Podcasts about seguro popular

El gran agujero creado en estos años es la destrucción del Seguro Popular que dejó en el desamparo médico institucional a más de 50 millones de mexicanos.

Dime qué piensas del episodio.El Dr. Julio Frenk es una de las mentes más brillantes y visionarias en el ámbito de la salud pública y la educación superior y a partir de esta semana, asumirá el cargo de Rector de la Universidad de California, Los Ángeles (UCLA), la mejor universidad pública de Estados Unidos durante los últimos ocho años. Por favor ayúdame y sigue Cracks Podcast en YouTube aquí."Estrategia sin ejecución, conduce a promesas rotas y frustración. Ejecución sin estrategia es la garantía al caos."- Dr. Julio FrenkComparte esta frase en TwitterEste episodio es presentado por Salesforce, el CRM de IA número uno en el mundo y su nueva solución, Agentforce y por Diri Movil la compañía de telefonía que ha revolucionado la forma en que miles de mexicanos nos mantenemos conectados.Su trayectoria incluye liderar instituciones como la Universidad de Miami y la Facultad de Salud Pública de la Universidad de Harvard, siendo el primer latino en encabezar estas tres prestigiosas casas de estudio.El Dr. Frenk fungió como Secretario de Salud federal de México, rol en el que implemento el Seguro Popular, que brindó acceso a servicios de salud a más de 55 millones de personas. También fue el Director General Fundador del Instituto Nacional de Salud Pública de México y ha colaborado con organizaciones como la OMS, la Fundación Gates y el Instituto CARSO.Hoy Julio y yo hablamos de educación, de serle fiel a tus principios, de mantener tus opciones abiertas y del balance entre respeto y libertad de expresión.Qué puedes aprender hoyRazones por las cuales buscar educación superiorEl rol de las universidades en conflictos racialesCómo asegurar tu fidelidad a tus principios*Este episodio es presentado por Salesforce, el CRM de IA número uno en el mundo.Su nueva solución, Agentforce, no es simplemente un asistente digital. Es una suite de agentes autónomos diseñada para trabajar codo a codo con los equipos humanos, combinando datos unificados y capacidades avanzadas de IA para llevar a cabo tareas de forma autónoma o colaborar con los empleados en tiempo real. A diferencia de otras plataformas, Salesforce es la única que integra todos tus datos en un solo ecosistema de IA. Los agentes de Agentforce pueden analizar y actuar sobre la información de cada cliente y punto de contacto de manera segura y confiable, transformando cada rol, flujo de trabajo e industria para alcanzar una escala operativa sin precedentes.Revoluciona tu negocio con Salesforce en cracks.la/agentforce*Este episodio es presentado por Diri Móvil, la compañía de telefonía que ha revolucionado la forma en que yo y miles de mexicanos nos mantenemos conectados.Puedes tener 40 gigas por solo $289 pesos al mes y gestionar todo lo que necesitas para tus dos líneas desde la app, sin costos ocultos ni plazos forzosos.La cobertura es excelente hasta en eventos masivos.Además, si migras tu número actual Diri te duplica los datos por un año. Por sólo $289 al mes, tendrás 80 gigas y redes sociales ilimitadas todo un año. Por escuchar Cracks, Diri te regala 7 días de servicio ilimitado para que pruebes su servicio. Sólo dirígete a diri.mx/cracks Ve el episodio en Youtube

Con su Permiso en este episodio hablamos con Héctor Arreola-Ornelas, investigador del Instituto de Investigaciones sobre Obesidad y de la Escuela de Gobierno y Transformación Pública del Tecnológico de Monterrey, para analizar cómo es el sistema de salud que tiene México y los retos que enfrenta el Gobierno de Claudia Sheinbaum.  Junto a Azucena Rojas Parra y Beata Wojna, Héctor Arreola-Ornelas expone cómo cambió el sistema de Salud sin el Seguro Popular y con la transformación a INSABI y posteriormente al IMSS-Bienestar. También se enfoca en los retos financieros que implica mejorar la atención médica para los mexicanos en el corto, mediano y largo plazo.

Con su Permiso en este episodio hablamos con Héctor Arreola-Ornelas, investigador del Instituto de Investigaciones sobre Obesidad y de la Escuela de Gobierno y Transformación Pública del Tecnológico de Monterrey, para analizar cómo es el sistema de salud que tiene México y los retos que enfrenta el Gobierno de Claudia Sheinbaum.  Junto a Azucena Rojas Parra y Beata Wojna, Héctor Arreola-Ornelas expone cómo cambió el sistema de Salud sin el Seguro Popular y con la transformación a INSABI y posteriormente al IMSS-Bienestar. También se enfoca en los retos financieros que implica mejorar la atención médica para los mexicanos en el corto, mediano y largo plazo.

¿Por qué es tan preocupante el proceso de militarización que vive el país? ¿Qué fundamentos legales respaldan este proceso? ¿Cuáles han sido los resultados y consecuencias? Ximena Said Chávez, oficial del Área Jurídica y de Políticas Públicas de Intersecta, responde estas incógnitas. Enseguida, Octavio Gómez Dantés, investigador del Instituto Nacional de Salud Pública, advierte sobre las fallas del sistema de salud pública y el peligro que esto implica para los mexicanos sin seguridad social a partir de la destrucción del Seguro Popular.

