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The hospital sector is gradually tightening, with the state and guarantors not paying their accumulated contributions over seven years. The rights of state hospitals and guarantors amounted to more than 2 billion LBP (2000 billion LBP), ranging from 2012 to June 2019. This has led some hospitals to reduce their services and to close one for several days.
Whatever the practices of some inhumane hospitals, the financial situation of all hospitals often calls for urgent solutions. It threatens a global humanitarian crisis if the government does not put in place a clear mechanism for the repayment of funds owed to hospitals, on the one hand, and to the National Social Security Fund, d & # 39; somewhere else.
Debt accumulation
850 thousand cases of hospitalization per year. According to the World Bank, 95% of health services are provided by the private sector. The debts of private hospitals under the Ministry of Public Health (paid by the Ministry of Finance from the general budget) from 2000 to 2016 amount to LL 660 billion (of which LL 180 billion between 2000 and 2011 and billion LL between 2012 and 2014). 1 billion Lebanese pounds and claims for the year 2015 at around 130 billion Lebanese pounds and claims by 2016 for around 200 billion Lebanese pounds). The armed and security forces (financed by the Ministry of Finance from the public budget) for hospitals must pay approximately 400 billion LBP until June 30, 2016 and the National Social Security Fund (invoices payable directly to the Fund). ) up to 30 June 2016, up to 600 billion LBP. In addition to the contributions for the last six months of 2016 and the years 2017 and 2018 and the first six months of 2019, their value must not be less than 350 billion pounds.
As a result, the hospitalization costs of the Ministry of Health, Armed Forces and Security and the Social Security Fund as at 30 June 2019 exceeded LBP 2 trillion. He only paid two months for 2018.
Payment doubts
The amount of state debts and guarantors raises doubts about the possibility of a refund, said the president of private hospitals during an interview with the cities. A large number of hospitals have closed medical departments, especially for expensive treatments, such as chemotherapy. Some hospitals have also reduced their beds and demobilized some of their staff.
Hospitals can not continue as they are, some, according to Aaron, suffer from a shortage of drugs, medical supplies and supplies. Some hospitals are also struggling to pay salaries. The hospital sector does not look like the entrepreneurial sector, says Aaron. However, unless the government establishes a clear plan for debt programming, hospitals can take dangerous measures, including a warning to end hospital services.
Hospital requests
Private hospitals, which provide employment opportunities for 25,000 employees and 7,000 physicians, need to secure the necessary liquidity by setting the fees owed to the guarantor institutions and by providing periodic budgets for the ministries of health, health and social services. Defense and Interior. It also calls for changes to current hospitalization rates and a 29% increase in the cost of surgeries (rates were established 18 years ago). It requires the exception of rationing in the diet. The cost of energy insurance is 66,000 lire per day per patient, which requires the conclusion of contracts with the majority of guarantors.
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