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INSABI replaces Seguro Popular + alternative, affordable medical facilities in Guadalajara

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Legal residents will be covered if they are not members of IMSS.

All will be available to see in a few days after the government workers return from vacation and update the various websites. 

If you are in need visit the nearest former Seguro Popular clinic with your resident card and a recent curp printout in hand. Be prepaired to wait as there will be more people now that everyone is eligible.

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I found many suppliers of these chair beds. None in Mexico however. The Chinese ones surprisingly inexpensive. Some business near the hospital could make a good business renting them out. As  long as they stuck to an effective cleaning system, for example using steam and/or UV ray sterilizers. The Hospital Zoquiquin now has over 600 beds, none of them with sleeping arrangements.

https://www.alibaba.com/product-detail/China-BT-CN001-Cheap-Hospital-recliner_60387427515.html

 

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I have very mixed feelings about the new system. There are 60 million poor Mexicans without health care. After seeing the gringos in Ecuador who moved there largely to use that "free" system & exploited it unfairly, I feel that it should be the responsibility of the American/Canadian population to provide for their own care, thru insurance or self-insuring. 

There simply isn't enough money to go around, and the Mexicans who have done without for so long should be the beneficiaries. 

I will probably get flamed for this comment, LOL. I say this after getting a quote yesterday for private health insurance. I am keeping my Medicare, BTW. 

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11 hours ago, Honorandfaith said:

I have very mixed feelings about the new system. There are 60 million poor Mexicans without health care. After seeing the gringos in Ecuador who moved there largely to use that "free" system & exploited it unfairly, I feel that it should be the responsibility of the American/Canadian population to provide for their own care, thru insurance or self-insuring. 

There simply isn't enough money to go around, and the Mexicans who have done without for so long should be the beneficiaries. 

I will probably get flamed for this comment, LOL. I say this after getting a quote yesterday for private health insurance. I am keeping my Medicare, BTW. 

AMLO has stated 60 million Mexicans are outside of the "2" current socialized medicine systems but it is a lie. He states "his" newly created INBUSI system will insure the 60 million plus without health insurance for free now as of Jan. 1st..

Mexico's populauion is 130,000,000.

IMSS = 58,000,000

Seguro Popular = 59,000,000

Total Mexicans with health insurance before INBASI = 117,000,000

130,000,000 - 117,000,000 = 13,000,000

Add about 4,000,000 insured by ISSSTE, PEMEX, Military federal health systems.

13,000,000 - 4,000,000 = 9,000,000 Mexicans without health insurance not 60,000,0000.

It has  been that way for many years.

AMLO for a decade or more has stated 60,000,000 Mexicans have no health insurance and if elected he will "create" a new federal health system that will insure them.

Figures prove he is not telling you facts but trying to take credit for previous long term financial investment and work they already have achieved to insure 121,000,000 Mexicans costing billions of dollars to create.

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14 hours ago, Honorandfaith said:

I have very mixed feelings about the new system. There are 60 million poor Mexicans without health care. After seeing the gringos in Ecuador who moved there largely to use that "free" system & exploited it unfairly, I feel that it should be the responsibility of the American/Canadian population to provide for their own care, thru insurance or self-insuring. 

There simply isn't enouigh money to go around, and the Mexicans who have done without for so long should be the beneficiaries. 

I will probably get flamed for this comment, LOL. I say this after getting a quote yesterday for private health insurance. I am keeping my Medicare, BTW. 

Yes...I hear this often, but....

There are also "poorer" expats/immigrants living here legally, because they got married here ( or living together with a Mexican...), or for other good reasons...  

And what about a less affluent Guatemala citizen legally living here ?

Or a young American teaching here, on a work permit ( Mexico needs them ! ) ?

It is difficult to draw a line, and let us not underestimate Mexico.  If they allow us in the system, they know what they are doing. They have done the "adding".   Guilt feelings are unnecessary.  i

Furthermore, like many expats here, I was in Seguro Popular for 6 years, but never used it ( went private first ).  It often is a very very last back up. Allow those retirees this peace of mind...it will keep them healthy ( it usually is not more than that ). 