Nayeli Roldán, periodista en Animal Político

En entrevista para MVS Noticias con Manuel López San Martín, Alberto Begné, colaborador de MVS, habló sobre el avance de las campañas en México. “Lo veo en el inicio donde se empiezan a trazar rasgos de las características de las dos candidatas, mensajes, estilos, lo que no sorprende es que la seguridad se coloca en el centro del discurso de las dos, en un país que supera los 86 mil homicidios, más de 45 mil personas desaparecidas y violencia política que vemos cada semana”, mencionó. Alberto Begné explicó que lo que ocurre es un falso debate, donde Xóchitl brinda datos duros en estrategia de seguridad y Sheinbaum dice que no regresarán a la guerra contra el narco de Calderón. “Hablar de tecnología, los resultados en CDMX, no veo un planteamiento integral que sabemos no se resolverá a corto plazo, pero no se ve nada por ningún lado”, aseveró. Economía en México ¿son viables los apoyos sociales? El colaborador de MVS Noticias recalcó que, si todo lo que ofrecen en incremento de subsidios, en edad de pensiones, jubilaciones, si todo lo materializaran, se agotarían los recursos públicos, “no hay manera, es la disputa por los votos”. Lo anterior es en un escenario donde Gálvez lanza una señal diciendo que “ella va a continuar con los subsidios y los va a ampliar, luego Sheinbaum diciendo que van a continuar con montos y coberturas, pero los montos no dan, es insostenible en términos financieros, en esta ruta no aportan nada”. ¿Qué proponen Xóchitl y Sheinbaum? “Xóchitl dice que va a restaurar programas como estancias infantiles, el Seguro Popular y que Sheinbaum pone un matiz en energía renovable, pero fuera de eso sigue sin separarse de la línea ideológica del presidente López obrador, sigue sin poder andar sola, Xóchitl transmite una emoción importante, pero no se traduce como una estadista y con una visión completa”, declaró. Para finalizar, Alberto Begné destacó que las propuestas van en un tema serio y de emoción, pero principalmente en el tema de seguridad, “estará en el centro, en internacional, no hay sistema que no cuente con un sistema nacional con acceso a la justicia y prevención social de delincuencia, sin eso no hay un sistema que funcione”.See omnystudio.com/listener for privacy information.

En entrevista para MVS Noticias con Manuel López San Martín, Ezra Shabot, colaborador de MVS, habló sobre los compromisos de mantener y aumentar programas sociales en el marco de las campañas. “El dar es lo que aniquila, habíamos tenido una visión no corporativa en programas sociales, si uno se da cuenta era una estructura que en términos electorales no daba una cantidad de votos, lo que hicimos fue acabar, como con el Seguro Popular, Progresa, que fueron sustituidos por mecanismos de entregar dinero directo a la gente”, mencionó. Ezra Shabot declaró que se tiene una realidad en un programa que no es un programa social, “no es decir toma el dinero, pero tu hijo tiene que ir a la escuela”. ¿Qué está sucediendo con los programas sociales? “Se convirtió en un aparato del gobierno y es parte de la campaña, es difícil que se rompa la relación, la gente recibe el dinero, ellos dicen ‘lo está dando el presidente'”, explicó. El colaborador de MVS noticias mencionó que, el problema es que la oposición debe jugar con los programas sociales, “Xóchitl dice que no quitará los programas, pero saben bien que una cosa es un programa social sustentable para mantener en el presupuesto, en pensiones se tuvo que rehacer el tema de afores para que no tronara, luego ocupar recursos del estado sin que tenga mecanismo de sustento para un crecimiento, va a resultar una bomba de tiempo”. “Gane quien gane, el tema de vialidad va a estar presente. No se está obteniendo dinero para poder pagar de forma continua, en ese sentido tendrá que manejarse ese discurso. Como propaganda suena bien, pero no es así, dime de dónde van a salir, porque aquí no hay como las pensiones del propio trabajador, aquí se está regalando el dinero”, afirmó. Para finalizar, Ezra Shabot declaró que hay una propuesta de que la gente no lleve celulares en la votación, “porque esto obliga a decir toma la foto de tu voto y la mandas, ahí estaríamos entrando en ese terreno de tener una certificación”.See omnystudio.com/listener for privacy information.

Presentan mecanismo de monitoreo de construcciones en la CDMX Vinculan a 14 personas que irrumpieron en el Congreso de NL Xóchitl Gálvez busca regresar el Seguro Popular

En colaboración para MVS Noticias con Manuel López San Martín, Eduardo Torreblanca, experto en asuntos económicos, ha hecho comentarios críticos sobre el recorte presupuestario en el área de salud para el año 2024 en México, destacando preocupaciones sobre el impacto que esto tendrá en la atención médica y el bienestar de la población. Torreblanca comenzó señalando que "lamentablemente en salud, el gobierno no tiene buenos resultados" y destacó que es una de las áreas más afectadas por la actual administración. Señaló que varias dependencias de salud enfrentarán circunstancias adversas debido a la reducción en el presupuesto, lo que podría afectar negativamente la calidad de los servicios de salud en el país. El colaborador MVS también hizo hincapié en que el presupuesto para el sector de salud sufrirá un retroceso significativo del 55.8 por ciento. Además, mencionó un cambio importante: "En lugar del Insabi, que fue un profundo fracaso que trató de reemplazar al Seguro Popular, se espera que el IMSS Bienestar reciba más de 128 mil millones de pesos". Este cambio plantea desafíos que, según Torreblanca, "deberán ser resueltos por los diputados". Torreblanca expresó su preocupación por la cantidad asignada a la atención de salud de los ciudadanos mexicanos, afirmando que "a cada mexicano, el año entrante, el presupuesto del IMSS Bienestar le corresponderá 208 pesos mensuales", lo que, en su opinión, es insuficiente. Además, resaltó que "nunca hay dinero suficiente para atender las necesidades de salud de la población". En relación con el Insabi, Torreblanca informó que nació en 2020 con un presupuesto de más de 74 mil millones de pesos, pero el año pasado se le otorgaron más de 100 mil millones de pesos, y aún así, considera que estos fondos no son suficientes para cubrir las demandas de atención médica en el país. TE PODRÍA INTERESAR El recorte presupuestario en salud para 2024 ha generado un debate en curso sobre la capacidad del sistema de salud mexicano para atender las necesidades de la población y brindar servicios de calidad en medio de desafíos económicos y de salud pública.See omnystudio.com/listener for privacy information.

¡Buenos días!

