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AlanMexicali

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AlanMexicali last won the day on August 29 2019

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About AlanMexicali

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    San Luis Potosi, SLP, Mexico
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  1. https://translate.googleusercontent.com/translate_c?depth=1&hl=es&nv=1&rurl=translate.google.com&sl=es&sp=nmt4&tl=en&u=https://www.eluniversal.com.mx/nacion/insabi-es-retroceso-de-40-anos-en-salud-julio-frenk&xid=17259,15700021,15700186,15700191,15700256,15700259,15700262,15700265,15700271&usg=ALkJrhiNE3p1z5mPMGrNSZJjcR-rn_bKGg
  2. The reason is all employees for the Seguro Popular are state employees hired by each state's "Servicios de Salud" and CDMX same thing. Only at each state's capital city is a federal Secretaria de Salud administration office were they have all the top federal administrators for doling out the states Seguro Popular financing, build Secretaria de Salud hospitals and clinics, furnish, hire personel, buy vehicles, have offices and labs. for disease control, sanitation, diistribute medicines and health care products and maintain them all etc. which are federal employees. With INSABI there are no more state "Servicios de Salud". There will be only federal employees instead. They will fire all the state employees and hire federal employees. Previously the states' employees serviced the medical needs of it's states residents that belonged to the Seguro Popular in clinics and hospitals owned or hospitals contracted by the federal Secretaria de Salud.
  3. https://translate.googleusercontent.com/translate_c?depth=1&hl=es&nv=1&rurl=translate.google.com&sl=es&sp=nmt4&tl=en&u=https://www.informador.mx/jalisco/Cancerologia-otro-hospital-en-riesgo-por-Insabi-20200117-0027.html&xid=17259,15700021,15700186,15700191,15700256,15700259,15700262,15700265,15700271&usg=ALkJrhgZsDzuIo8bFsToM4tPl4P8tR5pqQ
  4. https://www.zocalo.com.mx/new_site/articulo/agrava-problemas-creacion-del-insabi  Google Translation: "1 day ago [COAHUILA] Aggravates problems by creating the Insabi By Ernesto Acosta "Saltillo, Coah.- The disappearance of Seguro Popular puts the health of millions of people in the country at risk, because far from solving the problems with the creation of the Institute of Health for Wellbeing, they were aggravated by lack of attention. Health services that were previously granted free of charge are now charged, with great impact on those without social security [IMSS], said Antonio Medina Trejo, director of Sexual Diversity at the PRD nationwide. “In addition to not guaranteeing the right to health care of Mexicans, embodied in Constitutional Article 4, the entry into force of Insabi reveals the ineptitude and incapacity of the self-appointed Fourth Transformation to develop laws and public policies beneficial to the population. "We demand that the federal government resolve immediately the failures shown by the Insabi, which put the integrity of at least 6 million users in danger," he said. He stressed that, once again, the whims of President Andrés Manuel López Obrador, endorsed by the Morenista majority in the Congress of the Union, do not contribute to solving the great national problems and do aggravate them. The foregoing, by allowing the disappearance of government institutions and programs that, while registering deficiencies in their operation, were necessary in the provision of services. “The President does not listen and does not understand the needs of Mexicans who need timely and efficient health services. The reality shows that his repeated promise that Mexico would have a health system similar to that of the Scandinavian countries, was only a crude electoral strategy, ”he said. He added that Insabi does not help low-income people who need medical attention at a low cost. "By declaring that the services would be free, the President, with the complicity of the Morena legislators, lied and cheated society clearly and simply because the Institute lacks sufficient budgetary allocation," he said."
