On the second day of 9th Brazilian Congress of Medical and Legal Health (ComedJus) This Tuesday (30), among the issues that appeared on the agenda was the creation of law lowest wages For the nursing class, which became effective this month across the country.
The person who mentioned the topic is the surgeon and CEO of the Unimed Consortium of Espiritu Santo, Alexander Augusto Rossi. During the lecture, which was the central topic “Panorama of Complementary Health in Brazil”He commented on the potential impact of ground clearance for nurses, nursing technicians, nursing assistants and midwives.
“The end-user of the supplementary system will be most affected, either by loss of quality due to staff shortages or increase in plans costs. With this, we can expect major closure of hospital beds and layoffs of many less qualified people.”
The Law establishing the national salary limit For nurses, nursing technicians, nursing assistants and midwives, it came into effect on August 5, with its publication in the Federation’s Official Gazette.
It was ratified the day before (4), by the President of the Republic, Jair Bolsonaro, Law No. 14,434 states that, throughout the country, nurses You cannot receive less than 4750 BRLregardless of whether they work in the private sector or in the federal, state, municipal or federal public service.
for Nursing techniciansSalary cannot be less than 70% of this amount i.e. 3,325 Brazilian Real. Already helpers and the midwives They cannot get less than half of the minimum wage for nurses, i.e. below 2375 Brazilian Real.
According to information from Agência Brasil, in accordance with Constitutional Amendment No. 124, enacted in mid-July, the Federation, the States, the Federal District and the Municipalities have until the end of the current fiscal year to adjust the bonuses and related career plans of its professionals.
The law establishing national floors also states that the wages and salaries currently paid to those already earning above these floors must be maintained, regardless of the working day on which the worker is assigned. and that individual or collective agreements must respect these minimum values.
The union says that the increase in plans is not related to the minimum salary of the category
The report also contacted the Federation of Nurses in the state of Espirito Santo (nurses), by President Valesca Fernandez Moraes. For her, the increase in plans, discussed in a lecture on Tuesday (30), would not be related to the definition of a minimum salary for the category.
“For several months, a crisis has been vented in the health plans, whereby layoffs or even the closure of some services sectors were already expected, in this period from September to December. But this is because of health plans, because of the crisis arising from the pandemic does not allow the procedures to be as easy Consequently, hospitals do not provide services of the same amount, including procedures, surgeries, and hospitalizations.”
According to Valesca, what is happening is an emptying of the private sector due to problems licensing plans in terms of procedures.
“The layoffs taking place and sector closures were not due to the floor, but the crisis of the unventilated schemes. There is a need to blame the floor and nursing as if it were not a class advantage to conquer like something very new, but it was 30 years of historical struggle The sectors have to adapt, not least because there are other projects in the pipeline. It is very easy to blame us,” he added.
Finally, the president made it clear that services must adapt to pay the stipulated minimum. She also stressed that there is concern and vigilance on the part of the union regarding layoffs that could take place collectively or even in a crushed manner.
He concluded that “laying off workers is also bad for companies, because they have to pay for layoffs. But, as far as nurses are concerned, that has not happened yet. These rumors frighten workers and even residents.”
According to the report, the Regional Nursing Council of Espirito Santo (Corinne S) He has not yet commented on this issue. The consultant reported that there will be an internship on Tuesday (30). As soon as there is a response, the report will be updated.
Ruschi criticizes the bill passed by the Senate
The Ninth Brazilian Congress of Medical and Legal Health (ComedJus), its main discussion is eliminate health, showed different views of the relevant sectors. The CEO of Unimed in Espirito Santo, for example, criticized the bill approved by the Federal Senate on Monday (29).
The discussion about ANS list being “taxed” – a term referring to a limited list of something previously approved – has been a topic of understanding before. Supreme Court of Justice (STJ)in June, meaning private health workers will be obligated to pay only for treatments described in the agency’s list, with rare exceptions in specific cases.
On this Monday (29), It ended up with the Federal Senate’s approval of a bill that contradicts Syrians for Truth and Justice’s understanding. That is, the PL states that health plans are required to pay for treatments or procedures not expressly stated in the ANS list. Now the text is heading to a presidential sentence.
Read also: On ES, Lewandowski comments on STF’s performance during the pandemic and talks about the role of ANS
In a lecture, Rossi was emphatically emphasizing that the role model, where health workers end up paying for off-list treatments, Brings money orders problems. One of the reasons he cited is the aging of the Brazilian population, a factor that could more than double health spending in the next 20 years.
In addition, according to him, the increased coverage of plans does not take into account reality. “50% of the adult population has at least one chronic non-communicable disease, according to the National Health Survey (PNS). In order: high blood pressure, back problems, depression, diabetes, arthritis, cardiovascular disease, asthma, and cancer,” he said.
To overcome the challenges, the doctor highlighted the importance of integrating telemedicine, which has been reinforced during the pandemic. In addition, there is a need for more interactions between the public and private sectors, with the expansion of primary health care resources.
Read also: Expenses are down with ES health rationing, but the case remains a challenge
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