¿Cuál es el balance nacional con relación al Derecho a la Salud? 02:41 ¿Qué sucede con las políticas tales como el Seguro Popular, el Insabi y finalmente el IMSS Bienestar? 08:45 ¿Qué sucede con el fenómeno de las aseguradoras, cuál es su opinión al respecto? 17:50 --- Send in a voice message: https://podcasters.spotify.com/pod/show/frecuencianutricional/message

En entrevista con Luis Cárdenas para la Primera Emisión de MVS Noticias, Xavier Tello, médico cirujano y analista en políticas de salud, habló sobre la desaparición del Instituto de Salud para el Bienestar (Insabi).See omnystudio.com/listener for privacy information.

Doctor Frisbie: IMSS es insuficiente y ahora cargará con Insabi; necesario, vigilar y exigirLink para hacer donaciones vía PayPal:https://www.paypal.me/julioastilleroCuenta para hacer transferencias a cuenta BBVA a nombre de Julio Hernández López: 1539408017CLABE: 012 320 01539408017 2Tienda:https://julioastillerotienda.com/ Hosted on Acast. See acast.com/privacy for more information.

En entrevista Salomón Chertorivski, diputado de Movimiento Ciudadano, "Cuando tú tienes un catálogo de padecimientos que te cubre un seguro, eso lo hace exigible", dijoSee omnystudio.com/listener for privacy information.

El presidente López Obrador continúa recuperándose, cada vez son menos los síntomas de Covid-19 y todo parece indicar que antes del fin de semana reanudará actividades, informó esta mañana el secretario de Gobernación, Adán Augusto López… Y quien también tiene Covid-19 es el Embajador de Estados Unidos en México, Ken Salazar… En otros temas… En una sesión maratónica, la Cámara de Diputados aprobó la desaparición del Instituto de Salud para el Bienestar para ser sustituido por el IMSS-Bienestar… El INSABI sustituyó al Seguro Popular y comenzó a operar en enero de 2020… Por cierto, todavía no tenemos un sistema de salud mejor que el de Dinamarca, como lo prometieron cuando crearon el INSABI… Los Diputados también concretaron la desaparición de Financiera Rural… Además, el titular del Instituto Nacional de Migración, Francisco Garduño, fue imputado por el delito de ejercicio ilícito del servicio público, luego de la muerte de 40 migrantes en la estación temporal de Ciudad Juárez… En el escenario político… Habrá una reunión en Palacio Nacional con 20 gobernadores de Morena para hablar de los avances en seguridad… Al ser cuestionado sobre si el Presidente enviaría un mensaje en video a los gobernadores, Adán Augusto López respondió: “no está previsto, pero pudiera darse”… En información internacional… A nueve meses de asumir su mandato, el presidente de Colombia, Gustavo Petro, pidió la renuncia protocolaria a todos sus ministros… Y en los otros temas… La actriz Meryl Streep gana el Premio Princesa de Asturias de las Artes 2023 por “dignificar el arte de la interpretación”… Los cineastas Guillermo de Toro, Alfonso Cuarón y Alejandro González piden a la Suprema Corte no eliminar el FIDECINE… Y el portero Memo Ochoa es inmortalizado por la afición del Salernitana… Lo llaman un SANTO.

El presidente López Obrador continúa recuperándose, cada vez son menos los síntomas de Covid-19 y todo parece indicar que antes del fin de semana reanudará actividades, informó esta mañana el secretario de Gobernación, Adán Augusto López… Y quien también tiene Covid-19 es el Embajador de Estados Unidos en México, Ken Salazar… En otros temas… En una sesión maratónica, la Cámara de Diputados aprobó la desaparición del Instituto de Salud para el Bienestar para ser sustituido por el IMSS-Bienestar… El INSABI sustituyó al Seguro Popular y comenzó a operar en enero de 2020… Por cierto, todavía no tenemos un sistema de salud mejor que el de Dinamarca, como lo prometieron cuando crearon el INSABI… Los Diputados también concretaron la desaparición de Financiera Rural… Además, el titular del Instituto Nacional de Migración, Francisco Garduño, fue imputado por el delito de ejercicio ilícito del servicio público, luego de la muerte de 40 migrantes en la estación temporal de Ciudad Juárez… En el escenario político… Habrá una reunión en Palacio Nacional con 20 gobernadores de Morena para hablar de los avances en seguridad… Al ser cuestionado sobre si el Presidente enviaría un mensaje en video a los gobernadores, Adán Augusto López respondió: “no está previsto, pero pudiera darse”… En información internacional… A nueve meses de asumir su mandato, el presidente de Colombia, Gustavo Petro, pidió la renuncia protocolaria a todos sus ministros… Y en los otros temas… La actriz Meryl Streep gana el Premio Princesa de Asturias de las Artes 2023 por “dignificar el arte de la interpretación”… Los cineastas Guillermo de Toro, Alfonso Cuarón y Alejandro González piden a la Suprema Corte no eliminar el FIDECINE… Y el portero Memo Ochoa es inmortalizado por la afición del Salernitana… Lo llaman un SANTO.

Farmacias Similares is the largest privately owned chain of pharmacies in Mexico, and has a cute mascot — Dr. Simi — who is beloved across the country. What could possibly be wrong about this scenario? Many things.Today, we talk about what the rise of Dr. Simi says about Mexico's broken healthcare system. Read the full transcript here.Host: Gustavo ArellanoGuests: L.A. Times foreign correspondent Leila MillerMore reading:Mexico promised healthcare for all. Its failure to deliver made this smiling mascot famousEl Dr. Simi es una estrella de TikTok. También es una muestra de la crisis del sistema de salud de México

•Llegan a Nayarit los primeros médicos cubanos contratados•Actualización de cifras covid en México•Más información en nuestro podcast

Una de las grandes pifias de inicio en el gobierno de Andrés Manuel López Obrador, fue la criminal demolición del Seguro Popular sin tener nada que lo sustituyera. ;El Insabi nació muerto. ;3 años después, quieren corregir. Colima, Tlaxcala y Nayarit. ;

