Rural Medical Club, July 26, 2026

26 Jul 69 "Rural Medical Club" Post to "People's Party"

"Not falling the gold card" or just a fancy word?

Criticizing the proposal to amend the law, the People's Party.

According to the People's Party, it has proposed policies and solutions to the National Health Insurance Act 2002, arguing that it "does not knock down the golden card," but reforms for that sustainability.

The Rural Medical Club, as a front worker who has been mingling with foundation health systems for more than two decades, criticizes and questions the proposal with great concern.

The claim "not to fall, but to improve" may sound fancy, good-looking, good-sounding, but when delving into the structural and mechanical details offered by the People's Party, we find paradoxes and danger signs that will affect the gold card system and the rights of the people hugely.

"Let the public-private pay" is the beginning of the collapse of the "universal" principle.

The proposal in Article 5, which specifies the provision of more money by allowing "co-employers" or "opening up the public to use private insurance, supplementary pay," is actually a mutation of the universal health insurance policy, co-pay or co-pay.

New disparities will arise immediately.

The key principle of the golden card is that "everyone is equal with human dignity." If the channel is opened to "pay more for a set of supplementary benefits," there will be a "double health" system. People with money or private insurance will receive better care. People with foundations, the poor will immediately become "second-class patients." The mechanism of health services. The power will depend on hospitals. People have almost no bargaining power.

Bypassing state responsibility, pushing the burden on the public to co-pay or putting private insurance into play, is the first step in the regression from the "universal health coverage" system to the neoliberal health fiscal system, where the state tries to reduce the burden of budget allocations, giving the public more responsibility, and finally, the unbearable will be abandoned.

"Fused 3 funds," the same standard. Or dragged everyone down as low as the state provided?

The proposal combines the main set of benefits of all 3 funds (gold cards, social security, civil servants) to the same standard. It seems to create equity, but in fact.

There is a risk of budgeting. The context and head budget of each fund are completely different. Without a clear budget insurance mechanism, the call for "equality" can become "reducing the benefits of other funds to a limited budget" rather than upgrading the gold card.

A structural conflict crisis, pulling civil service and social security money together without clear administrative answers, would lead to unnecessary conflict between labour groups, civil servants and the general public.

Dismantling the board, solving the problem, or opening up a new capital-influence group, going back to the same point, where power is in the service, the bureaucracy dominates?

The People's Party proposes a restructuring of the SpD board, citing a "long-sitting board" and wants to reduce the proportion of the public sector, but what to watch out for is

The missing balance of power. The current SpD board is designed to interfere with drug and pharmaceutical policy, so that the system loses the bargain mechanism or the set of benefits for the benefit of the people.

Solve outposts not on the spot. The budget isn't just counting payheads.

Despite the People's Party talking about increasing the budget, paying fair compensation, and upgrading primary care services, there are no clear proposals to distribute resources and manpower to the countryside, increasing non-estimated remuneration from the head pay budget, increasing the development budget, improving community hospitals that are so degraded that they have to take the gold card budget to improve hospitals instead, increasing the administration budget for health districts, provincial health offices, district health offices without having to cover the gold card. What to do? Not to mention

Increasing the budget for the NCPO to pay hospitals at real costs, if poorly managed, most of the money will fall to major hospitals in capitals and cities, while community hospitals and hospitals in remote areas will continue to face the same personnel shortage.

The issue of doctors and nurses' resignations is not due to the "Gold Card Law," but to the public sector's manpower management system that cannot manage manpower effectively enough, so the gold card solution is not an itchy scratch.

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