Healthcare Advocacy & Legislation in the Philippines: Social Movement/Civil Society Alternatives to Privatization & Commodification
DOI:
https://doi.org/10.70922/hb5rm284Keywords:
healthcare reform, healthcare advocacy, free healthcare, social movements, anti-neoliberalismAbstract
The Philippine Health Insurance Corporation’s (PhilHealth) financial situation is in dire straits, with an official claiming that its actuarial life would last until 2027 only. To achieve free universal healthcare, alternative financing options for the Philippines’ national health care system would have to be considered. This paper aims to analyze historical government health care reform policies vis-à-vis social movement/civil society alternatives – and the corresponding paradigm shifts that they present – which culminate in the recently filed House Bill 9515 (“An Act Providing for a Free, Comprehensive, and Progressive, National Public Health Care System”) authored by the Makabayan Coalition – a bloc of grassroots partylists with strong links with social movements. House Bill 9515’s provisions would bring the Philippine system closer to Cuba’s and the United Kingdom’s systems which both offer useful springboards in making public health care free for all. Thus, the bill can potentially help the Philippines transition from privatization & commodification which have characterized the prevailing framework in the country’s health care system for decades now.
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References
Alliance of Health Workers. (2020). “Support HB No. 2475, entitled: ‘An Act Prohibiting the Privatization and Corporatization of Public Hospitals, Public Health Facilities and Public Health Services’.” https://allianceofhealthworkers.wordpress.com/2017/09/25/support-hb-no-2475-entitled-an-act-prohibiting-the-privatization-and-corporatization-of-public-hospitals-public-health-facilities-and-public-health-services/
Allegretti, Aubrery. (2021, September 8). “Boris Johnson wins Commons vote on national insurance hike.” https://www.theguardian.com/society/2021/sep/08/boris-johnson-wins-commons-vote-on-national-insurance-hike
All UP Workers’ Union. (2012). “Report of the Staff Regent.” http://aupwu.blogspot.com/2012/07/report-of-staff-regent.html
Africa, Sonny. (2020). “Upon COVID-19: Time to tax the super-rich.” https://www.ibon.org/upon-covid-19-time-to-tax-the-super-rich/
Akbayan. (n.d.). “Our Platforms.” https://akbayan.org.ph/where-we-stand
Aquino, Corazon. (1988, April 7). “Speech of President Corazon Aquino during the 40th Anniversary of the World Health Organization.” Official Gazette. https://www.officialgazette.gov.ph/1988/04/07/speech-of-president-corazon-aquino-during-the-40th-anniversary-of-the-world-health-organization/
Bantayog Foundation. (2015). “DELA PAZ, Remberto “Bobby” Daniel A.” https://www.bantayog.org/dela-paz-remberto-bobby-daniel-a/
BBC. (2011). Prescription charges abolished in Scotland. https://www.bbc.com/news/uk-12928485
Bekema, Jaye de la Cruz. (2021). “Pandemics and the punitive regulation of the weak: experiences of COVID-19 survivors from urban poor communities in the Philippines.” Third World Quarterly 42 (8): 1679-1695. https://doi.org/10.1080/01436597.2021.1913407
Cahiles, Gerg. (2021). “PhilHealth executive told a congressional hearing that PhilHealth actuarial life could last up to 2027 only.” CNN Philippines. https://cnnphilippines.com/news/2021/9/3/PhilHealth-actuarial-life-2027.html
Calayag, Keith. (2021). “Civil society groups launch ‘UHC Watch’.” Manila Times. https://www.manilatimes.net/2021/02/20/news/top-stories/civil-society-groups-launch-uhc-watch/842933
Claude, Richard P. (1989). “The Right to Health: Transnational Support for the Philippines.” In Human Rights and Development. David P. Forsythe (ed.). Springer.
