Salud en deuda

TL;DR

The Colombian healthcare system functions like insurance, with a per-member premium (UPC) meant to cover services.
When the UPC is insufficient, the system incurs debt, leading to rationing, delays, and patients paying out-of-pocket.
The debt to hospitals and clinics is estimated between 30-40 trillion pesos.
The Nueva EPS is cited as an example of systemic failure, facing operational collapse and financial difficulties.
There is a call for a more accurate and transparent UPC calculation, considering rising costs and an aging population.
Patient out-of-pocket spending has increased significantly, with the real copay becoming financial hardship.
The article advocates for better management, transparent financial systems, and rigorous auditing to resolve the crisis.

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