FLASH
Shkruar nga Pamfleti
The bill of concessions in health is gangrenizing year after year the budget of the hospital service, which instead of being channeled for basic services and human resources, is increasingly falling prey to abuses from the mismanagement of contracts.
Office data from the Health Insurance Fund show that last year, funds for hospital services amounted to 29.4 billion ALL, but the amount of money that went to finance three PPP contracts amounted to 4.1 billion ALL or 14 percent of hospital budget.
The cost of PPP contracts significantly exceeded the value of primary hospital services. For example, data show that the cost of drugs for hospitals was 3.6 billion ALL or about 13 percent lower than PPP funds in the hospital service.
Three PPP contracts are in operation in the hospital service, that of sterilization, dialysis and laboratory. In 2022, contracts for the sterilization of surgical equipment were financed with ALL 1.7 billion, Dialysis with ALL 835 million and the Laboratory with ALL 1.6 billion.
For the two PPPs of the laboratory and sterilization, the value of the financing has exceeded the initial forecasts, as the High State Control has discovered many abuses during their implementation.
In 2021, PPP contracts in health received 3.4 billion ALL of funding, or 12 percent of the total funding for hospitals.
Funds for hospital services increased in recent years after the pandemic, but the weight of concessions has been growing faster. This is because the laboratory service contracts have already entered into force, as the three together with dialysis and sterilization are receiving funds beyond the plans.
The largest expenses in the hospital service are made for the "Mother Teresa" University Center. Doctors claim that some services may collapse very quickly, as surgical specializations have not been opened for some profiles for years.
Like the incinerators, the PPP contracts in Health were made in a series of legal violations, so much so that Transparency International listed them as major cases of corruption in the Western Balkans and in Turkey, while some of them are already under investigation by SPAK.
In the structure of expenditures for the public health sector, the largest specific weight is occupied by hospital service expenditures with 56%, followed by expenditures for the reimbursement of drugs and medical equipment with 22%, primary care expenditures (CSO financing and medical control basic) with 20%, administrative expenses (salaries and bonuses, social-health insurance, goods and services)./Monitor
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