And for those who use it, that is fine too.

( and not even mentioning that my home country is VERY generous with excellent healthcare for ANY immigrant )

 

Rony

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Remember immigrants (especially from NOB) add a lot to the IVA tax revenue with their spending and ISR tax revenue with earnings from work permits and sales of properties.

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https://m.excelsior.com.mx/opinion/r...insabi/1356967

Google Translation:
"Chaos at the start of the Insabi Ruth Rodriguez 08/01/2020 "It is considered to control the positions of health personnel in the states to avoid duplication. The launch of the Institute of Health for Wellbeing (Insabi) has become a chaos and a headache, both for authorities, managers of local and federal hospitals, and for patients who belonged to the missing Seguro Popular. The lack of the new rules of operation, the lack of information, the crossing of orders and the lack of guidelines is notorious in federal and state hospitals, which do not know if they have to charge or not to attend to those who had Seguro Popular, since there is no clarity of where the resources and budgets will come for such purposes. While some federal hospitals are charging hospitalization and surgeries [ 3rd. level care] to all patients, others do not do so until they receive clear indications, but with the fear that they will deplete their budget if they are not reimbursed for the resources they are spending. This situation contrasts with the implementation of Seguro Popular in 2004. On that occasion, the operation of the new program was worked, ironed, operated and details were refined from a year earlier, precisely to avoid the chaos that is now underway. . Therefore, now Insabi returns control of the attention of the poorest to the federal government. And in theory that sounds great. I say in theory because in practice the start-up of the Insabi startup is failing. If things continue like this, the Institute is going to be the worst headache, both for the authorities and for people with fewer resources that require attention to all kinds of diseases."

ALSO:

https://www.google.com.mx/amp/s/amp....tas-2020-salud

Google Translation:
"Hugo López-Gatell, Undersecretary of Health Prevention and Promotion, after participating in a forum on obesity, he said that, in accordance with article 36 of the General Health Law, the 13 national institutes and federal hospitals are subject to obtaining recovery fees for the provision of third level services. He explained that these are not coordinated by Insabi, but are governed by the law of the National Institutes of Health and High Specialty Hospitals. He stressed that "at the moment recovery rates are in force, but there is no authorization to increase them." He urged the population to report improper charges and announced that an investigation will be opened for complaints at the General Hospital of Mexico; He insisted that "progressive mechanism" is being promoted within the federal government project to eliminate these payments during the six-year term. "Throughout this six-year term, which ends in 2024, it will be achieved that there is no need to charge recovery fees (in hospitals and high-specialty institutes). The specific date will be announced as we articulate this whole plan, both regulatory and financial restructuring he said." " 

INSABI doesn't cover 3rd. level care - operations etc. 100 percent and patients will have to pay a recovery fee to the hospitals and doctors possibly until contracts and federal funds are gradually available possibly until 2024

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The hospital in Chalco was one of those where patients have been charged for medicine.The hospital in Chalco was one of those where patients have been charged for medicine.

"New health scheme touts free universal care but the reality is different

 

Many patients are having to pay under system that replaced Seguro Popular
Published on Thursday, January 9, 2020

It has been touted as completely free but a week after the federal government’s new universal healthcare scheme went into effect, patients are finding a very different reality.

The National Institute of Health for Well-Being (Insabi), a new government department tasked with providing medical services to millions of Mexicans without insurance, started operations on January 1.

A week later, the newspaper El Universal found that patients at the General Hospital in Mexico City, two healthcare centers in Nezahualcóyotl, México state, and the Chalco General Hospital in the same state have had to buy their own medicine and medical supplies such as gauze, rubbing alcohol and ointments even though the Insabi website states that beneficiaries of the healthcare scheme will receive free treatment “without restrictions.”

Some patients who qualify for the Insabi program because they are not covered by the IMSS and ISSTE social security schemes have also been charged daily rates as high as 3,000 pesos (US $160) for their hospital stays.

One person who has been charged for his treatment is Óscar Quintana, a diabetes patient who was admitted to the General Hospital in Mexico City on January 2 after experiencing extreme pain in his left foot.

