Showing posts with label Antonio Dans. Show all posts
Showing posts with label Antonio Dans. Show all posts

Tuesday, May 07, 2013

Election Watch 5: Sin Tax Law, Hospital Over-regulation and Senatoriables

The Senatorial and local elections are just six days away. Yesterday and today, two groups in the health sector released their own separate statements endorsing certain Senatorial candidates with their respective reasons.

I got this today from the President of the Private Hospitals Association of the Philippines, Inc. (PHAPI) and a friend, Dr. Rustico "Rusty"Jimenez. This is a joint statement of PHAPI and the mostly government hospitals association, the PHA.


They also endorsed four party list (PL) groups, but am skipping those. Am not interested in any of those groups, I am boycotting the PL system. Here now are the reasons why the two hospital associations have endorsed the nine Senatorial candidates above. Note the last item -- overregulation of private hospitals by various government bureaucracies, local and national.


The ugly habit and corrupt nature of many government bureaucrats would show up just anywhere.

Meanwhile, here's another statement from another group of health groups. The main coordinator, Dr. Tony Leachon, is another friend of mine. They endorsed only four candidates, but mentioned eight candidates that voters should never support, based on the criteria they laid out.

Only Koko Pimentel and Sonny Trillanes are the common candidates of the two groups.
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Doctors Prescribe: Go Out and Vote for Health

Manila, Philippines (6 May 2013).  Trust your doctor. Doctors and health advocates called on their patients and colleagues to go out and vote for health on May 13. “Exercising your right to vote is good for your health,” said Dr. Tony Leachon, Secretary of Philippine College of Physicians, “This is a powerful opportunity for us to flex our muscles to put true health champions in Senate, who will fight for health.”

“Six out of 10 Filipinos die without ever seeing a doctor,” added Dr. Tony Dans, President of Philippine Society of General Internal Medicine (PSGIM), “The high cost of health care in the country prevents people from accessing life-saving services, and drowns families further into poverty.”

In 2010, Filipino families spent more than half of the country’s annual health expenditure according to the National Statistical Coordination Board. “Mahal magkasakit. Mabuti kung may bulsa na puwede paghugutan, kung wala mamatay ka na lang?” added May-i Fabros from WomanHealth Philippines, “Enshrined in our Constitution is our right to health, which is why we need to ensure that those who we elect into power will push for health reform policies that will make access to health services equitable for all, regardless if you have money or not.”

Sin Tax Law as Criteria in Voting for Health

“Although health is just one of the considerations when choosing candidates, its impact in our lives resonate, we need a health criteria to help us vote for true champions for health,” said Jo-Ann Latuja, Senior Economist of policy think tank, Action for Economic Reforms. “We can use their position on the Sin Tax Law as a proxy measure for health and societal reform since it addresses the issues on health financing, universal health care, governance, corruption, economic reform, and vested interests, among others.”

The Sin Tax Law or Republic Act 10351 was one of the critical and highly controversial health reform measures that passed into law before the end of 2012, amidst the strong tobacco industry lobby. "Words are cheap, what we need are true champions for health who will battle it out with vested interests in the halls of congress," said Dr. Maricar Limpin, Executive Director of Framework Convention on Tobacco Control Alliance Philippines (FCAP), one of the first tobacco control groups who fought against the anti-health Sin Tax Law of 2004, or Republic Act 9334, which maintained the status quo and kept tax rates pegged at 1996 prices. "We will vote for legislators who will fight for health, and reject those who will most likely fight against health."

"What we are presenting are Pro-Health and Anti-Health candidates based on our critical appraisal of their health position particularly on Sin Tax," continued Latuja, "With health as our criterion, we encourage the public to assess the track record of the candidates for local and national positions, particularly those who have the obligation to pass national policies that will health our health system.

The doctors, economists and health advocates presented their review process of the 33 senatorial candidates. First, they identified the incumbent candidates who had the chance to vote for what they referred to as the effective and pro-health Sin Tax Law of 2012 or the defective and anti-health Sin Tax Law of 2004. After which they assessed the most recent statements on RA 10351 of the candidates, whether they are for or against it. 

