Posted: August 22, 2022 – 8:30 am | Last update: August 22, 2022 – 08:37 AM
In recent days, representatives of private hospitals, Santa Casas and health plans have claimed that they are unable to pay the national standard of nursing, a years-long struggle of this class, which mobilized and worked for the approval of a bill by Senator Fabiano. Kontarato (PT-ES) and a proposal to amend the constitution guarantee legal security for the national salary floors for nurses, nursing technicians, nursing assistants, and midwives.
You can cry all you want, but on September 5th these entrepreneurs will have to pay fees for the new floors, workers’ representatives say.
Charitable hospitals say they will incur losses of R$6.3 billion. Health plans are threatening to increase their customers’ monthly fees by 12%, according to the National Health Federation (CNSaúde).
All this because of the imminent first floor mandatory reimbursement of R$4,750 for nurses and midwives, R$3,325 for nursing technicians and technicians, and R$2,375 for nursing assistants and midwives. Public servants must receive from January 2023.
Entrepreneurs in the sector have long fought against approval of the word, but they have not “moved” to approve other projects in the National Congress, which would create funding sources for hospitals, criticizes the Secretary-General of the National Federation of Social Workers Security (CNTSS), Isabel Cristina Gonçalves. See below projects that provide resources for hospitals.
On the other hand, says Isabel Cristina, Santas Casas have always had the waiver of their paychecks, meaning they don’t pay taxes and they can’t place the burden of the financial situation they found themselves in on nursing.
They tried to block approval of the hall in Congress, including with the support of President Bolsonaro’s children and the entire new party. They all voted against the National Nursing Hall. Now, businessmen are trying to prevent attendance, and many associations and unions in the health field have filed a direct claim of unconstitutionality [Adin] Before the Federal Supreme Court [STF]which calls for the repeal of the Professional Wages Act”, says Isabel Cristina.
According to Congresso em Foco, a request for action was submitted by the Brazilian Association of Diagnostic Medicine (Apramed), the Brazilian Association of Vaccine Clinics (ABCVAC), the Brazilian Association of Dialysis and Transplant Centers (ABCDT), the National Association of Private Hospitals (Anahp), and the National Federation of Dialysis and Transplant Centers (ABCDT). For Municipalities (CNM), the Federation of Santas Casas and Charitable Hospitals (CMB), the National Federation of Health (CNSaúde), and the Brazilian Federation of Hospitals (FBH).
“For a long time, companies have been making profits on these issues of workers’ labor, which they now want to keep, but without giving up a small margin of their profits. It is pointless to say that the sources of funding have not been identified, if they do not move a finger to approve these projects” , Says.
Threats of layoffs and demotions
Isabel Cristina warns that hospital staff are receiving threats of layoffs and demotions; Who is a nursing technician can be demoted to assistant, for example.
“Our guiding principle is that the worker, if he is unable to negotiate the retention of his position, gives it up before his union, and if the union itself encounters difficulties in negotiating with employers, he should seek the support of the Ministry of Public Labour. [MPT]says the director.
If, by September 5th, the corrected salary is not on the payroll, according to the National Nursing Floor, the worker must submit an “action to comply with the obligation to do.”
According to the Federal Council of Nursing (Confen), there are more than 2.6 million active workers in Brazil in the four nursing sectors, with 642,000 nurses, 1.5 million technicians, 440,000 assistants and 440 midwives. The entity warns that the Professional may be registered in more than one sector.
Funding sources for private companies
Source: Chamber Agency
Representative Carmen Zanotto (Citizenship-SC), who coordinated the working group on the financial impact of the stake, said that for private companies, withdrawing social contributions from payroll should be sufficient. They will start paying these contributions on revenue, as 17 other sectors are already doing. In addition, the contribution to the S scheme will be cancelled.
Another source of funds is to allocate a portion of the revenue to gambling regulation, which the MP believes could increase from 4% to 12% on the project in the Senate. In addition to the possibility of allocating 3.5% of the tax on mineral exploration to the sector.
Carmen Zanotto explained to Câmara de Notícias, in April of this year, before agreeing to the word, that the biggest problem lies with the charitable hospital services of the Unified Health System (SUS). “For example, dialysis services are private, but 95% of dialysis services in the country are provided to the SUS. And there are the benefactors, also known as Santas Casas. When we talk about putting more resources into the National Health Trust (FNS), the It serves those under the unified health system, the benefactors. Because exemption from payroll for the private sector solves it,” he said at the time.
Other suggestions have been made
Other proposals for health funding are being analyzed, according to the JOTA website. Among them, the end of the contribution to the S system (PL 474/22), which was discontinued by the Committee on Labor, Administration and Public Service.
Special Campaign Finance Fund (PL 475/2022): Provides for the transfer of resources allocated to the Special Campaign Finance Fund (FEFC) to the National Health Fund (FNS) in years when there are no general or municipal elections. The text stopped in the room.
Union public funds: Parliamentarians advocate the use of union public funds that have been discontinued to pay nurses’ salaries. The idea is to allocate ‘bound’ and ‘sticky’ resources to the health field.
Budget changes: Proponents of the project also argue that it is possible to reallocate resources in the budget to increase the contribution allocated to health and thus reduce the minimal impact on the public network.
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