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 Health Superintendence (Supersalud) much to do, with so little money!

Health Superintendence  (Supersalud) much to do, with so little money!
Origin: William Echenique
Published: 2018-10-11

Every time I review the functions performed by the National Health Superintendence, I cannot stop thinking about how this entity, head of the Inspection, Surveillance and Control System of the General Social Security Health System, will be able to organize efficiently, if it should be in charge of topics such as:

1. the coordination and execution of inspection, surveillance and control policies, in terms of technical and financial standards,

2. flow and administration of resources, administration of inherent risks to the system,

3. health activities of insurance companies,

4. compliance with user rights, and guarantee mechanisms for their protection,

5. issue instructions to their supervised,

6. to exercise the jurisdictional and conciliation faculty, rent monopoly and application of resources of gambling industry, authorization of procedures to their watched ones,

7. advance processes of forced administrative intervention and liquidation of companies that administer plans of benefits, providers of health services and

8. Technical and administrative intervention of Territorial Health Directions, among many others.

The limitations that this organism faces when wanting to fulfill its functions are numerous

This is reflected in the limited presence in the territories, delayed responses to health users, silence in response to requests and cries for help from health service providers, an absolutely worn out image, which no longer represents authority, nor inspires the respect for those in the sector who are in a dominant position.

A few days ago, I was listening to the National Health Superintendent, Fabio Aristizábal, in an intervention in which he stated, precisely the multiple shortcomings that this important body currently presents, and he referred specifically to the decrease of the budget for the following period to guarantee the functioning in the conditions in which it is occurring.

By combining the three elements, functions, limitations and less money, the expectations that are generated against what is expected of the National Health Superintendence, cannot be the best.

How is it that, if it has been identified that one of the main reasons for the deficiencies of the health sector is the lack of Inspection, Surveillance and Control, is thinking of allocating fewer financial resources? If it has not been able to function as he should, with what he has, much less will he do it if a part is taken away from him.

In good time at the beginning of this week, an amendment proposal was submitted to Bill No. 052/2018 Chamber - 059/2018 Senate, before the Congress of the Republic, to increase the operating and investment resources of the National Superintendence of Health, for the 2019 period, which among other things would allow regional strengthening, receiving important support from the representatives, who recognize in this entity a strong ally for the stabilization and improvement of the health system.

"Since it is not possible to continue issuing norms and being born daily obligations for the watched people, without there being the strong teeth that are required to enforce what is regulated"

In this moment of transition in which we sometimes want the adjustments and changes that are needed to be made more quickly, there is still the hope that what is coming will definitely be to improve, because a conscience has been awakened among almost all the actors that it is not possible to continue in the same way, on the same line, with the same practices.

In short, if I think we are many who think that we must change, so that things are different

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Religious mobilization against casinos was of no use, Brazil goes ahead with gambling and Lula has a test by Fire. 

Health Superintendence  (Supersalud) much to do, with so little money!

On the eve of the vote, the mobile phones of several parliamentarians were bombarded with a video of Pastor Silas Malafaia. He called on evangelicals to put pressure on CCJ members, stating that “two-thirds of these senators will vote for re-election in 2026” and threatening to denounce anyone who voted in favor of the project in the elections.



The CNBB (National Conference of Brazilian Bishops) also joined the discussion by sending a public note to Catholic senators. Thus, the note warned about the moral and social damage of betting. On the morning of the vote, Senator Eduardo Girão's (Novo-CE) office mapped the votes and concluded that there was enough support to block the proposal. Girão, one of the opposition leaders, quickly withdrew his request to postpone the vote. He stated that it was necessary to make it clear to society how each senator thought about the issue.


Then, senators who previously supported the release of the games, such as Eduardo Braga (MDB-AM) and Rogério Carvalho (PT-SE), began to ask for the result to be postponed. According to Senator Carlos Viana (Vamos-MG), the parliamentarians realized that they “will lose” if they vote in favor.


It was Lula who ended bingo in Brazil [in 2004, after suspicions of corruption]. If there is any ethics left in this government, let it show it now."


