The medical societies of pathologists, haematologists and cardiologists have formally announced they will not back the National Health Scheme (Gesy) and urged their members not to join.
The three groups, in separate announcements, expressed reservations as to the successful implementation of Gesy also citing lack of adequate information as regards employment and legal matters.
Pathologists, haematologists and cardiologists were among 37 medical societies that announced last week they were backing the decision of the medical association’s (CyMA) medical board not to participate in Gesy.
Pathologists said they would at the moment say ‘No’ to Gesy, pending the result of consultations with clarifications from the Health Insurance Organisation (HIO) on questions they had submitted.
They also said that, although they acknowledge that some of their requests have been met regarding primary care, there were still several issues and details to be discussed, especially on employment and regulations that need to be clarified and studied in detail including the legal aspects.
“There are still several issues pending concerning pathologists who will decide to practice their specialty and not work as family physicians (GPs),” the group said.
Cardiologists too, citing inadequate information from the HIO, said they decided to call on their members not to join Gesy. The group said the proposed Gesy would inflict a blow to the quality of their services. They also expressed concerns over vague employment terms, refusal of the government to allow physicians registered with Gesy to also carry out private practice and the legal framework concerning the cooperation of doctors with Gesy.
They also called for an update of the actuarial study on which the government had based the Gesy budget. Cardiologists said that the budget in question was “significantly in deficit.”
The medical society called on its members to provide their services, free of charge, to those in need.
Haematologists said that Gesy was sloppily designed and that they would back the scheme if all measures were taken to make the health scheme viable “and offer satisfactory healthcare conditions to patients and work conditions to health professionals.”
Despite the fact that CyMA, the majority of medical societies, and private hospitals said they would not back Gesy, authorities on Monday – the first day for private doctors to say whether they wanted to register to work as GPs and paediatricians under Gesy – said there was great interest.
The full list of the 37 medical specialities that backed CyMA’s decision against Gesy are: the pulmonary medical society, that of physical medicine and rehabilitation, pathologists, haematologists, gynaecologists and obstetricians, nephrologists, radiologists, neurosurgeons, rheumatologists, urologists, orthopaedic surgeons and traumatologists, nuclear medicine doctors, plastic surgeons, neurologists, acupuncturists, biopathologists – microbiologists, otorhinolaryngologists (ENTs), dermatologists, oral and maxillofacial surgeons, thoracic surgeons, vascular and intravascular surgeons, cardiologists, gastroenterologists, paediatricians, endocrinologists, colposcopy and cervical pathologists, perinatal doctors, general physicians, ophthalmologists, intensivists, hypertension specialists, forensic pathologists, family doctors, diabeticians, child psychiatrists, paediatric surgeons and anaesthesiologists.