El cuerpo en movimiento es un cuerpo saludable pero hay que saber qué condiciona un desgaste acelerado de las articulaciones y cómo tratarlo a tiempo. Carlos Rafael Palma Reyes es egresado de la licenciatura en Fisioterapia en la Universidad Autónoma de Querétaro 2014. Es Profesor de Asignatura de la Licenciatura en Fisioterapia, Capacitador del método Neurohabilitación, está Certificación en Punción seca por la Asociación Mexicana de Fisioterapia Manual e Instrumental (AMFI) y es Terapeuta FNP Avanzado (3B). En el 2017 fue acreedor al mérito de: “PROTECCIÓN SOCIAL EN SALUD” otorgada por Seguro Popular del estado de Michoacán. Y en el 2018 como Asesor del cartel ganador del VI coloquio de investigación científica de la ENES unidad León titulado “EFICACIA DE LA TERAPIA FÍSICA EN EL CONTROL POSTURAL DE PACIENTES CON PARKINSON” . Carlos Palma Reyes Instagram: @carlospalmareyes Dra. Paulina Castro Instagram: @drapaulinacastro Facebook: @doctorapaulinacastro www.drapaulinacastro.com/

Mariana Gómez del Campo, vicecoordinadora del PAN en la Cámara de Diputados nos habla sobre el punto de acuerdo para solucionar el desabasto de medicamentos oncológicos a la población. Este punto de acuerdo pretende ser la solución definitiva a este grave problema, tan sensible que ha derivado en la muerte de cientos de niños en los últimos dos años.La diputada Gómez del Campo reflexiona sobre la diferencia entre el desaparecido Seguro Popular, sustituido por el famoso INSABI de la 4T, que no tiene ni pies, ni cabeza y es totalmente inoperante.La diputada panista destaca la lamentable escena que se suscitó en el recinto, cuando una madre con un hijo con cáncer, se arrodilla ante una legisladora para que aprueben este punto de acuerdo.

1 año y medio de pandemia, aumento de casos, mutación de cepas y una nueva vacuna.¿Cuáles son las secuelas que deja esta pandemia? En medio de 'la nueva normalidad', con un invitado experto en el tema: el Dr. Alejandro Moreno, especialista en salud pública y dirección de hospitales, ex- director del Seguro Popular en el Estado de Nuevo León y a nivel nacional en el Noreste de México.Medidas de seguridad, comunicación efectiva, COVID y salud mental.YouTube:https://youtu.be/Ydur269LL2w See acast.com/privacy for privacy and opt-out information.

En enero del 2020 desapareció el Seguro Popular, para ser implementado el INSABI por el Gobierno Federal. Por esta razón, muchos mexicanos piensan que solo se cambió el nombre del programa público de salud, pero funcionan básicamente de la misma manera; ¿es esto verdad? ¿Qué cambio trajo la implementación del INSABI en sustitución del Seguro Popular en relación a las mexicanas y los mexicanos? ¿Cual ha sido el impacto de este cambio en política de salud en plena pandemia? Acompáñenos a conversar acerca de este tema de especial relevancia con el Médico Cirujano y analista en políticas de salud, Xavier Tello.

El 1 de julio, el remedo con que pretende suplir al “neoliberal” Seguro Popular, nombrado Instituto de Salud para el Bienestar

En entrevista con Ana Francisca Vega por el 102.5 de FM, María Luisa Guisa Ortega, directora general de Administración y Finanzas de FUCAM habló de las adversidades que atraviesa la Fundación luego de desaparecer el Seguro Popular. See omnystudio.com/listener for privacy information.

“La deuda es del actual gobierno, antes era el Seguro Popular, desde que cambió se tiene esta situación”

Esta pandemia nos mostró que hemos aceptado convivir con un número estremecedor de muertos. ¿Cómo es que nuestra sociedad ha procesado eso? De alguna manera, lo hemos normalizado. En México habrá, al final, dos años de pandemia, porque la logística de aplicación de las vacunas que es un dolor de cabeza en todo el mundo aquí será más que eso, será una adivinanza o un volado. Nadie hubiera imaginado, cuando el gobierno decidió cambiar el sistema de compras de medicamentos en el país y sustituir el Seguro Popular por el INSABI, que azotaría el covid con sus funestas consecuencias. 

Los hospitales del país, sobre todo en el Valle de México enfrentan la urgencia de contar con al menos otros mil 800 trabajadores de la salud ante el crecimiento de la epidemia de COVID19, el desgaste de los profesionales en primera línea de batalla y el periodo vacacional de fin de año. Cierre de tiendas, comercios no esenciales hasta las 17:00 horas; retiro de venta de comida en la vía pública, con apoyo económico y fortalecimiento del uso de cubrebocas, y medidas sanitarias en todas las actividades económicas son algunas de las nuevas medidas que se deben tomar en colonias. La plataforma electoral del PAN, va contra modelo de comunicación del Presidente. Los candidatos de Acción Nacional llegan a las campañas 2021 con la promesa de ponerle freno al presidente Andrés Manuel López Obrador y revivir proyectos sepultados por está administración, como el Seguro Popular y los fideicomisos. Hosted on Acast. See acast.com/privacy for more information.

Los hospitales del país, sobre todo en el Valle de México enfrentan la urgencia de contar con al menos otros mil 800 trabajadores de la salud ante el crecimiento de la epidemia de COVID19, el desgaste de los profesionales en primera línea de batalla y el periodo vacacional de fin de año. Cierre de tiendas, comercios no esenciales hasta las 17:00 horas; retiro de venta de comida en la vía pública, con apoyo económico y fortalecimiento del uso de cubrebocas, y medidas sanitarias en todas las actividades económicas son algunas de las nuevas medidas que se deben tomar en colonias. La plataforma electoral del PAN, va contra modelo de comunicación del Presidente. Los candidatos de Acción Nacional llegan a las campañas 2021 con la promesa de ponerle freno al presidente Andrés Manuel López Obrador y revivir proyectos sepultados por está administración, como el Seguro Popular y los fideicomisos.