The project has been discussed in the National Congress for more than 30 years. Despite attempts to move forward, the opposition of the evangelical group and conservative sectors has always been an obstacle. But, in recent years, the international lobby has grown and become stronger, promising investments of billions of dollars. MultigameLINK At that time tax collection began to be attractive.


The current text allows the creation of casinos integrated into leisure complexes, such as hotels, shopping centers and restaurants. The proposal authorizes up to three tourist casinos per state, depending on the population and territorial area. But only São Paulo, with more than 25 million inhabitants, could install three resort casinos. Minas Gerais and Rio de Janeiro, with populations between 15 and 25 million, could have two casinos each. Amazonas and Pará, except for territories with more than 1 million km², could also have two casinos each.


The other states and the Federal District would have the right to one casino-resort each. Therefore, if approved, the proposal would legalize gambling, limiting the installation of one for every 700,000 inhabitants per state. Rio de Janeiro, with 16 million inhabitants, could open up to 22 gaming establishments.


The bingo houses would operate in physical, electronic and video bingo formats, the latter being limited to 400 machines per establishment.


The accreditation limit will be one bingo house per 150 thousand inhabitants per city. While territorial betting establishments could also operate bingos and video bingos. Given the uncertainty of the scenario, two government senators stated that the Lula (PT) government must define a position on the proposal. “The PT was always against it. It was Lula who ended bingo in Brazil [in 2004, after suspicions of corruption]. If there is any ethics left in this government, let it show it now,” said Girão, the senators demand the government's position on casinos

Sports betting the worst has already begun 

Health Superintendence  (Supersalud) much to do, with so little money!

Sports betting, suspended soccer players and teams, rigged championships, scandals the order of the day are the daily news lately. In Chile and other countries in the world, the sponsorship of teams by betting houses is distrusted, because it is not entirely unusual to think that some ally with each other and end up favoring a particular bet.


In Europe, especially in Spain, match-fixing is fought by small clubs that have been discovered and where one or two players have finally been personally punished, which is not a deterrent to prevent Premier League matches from being fixed. league.


For its part, the Bundesliga is doing everything in its power and knowledge to closely follow the matches, with a very restricted regulation of sports betting but which does not guarantee full transparency of the results.


But not only he soccer; A few weeks ago, tennis player Younes Rachidi was banned for life for allowing himself to be beaten at will and collecting betting dividends. Bárbara Gatica Avilés Chilean tennis player suspended 3 years; Premier League top scorer Ivan Toney is facing a ban for illegal betting… and the list goes on. In Colombia we are not the exception and Llaneros has been accused of a shameless arrangement to favor a result.


In a column published by Dr. Hernán Peláez, he commented: Thank goodness here, Coljuegos gives a license to betting houses. But I don't know if it monitors the exercise and the yields of these operations and health aid are publicly known —and should be— and education. Or does anyone know? to get out of my ignorance.


I answer: if Coljuegos does financial monitoring BUT it is time for Coljuegos to start a crusade in pursuit of Fair Play and be the guarantor of fair play and prevent soccer from being used to launder money through betting; His function, among others, is control, not just the collection of money; he has to see where he comes from, and that is the task he must take on.


Evert Montero and his self-regulation strategy in the game. 

Health Superintendence  (Supersalud) much to do, with so little money!

What do you mean by the need to have adequate communication and strategy by industry operators?


It is about strategies not focusing only on the brand, a product, or a particular company. Obviously, that is part of the development of the industry, of the individuality that you must have as a brand, but when I talk about strategy it has to do with a much broader 360, where you really consider all the variables that affect the industry in general, not just something. So, I invite companies to get together, review how they are investing, because you also must invest in advertising, in marketing, in all these issues, but also in relationships, in image, in industry positioning.


Why do you consider it necessary to have a relationship with the industries associated with gaming?


We must be much more open. Our relationship must go a little beyond what the activity of games of luck and chance is, we must have a much broader panorama and see who is involved due to some circumstance or another, not only from the sector. In the case of Colombia, we have to look at the State, the Government, the Legislative Branch, in the private sector, the banking sector, the insurer, the control bodies. The different sectors, because the regulator one knows controls it, regulates it and works with the development of the activity, but there are many other instances in which we must participate and participate in spaces where the message of the industry can be taken to another level.