  5. https://m.aristeguinoticias.com/1501/mexico/insabi-no-cubre-mas-pero-si-cobra-mas-frenk-mora/ Google Translation: "ARISTEGUI NOTICIAS: Insabi "does not cover more, but does charge more": Frenk Mora by Drafting / LP January 15, 2020 12:59 pm The former secretary of Health criticizes the implementation of Insabi. He considers that it lacks technical support and, above all, resources. Doubts that full gratuity can be achieved.  The poor planning and design of the Institute of Health for Wellness (Insabi), in particular the non-gratuitousness in rare or complex conditions, coupled with the lack of resources of the Federal Government, make it an obsolete and insufficient medical care system. This was stated by Dr. Julio Frenk Mora, rector of the University of Miami and Secretary of Health during the six-year term of Vicente Fox. In an interview for Aristegui Live, the doctor said he has an interest in the Insabi, but the legislation that derived in its creation and its operational design, they were carried out “steamed”, based on ideological premises and not on technical factors. “It's a huge setback, it's an obsolete model that we don't see in any other country. It looks like what Mexican health looked like in the seventies of the last century. ” One of the shortcomings that he pointed out is the return to a centralized structure, reversing a decentralization process that lasted more than 20 years. For Frenk, the most serious thing is that “a financing structure that had given enormous positive results was dismantled, since it had been put into law, which created a fiscal obligation for the Mexican State towards health care, for people who were excluded from social security [IMSS]. ” An important aspect of Insabi's start-up, and that has unleashed discomfort among the population, according to Frenk, is the misinformation and confusion generated by federal officials about the gratuity of the new health system. “It is in the Law, from there it is said that Insabi is only responsible for what is called the first level, which are the clinics, and the second level, which are the general hospitals, where simple deliveries and surgeries are seen. But it is not responsible for the so-called third level, which are the sufferings of high cost and complexity. ” He explained that the third level includes cancer, intensive care, especially for newborns, heart attacks or diabetes, an important limitation, "given the obesity problems we have in Mexico." Frenk said he has the desire that Insabi work as planned, it is a good goal, "but it will not be achieved with the budget they have," he said. The lack of budget is part of the Insabi design problem. "It's promising everything to everyone without saying how." He clarified that the Seguro Popular did not cover everything, because no health system in the world covers everything, "but the diseases that most affected family economies were covered." "Instead (the Insabi) doesn't cover more, but it does charge more," he said." There appears to be no fix in sight as the 2020 federal budget has no tax money destined for INSABI except for what the new National Health Plan law permits. Only by changing this restrictive law to include more coverage for free and then amending the 2020 federal budget could it smooth things over, it appears. Until then people will have to pay to get services not covered.
  6. https://translate.googleusercontent.com/translate_c?depth=1&hl=es&nv=1&rurl=translate.google.com&sl=es&sp=nmt4&tl=en&u=https://www.informador.mx/mexico/Pese-a-quejas-Lopez-Obrador-aplaza-dialogo-sobre-Insabi-20200115-0025.html&xid=17259,15700021,15700186,15700191,15700256,15700259,15700262,15700265,15700271&usg=ALkJrhhht5dFDYEPm_20k5mWjPeIYK7sXg https://translate.googleusercontent.com/translate_c?depth=2&hl=es&nv=1&rurl=translate.google.com&sl=es&sp=nmt4&tl=en&u=https://www.informador.mx/ideas/--Programa-utopico-20200114-0037.html&xid=17259,15700021,15700186,15700191,15700256,15700259,15700262,15700265,15700271&usg=ALkJrhhQLePZ97uJ4fOfW9dgwCkbDmb7dQ https://translate.googleusercontent.com/translate_c?depth=3&hl=es&nv=1&rurl=translate.google.com&sl=es&sp=nmt4&tl=en&u=https://www.informador.mx/ideas/Con-el-ceno-fruncido-igual-que-Alfaro-20200115-0039.html&xid=17259,15700021,15700186,15700191,15700256,15700259,15700262,15700265,15700271&usg=ALkJrhiPiN5n8RdoC7l2LZURzXWmECOemA
  7. Too bad if real news quoted from the Chamber of Deputies [it was showing video of her addressing the Deputies on this important proposal on national TV news this week] is above your level of comprehension about the health plan you actually use here in Mexico. Maybe others using "your" health plan [INSABI] can actually understand they are only getting minor to intermediate health illnesses treated for free and will have to pay for serious illnesses with INSABI now, that before their Seguro Popular contract covered. The laws need to be changed so level 3 illnesses are free with INSABI. Very simple that probably a grade 7 student should be able to comprehend the current legal situation of the health plan they rely on when ill.
