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  • Hospitals oppose discount hike for elders
     
    By Cher Jimenez
    Reporter
     

    Private-hospital owners are opposing a bill that seeks to increase the discount privilege of senior citizens, saying that such a move may drain their resources.

    In a letter to Congress, the Private Hospitals Association of the Philippines Inc. (PHAP) said House Bill 677 that increases the discount of elders from 20 percent to 30 percent should have a corresponding fund to compensate medical facilities for the markdown extended to senior citizens.

    “We believe that funding is an essential component if this bill is passed into law as this has a significant impact on the viability of hospitals,” said Dr. Rustico Jimenez, PHAP president, in a letter to Rep. Reynaldo Uy, chairman of the Committee on Population and Family Relations at the House of Representatives.

    Jimenez said private-health facilities incorporate a certain margin in their pricing scheme to cover nonearning departments, such as linen and laundry, housekeeping, dietary, maintenance and other essential support units.

    He said the operation of these units depend on revenue centers in the hospital, such as diagnostic units and pharmacy.

    “If hospitals are further required to extend more discounts to its patients, the margin that is supposed to cover for the costs of the nonrevenue units would be reduced. The effect is quite substantial since senior citizens avail themselves of hospital services more than the other age groups,” said the PHAP letter.

    Jimenez mentioned a “quick survey” he did in one hospital which showed that senior citizens comprised half of patients who avail themselves of medical services, such as aerosol therapy, abdominal ultrasound, chest X-ray and medicine prescriptions compared with other age groups.

    He offered to do more surveys to justify his findings.

    “Given the composition of service utilization illustrated, the additional discount to senior citizens would considerably reduce the income of the hospital. The hospital may recover some of the costs by considerably increasing its rates but the prices might already become prohibitive to most of its patients,” said Jimenez.

    He added that the bill would seriously affect private hospitals’ “viability” if no external funding is provided to cover the additional 10-percent senior citizens’ discount.

    Early this year, the PHAP also joined other medical societies in opposing the “generics-only” provision of the cheaper-medicines law. They said that banning the prescription of branded drugs would only be disadvantageous to patients since they “work better” than generic medicines.

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