UHC AMENDMENTS LEE FOUGHT FOR TO REFORM PHILHEALTH: HINDI NA PWEDENG PURO COLLECT!
UHC AMENDMENTS LEE FOUGHT FOR TO REFORM PHILHEALTH: HINDI NA PWEDENG PURO COLLECT! “Benepisyo muna bago koleksyon!” This was the statement of AGRI Party-list Representative and Senatorial Aspirant Manoy Wilbert Lee as he welcomed the impending passage of the proposed amendments to Republic Act No. 11223 or the “Universal Health Care (UHC) Act”. Lee, principal author of House Bill No. 11357 which recently passed on second reading in the House of Representatives, reiterated that the current version of the UHC Law puts greater emphasis on premium collection rather than the enhancement of benefits that is why there is a need to balance these policies to provide quality and sufficient healthcare coverage. The Bicolano lawmaker earlier stressed the need to increase the budget for administrative costs of PhilHealth so it can boost its personnel to fast-track the implementation of healthcare benefit increases. Under this proposed measure, PhilHealth shall be authorized to charge a maximum of 7.5 percent of the total reimbursements or the benefits payments from the preceding year for its administrative expenses, instead of 7.5 percent of total premium collections for administrative costs. “Sa pamamagitan nito, kung mas mataas ang mga benepisyong babayaran ng PhilHealth, mas malaki din ang magiging budget nila. Ito ang pangmatagalang repormang itinutulak nating maisabatas para hindi na rin maulit ang zero subsidy at siya ring magtutulak sa PhilHealth para mag-refocus,” Lee said. “Hindi dapat kaltas o binabayarang kontribusyon ang nararamdaman ng mga Pilipino kundi dagdag na mga benepisyo. Sa pagsasabatas ng ipinaglaban nating mga probisyon, wala nang rason para sa DOH at PhilHealth para maging makupad sa pagdaragdag ng mga benepisyo,” he added. As early as October 2024, the solon from Bicol filed his proposed amendments to the UHC Law which include the timely assessment of case rates and lowering of premium contributions. Since Lee’s revelation of the hundreds of billions or more than half a trillion of PhilHealth’s “unused” funds in September 2023, massive increases of PhilHealth benefits were implemented since more than a decade of long-overdue benefit enhancement. Through Lee’s legislative measures and relentless efforts, PhilHealth benefits increased by 30% last February 2024 and implemented another 50% increase this 2025. The solon’s consistent calls for better healthcare benefits also paved the way for free dialysis, free eye check-up and prescription glasses for ages 0-15, free dental care, expanded coverage for breast cancer treatment, new benefit package for kidney transplant and heart ailments, and outpatient emergency care services, among others. “We thank our colleagues in the House of Representatives for their support of our proposed amendments. We hope to maintain this kind of momentum for the amendments of UHC until it is enacted and eventually implemented to help our countrymen. Isang napakahalagang hakbang nito palapit sa layunin ng Universal Health Care,” Lee stated. “Hindi po natin ito tatantanan hanggang maabot natin ang libreng gamot at pagpapagamot ng bawat Pilipino. Pagtulungan po nating maibsan hanggang tuluyang mabura ang pangamba ng ating mga kababayan sa pagkakasakit sa takot na lalong malubog sa utang at kahirapan.” He added: “Huwag tayong maging bulag at manhid sa napakarami nating mga kababayan na namamatay nang wala man lang laban sa sakit dahil lang sa di naibibigay ng gobyerno ang serbisyong deserve at nararapat para sa kanila. Ang gamot at pagpapagamot, dapat sagot na ng gobyerno. Ang layunin ko: Gamot Mo, Sagot Ko!” Healthcare Policy Previous Post Latest Posts 31 Jan 2025 UHC AMENDMENTS LEE FOUGHT FOR TO REFORM PHILHEALTH: HINDI NA PWEDENG PURO COLLECT! 28 Jan 2025 Wilbert Lee Pushes for Reforms to Maximize PhilHealth Benefits 22 Jan 2025 Public Hospitals Need Upgrades to Support New PhilHealth Benefits Categories Healthcare Policy Public Health Initiatives Healthcare Ethics and Legal Issues Healthcare Access and Equity Spread the News
Manoy Wilbert “Wise” Lee: The Voice Behind PhilHealth’s New Benefits
