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14 LA UNION<br />

Health and Dignity<br />

La Union Medical Center<br />

MEDICAL and health services have become so expensive, many<br />

Filipinos can’t afford them. But the poor in La Union can worry less about<br />

getting sick because there is a hospital that would not send them away—<br />

the La Union Medical Center (LUMC).<br />

No More Doleouts<br />

The high cost of medical and health services has made them unaffordable<br />

to the poor. The poor, for their part, expect free services.<br />

Under the LUMC Economic Enterprise for Sustainability and<br />

Development Program even the poor in La Union can afford tertiary<br />

medical services. The hospital is equipped with the most modern<br />

laboratories and facilities, and equipment for complete hematology test<br />

and blood analysis; for tumor, hepatitis and thyroid marking; and for<br />

hemodialysis—all costly medical processes and treatment. Other tertiary<br />

hospital services that have been provided to them are neuro-surgery,<br />

cancer surgery, orthopedic cases, intensive care unit, urology, dialysis<br />

and kidney transplant.<br />

Patients are categorized into Classes A to D. Class A and B patients<br />

pay for the services in full. Class C patients get discounts of 25-75%.<br />

Class D patients pay in kind. This practice has been adopted in order<br />

to discourage the “doleout mentality”. The hospital allows relatives and<br />

friends of Class D patients to do odd jobs like cleaning the hospital<br />

premises or watering plants. Or they donate blood, fruits or vegetables.<br />

If the cost of the patient’s hospitalization is P50,000 and he or she<br />

donates only a basket of fruits or vegetables, then that’s it. The amount<br />

not paid is considered “quantified free service”. Since 2002 the quantified<br />

free services have amounted to P36 million.<br />

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