Collas-Monsod, Solita (2021). “Impose wealth tax on our billionaires.” Inquirer. https://opinion.inquirer.net/139812/impose-wealth-tax-on-our-billionaires
Commission on Audit. (2021). “COA: PhilHealth’s All Case Rate Payment Scheme sped up reimbursement process but lacked control mechanisms to detect and prevent improper payments.” https://www.coa.gov.ph/index.php/2013-06-19-13-07-50/news-releases/346-coa-philhealth-s-all-case-rate-payment-scheme-sped-up-reimbursement-process-but-lacked-control-mechanisms-to-detect-and-prevent-improper-payments
Constitutional Commission of 1986. Record of the Constitutional Commission: proceedings and debates. https://archive.org/stream/record-of-constitutional-commission-volume-1/fullRecordOfTheConstitutionalCommissionVolumeI_djvu.txt
Cuenca, Janet. (2018). “Health Devolution in the Philippines: Lessons and Insights.” PIDS Discussion Paper Series No. 2018-36. https://pidswebs.pids.gov.ph/CDN/PUBLICATIONS/pidsdps1836.pdf
Cupin, Bea. (2017). “House passes bill giving all Filipinos health insurance.” Rappler. https://www.rappler.com/nation/universal-health-coverage-house-bill-passed
Cylus, J. et al. (2015). United Kingdom: health system review 2015. Health Systems in Transition 17 (5). https://eurohealthobservatory.who.int/publications/i/united-kingdom-health-system-review-2015
Davis, Leonard. (1989). Revolutionary Struggle In The Philippines. Palgrave Macmillan UK.
Dayrit, Manuel et al. 2018. The Philippines Health System Review. Health Systems in Transition, Volume 8, Number 2. World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/274579/9789290226734-eng.pdf
De La Paz, Edelina. (2019). “PHM Philippines: Universal Health Coverage: Everyone, Everywhere – At What Cost to the People?” People’s Health Movement. https://phmovement.org/phm-philippines-universal-health-coverage-everyone-everywhere-at-what-cost-to-the-people/
Department of Health/DOH. (2014). A Legacy of Public Health: The Department of Health Story (second edition). https://doh.gov.ph/sites/default/files/publications/The%20Legacy%20Book%202nd%20Edition_0.pdf
___________________________. (2010). “ADMINISTRATIVE ORDER NO. 2010 – 0036.” https://doh.gov.ph/sites/default/files/basic-page/aquino-health-agenda-universal-health-care.pdf
__________________________. (n.d.) P100 Program. https://doh.gov.ph/book/export/html/1307
Fineman, Mark. (1987, March 6). “Neglected for Years: Health Care: Philippine Crisis Looms. Los Angeles Times. https://www.latimes.com/archives/la-xpm-1987-03-06-mn-4964-story.html
Forster, Katie. (2018). “Senior doctors accuse Government of deliberately underfunding NHS to accelerate privatisation plans.” Independent. https://www.independent.co.uk/news/health/nhs-latest-senior-doctors-hospitals-underfunding-accelerate-privatisation-agenda-conservative-government-jeremy-hunt-a7808591.html
Geronimo, Jee. (2016). “Senate seat: 'We defied gravity'.” Rappler. https://www.rappler.com/nation/elections/hontiveros-proclamation-senators
Giovanella, Ligia. (2016). “’Austerity’ in the English National Health Service: fragmentation and commodification - examples not to follow.” Cadernos Saúde Pública 32 (7). https://doi.org/10.1590/0102-311X00092716
Go, Christopher. (2021, May 22). “'Now is the time to act,' says Bong Go as he calls on fellow lawmakers to support passage of pending measures enhancing and establishing public hospitals.” Senate of the Philippines. http://legacy.senate.gov.ph/press_release/2021/0522_go1.asp
Greer, Scott L. and Claudio A. Méndez. (2015). “Universal Health Coverage: A Political Struggle and Governance Challenge.” American Journal of Public Health 105. https://doi.org/10.2105/AJPH.2015.302733
Grundy, J. et al. (2003). “Overview of devolution of health services in the Philippines.” Rural Remote Health 3 (2): 220. https://www.rrh.org.au/journal/download/pdf/220/
