DE AMORES Y ODIOS

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Al fin se dio a conocer por el gobierno del cambio , el texto definitivo del proyecto de Ley ¨por medio del cual se transforma el sistema de Salud en Colombia y se dictan otras disposiciones¨, el cual fue radicado con bombos y platillos ante la Cámara de Representantes por el señor presidente de la república Gustavo Petro Urrego y la ministra de Salud Carolina Corcho Mejía, acto para el cual convocaron a la plaza de Nariño a propios y extraños, realizando un amplio despliegue en medios y redes, algo pocas veces visto y que deja en claro que se trata, tal vez, de la más importante reforma pretendida por el ejecutivo nacional.

El proyecto de Ley N°. 339 de 2023 de la Cámara de representantes, se incluyó para el trámite dentro de las sesiones extraordinarias convocadas por el Presidente,   las cuales finalizan el 15 de marzo de 2023; tiempo relativamente corto para la discusión y aprobación de una Ley con tanta trascendencia y con muchos recursos a su cargo. Lo anterior en contraste con la falta de definición del periodo de transición en el proyecto de  Ley de transformación pues llama poderosamente la atención el hecho de que el cambio estructural en el sistema de Salud, el cual opera en la actualidad, no tenga definido un periodo claro para el tránsito de un modelo a otro, es decir, cuanto tiempo se demorará el actual gobierno en implementar el nuevo modelo de atención porque no es sano que exista celeridad en la aprobación y demoras en la implementación.

La transformación del sector Salud dejará, en caso de ser aprobada con la rapidez que requiere el gobierno, ganadores y perdedores; fortalecerá a algunos pocos, sacará del sistema a otros o los obligará a reinventarse para permanecer; entregará un enorme poder a quienes desde el ADRES y los fondos regionales manejarán los recursos y ordenarán los pagos. Frente a esto, es primordial que se tomen las medidas para que las IPS reciban el pago de los servicios prestados que les adeudan, para que no sigan desfinanciándose con cada EPS que se va a liquidar y con una deuda por la cual nadie responde.

Pero a punta de calle no se puede legislar ni pretender cambiar un modelo de atención, altamente sensible para todos los colombianos y que impacta a todos por igual.  No se puede polarizar ni estigmatizar un tema que despierta tantos sentimientos en el pueblo porque de amores y odios, ya estamos cansados, se necesitan consensos y acuerdos que busquen una mejora real y efectiva en el modelo de Salud Colombiano.

Finalmente serán, como lo han advertido algunos legisladores, los magistrados de la Corte Constitucional los encargados de darle viabilidad a la transformación de la Salud porque puede existir un error en el trámite legislativo que como ley ordinaria y no estatutaria se va a adelantar en el Congreso de la República, entonces serán las demandas que ya seguramente se están alistando las que definan la suerte de la ¨Salud para la Vida¨.

YULY ELLA BELÉN PARADA LEAL

Abogado especializado en derecho médico yulyparada.com

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