  8. https://www.google.com.mx/amp/s/politica.expansion.mx/mexico/2020/01/02/el-insabi-arranco-operaciones-este-1-de-enero-esto-es-lo-que-debes-saber%3f_amp=true Google Translation: " “It was a first step to say free medical care and medications. Where? In rural medical units, health centers, public hospitals, ”López Obrador said Thursday at the National Palace.“That has to do with the fact that there are medicines in the health centers, in the regional medical units, in the hospitals, which are not going to lack medicines; (it has to do with) that there are doctors, specialists, it has to do with having spaces, enough beds, it has to do with the attention that is offered to all citizens, ”said the president. Additionally, he commented that work is being done so that the health sector has all the resources and all the necessary budget to function properly. Therefore, this year the budget of the health sector is increased by 40,000 million pesos, which, according to the reform approved last November, come from the catastrophic expenses fund of the Popular Insurance." The 2019 underfunded Seguro Popular which had it's budget cut almost 30 percent from 2018 has a catastrophic expense fund which is not to be touched except for treatment for children under 18 years old cancer patients and organ transplants - some other life saving treatments. AMLO is raiding some of the fund to add 40 million pesos to INSABI instead of tax money in the matching Seguro Populars 2019 budget and now + 40 million. They might have enough to pay for what the Seguro Popular paid for in 2018 and some money left over because the Seguro Popular covered all 3 levels of health care not just level 1 and level 2 care.
  9. https://politica.expansion.mx/congreso/2020/01/14/pan-eliminar-cuotas-y-ampliar-cobertura-sistema-de-salud Google Translation: "The PAN proposes to eliminate quotas and expand coverage of the health system Senator Kenia López Rabadán said that if you want true and free universal access to health services, these changes to the law are required. Mar 14 January 2020 03:35 PM  Senators Kenia López, Alejandra Reynoso, Xóchitl Gálvez and Guadalupe Murguía explained their initiative to modify the General Health Law. (PAN Parliamentary Group) Melissa Galván @lameligalvan The bench of the National Action Party (PAN) in the Senate presented an initiative to reshape the General Law of Saludante the criticisms that have been generated at the start of operations of the National Institute of Health and Wellness (Insabi). In conference, Senator Kenia López Rabadán explained on Tuesday that the proposal seeks that, "without simulations", the quotas for access to health be eliminated from the law and that the gratuity reaches users of third level services ( specialties). The initiative proposes to reform articles 36 and 77 bis 1 of the General Health Law, amended in November 2019 to eliminate Popular Insurance and give way to Insabi. Yes we want free, total health, and for that we need to modify the law. " Kenya López Rabadán Article 36 of the legislation currently establishes the payment of "recovery fees", taking into account the cost of services and the socio-economic conditions of the user. When the reform was approved in November, the Morena parliamentary group - most in the Senate - said that this guaranteed "universal and free access to health." But, according to the PAN, in fact it is not so, so the bench will seek to effectively eliminate the payment of these fees for Insabi users. "To be congruent with what even the federal Executive (Andrés Manuel López Obrador) has said that there will be no charge in the health service, today the law clearly establishes them," said López Rabadán. Article 77 bis 1 of the General Health Law establishes gratuity for users, but only in the first and second level of care: external consultation and hospitalization for basic specialties internal medicine, general surgery, gynecoobstetrics, pediatrics and geriatrics . We recommend: The PAN asks to keep Seguro Popular and PRI accuses "mirage" in Insabi With its proposal, the PAN will seek free care to reach third level patients, which is of specialties for, for example, the treatment of chronic diseases such as cancer. "These are the votes of the PAN so that the quotas are eliminated and then, indeed, health is free, and that this gratuitousness is extended to the third level (of attention)," said the senator." With legal provisions the new Health Law it is not free for level 3 patients as AMLO keeps saying. The new Health Law needs to be modified to include many health conditions that as of now will cost patients recieving them and are expensive as these are serious illnesses and costly treatments at specialized hospitals. How in the World can politicians and Federal Secretaries etc. in charge of providing the population with socialized medicine as a right in the constitution think their new National Health Plan and the laws they passed to institutionalize the INSABI is "free"?