Health Alliance for Democracy. (2020). “Philhealth, not a solution. Demand for Genuine Free Health Care Services for the People!” https://web.facebook.com/HealthAlliancePh/photos/a.10151994636876798/10158714661626798/
Health Alliance for Democracy. (2019). “Universal Health Care (UHC) Law...Hindi sagot sa problemang pangkalusugan!” (“UHC Law...Not an answer to the health problem!”). https://web.facebook.com/page/160763676797/search/?q=universal%20health&_rdc=1&_rdr
Helm, Toby & Philip Inman. (2021). “Pressure grows on Starmer to back tax on rich to pay for social care.” The Guardian. https://www.theguardian.com/society/2021/sep/04/pressure-grows-on-starmer-to-back-tax-on-rich-to-pay-for-social-care
Hermansson, Ingemar. (1989). “Förändringsarbetare eller maktens lakej.” Allmän Medicin 3: 107-108. https://sfam.se/tidskriften/wp-content/uploads/2020/03/AM_1989_nr3.pdf
Hyde, Christine. (2019, May 31). “NHS underfunding is deliberate strategy.” The Guardian. https://www.theguardian.com/society/2019/may/31/nhs-underfunding-is-deliberate-strategy
Hontiveros, Risa. (2019). “HONTIVEROS SEES HEALTHIER PINOYS WITH SIGNING OF UNIVERSAL HEALTH CARE ACT.” http://legacy.senate.gov.ph/press_release/2019/0220_hontiveros2.asp
IBON Foundation. (2021, September 5). “Duterte administration’s 2022 budget priorities.” https://www.ibon.org/duterte-admin-2022-budget-priorities/?fbclid=IwAR0qcKf4krNf-vO0jzSIJxGf1H3uWIgr4L4VUUlXXeQ22nrKxjh55lVSI04
International Labor Organization. (2007). Social Health Protection: An ILO strategy towards universal access to health care. https://www.social-protection.org/gimi/gess/RessourcePDF.action?ressource.ressourceId=14083
Juliano, Hansley. (2015). “Tensions and Developments in Akbayan’s Alliance with the Aquino Administration.” Kasarinlan 30 (1). https://journals.upd.edu.ph/index.php/kasarinlan/article/view/4975
Khor, Martin & Lim Li Lin (eds.). (2002). Good practices and innovative experiences in the south. New York: Zed Books.
Laban ng Masa. (2021, March 31). “Laban ng Masa’s declaration and platform for the 2022 Elections.” Inquirer. https://globalnation.inquirer.net/194671/laban-ng-masas-declaration-and-platform-for-2022-election
____________. (2021). “Our 25 Point Agenda.” https://www.lnm.ph/platform
Lee, Karen. (2018). “Equality and justice are at the core of our NHS, so let's keep
it that way.” British Journal of Nursing 27 (13). https://doi.org/10.12968/bjon.2018.27.13.783
Lim, Gerard. (2016). “The Leader I Want: Risa Hontiveros' to-fix list for 2016.” https://www.rappler.com/nation/elections/risa-hontiveros-advocacies-senatorial-elections
Martial Law Museum. (n.d.). “Edifice Complex: Building on the Backs of the Filipino People.” https://martiallawmuseum.ph/magaral/edifice-complex-building-on-the-backs-of-the-filipino-people/
Martinez, Bianca. (2020). “COVID-19 exposes twin crises of Neoliberalism and Authoritarianism in Philippines.” Focus on the Global South. https://focusweb.org/covid-19-exposes-twin-crises-of-neoliberalism-and-authoritarianism-in-philippines/
McIntyre, D. & Kutzin, J. (2016). Health financing country diagnostic: a foundation for national strategy development. World Health Organization. https://apps.who.int/iris/handle/10665/204283
Myint, C. et al. (2019). “A systematic review of the health-financing mechanisms in the Association of Southeast Asian Nations countries and the People’s Republic of China: Lessons for the move towards universal health coverage.” PLOS One. https://doi.org/10.1371/journal.pone.0217278
Lindio-McGovern, Ligaya. (2020). “Neoliberalism, Fascism, and People’s Resistance in the Philippines.” In The Global Rise of Authoritarianism in the 21st Century: Crisis of Neoliberal Globalization and the Nationalist Response. Berch Berberoglu (ed.). Routledge.