“They’ve charged us for everything,” family member Alma told El Universal.

“[They charged us for] the emergency care, the healing material – they sent us to buy antibiotics and [other] medicine. For a day in hospital, it’s 450 pesos [US $24] when before it was just over 200. We’ve spent almost 5,000 pesos in the past days. I wonder when free care will be a reality . . .” she added.

Another patient at the General Hospital in the capital is Ángel López, a young man who was hit by a car on January 5. His family is currently trying to raise 45,000 pesos (US $2,400) so that he can undergo the surgery he requires.

The man’s aunt said that her nephew was first taken to a hospital in Zumpango, México state, where he was admitted after showing that he was covered by Seguro Popular – the insurance program the new Insabi scheme is designed to replace.

“. . . They accepted the policy but for two days during which they didn’t do anything to him, they charged us 6,000 pesos,” Angélica Pérez said.

“Then they transferred him to the General and the doctors said they needed a pin to operate on him; [they said] they had it here but we would have to pay 25,000 pesos [for it] plus 20,000 for the operation,” Pérez added.

At a healthcare center in México state, Chalco resident Karla Cárdenas told El Universal that she brought her young son in after he fell and suffered a cut beneath one of his eyebrows. She said the staff told her that they could treat her son but didn’t have the necessary materials.

“[Buying the materials] is not expensive but I think I could provide the same [treatment] at home. What I needed was to know if my child needed stitches and fortunately they said that he didn’t. I don’t know how Insabi works but I hear the president saying every day that the care is free and that the medicine is as well but . . . [at] the hospital they tell you that they don’t have any so who do you believe? The care is good, you can see that the people are committed [to their work] but how can they do it if they don’t have what they need?”

Back at the General Hospital in Mexico City, Guerrero resident Angélica Durán had a different experience, telling El Universal that she hadn’t been required to pay for any of her treatment, which included blood tests and an ultrasound.

“They haven’t charged us anything. I came because I had a pain in my stomach that was so strong that I couldn’t even walk. We went to a hospital in Guerrero but they sent us here, they told us that they would attend to us for free and that’s the way it’s been,” she said.

 

However, at least among the people who spoke with El Universal, Durán’s experience is unique.

In response to complaints from patients and family members who had to pay for hospitalization, treatment, medicines and supplies, Insabi clarified that medical care is only free at primary and secondary healthcare facilities, and not at specialist, tertiary hospitals.

“In relation to the questions that have arisen due to the charging of fees at national health institutes and federal hospitals, Insabi provides [free] medical services at the primary and secondary level of care to all people who don’t have social security. In accordance with article 36 of the General Health Law, national health institutes and federal hospitals are subject to obtaining fees. . . for providing tertiary level services,” the National Institute of Health for Well-Being said.

The statement doesn’t, however, explain why patients at healthcare centers in Nezahualcóyotl, for example, were required to pay for medicines and supplies.

Insabi also addressed uncertainty among people formerly covered by Seguro Popular with regard to how to access its free services.

The institute said there is no need to enroll in the scheme prior to receiving medical treatment, explaining that the registration process will be completed by staff at the healthcare facilities where people seek care."

 

https://mexiconewsdaily.com/news/new-health-scheme-touts-free-universal-care/

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1 hour ago, AlanMexicali said:

https://m.excelsior.com.mx/opinion/r...insabi/1356967

Google Translation:
"Chaos at the start of the Insabi Ruth Rodriguez 08/01/2020 "It is considered to control the positions of health personnel in the states to avoid duplication. The launch of the Institute of Health for Wellbeing (Insabi) has become a chaos and a headache, both for authorities, managers of local and federal hospitals, and for patients who belonged to the missing Seguro Popular. The lack of the new rules of operation, the lack of information, the crossing of orders and the lack of guidelines is notorious in federal and state hospitals, which do not know if they have to charge or not to attend to those who had Seguro Popular, since there is no clarity of where the resources and budgets will come for such purposes. While some federal hospitals are charging hospitalization and surgeries [ 3rd. level care] to all patients, others do not do so until they receive clear indications, but with the fear that they will deplete their budget if they are not reimbursed for the resources they are spending. This situation contrasts with the implementation of Seguro Popular in 2004. On that occasion, the operation of the new program was worked, ironed, operated and details were refined from a year earlier, precisely to avoid the chaos that is now underway. . Therefore, now Insabi returns control of the attention of the poorest to the federal government. And in theory that sounds great. I say in theory because in practice the start-up of the Insabi startup is failing. If things continue like this, the Institute is going to be the worst headache, both for the authorities and for people with fewer resources that require attention to all kinds of diseases."

