WELFARE AND MEDICAL CARE
Autor: Idomar Taufner | Publicado: 2013-01-27T10:20:00-08:00



Since 1976, a time when the segment dedicated
to health care was the responsibility of INAMPS, which became extinct in the
late 1990's. Since then accompany the decline of Social Security, which was
self-sufficient to pay for social security and health care quality provided to
their insureds - had a right to health care who contribute to social security -
an additional benefit in that contemplated immediate attention some cases of
urgencies and emergencies. But this service was the prerogative of the citizen
taxpayers Social Security at the time managed by INPS. To use the medical care
provided by INPS enough to have that identification of brown paper with a photo
of the user stamped and marked with their validity. This was achieved by
presenting the CTPS that were stated in the employment contract in force,
booklets contribution or settled GRs (Guides Collection) for other hypotheses,
and documents such as birth certificates, wedding certificate reservist or
equivalent. From there, if he had fulfilled grace period, could already make
appointments and participate in other performances, both as to the social
security health care.

An act of civic bravery of a president, not
elected by popular vote, had a populist outburst when he said, "all
Brazilians have the right to medical care." Passing the bill immediately
to Social Security, which holds financial surpluses followed year after year,
since the system was unified in 1967, incorporating several categories of
welfare institutes, adopting a practice that had already occurred in IAPI, IAPC
and IPASE, regarding other institutes categories economically less expressive
joined to be supported by the same benefits and services.

After that saw the former INPS financially
unable to honor both to health services, regarding social security benefits,
which immediately ran the risk of becoming insufficient to cover Social
Security - the main goal and because of the existence of the system .

Today, sadly, we see:

- SUS, as manager of health resources, with
appropriations poorly distributed; own hospitals and other state maintained by
agreement, most with inadequate facilities, lack of professionals (doctors and
paramedics) who are paid hourly loads for extended demeaning to meet sick
people in emergency rooms, clinics and hospitals where they perform procedures
previously scheduled. It is common to see whether patients placed in hallways
on stretchers and amazing, others thrown on the ground (some not even sporting
a blanket).

- Health plans that came to occupy the space of
the attention that was given to insured welfare, where migrated to sustain
enterprises, whose ultimate goal is profit. These organizations charge high
prices for a type of assistance only comparable to what was once taught by INPS
after INAMPS, followed by no attention, since they were extinct. Contributions
are heavy users and service providers are penalized for prices, often kept for
long years without any adjustments or when granted, far from the true costs.
Doctors, rightly, complained better wages, from the time that the social
security surpluses had constant fundraising growing because the benefits of
"immediacy" which was health care. Surely the medical profession had
his reasons for claiming improvements, believing naively assume that the management
system would be capable of improvement. That was a fallacy because they could
not remove the causes of this crisis remuneration of their employment. There is
also what some say about the use of cash resources in pension investments that
have become repayable. That was an insult to the taxpayers of the pension
purse, in this case, treated as if it were tax (VAT). In fact, the box was from
the pension contributions that could never have been diverted to investment in
public works, as were technical reserves for guaranteed future benefits to
users of the system, therefore, contributed.

- As a consequence of these causes of
widespread health care, without clear rules for obtaining resources, these same
sources of the problem made the welfare practically unenforceable, causing
flattening of the value of benefits (Aid Illness, Disability and Retirement
Time Service, Help Birth, Solitude Aid, Salary and Allowance Family Permanency
in Service). To continue these benefits became imperative to reduce the
monetary values ​​and change in the interstices criteria for entitlement to
their benefits. That, now, has caused widespread dissatisfaction and
disinterest by policyholders, especially those whose membership was optional
and others, even if required insured, which stopped contributing in part by
limiting the amounts of pensions, whose range was limited to values ​​much
smaller when there were retirements that came to be calculated based on
contributions over twenty minimum wages or even the average wage gains
effective. Individual taxpayers required, having no option to scale upward wage
contribution, chose to contribute only on the value of a minimum wage, and
many, not even that.

And so, the resources allocated to guarantee
pension benefits of public pensions go against the growth of the population.

Conclusions and suggestions:

- History, which juts this study was initiated
unification of security institutes in 1967, previously linked to several
professional categories. One is that such unification purposes or without them,
provided a progress in pension and health care. After this project of universal
medicine swelled up crises made real in all segments: the welfare, public
health and in the health system and insurance plans. The lack of conditions for
belonging to this form of health elitist and difficult access, on the other
hand, force the depreciation of medical work.

- Now, let's look at the state of public
pensions, ie the general scheme. Some of the causes which made it impossible to
continuity of care in the manner provided by INPS, also contributed to the
dismantling of the public pension system. Aggravated today and in recent
history has also been the welfare of the public official treated with the same
allocation that should contribute to unfairly pay this bill. It is not uncommon
to see more campaigns and campaigns, trying to blame the failure of the public
employee pension plans. That same employee was recently conducted in the
relegation your retirement, creating, by law, the public welfare as the ceiling
guaranteed retirement for those who always contributed fully on total
compensation at the rate (no tax) of 11%. For gains greater than this ceiling
imposed by law, the server will have to contribute to a pension supplement
called.

- Anyway, I understand, to the best judgment
that the medical profession for some years now and suffers a wage tabelamento
not conducive to the degree of academic and technical requirements. To prepare
a physician for the market are taken six years at university, plus two to three
years of residency to pursue a specialty, as many years to attend training
courses and conferences systematically in order to update the knowledge.
Improving wages involves the need to move, aimed through legislation creating
tables able to grant them equality with other professionals of similar
educational level.

- The financial balance of social security and
health care, it seems to me that the possibility of the return to the origins
of the model resulting from the unification of security institutes that occurred
in 1967, observing the peculiarities present, is an important starting point.
To attract contributors to social security, are required immediate and
advantageous offers to be used as a form of attraction. The immediacy
beneficial attracts the public taxpayer.