Recently, he had a meeting with the Colombian Banking Association. What can you tell us about that meeting? This activity, I don't know if in the world, but in many countries, there is resistance to the banking sector, and we have to see how we show them how we give them the guarantees so that they open the door to the sector in a broader way.


What did the “self-regulation” project presented by Fecoljuegos consist of?


Our responsibility is not to stay and see how they regulate us and in what way, whoever is going to regulate us, be it the State, the government, the regulator, whatever body it may be. We have to be proactive and in the case of Fecoljuegos we work on the issue of self-regulation, with the media with how the excess and advertising of online platforms is affecting spaces that should be familiar and where there are children, how we should invest not so much money in advertising but in other types of social issues, generating different options so that there is peace of mind for the public around the issue of inviting people to bet.


We put all these issues into a code, we hired a larger self-regulation company in Colombia, and they created a code in which we built with the operators and businessmen some rules where one adjusts to having certain considerations to respect family schedules, which in all the sites do not have betting information, there are alerts so that it is done responsibly. Basically, it is a code focused on social responsibility and responsible gaming. Here I also call for control of illegality, which is a great risk that the industry has.

Casinos in Colombia, it is not a good time to invest in expensive equipment, there are no guarantees. 

Health Superintendence  (Supersalud) much to do, with so little money!

A week ago I was in Medellín and I don't know if I'm the only one, but when I'm in another city I usually walk around machine shops to see “what's new or strange”; To be honest, I do it more to see how the market is and I was surprised to see that what all the machine sellers say is true: a market saturated with products that rotate every six months and that become obsolete with the arrival of a better machine. in the place next door.



That is why international sellers prefer the mountain capital to do their launches and garage sales.


The paisas (name given in Colombia to people born in Medellin) fell into the consumerist trap that ultimately makes them work for companies that offer two-year loans, prices in dollars that “since it is on credit they don't feel like it,” but that perversely end up leading the operator into a vicious circle where they end up quota number 16 out of 24 and production has fallen so much that they must update a new game for a price sometimes of 3rd PART OF THE VALUE OF THE EQUIPMENT.


I saw in Medellín that in the most "perrata" place - as the Paisas say -, one can find in a corner state-of-the-art machines that no one seems to play, but that make their owners feel the happiest because they are fashionable and the They make you feel first world.

Possibly some fell into the trap, due to arguments; But without a doubt the Paisa operators have been getting on this train that finally ends up reducing their profits at the end of the year.


Updating equipment is very important but do the math so you don't pay the price later. Could it be that many operators have not realized that there are more economical ways to decorate their living room?


Tribal Casinos - Economic Giants beyond Las Vegas 

Health Superintendence  (Supersalud) much to do, with so little money!

Native American casinos, otherwise known as Indian Tribal casinos, have long had a major influence on gambling - especially in the US and, for a long time, these were the only establishments where it was legal to gamble, outside of Las Vegas and Atlantic City.

Indeed, there are Indian gambling establishments in over 50 percent of US states (29 in total), and all of these can be found on tribal-owned land, though as a side note, while this land is sovereign, it doesn't necessarily mean that all casinos that are found on tribal land are run by Native Americans.


What many people do not necessarily realize, is that Indian casinos are big business. Furthermore, the annual revenue that is generated by tribal gambling establishments significantly exceeds the figure that the entire Las Vegas strip churns out. In 2021, Native American casinos recorded a GGR (Gross Gaming Revenue) of $39 billion - over five times more than Las Vegas, which stood at $7 billion.

There are some misconceptions relating to tribal casinos, with many people believing that to enter one of these, you must be of Native American origin - this couldn't be further from the truth, and, in fact, there are those who prefer Indian casinos.


It is understood that the population of Native Americans in the US stands at 6.79 million in 2024 (roughly 2.9 percent of the entire US population). Furthermore, the vast number of Native Americans are considered 'poor', which essentially suggests that they do not have the means to use tribal casinos.

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Health Superintendence (Supersalud) much to do, with so little money!
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