ALSO:

https://www.google.com.mx/amp/s/amp....tas-2020-salud

Google Translation:
"Hugo López-Gatell, Undersecretary of Health Prevention and Promotion, after participating in a forum on obesity, he said that, in accordance with article 36 of the General Health Law, the 13 national institutes and federal hospitals are subject to obtaining recovery fees for the provision of third level services. He explained that these are not coordinated by Insabi, but are governed by the law of the National Institutes of Health and High Specialty Hospitals. He stressed that "at the moment recovery rates are in force, but there is no authorization to increase them." He urged the population to report improper charges and announced that an investigation will be opened for complaints at the General Hospital of Mexico; He insisted that "progressive mechanism" is being promoted within the federal government project to eliminate these payments during the six-year term. "Throughout this six-year term, which ends in 2024, it will be achieved that there is no need to charge recovery fees (in hospitals and high-specialty institutes). The specific date will be announced as we articulate this whole plan, both regulatory and financial restructuring he said." " 

INSABI doesn't cover 3rd. level care - operations etc. 100 percent and patients will have to pay a recovery fee to the hospitals and doctors possibly until contracts and federal funds are gradually available possibly until 2024

I still like this president but I cant help thinking that everything he undertakes ( probably with good intentions ) is not well prepared or thought through. ( cancelling the DF airport, the way he wanted to attack the banks, capturing/releasing of el chapo s son, etc .... )

It also seems that a lot of those hospitals are charging, because they dont know yet where ( and how much ) their funds will come from.

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1 minute ago, Rony said:

I still like this president but I cant help thinking that everything he undertakes ( probably with good intentions ) is not well prepared or thought through. ( cancelling the DF airport, the way he wanted to attack the banks, capturing/releasing of el chapo s son, etc .... )

Incompetence abounds after purging all or most of the highly paid professional federal employees who actually ran the federal government and replacing them with his loyal "yes men". He "is" the Mexican federal government now.

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Alan, I know your wife was a medical administor, so please don't take this personally, but there is lot of overlapping bureaucracy and needless paperwork in the Mexican public system. That is what I understand the goverment is trying to cut out, or more accurately starve out.

The public system will always have an almost brainwashed background of triage based healthcare, and they are not accountable to shareholders or property holders. Everytime I have had to pay out of pocket, including my own medicines, the costs have been very reasonable. They negotiate with surgeons and specialists with no profit motive in mind. This makes a huge difference. A private patient at General Hospital Occidente pays roughly $70 a day, with full nursing care, meals etc. A person here recently reported paying $700 a day at a private hospital.

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State of Jalisco  

https://www.jalisco.gob.mx/es/gobierno/comunicados/todo-lo-que-debes-saber-acerca-de-la-extincion-del-seguro-popular-y-la-atencion

In Jalisco, medical care is guaranteed both for people who were affiliated with the extinct Seguro Popular   and for all those who do not have social security (IMSS).

As of January 1, throughout the country and by federal mandate, the Institute of Health for Welfare (INSABI) was created, so that in Jalisco the provision of the same services covered by Seguro Popular  will continue, without cost.

As a user, you can go to the network of hospitals and health centers belonging to the Jalisco Health Services OPD and the two hospital units of the Guadalajara Civil Hospital, without the need for a policy or membership.

If you already had social security through the IMSS or the ISSSTE, you will continue to receive attention in your respective unit.

It is important to remind you that free care will no longer be provided in the Municipal Medical Services of Guadalajara and Zapopan, because the agreements with the  Seguro Popular  are concluded.