  10. In business you use block - printed - leters not writing so others reading it can read it easily and not have to guess what the hell is that word or words. It sticks with you the rest of your life.
  11. I guessed correctly. It appears you have no desire or interest in comprehending the current healthcare situation brought on by the current administration and it's attempt to centralize power in Mexico in the federal government once again and take power away from the automonous states. This is real and confirmed recent mainstream news plus some opinions. The conflicting information, as you have noticed, is only from AMLO, his friend Juan Ferrer from Tabasco and Archaeologist the new Director of INSABI and the new Secretary of Health Dr. Jorfe Alcocer Varela. Your simple answer is: "As my Doctor at Seguro Popular told me on Thursday when I brought this up as I was leaving, "Don't worry, nothing is changing here...hasta luego" " This is real injustice to anyone who is getting screwed over by INSABI and needs concrete assurance they will have health care free of charge when they need it and not pay for it now that their Seguro Popular contract is no longer valid as many witnesses have had to pay since Jan. 1st. and many more will have to pay because there appears to be no end it sight at this time especially level 3 health care. Too bad you aren't the least bit concerned for them as long as you can get your level 1 routine checkup from your GP still. It appears too complicated for you to follow. IMO
  12. I don't expect many retired foreigners to give a damn about Mexico's institutes or her problems so you confirm my belief being a legal alien resident of Mexico it is very unusual to assimilate to a foreign environment where you only came to "chill out" and live out your golden years in a nice place.
  13. https://lasillarota.com/amp/especialeslsr/desmantelar-el-seguro-popular-seria-catastrofico-julio-frenk-seguro-popular-salud-imss-issste/270610 Google Translation: "Dismantelling the Seguro Popular as proposed by President Andrés Manuel López Obrador and allocating the resources of the Fund for Protection against Catastrophic Expenses for other purposes would be "a catastrophe" for thousands of people receiving treatment for complex and expensive diseases, said Julio Frenk Mora, Former Secretary of Health. [creator of the Seguro Popular - Now president of the University of Miami] One effect, I think very positive of the Seguro Popular was that with the legislation that was passed in 2003, the tax obligation of the Mexican Federal State for each person who joins the Seguro Popular was put into federal law. Because it is a financial scheme, something that is very confusing, that people often think that it is the program to provide services and it is not, it is a mechanism that finances. That is a line of justice, because what we had before this legislation is that there was an IMSS law and one of the ISSSTE where the Federal State obligation for each affiliated person was stipulated." Now there is still some federal laws alloting federal tax money to states to provide healthcare to its' residents. There is no more Seguro Popular so the above mentioned tax obligation is gone plus there is federal law and constitutional law that 3.5 percent of the yearly GNP be used for socialized medicine. AMLO last year 2019 illegally reduced that to 2.5 percent, underfunded the Seguro Popular by almost 30 percent of the 2018 budget which caused turmoil in the delivery of services, laying off Dr.s, nurses, lab workers etc. and ordered just over 40 percent of the medicine requested in the previous administation's projected budget for 2019. With less laws governing and the ones still in place being ignored the obligated expenditures incorporated into the CDMX and state health services budget is now at the whim of the federal government. In states where there was federal obligations as stated above in the quoted piece there now is a federal government using the tax money as they wish and if they are inclined use it as a weapon to get state governments to be under the control of the party in power not automonous as before.
  14. 6 governors have decided it is in the best interest of their state's health services not to join INSABI because of the obligation they have to service residents with all 3 levels of health care guaranteed to be funded by federal laws under rights of access to health services. INSABI violates these federal laws and by greatly limiting funding to the individual states health services and CDMX and centralizing administration of funding only though the federal govenment on their whim. The obligation is not being fufilled with INSABI so expect federal injunctions from states who will be starved out of giving all 3 levels of health care through their state health services as INSABI as it is now incorporated will definately do.
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