Señora Bonita. Amigo amo de casa. El calendario marca Jueves y usted sabe que es día de información. No la mejor. No la peor. Solo la necesaria. Por eso pare la oreja. Súbale a su radito. Que reviente esa bocina porque estas son las noticias: ¡No peregrines, peregrino! CDMX endurece medidas y habrá campaña para evitar visitas a la Basílica de Guadalupe.Váyase con su SIDA pa' otro lado, Aquí puras gripas… La 4T extingue Fondo de Protección contra Gastos Catastróficos del Seguro Popular.¡Abandonen la nave por estribor!… Tatis Clouthier se baja de la carrera a la gubernatura de Nuevo León.Y en La Mañanera: AMLO acepta diálogo con Alianza Federalista “Pero sin hablar de política”… ¿Tons pa hablar de qué señor? ¿De beis?Completamente en vivo y en directo. De Grupo Fórmula, oráculo de la información, transmitiendo a todos los confines de México. Ya llegó el señor noticia. Lord Comentario. Lady Gritos… Chumel Torres.

Lo que quiere decir, es que una mujer que estaba en el Seguro Popular que pueda tener cáncer, hay garantía de que pueda tener un tratamiento

En una comunicado se informó que tras la desaparición del Seguro Popular, con el que tenían convenio, a partir del pasado 1 de enero dejaron de brindar atención de manera gratuita Hosted on Acast. See acast.com/privacy for more information.

En una comunicado se informó que tras la desaparición del Seguro Popular, con el que tenían convenio, a partir del pasado 1 de enero dejaron de brindar atención de manera gratuita

Debido a la desaparición del Seguro Popular a inicios del año la señora María de los Ángeles Corona, se vio afectada debido a que el Instituto de Salud para el Bienestar (Insabi), aún no cubre el tratamiento para el cáncer de mama por lo que tendrá que pagar más de 20 mil pesos para su cirugía.

En ésta emisión de Perspectivas contamos con la presencia de Carlos Leos Martínez y Gonzalo González. Entre los temas tratados en éste episodio se encuentran la disolución del Seguro Popular y la transición al INSABI, el robo de insumos en el Hospital General de Tijuana, entre otros.

Metropolítica regresa de lleno a la Segunda Temporada hablando sobre el pasado, el presente y el futuro del Sector Salud en México. Analizamos lo que fue el ya extinto Seguro Popular; qué significa el nuevo INSABI y cuáles son sus proyecciones, ventajas y desventajas, y lo que le depara al Sector Salud en general. ¿Fue la mejor idea desaparecer al Seguro Popular? ¿El INSABI podrá operar fácilemente? ¿Cómo se pueden optimizar los servicios de salud de nuestro país?

El Dr. Éctor Ramírez Barba, diputado y especialista en temas de salud viene a platicarnos sobre las implicaciones del cambio del Seguro Popular al Instituto Nacional de Salud para el Bienestar (INSABI) ¿Qué significa este cambio? ¿México puede acceder a un sistema de salud como el de Noruega con el mismo presupuesto que se ha otorgado durante los últimos años? ¿Cuál es la postura de los gobiernos locales ante este cambio? Todo esto y más descubriremos en el más reciente episodio de Política 101.

No es un tema de grilla, pero se convirtió, ¿Guanajuato estará en el Insabi?. Es un tema que se partidizó, es un tema que impacta en todos los ciudadanos, pues es prespuesto público, en Guanajuato especialmente a todos aquellos que se atendían mediante el esquema del Seguro Popular, pues está de por medio la atención y cuál sería el costo

El gobierno de AMLO cancela el Seguro Popular para instituir el INSABI, con el ligero problema de que no diseñaron las reglas de operación, manuales, sin una fase piloto de prueba y sin mayor presupuesto, lo que desató una crisis para millones de mexicanos que...

A través de las redes sociales, el senador Samuel García, de Movimiento Ciudadano, distribuye machote para lograr amparos que permitan a beneficiarios del Seguro Popular recibir servicios de salud gratuitos, ahora, bajo la figura del Instituto Nacional de Salud para el Bienestar (Insabi). Hosted on Acast. See acast.com/privacy for more information.

16 ene 2020 – Nuria, Oscar y Renato hablan de la sustitución del Seguro Popular por el Insabi, los millones de Napito, las posibles reformas al sistema de justicia, los nuevos peligros del outsourcing y los chinos de dos bocas.

A través de las redes sociales, el senador Samuel García, de Movimiento Ciudadano, distribuye machote para lograr amparos que permitan a beneficiarios del Seguro Popular recibir servicios de salud gratuitos, ahora, bajo la figura del Instituto Nacional de Salud para el Bienestar (Insabi).

En ésta emisión de Perspectivas contamos con la presencia de Alberto Elenes y Gonzalo González. Entre los temas tratados en éste episodio continuamos hablando sobre los nuevos impuestos, el supuesto rompimiento entre el gobierno estatal y federal, así como la eliminación del Seguro Popular.

La presidenta de la Comisión de Derechos Humanos en el Senado de la República, Kenia López Rabadán, indicó que ante las manifestaciones por la desaparición del Seguro Popular y la puesta en marcha del Instituto de Salud para el Bienestar (Insabi) se muestra el desconocimiento de los servicios de salud por parte del titular del nuevo instituto Juan Ferrer Aguilar.

La entrada en vigor del Instituto que sustituyó el Seguro Popular ha creado la primera crisis del año para el gobierno. Salvador Camarena, Nacho Marván, carlos Puig y María Scherer están en el Botepronto de esta semana. ¿Es una crisis política? ¿De comunicación? O en verdad está en riesgo la atención a millones de pacientes. ¿Qué harán los gobernadores? Y qué podemos esperar de la apuesta de política pública de más impacto del gobierno de la Cuarta Transformación.

