Healthcare Advocacy & Legislation in the Philippines: Social Movement/Civil Society Alternatives to Privatization & Commodification

Authors

  • David Michael San Juan De La Salle University Author

DOI:

https://doi.org/10.70922/hb5rm284

Keywords:

healthcare reform, healthcare advocacy, free healthcare, social movements, anti-neoliberalism

Abstract

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.

https://morningstaronline.co.uk/article/b/burgon-puts-down-amendment-replace-governments-planned-national-insurance-hikes

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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Published

2025-11-04

How to Cite

San Juan, D. M. (2025). Healthcare Advocacy & Legislation in the Philippines: Social Movement/Civil Society Alternatives to Privatization & Commodification. Social Sciences and Development Review, 17(1), 1-45. https://doi.org/10.70922/hb5rm284