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Health care system like Canada's within two years


suegarn

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Sorry, I cannot access that site. It requires wide open privacy, and hopefully gets you to subscibe. I did find an alternative source. This will be a huge mess for a while - the doctors, nurses, etc. know exactly what they are doing, but merging complicated and competitive administration/bureaucracies will prove to be a nightmare. The only alternative is to hire an outside wunderkind, with no connections and loyalties, to put it all together like a giant Lego set.

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43 minutes ago, CHILLIN said:

Sorry, I cannot access that site. It requires wide open privacy, and hopefully gets you to subscibe. I did find an alternative source. This will be a huge mess for a while - the doctors, nurses, etc. know exactly what they are doing, but merging complicated and competitive administration/bureaucracies will prove to be a nightmare. The only alternative is to hire an outside wunderkind, with no connections and loyalties, to put it all together like a giant Lego set.

No one here knows how political all the top paying positions are in all those systems and change everytime a President or Governor changes and  no one really gets a full time position for many decades. It will not be a smooth takeover and will not benefit anyone going for medical services and will cost billions of dollars to implement in all 32 states and CDMX for obviously political reasons. IMO

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On 1/5/2019 at 2:28 PM, AlanMexicali said:

What a waste of tax money when the system in place works just fine. IMO

Alan, do you really feel that the systems could not be improved...IMSS must be the greatest living  dinestor?  still alive

You have two systems providing health care..why not pick the best and more  cost effective and use that one system 

It would be great if the  powers that be are looking at the Canadian  and UK systems and seeing what system "works better". No nead for expensive survey's  etc....get on  a plane and visit the counties in question , talk with the  recipients of the service

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4 hours ago, lakeside7 said:

Alan, do you really feel that the systems could not be improved...IMSS must be the greatest living  dinestor?  still alive

You have two systems providing health care..why not pick the best and more  cost effective and use that one system 

It would be great if the  powers that be are looking at the Canadian  and UK systems and seeing what system "works better". No nead for expensive survey's  etc....get on  a plane and visit the counties in question , talk with the  recipients of the service

 
" Guarantee the financial health of the IMSS until 2030

  Angeles Cruz Martínez | Tuesday, 03 Jul 2018 08:06
 
Mexico City. The financial viability of the Mexican Social Security Institute (IMSS) is guaranteed until 2030, but it depends on future measures of financial discipline and cost containment being maintained. A change in strategy could lead the organization back to a deficit situation, such as the one that lived from 2010 to 2014, a period in which reserves were used until they were exhausted, according to the report on the financial situation of Social Security 2017-2018.

The document was delivered to the Executive Power and the Congress of the Union last Saturday and highlights that, in 2017, as a result of a better use of resources, it obtained a surplus of 9 thousand 747 million pesos, which added to the 2016 7 thousand 11 million, reached a figure exceeding 16 billion pesos. This had not been observed since 2008, he stresses.

The estimation of the financial viability of the IMSS for 2030 represents 10 years more than what was projected in the 2016-2017 report, in which sustainability was estimated at 2020."
 
 
Seguro Popular IS modeled after the sucessful Socialized Medical systems Worldwide. IMSS is in great shape. ISSSTE is in great shape. All systems serve their members effciently and diagnosis and treat any illness. The newest problem is the newly elected government is screwing around with the last two governments many successful achievements on purpose.
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5 hours ago, lakeside7 said:

Alan, do you really feel that the systems could not be improved...IMSS must be the greatest living  dinestor?  still alive

You have two systems providing health care..why not pick the best and more  cost effective and use that one system 

It would be great if the  powers that be are looking at the Canadian  and UK systems and seeing what system "works better". No nead for expensive survey's  etc....get on  a plane and visit the counties in question , talk with the  recipients of the service

I don't know if they've talked with "recipients" of the service but I believe they have been to Canada and have had discussions with the government officials there. Can I find the link? No. And I will say that the Canadian system is not perfect but it certainly saves your a$$ in an emergency situation.

 

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"IMSS enlists the construction and inauguration of 9 hospitals by 2018

By Rodrigo Rojas -
11/22/2017

Health is the most important investment that any government can make because it means a benefit for the entire population and for which the Mexican Social Security Institute (IMSS) plans to build and inaugurate 9 hospitals throughout the country during the next year. , which reaffirms its commitment to promote this area.

