ECONOMYNEXT – Sri Lanka’s health minister Keheliya Rambukwella is exploring possibilities of starting more paying wards in state-owned hospitals to sustain the free health service to the most needy people while catering to increasing demand of quality in health services.
Sri Lanka’s unprecedented economic crisis has forced the island nation government to look into all the possibilities to cut costs across all the sectors while the country’s free health and education services are facing threats of cost cutting and reduced services.
Already many state hospitals are facing scarcity of medicines despite donations and grants from many international organizations.
“I am trying to see whether I can get 30 percent of paying wards back again,” Health Minister Keheliya Rambukwella told an interview with EconomyNext on Thursday (13).
“This is not only for cost recovery, but we can give better service than any of the private sector.”
Sri Lanka has allocated 4 percent to health sectors in 2022 out of its total 6.2 trillion rupee revised expenditure. However, many state hospitals are struggling to maintain the free health services and severe deficit of some drugs.
The paying ward concept is already in practice at Colombo National and Sri Jayawardenapura Hospital at a reduced cost compared to private hospitals. Minister Rambukwella said the move was not to privatize the health service, but to sustain the free health service.
Services at 50% cost of private hospitals
“We can’t compromise free health. It is part of the government policy. “This will also amount to saying that the health is being privatized. But we have to give a serious thought to how long we can do that in the next 10 years,” he said while seated at his office in the Health Ministry surrounded by approval files on his table.
“As far as services are concerned the government health service is much better than the private health services. If people see better service for the half of the cost with a room, they will go for paying wards.”
Health Ministry has identified many equipment in state hospital are under utilized compared to the private sector while the paying ward concept also could help hospital staff as well.
Minister Rambukwella said he was exploring separate shift basis in state hospitals for both free and paid wards.
“I am also trying to keep 8 am to 4 pm for free health services. Then 4 pm to next day 6 am, there are cardiologists who are wiling to accommodate. Bring them down, get them to do it and charge only 50 percent of what the private sector is charging. and pay a good fee for the doctor and supporting staff. So they will have some incentives.”
The Minister also said the proposed paying ward system, which has yet to be proposed to the cabinet before the parliament, will also reduce the waiting queues for surgeries because a number of patients could seek the services at the paying wards at the half cost of the private sector.
“The most important thing in that scheme is the (waiting) queue will be reduced to six months instead of 2 years. People who are really in need will wait for that time and get it. Then the waiting list also will get reduced.” (Colombo/Oct13/2022)