Concern is rising over the national health scheme Gesy’s recorded excess number of operations carried out within a year – even some that are unnecessary, Philenews reported on Monday.
In fact, 2022 data shows that a total of 90,500 operations were carried out within the system which corresponds to approximately one in 10 Gesy beneficiaries. Some of these operations are unnecessary, according to the Health Insurance Organisation (HIO).
The HIO is reportedly monitoring closely all medical procedures and other operations recorded in the Gesy software in a bid to put the brakes on unnecessary ones – basically carried out for profit.
An example of a case where the system is abused is that of a gynecologist who, according to a woman’s filed complaint, subjected her to continuous surgical procedures. He had also pressured her to undergo a hysterectomy but when she consulted another gynecologist – again within the Gesy – he had assured there was no reason for such an ordeal.
Operations such as a hysterectomy are seen as the most profitable medical procedure for the private hospitals and clinics that have joined the national scheme.
