens as say).
However, the detailed study allows us to discover the truth of what is said about the loss of health insurance:
Health insurance washing-funded schools and school fees and government funding simple and indirect taxes on cigarettes and other covers and there is the cost of surplus.
Health insurance to workers in both the public and private, where the insured pays 1% of their salary and paid by the employer covers the cost of 3%, where the average annual payment of £ 180 is the average expenditure.
Health insurance does not cover government employees, only about one third of expenditure (payment of about 43 pounds compared with expenses of about 150 pounds), but we must remember that the government is reduced by half of the contributions (0.5% of salary and 1.5% paid by the employer rather than any government 1% and 3% respectively, and this effect from the year 1975, and facilitate the return of the true proportions of the old).
And make private health insurance and pensions for widows pension loss where there is no employer contribution.
As such, if the Government has implemented what it says about the unification of the laws on health insurance and increase the deduction of contributions at the highest category (1.5% of the salary group and 4% for the employer - Article 4, II), this would resolve the financial problem, and this does not mind it insured due to a modest increase (at least as it seemed from the consent of that union).
But the new law not only to increase the proportion of contributions but also to the contribution of the beneficiary of one third of the price of medicine outside the hospital with the exception of chronic diseases, as well as its contribution to the cost of service, including no more than a third of the price or cost, the cost of any examinations and operations and subsistence and rehabilitation and etc. Since this generalization opens the door wide and not limited by the text in his hand, that the minister's decision to determine the ratio or exemption (Article 4, III).
We are here face a very serious flaw in which prejudice to the principle of insurance the same as the essence of insurance is paid in addition to averages of only a small fee instead of having to carry large sums of money in the event of sudden illness, and without payment of a maximum percentage of the insured offers to pay unlimited amounts of up to thousands of pounds and is the third of the cost of therapeutic cardiac catheterization or surgery or the treatment of brain tumors for example, and not helpful to claim that the minister will take into account the special cases as the origin to the right guaranteed by law and not left in the hands of administrative decision.
Rather, the law opens the door for increasing the percentage of salary to be deducted (5.5% in the new law) and not an administrative decision to amend the law allowing the eighth article of the law may, however, the decision of the Prime Minister at the Minister of Health introduced the amendment on the basis of the value of the contributions examine the financial status of the health insurance who transferred to the Fund every five years! This item robs the law meaningful contractual relationship between the parties on the basis of specific and gives administrative authority to make what you want There is nothing in the law - if adopted as drafted - would prevent the insured person wakes up to find that the participation of insurance has increased from 5.5% to 7 % for example, without reference to them!
Perhaps one of the most dangerous items in the new draft law in the second article on the services provided by the law of the citizens, which leaves it to the list of operational and even provides for the principle of the decision may be made according to the services performed by private subscription. To be standing here in front of a serious problem: The identification of diagnostic and therapeutic services and insurance, is the so-called package of insurance services is one of the most serious of-contract between the parties to the contract (which is here between the insured and the insurance body), a principle that is given in exchange for the payment of the participation of certain medical services. And the current law clearly provides for all services include diagnostic services and treatment and rehabilitation, without exception. The new law Ventqs including an unspecified amount of appreciation left an administrative decision to create two categories of insured persons, the category of excellent, and the involvement of a special category, however, detract from the special services (eg cardiac catheterization) at any time an administrative decision!!
And cooperate with the legal structure of health sector reform project in bringing about a change to the previous law, which stipulates that health insurance is based on the arms: the provision of the service himself, and contracted with others to provide the service (universities, government bodies such as the therapeutic and military hospitals and the Ministry of health, private sector) Vistbad The new law, specifically the principle of the Health Insurance Authority to provide the service itself. That neglecting the structure of hospitals, clinics, health insurance trend here is linked to the health reform policy of the Ministry of Health agreed with the views of the World Bank and Western donors, and which provide for the abolition of the provision of curative services by the Ministry of Health working in the direction of privatization of utilities where the private sector as driven Ihafs profit and competition to serve the client, thus solve the problems of poor service experienced by citizens.
We here at the multiple problems: The issue here is not to give the role of the private sector, but is specifically excluded the public sector. And the consequences of this exclusion as follows:
First: Download the insured the burden of the cost of the service in addition to the profit margin and thus increase the cost to it.
Second: can the health insurance through the provision of the service itself in part from the knowledge of the true cost of service, and is contracting with other sectors of the evidence.
Third: Breaking the monopoly of the private sector to provide the service also benefits in terms of the negotiation of a contract with him.
Fourth: to go where the therapeutic component of the current structure of the 40 hospitals and 140 clinics built and funds are insured and the owners do not have a legitimate constitutional disposition of the State? Can be sold in order to find another example of the problems of corruption in the privatization Balbkhos sell?
The essence of the above is the privatization of health insurance and the transfer of the health of human beings into a commodity monopolize the private sector and the waiver of the health attributes of the concept of development and a result of it for the benefit of dealing with the logic of profit and loss and division levels in the service of citizens and a huge accumulation of waste to the structure of health services is owned by the insured without What need of financial problems and it is impossible to overcome for the benefit of the recommendations of international institutions and the profit motive sanctifies the private sector even at the expense of contempt for the health needs of citizens.
We are in the development of environmental health and all doctors, and we call on all intellectuals who are interested in the health of all workers and citizens to work in Egypt and all the insured to the dialogue on the following demands and bypassed in the event of conviction in order to amend the new bill:
1 - the publication of the draft law in the newspapers and opening a wider dialogue about the entire media and the opportunity for all views before the adoption, and to allow sufficient time for dialogue.
2 - the publication of budgets for health insurance and the annual book of statistics and made available to the researchers, is the foundation of the democratic right of freedom of information and knowledge would be based on the democratic debate the correct data.
3 - reduce the administrative authority granted to the Minister of the broad and unequivocal identification of the foundations of law in contract and not modified or compromised only by issuing a new law of democratic guarantees
4 - the equality of all insured persons in the package of medical services and insurance contribution to be agreed upon the package containing the text of the law, such as the current law and non-discrimination between citizens of the development of medical services, the involvement of a special offer.
5 - refused to pay a percentage of the price of the service where you can fail the percentage needy citizens in the country lies more than half of its population below the poverty line, and sustainment, including the current law from the payment of the participation of a known proportion of the salary with the approval of the increase also in the new draft law For example, a small fee in addition to pre-determined maximum.
Ensure that the citizen's right to health is not merely the adoption of a basic human right and guarantor of, but development and a guarantee of allegiance to their homeland, and the transformation of health into a commodity trading is inadmissible and has serious consequences. Flantdhamn all democratic law for health insurance to achieve the ambition of every Egyptian real health insurance coverage.
