
29/07/2025
๐๐ข๐ข๐ | PBBM unveils healthcare reforms in 4th SONA
President Ferdinand "Bongbong" Marcos Jr. on Monday delivered a health-focused fourth State of the Nation Address (SONA), spotlighting flagship initiatives to make healthcare affordable, accessible, and comprehensive for all Filipinos.
He touted the expansion of public hospitals and specialty centers, the rapid roll-out of Bagong Urgent Care and Ambulatory Service (BUCAS) facilities, one doctor per municipality, enhanced PhilHealth benefits, and the nationwide adoption of zero balance billing at Department of Health (DOH) hospitals.
๐๐ผ๐ป๐๐ฒ๐
๐๐๐ฎ๐น ๐ต๐ฒ๐ฎ๐น๐๐ต ๐ณ๐ถ๐ป๐ฎ๐ป๐ฐ๐ถ๐ป๐ด ๐ฑ๐ฎ๐๐ฎ
For the past administrations, despite government efforts, households still shoulder a significant portion of healthcare costs.
According to Philippine Statistics Authority (PSA) in 2024, out-of-pocket payments accounted for 42.7% of the Philippines' current health expenditure, just below the 44.7% financed by government schemes and compulsory contributory funds.
Total health spending reached โฑ1.56 trillion, equivalent to 5.9% of GDP (Gross Domestic Products) and up 17.1% from 2023, with per-capita spending rising to โฑ12,751.
Driven by greater service utilization and rising hospital fees, experts warn that medical inflation is projected to climb by 18.3% in 2025, the second-highest growth rate in the Asia-Pacific region.
According to Statista, the 2019 Universal Health Care (UHC) Act, also known as Republic Act No. 11223, increased public health spending from below 5% to about 6% of GDP by 2023, aiming to reduce catastrophic health expenses and expand medical infrastructure, especially in underserved areas. Yet, the Philippines still recorded just 0.96 hospital beds and 4.76 nurses per 1,000 population, underscoring the need for continued investment in capacity and human resources.
๐๐จ๐๐๐ฆ ๐๐ฒ๐ป๐๐ฒ๐ฟ๐, ๐ผ๐ป๐ฒ ๐ฑ๐ผ๐ฐ๐๐ผ๐ฟ ๐ฝ๐ฒ๐ฟ ๐๐ผ๐๐ป
"Dito sa atin, mahal magkasakit, mahal ang gamot, kulang ang pagamutan, walang doktor lalo na sa mga liblib na bayan," Marcos said, acknowledging the long-standing rural healthcare gap.
He reported that the administration established 53 BUCAS centers across 32 provinces in three years which offers free outpatient consultations, laboratory tests, X-rays, and other basic services without confinement.
"Asahan ninyo, marami pa ang ating bubuksan na BUCAS," he added.
In a milestone for rural health, the President also announced, "sa kauna-unahang pagkakataon, ang bawat bayan sa Pilipinas, ngayon ay may doktor."
๐๐
๐ฝ๐ฎ๐ป๐ฑ๐ฒ๐ฑ ๐ฃ๐ต๐ถ๐น๐๐ฒ๐ฎ๐น๐๐ต ๐ฏ๐ฒ๐ป๐ฒ๐ณ๐ถ๐๐
Filipinos confronting serious health challenges may now find greater relief and reassurance, following Marcos' announcement of significantly expanded benefit packages under the Philippine Health Insurance Corporation (PhilHealth).
"Pinataas at pinaganda na rin natin ang mga benepisyo lalo na para sa mga karamdaman na laganap dito sa ating bansa," Marcos further stated.
Among the major upgrades includes the inclusion of open-heart surgery, heart valve repair and replacement in PhilHealth's coverage.
For procedures related to ischemic heart disease, coverage has soaredโangioplasty is now reimbursed up to โฑ524,000, a 1,600% increase, while fibrinolysis claims have been raised to โฑ133,500.
Dialysis patients will also benefit. Marcos remarked, "Ang mga sesyon ninyo na tatlong beses sa isang linggo, libre na sa buong taon. Libre na rin po pati ang mga kinakailangang gamot."
Adults receiving peritoneal dialysis are now covered up to โฑ510,140 annually, while pediatric patients may receive as much as โฑ1.2 million. Coverage for kidney transplants was also increasedโโฑ2.14 million for deceased donor transplants, and over โฑ1 million for living donors.
For cancer treatment, the President disclosed a Cancer Assistance Fund. "May pondo rin para sa bakuna laban sa human papilloma virus na nagiging sanhi ng maraming klase ng cancer," he added, alongside a โฑ1 billion allocation for non-PhilHealth-covered cancers to ensure medicine access for vulnerable patients.
PhilHealth's support now extends to non-admitted emergency cases. "Ngayon, sagot na po ng PhilHealth ang sinumang itatakbo sa ER ng ospital," Marcos assured.
Moreover, cataract surgeries are now covered for up to โฑ187,000, and patients with severe dengue may avail themselves of โฑ4,000 in treatment assistance.
Children and persons with disabilities (PWDs) are likewise covered for rehabilitation, assistive devices, and vision screenings. "Kapag lumabo ang mata ng inyong anakโฆ ito rin ay covered na rin ng PhilHealth," Marcos said.
Efforts are also underway to streamline hospital reimbursements. "Pinabibilis pa natin ang proseso ng pagbayad ng PhilHealth sa mga ospital at mga klinika," the President added.
According to Malacaรฑang records, over 1.7 million Filipinos have already benefited from the Medical Assistance Program during Marcos' term.
๐ญ๐ฒ๐ฟ๐ผ ๐ฏ๐ฎ๐น๐ฎ๐ป๐ฐ๐ฒ ๐ฏ๐ถ๐น๐น๐ถ๐ป๐ด, ๐๐๐ฟ๐ฒ๐ฎ๐บ๐น๐ถ๐ป๐ฒ๐ฑ ๐ฎ๐๐๐ถ๐๐๐ฎ๐ป๐ฐ๐ฒ
"Itinuloy na po natin ang zero balance billing. Libre po," Marcos declared, emphasizing that patients admitted to any DOH accredited hospital no longer need to pay even basic accommodation fees. This policy is funded by a blend of Medical Assistance to Indigent and Financially Incapacitated Patients (MAIFIP) allocations, Philippine Charity Sweepstakes Office (PCSO), Philippine Amusement and Gaming Corporation (PAGCOR), and DOH hospital budgets.
Acknowledging past fragmentation, the President vowed to integrate multiple assistance channels directly within hospital billing systems to eliminate the need for separate applications.
He also committed to embedding medical assistance processes into the forthcoming E-GOV mobile app for faster, paperless approvals.
๐๐ผ๐ป๐๐ถ๐ป๐๐ถ๐ป๐ด ๐๐ต๐ฒ ๐ฝ๐๐๐ต ๐ณ๐ผ๐ฟ ๐ฎ๐ฐ๐ฐ๐ฒ๐๐๐ถ๐ฏ๐น๐ฒ ๐ฐ๐ฎ๐ฟ๐ฒ
Continuing his speech, the President urged Congress and local government units to back these measures, saying every Filipino deserves timely and affordable care.
With these reforms, the President pledged, "gagawin natin ang lahat para matulungan kayo sa pagpapagaling at lumakas."
๐ Mariah Ardel Quilpa
๐ป Rence Duran
Photo courtesy of RTVM