03/10/2025
LOOK: Healthcare advocates and professionals, including the Sin Tax Coalition, held a press conference at the Commission on Human Rights on Friday, forwarding calls to abolish patronage-driven medical assistance and recover the missing funds from sin tax collections to fund PhilHealth.
The Medical Assistance for Indigent and Financially Incapacitated Patients or MAIFIP program, expanded in 2019, was meant to assist families in Department of Health-run public hospitals, as well as an increasing list of private hospitals. After the passage of the 2019 Universal Healthcare Act, the MAIFIP program was expanded to complement PhilHealth, covering expenses not included in the insurance's inclusions.
But the growing list of private hospitals and the subsequent allocation of public funds is "the new face of pork barrel," according to healthcare groups. Politicians and elite businessmen, often with links to high-end hospital groups, may prioritize the inequitable disbursement of public funds toward those hospitals, according to Cielo Magno, former finance undersecretary.
Currently, the MAIFIP program has a P51-billion budget, almost toe-to-toe with PhilHealth's allotted P53-billion budget. The funds allocated from sin tax collections to PhilHealth also face a discrepancy. The nationwide insurance program should have received a P69.78-billion budget, according to Sen. Pia Cayetano in the DOH budget hearings held Oct. 1.
Only 12% of the MAIFIP funds reach the poorest 20% of benefactors under the program, while a staggering 43% of the funds go to the richest 20%, most of whom are checked in at high-end private hospitals, according to UP College of Medicine professor emeritus Antonio Dans.
This continued patronization of healthcare, alongside the shrinking reach of the Universal Healthcare Act, is digging PhilHealth's grave, the groups added.
"Ang mga serbisyong ito ay karapatan ng taumbayan. Hindi dapat ito limos o regalo." said Maria Raquiza, assistant professor for public administration.