Are we witnessing a reform of the health insurance system, or will the fatal violations of its implementation that led to deaths continue?! #The_Autre_Dimension ✍️ Musaab Brier
» Health insurance is one of the types of insurance against risks linked to an individual's health. It includes the costs of their examination, diagnosis and treatment, as well as their psychological and physical support. It may also include coverage for his absence from work. a certain period or permanent disability. It is one of the ways of providing health care to individuals and groups.
» The philosophy of health insurance is based on the principle of risk pooling, which means collecting the risks of diseases that affect society or a specific group, and sharing them equally among individuals, collecting the necessary funds to fairly treating this pooled risk, and then distributing it to individuals based on their treatment needs, which leads to reducing the burdens and costs incurred when treating the medical conditions to which the insured are exposed and ensuring that the Health care reaches everyone who needs it in exchange for a small, fixed amount. of money paid by all persons participating in the insurance.
» It is therefore a social system based on cooperation and solidarity between individuals to support what one of them cannot support alone, and insurance companies organize the benefit of risk distribution in exchange for a fee known to provide better use of comprehensive health coverage. care, and this program is provided by government institutions, private companies or non-profit entities.
» The goals of health insurance are to provide health care to individuals and groups.. To secure health care costs for individuals and groups.. To distribute health care costs among individuals, so that everyone pays an equal share, and so healthy people who do not suffer from illness cover the costs of treating sick people. Protect the individual from lack of health care that results from poverty or inability to pay treatment fees, leading to failure to receive health care and deterioration of health status . Manage health insurance financial resources in a way that ensures their continuity for future generations, and this may include investing them in projects that cannot be linked to health care. Improve the level of medical services provided by providing stable and continuous financial sources and encouraging a greater amount of medical services. diversification and competition in the provision of medical services.
“Thus, no one can dispute the mutual importance of health insurance, and the periods of its implementation in Sudan were very successful in its early days, before it became a platform for health insurance. influence between those who sought the spoils of public money among the privileged. And so what happened, until this great edifice of solidarity was blessed following the known violations of the herdsmen in the Kordofan desert.
“And now, instead of seeing real reform, it begins with restructuring this failing institution, correcting the errors in its fatal applications, and removing from its leadership the conflicting medical staff that the source of misfortune pointed out and replacing it with specialists in health economics or specialists in health insurance management, which has now become a specific specialty of economic and administrative sciences, but we are unfortunately witnessing the same problem in the reform projects that are taking place currently without clear direction or policy.
“Allowing clinically limited health insurance to provide medical and therapeutic services in the manner currently implemented is one of the worst decisions that will return us to the same hell of the previous failure, especially with these financial distortions that accompany this jump with unknown consequences. which is currently being implemented and which carries the risk of increasing the burden, monopolizing the provision of services and adding more. One of the distortions in the health care body infected with all the diseases of mismanagement.
Last message :
In summary, the role of health insurance must be limited to the purchase of services for policyholders while activating mechanisms for preserving patients' rights and renewing the medical services provided to them. It must expand the financing of health protection by financing. preventive health services, if it wants to reduce the costs of treatment instead of consuming the money of the insured, in the failed investment adventures in the provision of therapeutic services which almost imposed the jurisprudence of forced labor on those seeking services, the health insurance card is no longer just a means. an unnecessary additional burden. Finally, health insurance must be restructured with the help of experts in the field or the service must be transferred through public tender to be managed by health insurance companies that are efficient and relatively stable in providing services. health insurance. whether locally or globally, to implement this service as it happens in every country in the world.
I didn't get it without God revealing it
God is enough and yes, the agent
O God, do not impose on us, because of our sins, those who do not fear you for us and do not have pity on us, O Most Merciful of the merciful.
#TheOther_Dimension | Brier Musaab |
Thursday (May 30, 2024 AD)
