Sunday, February 24, 2019

Social Commentary: Universal Healthcare for All Filipinos


It was in August 2018 that I fell in line to pay for the annual Philhealth contribution of my sister and her family. I was glad to see hundreds of people who were there to invest in health insurance in exchange for good Healthcare benefits offered by the agency.  As a healthcare worker, I have pledged not only to the healing of sick people but also to become an advocate for health promotion and prevention. That time as I was seated on a chair to wait for my priority number to flash on the screen, I had a realization that people, no matter their economic status, are now becoming more aware of the advantages of having a healthy family that is free of illnesses and diseases and becoming a productive contributor in the society. 

But how about those individuals or families without access to primary healthcare due to economic hardship? They may feel ineligible and intimidated by their Healthcare rights, and they remain vulnerable to health crises and threats. 

I'm glad that on February 20, 2019, the Universal Healthcare Act was finally enacted into law, granting all Filipinos access to affordable and better healthcare. This is a positive and perhaps the most significant measure towards healthier citizens leading to productivity and wellness. 

Talking about the agency that has the mandate for its implementation, the Philippine Health Insurance Company or Philhealth will have to ensure the automatic eligibility and membership of all Filipinos regardless of social and economic standing, more excellent service for our less privileged families and individuals. 

The Fight for Universal Healthcare

This new law is not just an achievement of the legislative and executive body but an outstanding achievement of all Filipinos who have long been hoping for this initiative.

Just imagine how Western countries could give Universal Healthcare to their citizens that started several years or decades back, and why couldn't our government do the same? This has been a puzzle to other Filipinos who had a glimpse of the Healthcare status in a foreign country and me. 

Now our time has come, but the implementing rules and regulations of the new law are yet to be laid, and we have to be aware of the Healthcare coverage, how we can truly benefit from it, and when shall we start to benefit from it. 

Benefits of the Universal Healthcare Law

Philhealth can guarantee essential Healthcare services to exist, premium contributors, indirect contributors, or indigents like our Senior Citizens and Persons with disabilities and non-indigent or non-premium contributors. That would mean free consultation, laboratory tests, and diagnostic tests are among the essential services covered by everyone. Almost all scope of health includes preventive, promotive, curative, rehabilitative, and palliative care, giving everyone holistic health and wellness. 

Sustainable Healthcare development 

Although we welcome the extraordinary Healthcare measures, we are yet to experience how they will be delivered. The funding source has been determined, and the implementation of this new law will be gradual, considering that the funding will come from a pool of different agency funds. 

The new law is very promising. However, we would also like to see its more tremendous success and development from now and in years to come and not be exploited and mismanaged by our people in the Healthcare authority. 

Issues in the Philippine Health Insurance

Our National Health Insurance Company, Philhealth, and private Health Management Organizations (HMO) have been delivering their healthcare services in partnership with our Healthcare institutions, hospitals, clinics, and health centers nationwide. They have always been to the rescue whenever we seek medical help. However, their insurance coverage needs to be more comprehensive as they do not cover all health conditions and other health services. This has been a challenge for those who couldn't afford or have financial difficulty seeking medical attention. 

While working at The Medical City in Iloilo, I learned about issues like non-payment or delay of payment of Philhealth for hospital claims to several member hospitals in the country. This would also cause a delay in the hospitals paying their medical providers. This has led to another issue: some medical providers would charge their clients an additional cash payment for a professional fee already covered by Philhealth. This issue happened to my sister, and she asserted her rights against the double charging of her provider.  This scenario will lose the confidence of other Philhealth members if such a case happens to them, which is against the primary goal of Philhealth its mandate to lessen the financial burden of Filipinos upon seeking medical treatment. 

Continuous Healthcare reform 

The Universal Healthcare law is a good start in providing Healthcare access to All Filipinos, a measure that no one will be excluded and left behind in Healthcare services due to poor economic status. 

However, challenges in Government and corporate social service are still something Filipinos must fight to achieve better healthcare. 

For Philhealth, may the agency uphold good governance and update its policies and coverage to package benefits that are not selective to a particular medical condition. This is a burden to the Filipino people because we do not choose the kind of disease once it strikes just to be covered by our insurance provider. We need to decide when to get sick and when to get treated. We don't select the end of our physical suffering and the end of our life. 

We don't have control over our health crisis, but we can do something for its promotion and prevention so we will not suffer and pay for its consequence. We must take good care of our health to avoid illnesses and diseases. Though inevitable, we can help ourselves, our families, and our communities by choosing a healthy lifestyle away from too much stress and vices to achieve health and longevity, leading to the productive citizen we can be.

As we continue to contribute towards nation-building, we have to be respectfully assertive of our healthcare bill of rights and, at the same time, be supportive of our Government's mandate to provide better healthcare to All Filipinos so we can achieve wellness can live our most extraordinary life.

© 2019 Del Cusay




Sunday, February 17, 2019

Social Commentary: The Voice of the Filipino Farmers


Philippine Agriculture was once an up-and-coming sector in its excellence in providing good agricultural products to every Filipino through an active and strategic partnership between our farmers and the Government. 

We were an agricultural leader in Asia back then, and our Agricultural Scientists used to share their expertise in rice farming with other Asian countries like Vietnam and Thailand.

I remember back in the late '80s when we used to play by throwing mud in the newly plowed rice field just after the harvest season when rice farming was the primary source of livelihood for most families in our town. Whenever we visit other barangays from the town center, we get to breathe in the fresher air passing through the green field of newly planted rice during the planting season, while during the dry season, just before the harvest in March or April, the field turns into a beautiful golden brown grain of rice.

Those days were when rice farming was a robust industry and highly profitable for farmers and traders who bought and sold rice. Those were also the busy days for my parents to make a living as rice traders in our town, lasting about 2 decades.