El exdirector del IMSS, Germán Martínez Cázares, consideró que al INSABI, que sustituyó al Seguro Popular, “le falta la cabeza de funcionarios que sólo hacen politiquería”… El Rector de la Universidad Autónoma de Tamaulipas dio la bienvenida a los estudiantes que se incorporaron a la actividad universitaria… El gobierno Tamaulipas cumple con la responsabilidad que tiene en las acciones de mitigación y adaptación al cambio climático… Hoy es martes 14 de enero de 2020, y estas son, las noticias más importantes hasta el momento…

Enlace telefónico con el secretario de Salud de Guanajuato, Daniel Díaz Martínez, sobre el sistema de salud y el funcionamiento del INSABI. Actualmente afirmó existen inquietudes e inconformidades. Indicó que se encuentra en la Ciudad de México para buscar certidumbre y eliminar las dudas, pues el problema no se encuentra en el primer y segundo nivel de atención, pues en Guanajuato existen mejoras en la infraestructura de salud. Adherirse al INSABI sería entregar el patrimonio de Guanajuato, pues costó inversión y años para garantizar la atención médica.

Ante la inconformidad que ha provocado el cambio en el programa del Seguro Popular por el Instituto de Salud para el Bienestar (Insabi), en Informativo el Heraldo Fin de Semana presentaron una mesa de análisis con la doctora Felicia Knaul, directora del Instituto de Estudios Avanzados para las Américas de la Universidad de Miami, y el maestro Héctor Arreola, director ejecutivo de Tómatelo a Pecho A.C.

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Refrendamos el compromiso de brindar atención médica y medicamentos gratuitos a toda la población. La sustitución del Seguro Popular por el Insabi elimina el requisito de la póliza de afiliación, por lo que desde el 1º de enero únicamente se solicita INE o CURP al asistir a una consulta. Sobre el conflicto actual entre EE.UU. e Irán, sostenemos nuestra posición del uso del diálogo para la resolución de controversias, deseamos que lleguen a un acuerdo pronto. México no intervendrá y mantendrá sus principios de respeto a otras naciones.

Refrendamos el compromiso de brindar atención médica y medicamentos gratuitos a toda la población. La sustitución del Seguro Popular por el Insabi elimina el requisito de la póliza de afiliación, por lo que desde el 1º de enero únicamente se solicita INE o CURP al asistir a una consulta. Sobre el conflicto actual entre EE.UU. e Irán, sostenemos nuestra posición del uso del diálogo para la resolución de controversias, deseamos que lleguen a un acuerdo pronto. México no intervendrá y mantendrá sus principios de respeto a otras naciones.

Noticias breves con perspectiva humana: Embajada mexicana • Ex CEO de Uber • Notre Dame • Protestas en Hong Kong • Secretariías en Provincia • Cierre de Mercados • Yeidckol y el poder • Seguro Popular

José Luis Martínez Cendejas, director del Seguro Popular en Guanajuato, detalló cómo se maneja el mecanismo en la entidad como una forma para garantizar la salud de las personas. La Federación aporta una cantidad de 4 mil millones de pesos al año, más los aportes del estado, todo destinado al equipamiento, persona, entre otros. Con la reforma planteada por el nuevo sistema de salud, existe una duda sobre cómo se repartirán los recursos, cuál será la fórmula para el manejo de los recursos. Pero uno de los problemas sería que la centralización de los servicios, la contratación de personal, construcción de hospitales, mantenimiento tendrá que ser nuevamente de la Federación.

El nuevo Hospital General Regional de León (HGR), un proyecto que tiene generó polémica sobre qué pasará en el antiguo nosocomio y cuáles serán las repercusiones para el Barrio Arriba. Ahora se consolida un poco más la zona hospitalaria de San Carlos, donde ahora se encuentra el HGR y el Hospital de Alta Especialidad, pues en Guanajuato se cuenta con uno de los mejores servicios hospitalarios, donde el Seguro Popular funciona de forma adecuada.

Señora Bonita. Amigo Amo de Casa. Es lunes y es la una. Empiece la semana con la mejor información del cuadrante radiofónico en la voz de los expertos. Y si no se puede, pues empiécela con nosotros, qué caray -AMLO dice ADIOS al Seguro Popular y HOLA al Instituto de Salud para el Bienestar… Lo mismo pero con nuevo nombre ¡Y qué nombre! -Gobierno de Chihuahua asegura que César Duarte está en Estados Unidos… No pues gracias por avisarle en vez de ir por él. -Atletas tragando tacos de trembolona y la CONADE gastando 14 millones en persianas… Es difícil de creer. Creo que nunca lo podré saber. Súbale a su radito que estamos completamente en vivo. Desde Fórmula Universidad. La Casa del Buen Informar. Y ya está listo Chumel Torres y su equipo para hacer lo que mejor saben hacer… El ridículo.

