A study came into my hands on the affiliation of public servants to family health insurance. This study, endorsed by two academics, shows that they dedicated time and resources to achieve good content. My Expressions stop in the area of public servants, because the Constitutional Court issued a resolution in which it clearly established that public employees must belong to the state insurer, which is: ARS SENASA. But this is not fulfilled. Today 31.2% of those employees are in the private sector.
In one of the newspapers, where the study is highlighted, it was titled “Public employees violate membership in the ARS.” We stop here because those who violate the Social Security law are not the employees. They do not choose the insurer. They are “chosen” by ministers, directors, human resources managers. If the State is the main employer and those who serve them must join its ARS, then from the President of the Republic as employee number one, to the most humble janitor, they must belong to that ARS. But, today it is not like that.
The study we refer to establishes that between 2010 and 2024 the private ARS managed RD$597,659 million while the State ARS, Senasa, only managed RD$144,856 million. It was not public employees who brought those millions into the hands of the private sector. They were the officials who, violating what the TC establishes, went to privilege the private sector. God knows for what reasons. If Senasa has a financial deficit and fewer members than the private ARS, it is the fault of the officials. Senasa must be preserved. Public employees must be transferred to it as established by the TC. And…we must prevent anyone from “diverting” health resources to politics or the personal bank accounts of some indolent official.
