Tag Archives: Department of Social Welfare and Development

Healthcare in the Philippines

“We are currently institutionalizing the unified implementation of the “No Balance Billing Policy” through which the government and our private healthcare providers can work out a system that will provide an order of charging of medical expenses.”

A year ago, President Rodrigo Roa Duterte signed into law the Anti-Hospital Deposit Law. No hospital shall “request, solicit, demand or accept any deposit” for any medical treatment starting then, and any violator would be punished by either imprisonment, fine, or both. The Philippine Health Insurance Corporation (PhilHealth) and the Philippine Charity Sweepstakes Office (PCSO) were also called upon for the implementation of this law: the first to reimburse the hospital or clinic for the medical costs and transportation services given to poor and indigent patients, while the second to provide medical assistance for the basic emergency care needs of poor and marginalized groups.

Much needs to be done to improve our healthcare system, which remains highly fragmented, resulting in disparity in health outcomes between the rich and the poor in the urban areas and rural. While investments in health have increased over the years, several policy and operational bottlenecks have constrained universal health care for this country.”

But the Private Hospitals Association of the Philippines, Inc. (PHAPi) was against it. As soon as the implementing rules and regulations of the law were released, they filed a petition to the Supreme Court to nullify the Act Strengthening the Anti-Hospital Deposit Law by Increasing the Penalties for the Refusal of Hospitals and Medical Clinics to Administer Appropriate Initial Treatment and Support in Emergency or Serious Cases. The penalties1  for health facilities that refuse to take in emergency patients who cannot pay in advance is “unconstitutional,” “unreasonable,” and “amounts to denial of due process.” Directing the PhilHealth and the PCSO to reimburse basic emergency care costs to “poor and indigent patients” is violative of the equal protection clause, too, amounting to involuntary servitude.

“We shall pool all our resources for health services under the [PhilHealth]; institutionalize primary care as a prerequisite to access higher level of healthcare; and supplement human resource gaps of the LGUs through a National Health Workforce Support System.”

So, as of now, the PhilHealth covers Filipinos regardless of their social status. An amount—termed as the “case rate amount”—would be deducted from the member’s total bill, which would include the professional fees of attending physicians, prior to discharge2. Filipinos can also turn to the Department of Social Welfare and Development (DSWD) to get free prescription medicine through its Assistance to Individuals in Crisis Situations (AICS) program3.

“These will ensure that every Filipino family gets the appropriate, affordable, and quality health services in appropriate facilities and will be protected from financial burden due to sickness.”

Indigents, government employees, services workers, and those “determined by DSWD social workers” can benefit from the program through referral letters to the department’s partner-drugstores and hospital pharmacies. They must just submit their medical certificate, doctor’s prescription, indigent card, and valid ID to the DSWD Crisis Intervention Unit (CIU) located at the Central Office, field offices, and satellite offices in the provinces.

“To this end, I urge the speedy passage of the Universal Health Care Bill authored by Former Representative Harry Roque. Strong political determination, not political ambition, is the guiding light.”

The Universal Health Care bill will automatically include Filipinos into the National Health Insurance Program (NHIP). The House of Representatives has already passed its third and final reading on this in September 2017, while the Senate’s counterpart measure is still pending at its committee on health. It will be most beneficial to PWDs and tobacco victims, Emer Rojas, president of the New Vois Association of the Philippines (NVAP) was quoted as saying in a report, since it will ensure that they are especially provided for with their respective healthcare needs.

One of the most important thrusts of this administration’s medium-term development plan is to cover all Filipinos against financial health risks. That is why I have directed concerned agencies to streamline the various sources of financial assistance for people with health-related needs.” ~ Pres. Rodrigo Roa Duterte 

1The Republic Act No. 10932 further notes imprisonment from four to six years, or a fine from P500,000 to P1,000,000, to directors or officers of hospitals or clinics, or both. The facility’s license to operate will also be revoked after three repeated violations, and a presumption of liability shall arise against the hospital and its employees. 

