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Egypt debates health care reform

New legislation has been proposed to revamp Egypt’s outdated and ill-functioning health insurance system and cover all Egyptians under one universal insurance umbrella.

Doctor Karim Ahmed, 31, wearing a sticker that reads, "An open-ended strike for doctors, For patients before doctors", attends to a patient at Al-Moniera public hospital in Cairo October 2, 2012. Egypt's doctors began a partial strike on Monday with varied demands, including making the health budget 15 percent of the state budget, and improving security conditions to protect doctors and patients from assaults, said representatives from the Doctors' Syndicate.  REUTERS/Amr Abdallah Dalsh  (EGYPT - Tags: CIVI
Dr. Karim Ahmed tends to a patient at Al-Moniera public hospital in Cairo, Oct. 2, 2012. — REUTERS/Amr Abdallah Dalsh

CAIRO — The health insurance system in Egypt could easily be called a failure, as Egypt's Health Insurance Organization (HIO) is subject to outdated laws that have scarcely been modified in line with skyrocketing costs across all sectors.

Public hospitals have become a place to humiliate people who aren't privately insured. They receive minimal care from doctors and nurses, who receive low wages as government employees, their services provided free of charge.

Although the profession of medicine is an exact one, negligence has become a major characteristic of these hospitals.

When Egyptian patients became fed up with the situation, a new comprehensive social insurance law was drafted. It promised to resolve the predicament by separating medical services from funding considerations. In the past, patients received medical services based on the insurance policy provided by their professional union. For instance, journalists would get better benefits through the Journalists Syndicate than teachers would through their organization.

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