The Open Wound of Health

TL;DR

Patients face medication shortages and long waits for specialist appointments in Colombia's healthcare system.
The system is experiencing financial, institutional, and human infections due to untreated issues.
Judicial decisions mandating technical adjustments to healthcare funding are being disregarded.
Funding for healthcare insurance should be based on actuarial evidence, not political calculations, to avoid structural deficits.
State interventions in EPS (Entidades Promotoras de Salud) have not stabilized finances or improved user access.
Concerns exist regarding the lack of public, verifiable data on the impact of $4.2 billion allocated to Basic Health Teams.
Private healthcare providers report inconsistent payments and allege significantly higher reimbursements for public basic health units for equivalent services.
The country needs institutional surgery, including compliance with court orders, technical funding adjustments, transparent fee publications, independent audits, and prioritization of medication supply and prompt payments.
Decisions in healthcare must be based on rigor, transparency, and evidence to heal the system and alleviate patient suffering.

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