With the initiative bill, PVV and BBB want to finance elderly people with care needs zzp2 and zzp3 again from the Wlz. “They need to live together more again,” said Agema (PVV). The plan costs 2.6 billion euros per year, but according to her, it results in two billion savings in home care and community nursing. In addition, the plan reduces costs that these elderly would incur in hospital care.
In the Christian Union’s bill for informal care leave, the party proposes to continue paying informal caregivers for two years if they provide care. They should be paid for a maximum of two years at 70 percent of their last earned salary.
Changes happen slowly
In the Great Healthcare Debate, all parties emphasized prevention and reducing health disparities. Wieke Paulusma (D66) wants statutory health goals: “Changes are happening much too slowly. But we also have to look at the causes of these differences. The healthcare sector should not solve everything, but the government should go much broader and invest in prevention.”
Her opponents think that setting health goals is not effective. Fleur Agema (PVV) wondered what should be recorded: “The only way to invest in prevention is to abolish the deductible. Reducing VAT on groceries is also more effective than yet another new law.”
Nico Drost (Christian Union) emphasizes that we should not set health goals, but work together with society, schools and municipalities. Danielle Jansen (NSC) sees a danger in setting these goals: “You can achieve the goals by doing well on average, but vulnerable groups lag behind. You cannot reduce health differences with legal health goals.”
Job market
Most parties want to make work in healthcare more attractive by reducing bureaucracy. Nicki Pouw-Verweij (BBB): “The outflow of healthcare staff is due to check-box fatigue and the time to get everything correct in the EHR. Bart van den Brink (CDA): “If we make healthcare more attractive, this will also prevent people from becoming self-employed. There has been talk about reducing bureaucracy for a long time, but you have to do it.”
BBB therefore wants more coercion. Pouw-Verweij wants healthcare parties to have their budgets cut if they continue to demand meticulous accountability for the activities, such as time registration, of their healthcare staff.
BBB and SP point out the importance of higher salaries and more say for healthcare professionals, “so that they do not flee to self-employment,” says Pouw. Agema: “Hundreds of motions have been submitted for fewer rules, but they are always voted down by the coalition.” NSC pointed out that working more can be made more attractive by changing the tax system in such a way that working more also pays more.
Appropriate care
Most parties believe that the government should not determine what appropriate care is. Doctor and patient are jointly responsible. The CDA said that it must be made clear which treatments have been proven to be effective. The VVD agreed with this: “We still know very little about the quality of life.”
BBB noted that appropriate care is already available on a large scale: “We are already very reluctant to provide care in the Netherlands.” In addition, according to NSC, quality of life is a subjective concept, which results in good consultation between patient and doctor: “It is important that the economic incentives to provide care are removed,” says Jansen.
SP thought that politics can best say what quality of life and appropriate care are. Dijk thought it was clear that the quality in nursing homes and community nursing is not in order.
Subsistence security
NSC believes that the government should work on social security. This means: ensuring sufficient housing and guaranteeing a good income and a secure pension. However, social security is also the responsibility of the citizen, Jansen stated. They can pay more attention to a healthier diet, more exercise and not smoking.
BBB, PVV and SP pointed out that the government has “failed” by closing nursing homes. “That is bad for the elderly and bad for the government treasury, because the elderly therefore need more hospital care in the long run,” says Pouw-Verweij. Tielen wants the government and employers to make informal care possible more quickly, so that the elderly are less likely to use nursing home and community care. She also pointed to the larger-scale use of technology.
2023-11-13 21:15:54
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