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Report - Social Watch Philippines

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5. Revamping the health insurance system to<br />

ensure universal health coverage, reduce outof-pocket<br />

health expenses, and to institute a<br />

progressive payment system subsidizing the<br />

less economically advantaged in society.<br />

A critical key to achieving these is ensuring fi nancing<br />

and other forms of resources for health. If debt<br />

repayments continue to be the top priority of public<br />

spending, the government is at the onset already bound<br />

to fail in fulfi lling its commitment to the international<br />

health standard of allotting fi ve percent of GDP to<br />

health. The MDGs, with MDG 4 in particular, would<br />

add to an already growing list of unfunded mandates<br />

that at best enhance the policy and legal environment<br />

for development goals but do little to improve people’s<br />

lives on the ground.<br />

Seeking well-resourced mandates has gained more<br />

urgency in the light of new obstacles in reducing child<br />

86 SOCIAL WATCH PHILIPPINES<br />

mortality. Disasters triggered by climate change deepen<br />

pre-existing inequitable conditions, thereby increasing<br />

the intensity of adverse impacts on the health and<br />

well-being of the vulnerable and marginalized, such as<br />

women and children.<br />

References<br />

DOH. 2010. Multi-Year Spending Plan.<br />

Field Health Service Information System. 2000 and 2006.<br />

National Demographic Health Survey. 1998, 2003, and 2008<br />

National Demographic Survey. 1990 and 1993.<br />

NNC. 2006. Briefi ng Kit. www.nnc.gov.ph.<br />

National Nutrition Survey. 1998, 2003, and 2008.<br />

Romualdez, A. Former Secretary of the Department of Health,<br />

and Dean, Graduate School of Health Sciences Pamantasan ng<br />

Lungsod ng Maynila.<br />

UNICEF. 2009. State of the World’s Children 2009 report. United<br />

Nations Children’s Fund.

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