2 Filipinos must just go to any PhilHealth office to register, fill out two copies of the PhilHealth Member Registration Form (PMRF), submit the PMRF to the human resources department, then await the member data record and PhilHealth ID card from employer. The contributions are shared by the employee and the employer, and could be paid monthly, quarterly, semi-annually or annually.

Filipino senior citizens can apply as well as those who are unemployed or self-employed. Overseas Filipino workers (OFWs)—documented or undocumented—can register, too. They only have to pay ₱2,400.00 annually or in two increments (₱1,200 every six months). Members could then have 45 days hospitalization allowance after paying at least 3 months’ worth of premiums within the immediate 6 months of confinement. Nine months’ worth of contributions in the last 12 months is needed, on the other hand, for pregnancies, the new born care package, dialysis, chemotherapy, radiotherapy and selected surgical procedures. The attending physician(s) and the health care institutions (HCI) must also be PhilHealth-accredited.

Video taken from the YouTube Channel of Rappler

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Baguio

There’s more to Baguio than just being a tourist’s haven.

It’s also the spot for persons with disabilities (PWDs) who want some respite from the Manila heat. The Federation of Persons with Disabilities of the Baguio–Benguet chapter has pushed for the establishment of a law-mandated affairs office for PWDs in December 12 of last year, as anchored on the Republic Act 10070.

Ten days before that, there had been a public hearing to inform the PWDs in the city of the three proposed measures pertaining to them. The annual celebration of the International Day of the People with Disabilities worldwide should be localized, suggested Councilor Isabelo Cosalan, chair of the Council Committee on Employment, Cooperatives and Persons with Disabilities. There should be an affairs office for them that would be funded by the City Health Department as well as a committee that would oversee, advised Councilor Joel Alangsab. A free movie once a week must also be granted to the city’s PWD residents, recommended Vice Mayor Edison Bilog.

PWDs in Baguio City also underwent livelihood training through the Grassroots Participatory Budgeting Process (GPBP). Among of the 67 participants were Michael Pascua of Bokawkan Road who survived an accident in 2011, and his wife Michelle who are blessed with four children.

The Rehabilitation, Skills Training and Livelihood Promotion for Persons with Disability was proposed to be funded by the GPBP with a local counterpart of P230,769.23 and P769,230.77 from the DSWD. It is being implemented under the department’s “Sustainable Livelihood Program,” a community-based program that aims to improve the socio-economic capacity of the poor by providing them with entrepreneurial and technical skills training.

But there’s no definite population figure of PWDs in Baguio. The city social welfare and development office (CSWADO) counted 1,654 PWDs in the city as of May 2014 while the Department of Social Welfare and Development listed 1,375 PWDs in December of the same year. Councilor Cosolan had to propose an accurate population figure to the City Social Welfare and Development Officer, City Health Services Officer and the City Schools Superintendent-Department of Education last June 10, 2014 “for legislative support, planning and program implementation purposes.”

Having a disability affairs committee was also already ordered by Vice Mayor Edison Bilog when he was the acting mayor of the city last August 3, 2014. The free movie viewing is open only to PWDs’ who are registered and holders of Baguio City PWD ID Card once a week—on either the first or second screening during Wednesday or Thursday only.

I must admit, though, that the proposal of Councilor Cosalan is a good step. The measure intends to create a committee that would be the one “to formulate, implement and monitor the various activities comprising the observance and in accordance with the current international theme for the particular year, as well as local programs and projects for PWDs.’” It could lead to awareness, long-winded as it may.

“…disabled persons are “part of the Philippine Society, thus the state shall give full support to the improvement of the total well-being of disabled persons and their integration into the mainstream of society.” ~ RA 7277

Association of Disabled Persons-Iloilo

Moved by the Second National Congress for the Disabled Persons, some residents in Jaro, Iloilo established the Association of Disabled Persons-Iloilo, Incorporated (ADP-II) in 1990.