In this case, the investment by the IMSS amounts to 33 thousand 447 million pesos, with which the construction of the new hospitals is planned, in addition to which the money will also be used for the construction of 40 Family Medicine Units ( UMF) in 28 entities in the country.

More specifically, the IMSS hospitals that will be put into operation next year are the following: the Regional General Hospital of El Marqués, in Queretaro; the General Hospital of Zona de León, in Guanajuato and the General Hospital of Ciudad Acuña Area, in Coahuila.

To the previous ones, the Subzona General Hospital of Ixtapan de la Sal, in the State of Mexico, is added; the General Hospitals of Zona de Pachuca, in Hidalgo; that of Bahía de Banderas, in Nayarit; that of Tapachula, in Chiapas, and the Regional General Hospitals of García, Nuevo León and Tepotzotlán, State of Mexico.

The General Hospitals of Villa de Álvarez Zone, in Colima, are also added to the 9 mentioned hospitals; and that of Aguascalientes, which were inaugurated during this year, in addition to the General Hospital of Nogales, in Sonora, which is already completed and will be delivered next month. "
 
 
 
"IMSS BIDS THE CONSTRUCTION OF FOUR NEW GENERAL HOSPITALS
No. 2016/245

Adjudication of the work is postponed in Bahía de Banderas, Nayarit, for the first months of 2017.

With the objective of strengthening and modernizing the institutional infrastructure, guaranteeing access to health services and improving the care model for more than three million beneficiaries, the Mexican Social Security Institute (IMSS) is in the process of bidding for four General Hospitals in the State of Mexico, Chiapas, Nayarit and Nuevo León, which will increase the services available for the second level of care by more than 800 beds.

The hospitals will have complementary auxiliary services and state-of-the-art equipment, which will allow the medical and administrative staff to have the necessary tools to guarantee the provision of safe and timely health services, with the quality and warmth that the General Directorate of the IMSS has instructed to implement.

For the international public bidding of the General Hospital of the Banderas Bay Zone in the State of Nayarit, the IMSS concluded that the bids received in the first instance must incorporate substantive adjustments to guarantee the technical and legal viability of the proposals.

Based on the above, it was decided to relaunch the project through a new International Public Competition that will be carried out during the first months of 2017, concluding in a couple of months, guaranteeing that the award and start of the construction of the Hospital will be carried out in the first half of 2017.

The bidding process of the General Hospital of Tapachula in the State of Chiapas continues to develop successfully and with broad participation of private sector developers. It is expected to award the contract during the first quarter of 2017.

On the other hand, it is expected that for the General Hospitals of Nuevo Leon and the State of Mexico, which are currently in the pre-call stage, the final versions of the Bidding Rules will be published during the first quarter of 2017.

It is expected that the four General Hospitals will begin construction during 2017, which reflects the commitment of the IMSS and the Federal Government to expand, improve and modernize hospital facilities, guaranteeing access to health care services and improving the care model for the benefit of the beneficiaries and of all Mexicans.

With competitive and transparent processes, the Institute and its infrastructure are strengthened."
 
 
"The new IMSS hospitals

The IMSS strategy is to invest 26,800 million pesos in 12 hospitals in the last part of the administration

By Rogelio Varela  August 1, 2017

"The first wealth is health", Ralph Waldo Emerson

Health budgets need to be expanded, but technology can help when resources are scarce.

The General Hospital of Zone Number 1 of the IMSS in Colima for the institute that Mikel Arriola Peñalosa commands, a before and after.

This is the new completely digital health infrastructure where the electronic file works, the x-rays are no longer printed on paper that can be highly polluting, and it counts among other equipment with a 7K resolution tomograph with 3-D color images that facilitate the diagnosis that can be made remotely by consulting specialists who are in a hospital in Jalisco or in Mexico City.

For the beneficiary it means an opportune diagnosis, but for the IMSS it represents savings.

They avoid transfers to hospitals in other parts of the country that already have some level of saturation, among other expenses, but it is barely seen as the beginning.

The IMSS strategy is to invest 26,800 million pesos in 12 hospitals in the last part of the administration, some with characteristics such as Colima, which cost almost 1,400 million pesos, twice the amount built in the recent past.

The plan also includes 40 Family Medical Units that will have laboratories and radiology equipment that will prevent patients from going to larger hospitals and losing time.

This investment will also mean that for the first time specialized health services will be brought to regions where employment is being created and that will benefit 23 million beneficiaries of the 74 million that serve an institute that in this six-year period went from technical bankruptcy to equilibrium in the use of their financial reserves.

