This Wednesday, at Legislaturethe emergency was declared sanitary system of the province of Mendoza for a period of twelve months, extendable for the same period, to grant the Ministry of Health and Sports the “sufficient administrative and financial management tools to face the macroeconomic situation.” The Green Party voted positively except for article 2, the Unión Mendocina abstained and the PJ voted negatively. The ruling party, which is the majority, granted the law to the Government.
The Chamber of Deputies, by majority of votesgave final sanction to the declaration of the emergency in the province’s health system for a period of one year, extendable for the same period, for the purposes of authorizing the Executive power through the Ministry of Health, to provide the necessary measures to carry out the administrative and functional reorganization of the Ministry to ensure the full functioning of health services at all levels of provision.
“For these purposes, the Ministry of Health and Sports may provide, by Ministerial Resolution, that public agents dependent on the aforementioned Ministry and its decentralized entities provide services in different agencies from those to which they belong, when there are needs specific to the service or administrative reasons. , functional or technical, duly founded and in compliance with the provisions of the last paragraph of article 47 of Decree Law 560/73,” the articles state.
The provisions provided for in this law will be applicable to people who have permanent, temporary, temporary contracts, service locations and any other legal relationship for the provision of labor and/or personal services of the Ministry of Health and Sports and Works. Social of Public Employees (OSEP).
On the other hand, the health portfolio was authorized, for the term established in this law, “to contract directly, up to the amount resulting from eighty times the Minimum Living and Mobile Wage (SMVM), for the purchase of current goods and of capital in accordance with what the regulations establish. This authorization includes the acquisition through direct purchase of inputs of foreign origin through their importation.
In the rationale, it is stated in this sense that this situation has a “specific double impact on the health system. Firstly, due to the specific difficulties in supplying the essential supplies to serve the system itself, due to the variability of costs, and secondly due to the lack of health professionals in critical and highly complex services.”
“The immediacy required by the provision of health services – adds the text – requires speed in decision-making, human resource management that facilitates mobility between providers or services, the optimization of resources through the acquisition of supplies in quickly avoiding higher costs derived from inflation, among other aspects.”
In the vote, the Green Party bloc voted affirmatively except for article 2, while the PJ bloc voted negatively and the LAUM interbloc abstained.
Debate
Elisabeth Crescitelli (UCR), stated that the project refers to the situation that our country suffers with macroeconomic variables, that the Ministry of Health “cannot modify certain variables such as the very strong interannual inflation and the increase in prices that have been suffered. the inputs. The health system has been the most punished by this crisis, since in addition, as it extends to other financiers, this has led to migration and a sustained increase in demand in public health establishments.
He also mentioned the articles that refer to human resources. The legislator affirmed that the lack of hours in terms of personnel in guards and critical services at the Notti hospital and other providers, make “administrative reorganization necessary and of vital importance, and that the management tools can be managed to cover the benefits to the that the people of Mendoza have the right.”
He also indicated that the different articles refer to two primary variables. One, the inputs that are acquired through the goods items, which “the current regulations authorize 40 times the Minimum, Vital and Mobile Wage, and by this rule we grant 80 times the SMVM, which if we take the salary for the month of May , we are talking about 234 thousand pesos, this makes 80 times 18.7 million. This figure is tiny compared to the amount handled in the different hospitals; A highly complex hospital in the goods item reaches 9 billion pesos, in this way, it seeks to assist the different effectors so that they can use the tool of direct contracting. This contract is uploaded to the website and has absolute transparency.”
On the other hand, he considered that the initiative seeks to “exempt from the incompatibilities of the 55 hours in order to be able to meet the different demands of the different services and make routine budget modifications, to shorten times, to effectively provide health services. “They are tools to provide a more effective, more efficient, more equitable service.”
Mauro Giambastiani (PV), for his part, expressed that “we believe that any tool that is necessary to improve the public health service, and that the Executive Branch needs to make the modifications that are being discussed in this facility, we cannot be putting sticks to them. in the wheel”.
He also confirmed the general support of the Green Party, but recorded the negative vote for article 2, considering that “by having possible transfers of personnel, being able to move them from the different ministries, it could harm the workers, because behind each worker there is a family. A modification of place or time is a modification to the family, so we do not support this article.”
From the PJ, deputy Germán Gómez indicated that “I think the recognition that the ruling party makes of the economic situation is good. It’s good to be honest,” although he questioned the emergency declaration.
In that sense, he said that “the economic situation is taken advantage of to declare this emergency and ignore the usual routes when making a purchase. Direct purchases generate a tool that is very difficult to control”, and he closed by mentioning that “there are no reasons why they want the emergency. We are going to vote negative in general and in particular.”
