During a public hearing held on the afternoon of this Wednesday, 31st, deputy Bia de Lima (PT) demanded solutions to the problems relating to the Institute of Health Assistance for Municipal Servants of Goiânia (IMAS), including the blocking of medical care, disqualification of professionals, debts and lack of transparency in transactions.
“IMAS has been worrying us for a long time, especially about ensuring a quality service for users. This concern is not in vain, since the institute, once again, is leaving municipal employees and their dependents without care in several health establishments”, stated the deputy.
According to Bia de Lima, the hearing was motivated by the deficiency in the provision of services to users. However, she points out that the interruption on the part of service providers is understandable, as they have not been paid for almost a year. For her, the moment is for intervention by the Public Ministry of Goiás (MPGO).
“IMAS is going through a financial crisis. In recent years, health plan debt has increased significantly, which harms users, since at the time they need it most they cannot receive the correct care and, when they do, it is insufficient. The outcry is for the MP to fulfill its role and demand a more effective solution from Goiânia City Hall, so that it can put an end to the problem”, said the parliamentarian.
The panel at the public hearing included the representative of the Union of Education Workers in Goiás (Sintego) on the IMAS Fiscal Council, Meibb Freitas; the general secretary of Sintego and former advisor to the entity, Ludmylla Morais, and the general director of Sindilabs, Luiz Henrique Gabriel.
On the occasion, Professor Meibb spoke about her position regarding collections at the agency, which contracted an audit, via the Federal University of Goiás (UFG), which has already lasted a year. However, it has not yet shown results.
“Our fight is very arduous, there are many issues to be debated and the biggest one is the lack of management of IMAS’s money. A UFG commission was hired to carry out analyses. They brought a restructuring option and want it to be voted on promptly. However, it cannot be approved as is. Medications and services were withdrawn, without monitoring by the plan’s own employees. Augmenting for the user is the last alternative we will accept,” she declared.
“You need to sit down with the UFG and listen to the explanation to follow it closely. The cases are not being solved due to a lack of human and political will. But we will continue to make the necessary defenses”, he concluded.
Professor Ludmylla Morais explained how the imbalance in IMAS accounts began. However, she was emphatic in saying that the solution must come from the city hall itself, in several instances, before it reaches the worker.
“IMAS had balanced accounts until 2019. When the pandemic broke out in 2020, we ran out of a base date, so inputs went up, there was a huge use of ICUs, an increase in expenses, but the salaries of employees remained the same and this caused an imbalance in the accounts. However, for resolution, the city hall must fulfill its obligation, without burdening the worker. It is not the civil servants who should pay for the city hall’s mismanagement,” she said.
According to the organization’s former advisor, no suggestions for improvements to IMAS were accepted. “We proposed audits in all sectors of the institute, we suggested the creation of an IMAS fund, which could be used as a resource for paying self-employed professionals, we talked about a floor and ceiling for civil servant contributions, to prevent user evasion. , we suggested an accreditation campaign, we demanded that the money go directly to IMAS and not to the finance department, but nothing was accepted”, she recalled.
All contributions were reinforced by the president of Sindlabs, Luiz Henrique Gabriel. Representing IMAS service providers, he stated that the category hopes to work with the loss to return to serving users, however, they need at least a sign from the city hall that they will receive it, as they have been without payments.
According to him, some health units have receivables that reach R$13 million. “Whoever has R$13 million to receive is financing a structure, not just receiving it for the service provided. We have a contractual payment deadline of 180 days, but it has already been exceeded and some establishments are unable to continue providing services,” he said.
“We don’t want to stop serving, but IMAS users are left unprotected and without coverage. Some establishments continue to serve because they understand the need, but delays exceed one year. IMAS is currently financially difficult to make viable, both due to the amount paid and health costs. The idea is to help the plan as much as possible, but we call on users to act, who are an important factor in public opinion at this time,” he concluded.
After the contribution of the participants, who also suggested audits of the plan, the public hearing guidelines were posted.
According to Bia de Lima, fundamentally, decisions for any decision on IMAS pass through the municipal Executive. Therefore, the first step is to schedule an audience with the mayor of Goiânia, Rogério Cruz, with an exclusive agenda on IMAS.
“We need to request a hearing with the mayor to discuss just IMAS. There is no way out of the plan that does not go through the head of the Executive. We are at the end of the term. Some immediate solution is needed until a new manager comes in and changes the rules of this game. One possible path is to negotiate the debts, but this is only possible and can only be done with those who are interested in resolving the problem”, said the parliamentarian.
The other points raised by the deputy are:
– collection of audit results contracted from UFG;
– formal representation at the Public Ministry of Goiás (MPGO) pointing out all points of concern and demanding effective action from the body;
– Meibb requests, as IMAS advisor, the results of the UFG audit and does not approve things without due accountability;
– payment schedule for service providers;
– demand financial management of IMAS by the institute itself and not by the Finance department.
Still according to the deputy, there is no interest on the part of IMAS employees and users in ending the health plan.
“We are not interested in the end of IMAS, nor in the gradual death of the institute. From a legal point of view, the government is not obliged to have a health plan, but once it commits to having one, it must be implemented. The impression that the city hall gives is that it does not want to have the political responsibility for ending the plan, but it also does not accept it”, she added.