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Of inequitable allocations and accessibility
In the news recently were figures released supposedly by Philhealth showing the top hospitals receiving reimbursements from the agency for claims relating to COVID-19. Southern Philippines Medical Center, a hospital in Davao City received 326M pesos while UP-PGH got 263.3M pesos. I was not surprised that my social media newsfeed included posts from both sides of the fence (The fence sitters among my friends on social media were not commenting about these anymore and seem content in just posting on food or whatever activity they were in.). Each were posting information divulged by the whistleblowers in the ongoing hearings on the issues pertaining to PhilHealth funds.
I will not go into the political aspect of this controversy but will just focus on the transportation aspects of the issue. I will just compare the top two hospitals in the list to simplify the assessment while mentioning others in general.
The claim that the hospital in Davao was the equivalent of PGH in Mindanao doesn’t hold water as the hospital does not treat even 10% of the cases that PGH is handling and for a much smaller geographical area. While UP-PGH is accessible to a larger population and for less travel times, SPMC is not as accessible to say people coming from other major cities like Cagayan De Oro or Zamboanga City. Yes, there are other major cities on the same island that have sizable populations with ‘catchment’ or influence areas comparable to Davao City. They, too, probably need funds to be able to treat COVID-19 patients. It is true that there are many other hospitals in the National Capital Region (NCR) that have the facilities to treat COVID-19 patients. However, many of these are private hospitals that tend to incur more costs for the patient and are not generally accessible (read: affordable) to most people who are of middle and low incomes. Thus, UP-PGH can be regarded as the frontliner among frontline hospitals.
What? There are other public or government hospitals in Metro Manila and surrounding provinces? True, but many of those have very limited capacities in terms of facilities and Human Resources. The same applies to Davao’s case as well because there are also medical centers and hospitals in surrounding provinces. And to round-out the resources available to these hospitals, local government units have also (over) extended their resources to hospitals. Perhaps the allocations and proportions can be explained in another way that is not the “apologist” but based on actual numbers pertaining to cases handled by the hospitals?
One small step and a giant leap
Here’s a different kind of article that blends three of my favourite topics – transport, space and watches. Its the 50th anniversary of the first moon landing. That’s the Apollo 11 mission in 1969. It took a lot of calculations for men to finally reach the moon and return safely to earth. There certainly were a lot of factors that affected the trip and these are not as simple as traveling between points A and B like what we usually try to figure out for conventional earthbound transport.
Did you know the first watch on the moon was an Omega Speedmaster chronograph? They needed them and other instruments for their precision that’s required for such sensitive and demanding missions.
Subsequent versions of the moon watch have already had updated movements inside them but these Speedmasters are still the standard in as far as NASA is concerned.
There were actually 2 moon missions in 1969. The first one, Apollo 11, in July and the second, Apollo 12, in November. The next one, Apollo 13, was a failure in terms of the moon mission but succeeded in terms of the astronauts surviving what must have been a terrifying ordeal in space. If you watched the movie, there was a part there that was supposed to have happened where they used it the chronograph of their watch to time a procedure they had to do while troubleshooting their module.
Quite expensive these Omegas are. However, there’s another watch that has been officially recognised as used on a moon landing. That other moon watch is a Bulova (sorry Rolex but the watch that was supposed to have been brought to the moon was more an accessory or memento than an instrument actually used by an astronaut on the moon). Here’s a piece associated with the 4th (Apollo 15 in 1971):
Back of a Bulova moon watch model stating the mission when it was used.