With SUS conference, household spending is higher than government spending on health – News

With the delay of the implementation of the Health System (SUS), access to hospital services provided by manufacturers involved in the public health network , household debt exceeds government debt to the region, according to the Brazilian Institute of Geography and Statistics (IB).

Final spending on health and services in Brazil reached R $ 711.4 billion in 2019, starting with the venture of Jair Bolsonaro (PL). Of all this, BRL 283.6 billion (3.8% of GDP) is government expenditure and BRL 427.8 billion (5.8% of GDP) comes from households and non-households providing housing assistance.

According to IBGE, spending per capita with health and social services, at the moment, is BRL 2,035.60 for households and BRL 1,349.60 for governments. Significant expenditures by households are for public health services, including expenses incurred by physicians and health plans – equivalent to 67.5% of all final expenditures for health.

Public service includes delays in the SUS process and lawyers’ financial models for the resources allocated to the area.

According to the Federal Medicines Board (CFM), more than 1,500 hospital procedures are overdue – and enrollment can be longer, if external care is determined, regardless of in the survey.

The decline in medical bills for some procedures reached almost 1,300%, according to physical estimates, ending in 2015.

According to the survey, the doctor received R $ 10 for every external consultation conducted in SUS.

Medical bills for the treatment of liver disease, such as hepatitis or cirrhosis, are only R $ 59.70, divided by the average length of eight days per patient. At the end of the treatment, it corresponds to a daily value of R $ 7.46. From 2008 to 2014, the average daily payment was adjusted by only R $ 0.35. At the end of the comparison, by rising inflation indexes written in time, today it will be at least R $ 10.50.

The SUS procedure lists, for example, the cost of nearly 5,000 medical procedures, such as outpatient care for more surgeries, such as heart transplants.

In addition to the multi-year industry in the words of SUS, experts have also been critical of the financial system, now divided between three federal institutions – Union, state and city – and finance. lost by Amendment to Law 95/2016, amended during the administration of Michel Temer (MDB).

The text has set up a new fiscal administration in the country and has created a ceiling of spending until 2036. Over time, public spending can vary only as inflation increases. a period of one year.

If the impact of the health regulations in the health district provides insufficient funding to support the SUS enrollment process, including budget reforms , experts report skepticism.

A meeting to be presented in July by the National Institutes of Health (CNS) ‘s Treasury and Expenditure Committee pointed out that the use of remodeled ceilings makes public lost almost R $ 37 billion in health care capital since inception. Francisco Funcia, Bruno Moretti, Rodrigo Benevides, Mariana Mello, Erika Aragão and Carlos Ocke-Reis participated in the study.

If in 2019 the government spent the same amount it had requested in 2017 – 15% of current revenue – the Department of Health would have a net worth of BRL 142 billion, not BRL 122 billion has been invested. That is, there was a decline of R $ 20 billion at that time alone, according to research.

In an interview R7President Getúlio Vargas de Moura said that, with the renovation of the ceiling used, freezing the investment for 20 years, the damage to the SUS could exceed R $ 400 billion.

“The truth is, historically, there has never been enough money for Health. The table has never been reformed and, yes, has always been underestimated. It is our tradition that SUS does a lot. very, very little ”, Moura said. . “And this worries us because it changes the requirement of federal law into state law,” he added.

Problems in achieving the volume of resources necessary to meet the needs of the population remain unresolved, but CNS experts warn of other alternatives.

For adviser to the Financial and Financial Committee of the National Health Council and vice-president of the Brazilian Association of Health Economics, Francisco Funcia, the key issue in itself is not business in the table, but the finances of health.

“The discussion at the SUS meeting is the second to the fiscal model that SUS has adopted. Our recommendations are to take into account the needs of the health of the population and products to benefit a beneficiary, so that it complies with. system “, it protects.

According to Funcia, the country needs a value that drives the imagination of an individual. “The United Kingdom invests around 7.8% of GDP (GDP) in health. We spend around 4%.

In this context, a CNS consultant pointed out that the Union has reduced its involvement in financial health over the past few years. “It now represents less than half of everything used, around 42%, while cities, 32%, and states, 26%,” he said.

In a statement, the Ministry stated that the importance of the SUS table has been constantly updated and that it is not the only way for financial assistance. “The Department of Health changes monthly, to the state and city health funds, the financial budget for the cost of hospital services of the medium and high pressure “, he added, in 2021, R $ 45 billion was transferred and, in 2022., already R $ 16 billion.

The report asked the agency about the business and benefits stated by CFM, but received no response.

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