In this episode, Marc talks about their health insurance and healthcare experiences in Mexico. He sets the stage by explaining why health insurance has been a thorn in his family’s side for over 20 years, starting with Mrs. Miller developing an endocrine system tumor in the 1990s. She became uninsurable except through an employer’s group health policy. As long as she was on a health plan, her treatment was very affordable. But their circumstances changed. Listen in, to hear of the insurance benefits the Millers found by becoming expats in Mexico.   Key Takeaways: [1:35] Marc welcomes you to Episode 131 of the Repurpose Your Career podcast. Career Pivot brings this podcast to you; CareerPivot.com is one of the very few websites dedicated to those of us in the second half of life and our careers. Check out the blog and the other resources delivered to you, free of charge. [2:07] If you are enjoying this podcast, please share it with other like-minded souls. Subscribe on CareerPivot.com, iTunes, or any of the other apps that supply podcasts. Share it on social media or just tell your neighbors, and colleagues. The more people Marc reaches, the more people he can help. [2:29] Marc has released three chapters of the next edition of Repurpose Your Career to the Repurpose Your Career review team. If you would like to be part of the review team, please sign up at CareerPivot.com/RYCTeam. [2:44] You will receive new chapters as they become available. Marc is looking for honest feedback and would love to get an honest review on Amazon.com after the book is released. [2:55] Marc’s plan is to release the book in mid-to-late-September and do a virtual and a real book tour. He will be in Austin, the NYC Area, and D.C. during the months of September and October. Marc would love to meet his readers and listeners. [3:13] Reach out to Marc at Podcasts@CareerPivot.com if you’d be willing to give him some advice on venues or groups who would be interested in hosting an event. [3:23] Next week, Marc will replay a webinar that Susan Joyce of Job-hunt.org fame gave to the Career Pivot Membership Community called Personal SEO: Being Found and Protecting Your Privacy. This should give you a good sampling of the quality material available in the Career Pivot Membership Community. List to the end for more. [3:53] This week, Marc had planned to give an update on their expat journey, about healthcare experiences, resident visas, and finance processes, but the healthcare experiences ended up being such a big piece, that this episode is all about health insurance and healthcare in Mexico.[4:16] Please see the show notes at CareerPivot.com/episode-131 with additional resources and videos, which are fairly considerable. [4:35] In this episode, Marc will talk about health insurance and healthcare in Mexico. He sets the stage by explaining some health problems of Mrs. Miller that led to her becoming uninsurable except for an employer group health plan. [5:16] In 2000, Marc left IBM and went to work for a successful tech startup. The Miller’s have always lived frugally. They paid off the mortgage and their son’s college education, so, in their mid-40s they were debt-free. They don’t buy expensive cars and have always lived within their means. [5:53] Marc’s timing in career pivots has been impeccable. He started at Agere, his first tech startup, in January of 2000 and rode out the Dotcom Bust recession. He started at Lifesize Communications, in December of 2007 and rode out the Great Recession. [6:16] Marc just turned 63, and his wife is 64. She will be 65 and eligible for Medicare at the end of the summer. Medicare is a big deal. [6:40] Health insurance has been a thorn in their side. When Marc works for himself, he can’t buy health insurance for his wife. No one will insure her. When Marc left his last tech startup, at the beginning of 2011, they went on COBRA, paying about $1,100 a month. After 18 months, Marc enrolled his wife in the Texas Health Insurance Pool. [7:20] High-risk pools are not wonderful, in Marc’s experience. There is a lot of bureaucracy and it is expensive. Marc got a private plan from BlueCross BlueShield of Central Texas. After the Affordable Care Act came out, the Millers both went on the Exchange, first Mrs. Miller, and then, Marc, when his plan was terminated. [8:05] That was OK until October of 2016 when Marc received a premium notice that their plan was going up 50% to $1,800 a month. That’s when their journey into becoming expats started. [8:28] Marc knew when President Trump was elected and Republicans came into power that there would be chaos in the healthcare world. The Affordable Care Act is flawed; it is fixable but nobody wants to fix it. [8:44] 2017 was an interesting year for the Miller family. They went to San Miguel de Allende, where his wife developed what they later learned was anemia. They went to Ecuador, where his wife collapsed so they came home. They had been at 9,000 ft. Marc recorded CareerPivot.com/episode-29 from his wife’s hospital room. [9:21] Mrs. Miller has been treated and the condition was resolved. In 2017, the Millers spent $25,000 on health insurance and healthcare and did not reach their deductible. In 2017, they took a policy from Central Health, the public health organization in Central Texas from Sendero Healthcare, for around $1,100 a month. [9:54] If the Millers had the same plan this year, they would be paying over $1,600 a month, or $19,000 in premiums for a $7,000 individual deductible and $10,000 family deductible policy. This sets the stage for why the Millers are expats. [10:20] In Mexico, you have a public side to healthcare and health insurance and a private side. In the U.S., you have insurance exchanges and employer plans, which are private plans. On the public side, you have Medicaid and Medicare. Most of us will end up in Medicare, but there are reasons to opt out. [10:59] In Mexico, on the public side, the two most common ones are IMSS, about which Marc has little information, and Seguro Popular, which stands for Popular Insurance. Seguro Popular is roughly the Medicaid of Mexico. As an expat with a resident visa, you can sign up for Seguro Popular. It is largely free. [11:38] Under Seguro Popular, you are required to go to public clinics, doctors, and hospitals. Your wait times will be significantly longer than if you have a private plan.[11:53] There are a lot of economic refugees in Mexico. The Washington Post had an article about the millions of Americans coming to Mexico. About two million from the U.S. are in Mexico; about nine million civilian Americans are outside the U.S. [12:19] Healthcare and health insurance are large reasons and major drivers for the migration. Expats living strictly on their Social Security usually sign up for Seguro Popular because it is inexpensive. You can buy private health insurance. Listen to CareerPivot.com/episode-115 where Marc interviewed Valerie Friesen about it. [12:58] Valerie Friesen is from Blue Angel Solutions. She sold the Millers separate private health insurance policies for Marc and his wife with a $5,000 deductible. The combined premiums for the year come to about $2,000. The carrier is VUMI, a U.S. company. The policies are catastrophic policies. Regular healthcare is inexpensive. [13:48] Marc tells about his wife’s experience with an endocrinologist during their March–April 2018 trip. Being a retired R.N., Mrs. Miller has high expectations for her care. She was thrilled. She learned things that no other doctor had told her. She has been being treated since 1992. The appointment cost 700 Pesos (about $36). [15:09] The doctor sent Mrs. Miller to a hematologist for her anemia. The appointment was made for two days later. The hematologist spent an hour with her and told her things she had not heard from other doctors. Mrs. Miller also saw a dermatologist. Each of the three appointments was 700 Pesos. [15:54] Mrs. Miller also had bloodwork, and teeth cleaning. In total, the Millers spent $150 for