10 years later, protection of health continue to grow instead of reducing
Health protest in Colombia
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File, Archive
Governments fail to fulfill the task of reducing them, ordered by the Constitutional Court in 2008.
Health
Guardianship
Constitutional court
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Find the validation of El Cazamentiras at the end of the news.
Although more than 10 years ago the Constitutional Court ordered the Ministry of Health.
According to a balance of the same court, until November 29 of last year 197 had been presented.055 guardianship demanding health services, an average of 539 daily.This right is the second most violated in the country, after the petition, which occupies 44 percent of the total of 583.200 guardianship processed in 2018 for different matters.The figure of guardianships in health is dramatic because, if compared to that of 1999, when 21 were presented.301 of these resources, 825 percent have grown (see infographic). Y si se compara con la del 2008 –año en el que la Corte emitió el fallo en el que le ordena al Government bajar las tutelas, afirmando que la vía judicial no podía ser el mecanismo para acceder a los servicios de salud–, estos recursos han crecido un 37 por ciento.That means that far from going down, the number of requests for the health of Colombians and that end up arriving at the judicial stages, continue to rise. Y fuera de tratarse de tutelas sin fundamento, por lo menos el 86 por ciento fueron concedidas en primera instancia, lo que muestra que los colombianos tenían razón en su reclamo. Esa cifra podría ser incluso mayor si se tiene en cuenta que, a veces, cuando sale el fallo el hecho ya fue superado o el paciente murió.En el 2018, según las cifras de la Corte, las mujeres fueron quienes más interpusieron estos recursos (59 por ciento del total), seguidas por los hombres (40 %).In the records there are 63 guardianships of the LGBTI population and 1.635 of legal persons.And the regions with more guardianships, according to figures of 2017 of the Ombudsman, are Antioquia (21 %), Valle (10 %) and Bogotá (8.12 %).In fact, the high number of tutelas in health took this year to the Attorney General's Office, through its Health Delegate, Luis Adolfo Díazgrados, to question the obstacles that users find and to point out that “the entrance door to the health system isthe judicial route, and that cannot be ".
Del balance de la Corte llama la atención que lo más tutelado, con 66.282 de estos recursos, es la práctica oportuna de los procedimientos médicos (30,52 %), y la entrega oportuna de medicamentos e insumos (22,17 %).Colombians also claimed in 21.146 guardianships because they do not assign medical appointments, or in 21.382 cases for not having transport or per diem to access health services.Fuentes del grupo de la Defensoría del Pueblo que realiza desde 2008 –tras la orden de la Corte– un estudio del comportamiento de las tutelas en salud, aseguran que pese a las medidas tomadas por el Government, ninguna ha servido para aliviar la crisis del sistema.Not even the 2015 Statutory Health Law that raises this service to fundamental law.Una prueba de la crisis, señala el estudio de la Defensoría, es que mientras antes se presentaban recursos judiciales para asuntos complejos, ahora las tutelas se dan hasta para lo más sencillo, como para pedir la entrega de acetaminofén o Ibuprofeno, medicinas que están en el Plan Obligatorio de Health o Plan Básico de Servicios y que, con mayor razón, no deberían tener que pasar por un juez. Según el balance de la Corte, el año pasado hubo 17.261 acciones judiciales por un medicamento que sí estaba incluido y que debió ser entregado sin ninguna traba.For medications and supplies excluded from the basic plan, 6 were presented.468 guardianships.The most frequent specialties in guardianships are neurology, with 11 percent, orthopedics (11 percent) and oncology (9.49 percent).Precisely, in a ruling three months ago, the Court scolded Minsalud and Supersalud reminding them that patients with diseases such as cancer should be treated priority.This is because, on average, they have to overcome up to 30 procedures for a diagnosis, and wait three months to start a treatment.Milena Sarralde Duque Drafting Justice @msarralde
Health
Guardianship
Constitutional court
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