Thread by @genenisperos

Sana bago ka sumagot nang ganito @jvejercito inaral mo muna yung kaso at yung sistema ng Philhealth.

You are obviously speaking above your head so let me clarify how you got it all wrong.
1/

https://twitter.com/jvejercito/status/1389800310869094402

If you just bothered to find out before dishing out your response, you would have known that cases such as this actually happens quite frequently.

While PhilHealth has different case rates for different severities of COVID-19, these depend on WHERE the patient is confined.
2/

Since the patient was confined in a primary hospital (level 1), the hospital cannot reimburse for specialized care, which are mainly reserved for tertiary hospitals (level 3).

Kaya hindi ma-cover ng PhilHealth yung malaking bahagi ng bill nung pasyente.
3/

The assumption is primary hospitals cannot give services that tertiary hospitals provide.

How are patients supposed to know this? At kung agaw-buhay na ang pasyente mo, magagawa mo pa ba ito?

In the surge, all hospitals are forced to take in COVID patients, even severe ones.
4/

When you crafted the UHC Law, did you say that ALL diseases are covered by PhilHealth? NO.

You probably just assumed this.

PhilHealth only has provisions for diseases THAT ARE IN ITS LIST. And not all have substantial support.

DITO pa lang, andami nang problema!
5/

EX. A patient is hospitalized for an autoimmune disease for weeks. But the disease is not in the PhilHealth list, so the closest disease entity is used: arthritis.

Ayun, 5k lang ang covered ng PhilHealth.

Eh pano kung wala talaga sa list? WALANG SASAGUTIN ang PhilHealth!
6/

The UHC Law has many more infirmities that render it useless, too many for this thread. Let me leave you one:

Para makinabang sa UHC Law, dapat magkasakit ka muna. At dapat, MA-OSPITAL ka!

Ibig sabihin, kailangan MALALA NA yung sakit mo.

Pano yang nakatulong sa KALUSUGAN?!
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