Otvoriť - EUROREPORT plus

SUMMARYthem following their discussion inParliamentary committees and Parliamentmeetings?Slovak Parliament Committee for HealthCare has so far discussed three moresignificant acts – amendment to the Act onHealth Care according to which the SKK 20Crowns for a doctor visit are paid, SKK 20Crowns manipulation fee for a prescriptionand SKK 50 Crowns for a day of hospitalisation.The second legal standard was the Acton Health Protection which spoke mostly ofcosmetic preparations and their use in linewith the European Union rules. The thirdone was the Act solving mutual acceptanceof health care personnel diplomas afterSlovakia joins the European Union. So notone radical act prepared by the Ministryof Health, that would change the systemof health care provision in Slovakia, waspresented to the Parliament. I do not evenknow when they will be delivered to theParliament. We were given an opportunityto get aware of them on web sites, togetherwith act drafts delivered by the ministerearly December last year. Notwithstanding,to my knowledge, most of the above--said acts have been altered as a matter offact. Our Committee MPs are not given anopportunity either to get acquainted withthe said altered act drafts as the alterationsto the acts returned for reconsiderationare not available on web sites.Can the Health Care Committeepush the Ministry into acting moreresponsibly? When Rudolf Zajac was aMinister candidate, he was all mouthabout the reform acts of which he hadalready developed 90 per cent of articulatedBills.He was saying this, but as he came tothe Ministry, he probably realised the situationwas not that simple. Changing thephilosophy of health care provision is noteasy, as it is a radical change. Therefore, Ithink the MPs trying to explain the reformto citizens already for over a year shouldbe better informed. During our two or threemeetings, the Minister has only outlinedroughly his plans in health insurance, thescope of health care provision, public healthinsurance or his opinion on the healthcare act, emergency health care, chambers.However, these are only legislativeplans, not drafts we could discuss.You count among the explainers ofZajac moves. In the Parliament, you representcoalition Christian DemocraticMovement, which has includedthe social aspect of health care in itsprogramme. Does the starting healthcare reform have the social aspectsyou are enforcing as a Christian Democratand what is your informationfrom meetings with people?I can see two levels here. Citizens viewthe reform as a restrictive one. They areinsecure, even though media report onthe obligatory payments. Despite beinga MP, I often learn more from the media.People feel the reform has very negativeimpacts. As they do not know about whatis to come, they are drawing even a darkerpicture of the reform. It has impacts alsoon financing as people tend to stock upbefore any new act, or amendment, beforeany new medicaments categorisation. Itwas clearly visible last year with the so--called SKK twenty Crown Act, when moneyspent on medicaments inadequately rose.The second issue is the application of theAct on Health Care, which introducedpayments. The Ministry interprets someaspects concerning the existing situation ina more optimistic way than it is like in fact.We can compare the entire 2002 year withthe entire 2003 year only, or let’s say thethird quarter of 2002 with the third quarterof 2003, and not otherwise. Obviously, insummer when people mostly go for vacation,there is sickness rate the lowest. We’llget acquainted with the more exact resultsof the 2003 year in March or in April only,when the insurance companies finalise anaudit of all and any costs. Therefore, I amrather reserved concerning the optimisticassessment of fees. Although, the Ministrydeclares that there is a significant declinein claims for health care services. For sucha short period of time we cannot preciselydefine whether the decline in costs for medicamentsand both day-time and hospitalmedical care, declared by the Ministry, isnot to detriment of citizens’ health whomostly lacking money come to see a doctortoo late, being already in an acute conditioninstead of coming to a doctor earlier.In my opinion, the fees are justified only inthe event of hospital medical care serviceswhich are of high costs and people haverealized that. So thus, the only comparablepositive results can be seen in this area andI treat any other assessment of health carepayments to be cheeky.O B J E D N Á V K Ana predplatné časopisu euroREPORTna rok 2004Záväzne si objednávame predplatné časopisu euroREPORTpre rok 2004 od čísla 1 - 12/2004 v cene 815 Sk vrátane poštovnéhoMeno a priezvisko (firma):IČO/DRČ:Adresa:tel./fax:Adresa na zasielanie časopisu:pečiatka a podpisV prípade, že ste predplatiteľom žiadame o potvrdenie objednávky na rok 2004.V prípade, že naďalej nemáte záujem odoberať časopis, oznámte nám túto skutočnosťpísomne alebo telefonicky na tel./fax: 02/544 34 107, tel.: 02/546 40 687-9Adresa na zasielanie písomných objednávok:AKTUAL PRESS s.r.o., Panská 9, 811 01 Bratislava