Combining these two they identified only four (4) Pro-Health candidates - Risa Hontiveros, Jamby Madrigal, Koko Pimentel, and Sonny Trillanes, but were able to identify eight (8) Anti-Health candidates - Gringo Honasan, Chiz Escudero, Jack Enrile, Migz Zubiri, Ernie Maceda, Mitos Magsaysay, Teddy Casiño, and Christian Señeres. 

The group led by the Philippine College of Physicians, Philippine Society for General Internal Medicine, Philippine College of Chest Physicians, and civil society sin tax advocates, Action for Economic Reforms, WomanHealth Philippines, and FCAP held the press conference during the 60th Anniversary of PCP and its 43rd Annual Convention to inform the public of the pro-health and anti-health stance of the 33 Senatorial Candidates.

Tony Leachon,MD
Consultant of the Department of Health on Noncommunicable Diseases
Director,University of the Philippines Manila,Information,Publications & Public Affairs
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See also:
Election Watch 1: Anti Epal Photos, June 29, 2012
Election Watch 2: On Celebrities as Politicians, August 19, 2012
Election Watch 3: Defining Celebrities, Politicians and the State, August 30, 2012 

Election Watch 4: Senatoriables on Healthcare, March 08, 2013

Thursday, March 08, 2012

Healthy Ageing 2: World Congress on Healthy Ageing

Healthy ageing is one of my important goals in life as I approach my 5th decade in this planet, and as my young daughters are growing up. I got married late, I need to keep a healthy body to prepare for my kids' future, with the help of my wife of course. I may not become rich after all, I have been rather lousy on expanding my personal finance, but I wish to remain healthy, and so far I have been successful in this.

I think healthy ageing is everyone's dream, except those who have adopted a defeatist attitude, either by emotional or biological constraints, and wish to move to the other life soon. To live a long and peaceful life, away from crippling diseases, especially those that can be prevented or controlled via healthy lifestyle, until human biology says that time is up.

I was happily surprised to hear from a good friend, Catherine Barr Windels, that there is now a Global Coalition on Ageing (GCA), http://www.globalcoalitiononaging.com/), and she's actively involved in it. Cathy is also the President of The Policy Workshop CapitalHQwww.capitalhq.com.

Looking at the GCA website, I find this description rather cool:
The Global Coalition on Aging is committed to a vision where innovative market solutions enabled by progressive public policy create a framework for healthy and active aging. We will shape the public discussion on how policymakers, businesses and society at large can comprehensively address these new demographic realities and apply innovative solutions that recognize the opportunity of global aging.
Innovative market solutions, free market approach to healthy ageing, I like that. Now here's another eye opener for me. There are country association on healthy ageing, like the Malaysian Healthy Ageing Society (MHAS). I have not heard yet of such society or organization in the Philippines yet. Probably soon.

MHAS, probably in partnership with GCA, is organizing the 1st World Congress on Healthy Ageing,  http://www.healthyageingcongress.com/index.php.


This is cool. And the description clearly says it,
Healthy ageing is one of the major challenges for the world. The consequences of the demographic transition will have a tremendous impact on economy, health, social development and welfare of societies. Consequently, there is a need to enhance our knowledge about the promotion of good health among young and older people for a better quality of life in its later stages. Healthy ageing fostered by systematically planned health promotion efforts, was mentioned as early as 1998 as Target 5 in the WHO policy "Health for All in the 21st Century". Active ageing (according to the European Commission) includes life-long learning, working longer, retiring later and more gradually, being active after retirement and engaging in capacity-enhancing and health-sustaining activities. 
These are all lifestyle-change related, "healthcare is mainly personal responsibility" philosophy. So what is the role of government here? My bias towards limited or minimal government philosophy says leaving the various markets in healthcare -- health insurance, medicine innovation, healthcare (including hospitals/clinics) competition -- to offer various services to the aged and their family will do the trick. Since governments will still intervene no matter how we caution against such move, then government role should be limited to controlled subsidies to healthcare of the senior citizens.

Responsible people have their own savings, or have responsible family members, friends and relatives, or have network with health NGOs, civic and private charity organizations who can help them out.

