The candidates of the employees at board of directors of the CASS they placed the referring doctor in the center of health debate and they agreed on the need to delete the figure. The model was pointed out as one of the factors that contribute to the collapse of primary carewith difficulty in obtaining visits, more pressure on doctors i user complaints for the operation of the care circuit.
The population has also led to increased pressure on healthcare
Montse Martinez, current member of the board of directors of the CASSwas the most forceful and directly advocated deleting this figure. “I defend the elimination of the referring doctor“, she affirmed. The candidate admitted that the increase in population has also affected the pressure on the system, but she linked part of the problem to the duplicity of acts and delays in accessing the assigned doctor. “You ask for an appointment today for your referring doctor and he can’t give you one in less than a month“, he explained.
A la carte
Salustià Chato he also called for a review of the model, although he avoided considering its deletion without prior analysis. He stated that the GP “has led to an increase in spending” and, in some cases, “a decrease in the quality of the service“. For chatit is necessary to study what dysfunctions the system generates and review the cases in which the errors of lenders they end up affecting the affiliate.
Anna Carrion agreed on the need toanalyze data and user complaints before maintaining the model as it currently works. Candidates linked this review to a wider debate on theaccessibility to the healthcare systemespecially in cases where affiliates mustadvance money for visits, tests or treatments.
Third party payer
Continuing with health issues, the third party payer appeared as one of the main shared measures. Martinez he assured that the parapublic is ready to apply it more widely. “CASS is ready today to do it now”, he affirmed, remembering that the demand has already been transferred to the Government and that theexperience with groups that already benefit from it has not shown an increase in the expense that justifies its blocking.
chat advocated third-party payer as a matter of effective access to health. “The third payer is social justice and it must be widespread.” As he explained, the current system can force the salaried employees to advance money which they then partially recover, a fact that can condition access to certain tests or visits due to having to allocate the salaries to other things. Carrión he was in favor of making it general and advocated insisting that it be applied to all affiliates.
Martínez claims that the cass is already ready for the third payer
As for the benefits at 100%, chat he called for comprehensive care for people with serious pathologies, to prevent them from having to deal with fragmented procedures and reimbursements. Martinez specified that there are already total coverages for certain pathologies and for economic criteriabut admitted that some circuits can still be improved.