Mendoza, Michael Antonio et al. (2020). “Examining the Oral Health of Filipinos: Policy Analysis.” Acta Medica Philippina 54 (6): 780-786. https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/2590/1885
Musgrove, Philip et al. (2002). “Basic patterns in national health expenditure.” Bulletin of the World Health Organization 80:134-142. https://www.who.int/bulletin/archives/80(2)134.pdf
Nandi, Sulakshana et al. (2020). “Resisting privatization and marketization of health care: People’s Health Movement’s experiences from India, Philippines and Europe.” Saúde debate 44. https://www.scielo.br/scielo.php?pid=S0103-11042020000500037&script=sci_arttext
Network Opposed to Privatization. (1998). “Why We Oppose Privatization!” http://notoprivatization.blogspot.com/p/why-we-oppose-privatization.html
National Anti-Poverty Council. (2017). Kilos Sambayanan Primer. https://napc.gov.ph/articles/kilos-sambayanan-primer
NHS Business Services Authority (n.d.). Help with NHS prescription costs. https://www.nhsbsa.nhs.uk/help-nhs-prescription-costs
NHS Support Federation. (2020). “Is the NHS crisis of our own making?” https://nhsfunding.info/nhs-crisis-making/
Pagaduan-Lopez, June. (1991). “Medical professionals and human rights in The Philippines.” Journal of Medical Ethics 17, Supplement: 42-50. https://jme.bmj.com/content/medethics/17/supplement/42.full.pdf
PhilHealth. (2019). Annual Report 2019.
https://www.philhealth.gov.ph/about_us/annual_report/ar2019.pdf
_________. (2014). “History.” https://www.philhealth.gov.ph/about_us/history.php
_________. (2020). Stats & Charts 2020.
https://www.philhealth.gov.ph/about_us/statsncharts/snc2020.pdf
Picazo, O. F. (2012). Review of the Cheaper Medicines Program of the
Philippines: Botikang Barangay, Botikang Bayan, P100 Treatment Pack, and the Role of PITC Pharma, Inc. in Government Drug Procurement. Discussion Papers DP 2012-13. Philippine Institute for Development Studies. https://www.dbm.gov.ph/wp-content/uploads/OPCCB/fpb/b_DOH-CheaperMedicines/i-Cheaper%20Medicines%20Program%20Review.pdf
People’s Health Movement. (2000). People’s Charter for Health. https://phmovement.org/wp-content/uploads/2018/06/phm-pch-english.pdf
Poe, Grace & Chiz Escudero. (2015). “Tugon sa mga Hinaing at Mithiin ng Bayan Para sa Pagbabago at Pag-unlad ng Mamamayan.” https://www.facebook.com/notes/954218591739943/
Presidential Management Staff. (1992). The Aquino Management of the Presidency. http://malacanang.gov.ph/wp-content/uploads/ThePresidentReport.pdf
Priela, JO Jr. (2001). “Health sector reform agenda in the Philippines: its effect on private hospitals.” World Hospitals and Health Services 37 (2): 22-4, 33, 35. https://pubmed.ncbi.nlm.nih.gov/11696994/
Quijano, Ilang-ilang D. (2008). “Hindi simpleng tagasagip.” (“Not just lifesavers.”). In SERVE THE PEOPLE: Ang Kasaysayan ng Radikal na Kilusan sa Unibersidad ng Pilipinas/SERVE The People: History of the Radical Movement in the University of the Philippines. Bienvenido Lumbera et al. (eds.). Quezon City: Congress of Teachers/Educators for Nationalism and Democracy or CONTEND, Alliance of Concerned Teachers, and IBON Foundation. https://pages.upd.edu.ph/sites/default/files/dannyarao/files/contend-act-ibon_serve_the_people_2008.pdf
Ramos, Charmaine G. (2021). “The return of strongman rule in the Philippines: Neoliberal roots and developmental implications.” Geoforum 124: 310-319. https://doi.org/10.1016/j.geoforum.2021.04.001
