Duque wants review of Local Government Code to renationalize healthcare

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Renationalizing the Philippine healthcare system could help address gaps in the country’s delivery of health services, according to Health Secretary Francisco Duque III.

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RENATIONALIZED HEALTHCARE? Health Secretary Francisco Duque III wants a review of the health provision in the Local Government Code of 1991. Photo by Janella Paris/Rappler

Healthcare in the Philippines is currently devolved, meaning the management and delivery of health services are in the hands of locally elected provincial, city, and municipal governments. Along with health services, social welfare was also devolved through the 1991 law. The health chief discussed this potential review of the local government code with Quezon 4th District Representative Angelina Tan, who heads the House committee on health.

The health chief added the Universal Health Care Law could be a solution to the country's health woes. The DOH will sign the law's implementing rules and regulations on Thursday, October 10, about 8 months since the passing of the landmark law. With devolved powers and responsibilities also came problems for LGUs. Health policy scholar Maria Ela Atienza of the University of the Philippines Political Science Department pointed out in a 2015 paper that"skewed distribution, health personnel issues, lack of local prioritization for health, local competence on health" were among the challenges in the devolved system.

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