As a kid, it was hard to compete for attention with our parents on some busy days when they bought hundreds of sacks of rice from our local farmers, but that was also a good time for play whenever it was already stacked in our warehouse; the kind of play that some kids of today may not relate. Those were the past and one of the happiest moments worth remembering.

Challenges in the Agriculture 

Starting in the new millennium, several challenges emerged in our Agricultural sector, especially in the rice industry. There were corruption issues with the Agriculture Department and the National Food Authority, a Government agency that regulates and maintains sufficient rice supplies for the staple food of Filipinos. Other problems include a lack of government support for farming machinery like pre and post-harvest facilities, conversion of agricultural land to residential or industrial, and the low trade price of rice production from the farmers due to the proliferation of rice cartels.

In recent years, our Government faced even more challenges, like increasing the price of commercial rice due to artificially low supply against its high demand to feed millions of Filipinos. With the lack of agricultural facilities, we cannot produce the best quality and quantity of rice leading to lesser productivity and profitability for our rice farmers.

The Rice Tarrification Law

Fast forward to 2019, just recently on February 15, when the Rice Tarrification Bill was enacted to deregulate rice importation by private businessmen and individuals from countries like Thailand and Vietnam. The law also made some restrictions on the power of NFA for regulation and importation of rice, and they will just maintain enough stocks of rice for calamities. One of the best promises in the revised law is the annual 10 billion peso Rice Competitiveness Enhancement Fund for 6 years. It will be assessed whether to continue or change the measure. The RCEF is a common fund that will come from the rice import taxes that are said to be given to farmers to address the existing challenges in rice production, like the purchase of farm machinery, to provide credit or loan service to farmers for skills development in farming.

The effect on our rice farmers

This new law has a short-term goal of addressing the current inflation when our poor families can't afford to buy expensive rice. However, this could also affect our local rice farmers when they cannot sell their produce at a reasonable price making them helpless and leaving no choice but to continue rice farming as a means of livelihood.

The flooding of cheaper commercial rice in the market will benefit Filipino consumers. However, the promises of the newly enacted law would be less promising than they seem. We must remember the alleged agricultural scams like the fertilizer fund scam, the diversion of farming funds to fake NGOs, and the present-day 'bukbok' rice or the insect-infested imported rice despite its lower price. Hopefully, this RCEF will not be another corruption in the making.

If there's an existing corruption in the Agricultural sector that remains a culture, the new law shouldn't be at the expense of our local farmers. Although we can give a new direction a chance for its benefits, I still feel for the unheard voices of our farmers. I am a rice farmer's son, and I have seen the hardship of our farmers who sweat it out under the sun even though the rain gives us a staple food to eat on our table. Our farmers deserve to have a better life through the full support of our government from laws and programs that would help improve their most significant source of livelihood.

We want to see something other than one day, our farmlands, previously owned by ordinary farmers, will become a gated community or townhouse owned by an oligarch. We want our country to retain agricultural scientists who prefer to work abroad for a greener pasture. We want our future children to be interested in farming studies and activities. And we want to avoid seeing our farmers dying because they need something to eat. After all, the government killed the rice farming industry.


As I return home to our hometown, another previously farmland townhouse might rise, and another hectare for private houses along the road might be built. This happens when farmers sell their land to real estate developers for residential or industrial development.

In a few years, our next generation might not be able to enjoy the greenfield and the golden brown rice harvest that we used to enjoy. Those years of pure happiness away from modernity and technology that the present time has embraced. In a few years, we will gradually be shifting from agricultural to industrial, and the vast farmland and lush greeneries will be a thing of the past.

Let us help save our Agricultural sector by hearing the voices of our farmers, who are the source and significant producers of our food on the table. Let us patronize local produce and learn to appreciate and embrace agriculture in our modern way of living to help our farmers thrive and live the decent and comfortable life they deserve.

© 2019 Del Cusay




Thursday, February 14, 2019

Heart's Desire: Evolution of Love



To love someone and be loved in return must be a source of joy, especially when suffering from emotional setbacks like loneliness, apathy, and grief. Sometimes, some people struggle to find the real meaning of love when they feel lost and empty.

However, love has a different meaning to individuals. For the orphan, a warm hug gives them a feeling of acceptance and security. Raising their kids well for single parents and a widow gives them dignity and pride. The elderly get the highest respect from the young ones. These are the positive emotions where love wins.

In today's society, we also have the victims of circumstances that made them view love differently. The homeless feel less secure and abandoned. The rebel groups, they may feel deprived of equal rights and opportunities. And the sick and dying may feel unfulfilled, uncared for, and unloved.

Love has several meanings as we go through the stages of life. As a kid, we felt so much love from our parents. As we go through our teenage years, we think about the acceptance and love of our peers. When working and serving people, we love our countrymen and the nation. That is how love evolves over time. 

Following Our Heart's Desire is a reminder to chase our most coveted goals to achieve and to keep going on when life seems to be challenging in the achievement of our most cherished hopes and dreams. That may be the stage when we have all the energy and hopeful desires for success.

Heart's Desire: Living A Fantastic Life is a service beyond self. It's about experiencing bliss, a higher level of Divinely inspired happiness. When we reach out to others through public service, we give part of our Divinity inherent to a human being. Then we go beyond our selfish desires, which are all about us, our ego.

Heart's Desire: Living A Humanitarian Life is a realization of a higher level of love when we go beyond our love for self and love for our family. It is about humanitarian service through charity work or public service, allowing us to serve the privileged and underprivileged sectors.

The evolution of love may be beyond life on earth as we may believe in 'life after death and may continue to guide the loved ones who are still fighting for love, the meaning of love, and their evolution of love.

© 2019 Del Cusay