Manoy Wilbert “Wise” Lee: The Voice Behind PhilHealth’s New Benefits In the ever-evolving landscape of Philippine healthcare, one voice stands out as its relentless advocate: Manoy Wilbert “Wise” Lee. Known for his no-nonsense approach and sharp critiques, Lee has been instrumental in pushing the Philippine Health Insurance Corporation (PhilHealth) to implement much-needed reforms. While recent enhancements to PhilHealth’s benefits have been welcomed, Lee’s persistent efforts reveal a deeper story of advocacy, accountability, and the fight for a healthier nation. Exposing Unused Billions: A Call for Accountability In September 2023, Lee brought to light a startling revelation: billions of pesos unused PhilHealth funds. This exposé highlighted the stark contrast between available resources and the glaring gaps in healthcare services for millions of Filipinos. Lee’s call to action resonated with the public, amplifying demands for the state health insurer to fulfill its mandate effectively. “Kung mas maagang nagdagdag ng mga benepisyo, hindi na sana umabot sa zero subsidy!” Lee remarked, emphasizing how these unused funds could have significantly alleviated the burden on struggling Filipinos. His stance catalyzed a series of discussions, leading to the eventual approval of new benefit packages. Progress Amidst Challenges PhilHealth recently announced several new benefits, including a 50% increase in case rates for select conditions, improved packages for heart ailments, and expanded outpatient services. These changes, though significant, are only part of the commitments Lee advocated for during the heated budget deliberations with the Department of Health (DOH) last year. Lee has consistently reminded PhilHealth and DOH of their promise to go beyond incremental changes. “Fifty percent across-the-board, hindi lang sa ilang sakit ang napagkasunduan,” Lee stated, underscoring the need for comprehensive reforms that address a broader spectrum of healthcare challenges. His demands include free diagnostic tests like CT scans and MRIs and increased coverage for cancer treatments, among others. Health Advocacy Rooted in Action A staunch health advocate, Lee extends influence beyond exposing inefficiencies. His efforts led to a 30% increase in PhilHealth benefits implemented last February 2024, breaking a decade-long stagnation in case rate reviews. Additionally, his advocacy paved the way for enhanced coverage, including free dialysis and a significant increase in breast cancer treatment benefits—from ₱100,000 to ₱1.4 million. Lee’s contributions don’t stop there. He championed the inclusion of free eye checkups and prescription glasses in PhilHealth benefits, an initiative currently being finalized by PhilHealth for implementation. These additions are gamechangers for many Filipinos who have long struggled with vision-related issues due to the prohibitive cost of care. A Vision for a Healthier Philippines Despite these achievements, Lee remains steadfast in his call for greater accountability and efficiency. “Make it your New Year’s Resolution to not repeat the same mistake of not using the billions of funds for healthcare benefits,” he urged PhilHealth and the DOH, pushing for a culture of proactive healthcare spending. For Lee, healthcare reform isn’t just about numbers; it’s about the lives behind the statistics. His advocacy centers on the daily struggles of Filipinos who endure pain and suffering because they cannot afford basic medical care. “Dagdag lang nang dagdag ng mga benepisyo hanggang maging libre na ang gamot at pagpapagamot ng mga Pilipino,” Lee declared profusely. The Road Ahead Lee’s slogan, “Gamot Mo, Sagot Ko,” encapsulates his vision for a healthcare system that truly serves the people. While the recent enhancements mark a step forward, his tireless efforts remind the nation that there is still much to be done. With his leadership, the fight for better healthcare continues—one policy, one reform, and one life at a time. #ManoyWilbertWiseLee #PhilHealthReforms #HealthcareAdvocacy #GamotMoSagotKo #UniversalHealthcarePH Healthcare Policy Previous Post Latest Posts 06 Jan 2025 Manoy Wilbert "Wise" Lee: The Voice Behind PhilHealth's New Benefits 31 Dec 2024 LEE MARKS 2024 WITH BIG WINS, VOWS TO CONTINUE FIGHTING FOR BETTER SERVICES FILIPINOS DESERVE 29 Dec 2024 Is this the best you can do? PHILHEALTH ON THE RIGHT TRACK WITH NEW BENEFITS BUT STILL NEEDS TO DO MORE – LEE Categories Healthcare Policy Public Health Initiatives Healthcare Ethics and Legal Issues Healthcare Access and Equity Spread the News