But this new investment comes from the decrease in current spending where Mikel Arriola has had to break with inertia in the way the IMSS bought medicines, equipment and some services that have cost him criticism and unfounded questions, because we simply have to do more with the same."
 
IMSS is not a dinosaur and is providing state of the art hospitals all over Mexico. Here are a few recently built or are being built now  - some are finished - and they missed the new large one that is  finished in Mazatlán in 2017 and  a new large one in Culican and  a new large one in Hermosillo and more  that opened in the past 3 or 4 years. IMSS is in great shape.
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I do not see the reason to discuss each of the three government health plans in Mexico, ISSSTE, IMSS, and Seguro Popular, as AMLO says, "Like Canada's." I do not believe or northerly brothers have a plan for government employees, another for the employed, and lastly a plan for the unemployed or members of the informal economy.

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3 hours ago, AngusMactavish said:

I do not see the reason to discuss each of the three government health plans in Mexico, ISSSTE, IMSS, and Seguro Popular, as AMLO says, "Like Canada's." I do not believe or northerly brothers have a plan for government employees, another for the employed, and lastly a plan for the unemployed or members of the informal economy.

  The Seguro Popular IS set up exactly  modeled in the way Canada's system distributes federal tax money and the provinces respondibilities which the new Mexican administration plans to undo. The Mexican states recieve the same federal tax money and do what Canadian provinces do with it. The same set up exactly.

Now the Mexican Federal Government administrates at the top the states "Servicios de Salud".

The new system proposed will cut out of the system all the states "Servicios de Salud" and have only federal employees running all socialized medicine country wide. 

Not a logical billions of dollars waste of money idea for no real reason. The reason given by AMLO for years is the state governments are stealing some of the federal tax money.

Forgetting the Federal Auditors are catching the state politicians doing the embezzeling and are seizing their properties and prosecuting them now.

It takes a couple of years or more to catch them after the fact but it is happening.

"Canada's Health Care System

The federal government

The federal government's roles in health care include setting and administering national principles for the system under the Canada Health Act; financial support to the provinces and territories; and several other functions, including funding and/or delivery of primary and supplementary services to certain groups of people. 

The provincial and territorial governments

"The roles of the provincial and territorial governments in health care include:

  • administration of their health insurance plans;
  • planning and funding of care in hospitals and other health facilities;
  • services provided by doctors and other health professionals;
  • planning and implementation of health promotion and public health initiatives; and
  • negotiation of fee schedules with health professionals."

 https://www.canada.ca/en/health-canada/services/health-care-system/reports-publications/health-care-system/canada.html#a5

 

If the new administration joins the IMSS to the Seguro Poular there goes employers responsiblilty to pay employees families health premiums - more federal money lost and a huge freebee for all employers including state and municipal government employers

If the new administration join the ISSSTE to the Seguro Popular the federal government is off the hook paying their employees families health premiums. Another huge loss of reveue the ISSSTE was receiving.

Both the IMSS and ISSSTE include pension plans in their complex organizational systems. These still need to be administrated and deducted from employers including state and municipal employers and the private sector employers for IMSS  and deduct for ISSSTE pensions from the federal government. What a huge waste of money to even think of changing all these systems and laws that are in place at a cost of billions of dollars to taxpayers for no reason.

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Yes. Mexico is politically designed based on U.S. lines, the federal state system. After the revolution, it was thought this familiar organisation would encourage U.S. and foreign investment. It did not. The States have very limited power compared to the capital. In Canada, it is a lot different, probably because the country was so spread out, the Provinces were granted many more powers than those held in Ottawa.

My complaint about the Canadian medical system is that there is a whole level of administrative "watchers", who are not doctors, but revel in telling doctors what they can or cannot do. Many of them claim to be protecting the system from civil liability, as is rampant in the U.S. system, when in fact Canada has very few high price settlements because the physical, and even mental, damages are covered by the universal health care system. Doctors and medical professionals find this to be very wearing, maybe even depressing. Somewhat like in a family or relationship, where one key member is tremendously overbearing.

Will this happen in Mexico? Of course! It is human nature in this type of environment - the least knowing, are quick to subdue anyone who pokes their head above the crowd. This is always the core to the failure of Universal Health Care - but the alternative is much, much worse.