Lifestyle-related diseases and hence, unhealthy ageing can be managed if not controlled. I salute these private initiatives like the GCA and the forthcoming 1st Global Congress. The various health departments or ministries of national governments, including the WHO and other multilateral agencies, should assure these private NGOs and civil society organizations (CSOs) that their intervention to "innovative market solutions" should be kept to the minimum, including taxation of health-related goods and services.

Btway, there will be one Filipino physician/scientist who will be among the panel speakers in that global conference, Dr. Antonio Dans, of the UP College of Medicine. Dr. Dans' papers on NCDs, like those published in The Lancet, are well-quoted by the DOH and WHO here.
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See also:
Healthy Ageing 1: The Caregiver Village, February 13, 2012
Lifestyle Diseases 6: Personal Care against NCDs, October 14, 2011
Lifestyle Diseases 7: Drinking and Healthcare, October 18, 2011
Lifestyle Diseases 17: On Cancer, COPD and NCD Risk Factors, March 05, 2012

Lifestyle Diseases 18: Addressing NCDs via Preventive Healthcare, March 05, 2012

Monday, March 05, 2012

Lifestyle Diseases 18: Addressing NCDs via Preventive Healthcare

Mainly lifestyle-related non-communicable diseases (NCDs) can be addressed via change in lifestyle and hence, preventive healthcare, not curative. Preventive approach shifts the burden of healthcare from the government to the individuals themselves, their households and civil society organizations (health and wellness groups, sports clubs, medical and nutrition associations, etc.). Whereas curative approach is mainly throwing more money, ie tax money, to problems that are more often than not, self-inflicted.

My cardiologist friend, Dr. Tony Leachon, has written several articles about NCDs posted in this blog. See for instance,

Below are some powerpoint slides he had made and presented in his talks. These are good supplementary materials and visuals to the DOH Presentation on smoking and tobacco tax hike, Tobacco Tax 7: DOH on NCDs and Tax Hike. A number of his slides were also used in the said DOH presentation.

I like the title, Shifting to Preventive Healthcare. The three risk factors are obviously lifestyle related -- high tobacco use, low intake of fruits and vegetables (more fried meat, etc.) and less physical activity (more couch potato in front of a computer or tv, etc.).


Many Asian economies are indeed getting wealthier. The rising problem of the people is that they are eating more expensive, more sweet and more fatty food and drinks like more soda, more ice cream. The result is more diabetes, more obesity. People work hard and they eat and party hard too.





My beef about these analysis by Dr. Antonio Dans, DOH, WHO and other known health analysts is that there is little or zero mention about personal responsibility aspect of healthcare. It is very often easy to blame the tobacco companies, the soda/softdrink/beer companies, the junk food manufacturers, the fastfood shops, the heavy ads in tv of these products, and so on. But somehow we have to look inwards and see what we individuals, parents and guardians do, to prevent children not to get addicted to junk food, softdrinks and sedentary life too early.


Articles like these by Dr. Leachon and Dr. Dans, campaigns by the DOH and WHO, the various health professional organizations, are helpful in reminding people again and again, good healthcare rests first and foremost in their own hands, not in government. They do not need the DOH and WHO to realize that having a clean house, a clean environment, washing hands properly before eating, drinking plenty of water and other liquid, having more vegetables and/or fruits everyday, among others, are simple but highly effective steps towards better health. More than cheaper or free medicines, more than cheaper hospitalization and free PhilHealth card.

Cheaper or free medicines are effective for infectious and communicable diseases, for pediatric diseases, for genetic and hereditary diseases. And even if those cheaper medicines -- will the government abolish taxes on medicines please? -- are made available for these illnesses, preventive healthcare still play a big and important role, at least not to exacerbate existing diseases.
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See also:
Lifestyle Diseases 1: Obesity, February 04, 2011
Lifestyle Diseases 2: Killer diseases in the Philippines, March 16, 2011
Lifestyle Diseases 3: Causes of Mortality in the Philippines, August 10, 2011
Lifestyle Diseases 4: The UN on NCDs, September 24, 2011
Lifestyle Diseases 5: NCDs Global Picture, September 30, 2011


Lifestyle Diseases 17: On Cancer, COPD and NCD Risk Factors, March 05, 2012