A reader of these lines has probably experienced the effects of the dispute between the Dominican Medical Association (CMD) and other medical professional entities and the Health Services Administrators known as ARS or the local HMOs in the Dominican Republic.
The dispute has resulted in health insurance holders being denied services by physicians, hospitals and other services over the past months. In other cases, insurance companies have reimbursed the patients.
The CMD struggle is about getting the ARS to update their pay schedules, modernize their lists of medicines and procedures and ease some of the restrictions. For instance, if a pharmacy does not have the meds the company prescribed, the pharmacy will not accept the insurance plan coverage for a different brand.
The list is long, but Dr. Senen Caba, the current head of the Dominican Medical...
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