lunes, 12 de marzo de 2012

The IMSS in an economic well

National
Infested by the corruption
The IMSS in an economic well
By: Carlos Damián March 1, 2011
The slogan is to sink to the national social security system
México. - The recent studies on the Mexican social security Institute (IMSS, in Spanish), show that after 14 operation years of the reform of the ex president Ernesto Zedillo to the law of the IMSS (Zedillo’s reform in 1995). The total quotas as percentage of the quote wages have reduced of 19.5 to 16.5, impacting this decision the economic precarious conditions of the IMSS. The employer quotas reduced of 14.5 to 11.45 percent and those of the workers decreased of 4.125 to 1.4 percent, while the federal contribution of the federal government was increased of 0.825 to 4.825.

While the Zedillo’s Reform privatized the pensions system (paragraph A) to deliver it without no cost and to the arbitrary of Ernesto Zedillo and associated with the private and foreign initiative, generating this decision impelled by the oligarchy and the factice power in a net loss in the financing of the assure principal of the IMSS. The quotas to the disease’s assure and maternity (SEM, in Spanish) happened in 14 years of 12.5 to 9.63 percent of the quote salary. In this decision attend a series of questions between those which emphasize the service: How it can be improved this attention? To client if they have subtracted to the SEM quotas by 3.36 percent in a 14-year-old lapse.

In this money robbery to hang economically to state by the safety system for the working people, to the national safety institute income is equivalent to 24 thousand 592 million of dollars, with respect to 1997, the standards provide 1.65 percent less, the workers 0.66 and the state 1.05 percent. In this deadly decision for the worker and their family, which receives hospital attention and regular conference, it will see diminished their attention as well as their medicines.

In the review of the public account of 2010, the ASF selected a universe of 62.93 million of dollars intended for the purchase of 15 code - key of medicines for seven delegations and Medical Units of High Specialty (UMAE, in Spanish), that represents to 40 percent of the investment of that year in an international public bidding effected under the subsequent offer modality of discounts for the period 2009 - 2011. The IMSS now 10 percent – 355.6 million of dollars - with respect to what might have paid in a normal bidding. In nine of the code - keys, the IMSS achieved discounts of up to 44 percent.

However in the visits that made the ASF to the medical units found that, , on account of absence of effective mechanisms of control of inventories, the IMSS had losses by more than 10.93 million of dollars. With respect to the medical recipes, in some of the analyzed keys were identified 37 documents in the UMAE of Populates that had the status of "partially attended" or "denied" and is done not know if they were provided lock, stock and barrel. Also they were checked 15 thousand 241 medical recipes that they were provided to successors. Of they, 38 percent presented deficiencies, as the lack of stamp of the pharmacy. Were lacking authorization the address by be high-cost; in other cases did not had the number of code - key or they were lacking the data of the patient. In some more, the physicians omitted to stamp their company and number of professional certificate.

The national politicians by sinking to the IMSS
In this irregularities context does not surprise then that from 2001 the founded technocracy in the era of (Vicente) Fox with Santiago Levy as general director of the IMSS, and after with the current federal administration of (Felipe) Calderon with general directors as: Molinar Horcasitas, Daniel Karam they propagated systematically the supposed " institutional crisis" by a decade of the SEM. These accomplish it through apocalyptic horror: 'Inform to the Federal Executive and to the Congress of the Union on the financial situation and the risks of the IMSS'.

In this institutional destruction follow-up we recall that the SEM always it has been strategically with pout to finance from 1997. Thus in this circumstance we see the slogan in the financial situation in its issue 2010-2011 where the IMSS faces a situation "complex" and that the "principal problem is the structural imbalance between the contributions and the SEM, the medical expenses of the pensioned (GMP) and the obligations to attends a population with needs of increasingly complex and costly health".

The report includes that, to determine the expense future of the coverage of GMP, was considered the population pensioned by the IMSS: working of affiliate companies, the own workers of the institute and the new pensioned, with estimates of the survivor calculated with bases biometrics "applied by the insurance companies of pension funds". The authority of the IMSS always publishes on the GMP to discredit to the “privileged” working, and in the report is asserted that "in relative terms".

The deficit that observes the coverage of GMP is one of you highest, since in 2011 would represent 139 percent of the income by worker-employer quotas and contributions of the federal government of the coverage, and according to the accomplished projections, would arrive to represent to 436 percent in 2050" (page 96). In this sense the candidates that all of them offers could intervene on matters that actually interest to the citizens in this country, as the health and the hygiene in the workers and their families. (La Jornada, opinion, p.p. 14 - 22, February 18, 2012).

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