Its members has grown to 800 since then to “integrate persons with disabilities (PWDs) into mainstream of society” in collaboration with local government units, Department of Social Welfare and Development (DSWD), Department of Labor and Employment (DOLE), Department of Health (DOH), private sectors, non-government organizations (NGOs), and other disabled persons organizations (DPOs) in municipalities.

ADP-II has been empowering the different PWD organizations in the 43 local government units (LGUs) in Iloilo. Its services aim to embolden even the children in the region in support of the Christian Blind Mission (CBM), Lilliane Stitching Funds (SLF), Association Soeur Emmanuelle (ASMAE), and Commission on Population (POPCOM).

The CBM, SLF, ASMAE, and POPCOM are NGOs in Germany, the Netherlands, France, and the Philippines respectively.

ADP-II has also initiated some income-generating programs such as the May ‘K’ Park, a restaurant that is the first and the longest running business of the association since 1993; comfort rooms and case-by-case cards, which is funded by the Japan International Cooperation Agency (JICA); and prosthesis making.

In 2002, ADP-II has formed the ADPI Multi-purpose Cooperative (ADPIMPC), which provided livelihood and promoted technologies that facilitate mobility to its members. It has also assisted during the relief operations after the devastation of typhoons Frank and Yolanda as well in putting up the Aging and Disability Focal Point (ADFP) in Estancia and Concepcion.

Currently, ADP-II keeps the radio program “K-Forum,” which is aired in the GMA Network, a media company in the Philippines, every Sundays at 2:00-3:00 p.m. It also maintains a website, an email, and a social networking account.

Video taken from the YouTube Channel of Tomotatsu Gima

Acknowledgments: Bob Flores and May

New Vois Association of the Philippines

In March 2007, the Philippine Laryngectomee Club (PLC) decided to do something more than it had envisioned when it established itself 11 years ago.

It would not just support those with throat cancer but those with speech impairments as well. It would conduct esophageal speech training for people with disabilities (PWDs) in Quezon City.

An ex-officio member of the Alyansa ng May Kapansanang Pinoy (AKAP-Pinoy), the New Vois Association of the Philippines (NVAP) has been involved in monitoring the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD). It assists in implementing Republic Act 10070 and Executive Order 417.

Last July 19, 2010, the NVAP rallied to raise awareness on the violations of the Magna Carta of the Disabled Persons (Republic Act 9442), specifically on the granting of the 20% discount on medical purchases. It led to several other lobbying activities at the House of Representatives and impelled the Mercury Drugstore Corp. to grant the said discount on March 1, 2011.

The NVAP also chaired the International Disability Day last December 3, 2010. It is also the one presiding over the annual Freedom Walk activity since June 2011.

“The event is dubbed the ‘Freedom Walk’ as a way for the PWD sector to celebrate Philippine Independence Day. This is also an expression of their desire to be free from shackles of discrimination, inequalities and poverty,” Captain Oscar Taleon, president of AKAP-Pinoy, was reported saying.

The Freedom Walk is usually participated in by the National Council for Disability Affairs (NCDA), the Department of Social Welfare and Development (DSWD), the Philippine Information Agency (PIA), the Department of Transportation and Communication (DOTC), the Department of Environment and Natural Resources (DENR), the Department of Public Works and Highways (DPWH), the House of Representatives Committee on Social Services, the Department of Health (DOH), the National Anti-Poverty Commission, the Department of Interior and Local Government (DILG), and the Metro Manila Development Authority (MMDA).

Among the other non-government organizations (NGOs) that would also take part are the Philippine Academy on Rehab Medicine, the Philippine Federation for the Rehabilitation of the Disabled (PFRD), the Philippine Association of Citizens with Developmental and Learning Disabilities, the Autism Society of the Philippines, the Philippine Blind Union, the (AKAP-Pinoy), as well as the SM Disability Affairs Program. (Photo from the NVAP Facebook Page)

“NVAP activities revolve around the following three main issues: (1) cancer support and rehabilitation of speech-impaired PWDs, (2) tobacco control advocacy, and (3) persons with disabilities advocacy.” ~From the NVAP website

Video taken from the YouTube Channel of the UPMMS Publicity