The director of the governmental Health Sector Reform Commission (CERSS) Humberto Salazar says that the Dominican Social Security Institute should be closed down. “My proposal is to comply with the law. The hospitals under the Social Security should now go under the Public Health Services Network, he said. He said that the childcare and elderly day centers should go under community entities and that with those affiliated to the health plan provider (ARS Salud Segura) and the governmental health plan (Seguro Nacional de Salud) create the new Administrative Institute for Labor Risks with its own funds. Salazar made the comment when labor union representatives said they wanted to preserve the IDSS in its present form. Salazar reminded them that Law 87-01 that created the social security system is clear in that it gave a five-year timeframe for the IDSS to adapt to the new system. That was 13 years ago. He said that the government could not continue backing an institute that is financially and organizationally dysfunctional. Salazar said that the IDSS does not fulfill its role and has not been capable of adapting to the present needs of the health sector.
The business sector has advocated for the closure of the IDSS that adds an additional charge to the cost of hiring.