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Years ago when I was building my house, I had to take one of my workers, who had been stung by a scorpion, to the local Seguro Popular hospital. There was broom leaning up against the wall in the hallway of the hospital, with a pile of dirt, pop cans and empty chip bags on the floor next to it. The waiting area was outside- there were women in advanced labor left out there to labor on the hard plastic chairs. The courtyard reeked of garbage. I had to sit there for 4 hours while my worker was plugged into the IV with the anti-venom because I was told that if someone was being treated in emerg there had to be someone there waiting for them, I wasn't allowed to leave and come back when he was finished being treated. 

I can assure you none of this bears the slightest resemblance to the Canadian medical system.

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The Emergency at Jocotepec hospital is close to what you might expect in any small town in Canada. The Occidente General Hospital in Guadalajara, built in the 1970's is really showing its age (especially plumbing and the little things) but it is rapidly being remodelled as I write this with the 365 bed wing just completed. It is regularly cleaned, scrubbed, etc., but there are some "adaptations". All wards are mixed gender public, and few of the showers and toilets are working properly at this time - but there is always a selection of those that work. The biggest workaround is that many (most) of the toilets are missing their plastic seats. But you know what, I bring my own disinfectant wipes, and I think ceramic is easier to disinfect than plastic, the seating is harder, and cold, but who is there to stick around?!?! If you are really worried about it, bring your own toilet seat. Mexican medicine is make good with what you got sort of sport - always has been. As a Canadian Boy Scout, growing up in the far north, that way of thinking appeals to me. It is no coincidence that the long running series "McGyver" was written and filmed in Vancouver.

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Comparing the 14 year old Seguro Popular that now has about 57,000,000 members and the 43 year old Canadian system with about 37,000,000 members is not really useful. IMO

 

"¿El Seguro Popular supera los 57 millones de afiliados?

https://www.animalpolitico.com/elsabueso/el-seguro-popular-supera-los-57-millones-de-afiliados/

Since the 2013 tax reform Mexico has invested billions of dollars in the SP, IMSS and ISSSTE and picked up speed. The new government could simply continue to govern but appear to be more intetested in a takeover instead and waste tax payers money on political nonsense helping no one but themselves to get and retain more power for future elections. IMO

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17 hours ago, RickS said:

Remind me to not go to the Occidente General Hostipal in Guad.....

 

17 hours ago, RickS said:

Remind me to not go to the Occidente General Hostipal in Guad.....

Oh well the Doctors, Nurses and Interns offer excellent care. Just ask any private care doctor. Who in the he## goes into hospital for fun and relaxation. They are places for sick people - get in, get treated, get out as soon as possible. I'm tired of private hospital patients claiming "it is just like checking into a resort". What! those people need a reality check. Ms Chillin checked herself out five hours after getting her gall bladder removed, another of the same age stayed in private care for one week. She imagined she was being "pampered". Growing old is not for the weak, that's for sure.

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2 minutes ago, CHILLIN said:

 

Oh well the Doctors, Nurses and Interns offer excellent care. Just ask any private care doctor. Who in the he## goes into hospital for fun and relaxation. They are places for sick people - get in, get treated, get out as soon as possible. I'm tired of private hospital patients claiming "it is just like checking into a resort". What-those people need a reality check. Ms Chillin checked herself out five hours after getting her gall bladder removed, another of the same age stayed in private care for one week. She imagined she was being "pampered". Growing old is not for the weak, that's for sure.

That's the truth.  I can't imagine going to a hospital to experience "pampering".   Yes, many of the private hospitals are less of a traumatic experience, but the point is, as you said, to get the treatment you need and GET OUTTA THERE.  I've had the experience in the last year of going to two of them: One had decent facilities and good help: the other was a total nightmare.  Either way, I'm glad to have survived, but I'd much rather be "pampered" at home...or even not;  just BE home.😉

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Sort of like this. But this is really a "Villanelle", a very rare form of poetry, best for public performance - but anyways.

Quote

Do not go gentle into the light

Sorry, I originally posted this poem, only to find the last paragraph missing. Here is a a better link, if you sellect the audio spreaker, a soundcloud popup will come up, and you can hear Dylan Thomas actually reciting this Villanelle.

https://www.poets.org/poetsorg/poems?field_form_tid=428

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17 minutes ago, bmh said:

My husband spent 3 days in country hospital and he got out of there with an ambulance ut got out of there..it is supposed to be one of the nie ones and I was not impressed by the nurses, better get a private nurse at home.

Well Bubba is tough as nails, and he has a Mastiff heart. You are so lucky to have found each other.

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