Check our list of Health Centers and Hospitals at: https://ssj.jalisco.gob.mx/cuida-tu-salud/hospitales-a-tu-alcance

 

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4 hours ago, Mainecoons said:

I see in the news the governor of Aguascalientes state has rejected the change and pledged to continue SP as before.  Some sort of bargaining ploy?

"National Action Party governor declared"

It's just opposition to progress by the right.

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46 minutes ago, AngusMactavish said:

"National Action Party governor declared"

It's just opposition to progress by the right.

Progress by the right?? AMLO is about as far left as you can be short of pure socialist. 

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Just now, Mostlylost said:

Progress by the right?? AMLO is about as far left as you can be short of pure socialist. 

The right is the opposition to progress.

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1 minute ago, AngusMactavish said:

The right is the opposition to progress.

Only if one considers moving to socialism is progress. Check Bolivia, Venezuela .

The vast majority of Mexicans middle class understand AMLO.  And complain about him daily. 

Or maybe everyone loves CFE, SIAPA, Pemex (possibly the only major oil producer in the world losing money)

I remember when Telmex was government owned. Took us a year to get a phone.  You could only make long distance calls from designated booths. 

 

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Just now, Mostlylost said:

Progress by the right?? AMLO is about as far left as you can be short of pure socialist. 

I did not think a Socialist could be PURE....here we go down an other rabbit hole.....damn our power is out, better call AMLO

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On 1/9/2020 at 7:24 PM, Mostlylost said:

State of Jalisco  

https://www.jalisco.gob.mx/es/gobierno/comunicados/todo-lo-que-debes-saber-acerca-de-la-extincion-del-seguro-popular-y-la-atencion

In Jalisco, medical care is guaranteed both for people who were affiliated with the extinct Seguro Popular   and for all those who do not have social security (IMSS).

Check our list of Health Centers and Hospitals at: https://ssj.jalisco.gob.mx/cuida-tu-salud/hospitales-a-tu-alcance

 

I notice Jocotepec, Tjamulco, and Hospital General Occidente are all on that list

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Just now, CHILLIN said:

I notice Jocotepec, Tjamulco, and Hospital General Occidente are all on that list

I hope people using these facilities will shall their experiences with us

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2 hours ago, Mostlylost said:

Only if one considers moving to socialism is progress. Check Bolivia, Venezuela .

The vast majority of Mexicans middle class understand AMLO.  And complain about him daily. 

Or maybe everyone loves CFE, SIAPA, Pemex (possibly the only major oil producer in the world losing money)

I remember when Telmex was government owned. Took us a year to get a phone.  You could only make long distance calls from designated booths. 

 

Strange though his polling is still great.

At this point I really wonder if anyone short of God could handle the crime and corruption in this country.  For certain, building tourist choo choos out in the boonies isn't going to get it done.  Nor will plowing more money into a terminally corrupt and inept Pemex or CFE bring prosperity or less crime.

However I think this state has the best governor it has seen in a long time.

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14 minutes ago, Mainecoons said:

Strange though his polling is still great.

At this point I really wonder if anyone short of God could handle the crime and corruption in this country.  For certain, building tourist choo choos out in the boonies isn't going to get it done.  Nor will plowing more money into a terminally corrupt and inept Pemex or CFE bring prosperity or less crime.

However I think this state has the best governor it has seen in a long time.

Not criticising...just wondering. What are this governor s accomplishments ? Maybe something I missed...

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Follow his facebook page.  A lot of road repair going on, addressing the big pollution problems, showing solid leadership on getting things finally finished.  Really getting out of his office and traveling the state and getting things done on schools, health facilities and the like even in the remote areas  I am seeing all the road and other work as we ride our motos around the state.

He blocked that GDL truck tax and prevented a real conflict while maintaining and enhancing other truck restrictions such as weight monitoring.  Thus far, I see very energetic and proactive leadership.  

 

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18 minutes ago, Rony said:

Not criticising...just wondering. What are this governor s accomplishments ? Maybe something I missed...

Yes I ask the same. You should read the response I got from the governor's office regarding the highway resurfacing GDL & Chapala. Also many of us with connections know who's payroll he is on.

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