Rappler. (2020). “300,000 sign online petition opposing increase in OFW PhilHealth contributions.” https://www.rappler.com/nation/online-petition-opposing-increase-ofw-philhealth-contributions
Reganit, Jose Cielito. (2019). “Solons laud enactment of landmark Universal Health Care Law.” Philippine News Agency. https://www.pna.gov.ph/articles/1062508
Riera, L. (2006). Cuba generalizes hip replacement implant. https://www.cubaheadlines.com/cuba_generalizes_hip_replacement_implant.html
Rivas, Ralf. (2021). “Group wants wealth tax for rich Filipinos to fund pandemic expenses.” Rappler. https://www.rappler.com/business/freedom-debt-coalition-wants-wealth-tax-rich-filipinos-fund-pandemic-expenses
Robinson, Ray. (2002). “Gold for the NHS.” BMJ 324 https://doi.org/10.1136/bmj.324.7344.987
Royal College of Physicians. (2016). Underfunded, underdoctored, overstretched: The NHS in 2016. https://www.rcplondon.ac.uk/guidelines-policy/underfunded-underdoctored-overstretched-nhs-2016
Shaw, Eric. (2003). “Privatization by stealth? The Blair government and public-private partnerships in the National Health Service.” Contemporary Politics 9 (3): 277-292. https://doi.org/10.1080/1356977032000146051
Spiegel, J.M. & Yassi, A. (2004). Lessons from the margins of globalization: appreciating the Cuban health paradox. Journal of Public Health Policy 25 (1): 85–110. https://link.springer.com/article/10.1057/palgrave.jphp.3190007
Tan, Michael L. (1993). The Development of Health NGOs in the Philippines: A
Socio-Historical Review. Philippine Sociological Review 41, 1/4: pp. 111-122 https://www.jstor.org/stable/23898160
teleSUR (2020). Cuba To Keep Subsidies for 162 Basic Drugs Amid US Blockade. https://www.telesurenglish.net/news/Cuba-To-Keep-Subsidies-for-162-Basic-Drugs-Amid-US-Blockade-20201231-0010.html
Trinder, Matt. (2021). “Burgon puts down amendment to replace planned national insurance hikes with wealth tax.” Morning Star.
Thorlby, Ruth et al. (2019). “NHS performance and waiting times: Priorities for the new government.” The Health Foundation. https://www.health.org.uk/publications/long-reads/nhs-performance-and-waiting-times
UHC Watch. (2021). “MANIFESTO FOR UNIVERSAL HEALTH CARE IN THE PHILIPPINES.” https://web.facebook.com/UHCWatch/photos/a.113514014108747/113513714108777/
Ulep, V.G. & De La Cruz, N.A. (2013). Analysis of Out-of-Pocket Expenditures in the Philippines. Philippine Journal of Development 72 (1 & 2). https://dirp3.pids.gov.ph/webportal/CDN/PUBLICATIONS/pidspjd13-oop%20expenditures.pdf
UK Government. (2021). Policy paper: Budget 2021. https://www.gov.uk/government/publications/budget-2021-documents/budget-2021-html
UK Labour Party. (2019). It’s Time for Real Change: The Labour Party Manifesto 2019. https://labour.org.uk/wp-content/uploads/2019/11/Real-Change-Labour-Manifesto-2019.pdf
Umil, Anne Marxze D. (2012). “30 years after their deaths, colleagues still mourn doctors of the people Bobby Dela Paz and Johnny Escandor.” Bulatlat. https://www.bulatlat.com/2012/04/27/30-years-after-their-deaths-colleagues-still-mourn-doctors-of-the-people-bobby-dela-paz-and-johnny-escandor/
World Bank. (2021). “Out-of-pocket expenditure (% of current health expenditure) – Philippines.” https://data.worldbank.org/indicator/SH.XPD.OOPC.CH.ZS?locations=PH
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