By Nono Barahona. April 15, 2017
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Waiting room in Salvador hospital in Santiago.
Photo taken by author last year while waiting with
his mom for a blood test on her. |
SANTIAGO, Chile. A report submitted to the Chilean Congress by the "Subsecretaría de Redes Asistenciales", a Chilean government agency that monitors the operation of the public health system, says
that 24,817 people died in 2016 while on the waiting lists of the
29 health care services existing in the country.
"El Mercurio", an influential Chilean newspaper, says that out of
the total number of patients who died, 22,459 died while waiting for a first
visit to a specialist physician, and that 2,358 died while waiting for surgery.
The report states that 74.4% of those who died were more
than 65 years of age and that, considering the total number of the dead
patients, 52.6% were male.
The government agency claimed that there is no direct
relationship between the cause of death of the 24,817 patients and the fact
that they were on waiting lists.
However, almost any Chilean reading an article like this
makes a direct immediate connection between the fact that the patients were on
waiting lists and the fact that they are dead, with the implication that they
died for not receiving medical care on time.
Waiting lists are a feature of the Chilean public health
care system, which is dominated by hospitals.
The Chilean public health care system is plagued by a
shortage of specialized doctors and of doctors in general, resulting in that
patients are placed on “waiting lists” on which they wait for their turn to get
treatment for their ailments from a hospital doctor.
Since there is no limit on how long a public health patient
has to wait for treatment, due to the shortage of doctors and staff, and
sometimes due to the shortage of beds to accommodate patients in hospitals, a
waiting list patient may have to spend months waiting for their turn to get medical
treatment, giving the Chilean public health care system a very bad reputation.
In this regard, an article published by "La Tercera", a major Santiago
newspaper, updated as of June 7, 2015, said in its headline that people on
waiting lists had to wait even up to 6 years in some cases, with country-wide
averages of 273 days for an oncologist and 727 days for a specialist in
abdominal surgery.
On the other hand, middle class and upper class Chileans typically
have health care insurance and get medical treatment in private clinics, where
there are no waiting lists.
Therefore, waiting lists are for those Chileans who can not afford the private health care system.