healthcare. Marc has had his teeth cleaned twice, paying 600 Pesos (about $30). In the U.S., Marc paid up to $200 to have his teeth cleaned. [16:40] Expats can get confused dealing with Mexican healthcare. Marc recommends some videos about emergency room experiences: The Expats Mexico, Tangerine Travels First Visit, Tangerine Travels Second Visit, Retirement Before the Age of 59. [17:20] You are responsible to pay your bills at the time of service. Your medical records are yours. Mrs. Miller was emailed her results within three days. You are in charge of keeping your records. Marc shares a case study for a head injury for about $100 at a private clinic. It would have been less expensive at a public clinic. [18:40] There is pricing for locals, and sometimes tourist pricing, which is higher. You have to ask how much it will cost. Marc shares another case study where the patient forgot to bring her medicine. If you have medicine, bring it with you! Clinics may not have your prescription available. [19:43] Credit cards are not readily accepted in Mexico but they are accepted in the healthcare system. Even for hospitalization, you pay at the time of service, which may be $2,000 to $3,000, U.S., and then you file an insurance claim for reimbursement. Mexico is a cash society, so be prepared. [20:13] Getting medications is largely inexpensive, as long as what you have is common. Mrs. Miller takes a thyroid replacement medication that she cannot get in Mexico. The Millers will go back to the U.S. once a year and get a refill for a year’s supply. Marc’s research showed him that this is a typical solution. [21:13] This usually means you are getting the medication outside of your insurance. Marc’s wife can get one of her medication in Mexico but at a hospital, not at a standard pharmacy. So she has been buying it in the U.S., as well. It costs her $400 or $500 for a year’s worth. [21:54] The Millers will go back to Austin in September when Mrs. Miller becomes eligible for Medicare. You will need to get educated on Medicare. Marc explains Part A and Part B. If you do not sign up for Medicare at 65, or discontinue Medicare and re-enroll later, you will pay premium penalties,10% per year that you waited. [22:47] There are a lot of expats who never sign up for Medicare or who cancel it, thinking they will never go back to the U.S. They sign up for Seguro Popular, instead. Most expats eventually do go back to the U.S. The Millers will sign up for Medicare. [23:24] Mrs. Miller will also sign up for Social Security at age 65, even though it is about a year early. They looked at the numbers and decided it was a good decision. She will pay her Medicare out of her Social Security payment. [23:47] When you get older than 69, you cannot always apply for health insurance in Mexico, especially with a private health insurance company. There are many factors to research. The plan the Millers bought from VUMI at Blue Angel Solutions does not cover them in the U.S. It covers them everywhere else in the world. [24:27] A plan to cover the Millers in the U.S. would have tripled the cost. When the Millers go back to the U.S., they buy a temporary health insurance policy from VUMI. When this show airs, the Millers will be in New Jersey for a wedding. They are paying $167 for a policy to cover them for the five days they will be in the U.S. [25:06] When the Millers went to Austin for three weeks, earlier this year, they bought a similar policy for over $300. Mrs. Miller also bought a negotiated policy when she went back to the U.S. for a vaccination. [25:35] After Mrs. Miller enrolls on Medicare, her trips to the U.S. will be covered. [25:46] In Mexico, some expats are not rich but have enough money to retire on. They enroll in Medicare but do not buy Mexican insurance. They pay all their medical needs out of pocket. If something bad happens, they plan to go back to the U.S. for it to be covered by Medicare. [26:27] Some expats do not sign up for Medicare as it does not cover anything in Mexico and they never plan to go back to the U.S. [26:39] However, there is a hospital being built in the area that will take Medicare Advantage plans. In general, Medicare is only for the U.S. Some people living on Social Security cannot afford $135 a month for Medicare. [27:11] In CareerPivot.com/episode-119, Marc interviewed Queen Michele, who is in her mid-50s and she has no health insurance in Mexico. She is living on $1,100 a month, her teacher pension. Health care is very affordable and she’s taking the chance of not needing anything big. [27:30] Other economic refugees sign up for Seguro Popular and the health care they get is very good quality, even better than they might get in the U.S. You do have to shop around for doctors. Many of the doctors are trained in the U.S. Many are trained at the medical school in Guadalajara. [28:24] There are several hospitals in Guadalajara. There is one small hospital in Ajijic. A bigger hospital nearby just opened. Being an hour outside of a major city is an advantage. There are plenty of English-speaking doctors in the area. Mrs. Miller’s doctors are based in Guadalajara but come down to Ajijic every week or two weeks. [28:53] Mrs. Miller has been very pleased. Marc will go soon for his physical exam. Mexican Health insurance and healthcare have solved a lot of problems for the Millers. Marc will not move back to the U.S., if ever, before he is eligible for Medicare. [29:34] The healthcare system and the health insurance business is very broken in the U.S. right now. There is a proposal for Medicare at 50. CareerPivot.com has a link to a blog: “Could New Medicare At 50 Bill Save You Big Money?” This is not Medicare for All but would allow people to sign up for Medicare at 50 and pay the full cost. [30:06] In many cases this is a good median solution. A Medicare specialist recommended the article to Marc for the website. [30:38] If you have any questions for Marc, please leave a comment on the show notes page at CareerPivot.com/episode-131. You can also leave Marc a message at Podcast@CareerPivot.com. [30:59] It’s not until you experience healthcare outside of the U.S. that you realize just how broken the U.S. healthcare system has become. Check out the show notes with the additional resources and videos you may find useful at CareerPivot.com/episode-131. [31:23] The Career Pivot Membership Community website has become a valuable resource for approximately 50 members who are participating in the Beta phase of this project. Marc is recruiting new members for the next cohort. [31:37] If you are interested in the endeavor and would like to be put on the waiting list, please go to CareerPivot.com/Community. When you sign up you’ll receive information about the community as it evolves. [31:51] Those who are in these initial cohorts set the direction. This is a paid membership community with group coaching and special content. More importantly, it’s a community where you can seek help. Please go to CareerPivot.com/Community to learn more. They are starting a group for bloggers, writers, authors, and publishers.[32:26] Marc invites you to connect with him on LinkedIn.com/in/mrmiller. Just include in the connection request that you heard Marc on this podcast. You can look for Career Pivot on Facebook, LinkedIn, or @CareerPivot on Twitter. [32:45] Please come back next week, when Marc gives you a taste of what’s available within the Career Pivot Membership Community in an interview with Susan Joyce of Job-hunt.org fame about personal SEO, being found, and protecting your privacy. [33:02] Marc thanks you for listening to the Repurpose Your Career podcast. [33:08] You will find the show notes for this episode at CareerPivot.com/episode-131. [33:15] Please hop over to CareerPivot.com and subscribe to get updates on this podcast and all the other happenings at Career Pivot. You can also subscribe to the podcast on iTunes, Stitcher, the Google Podcasts app, Podbean, the Overcast app, or the Spotify app.

-La Jefa Sheinbaum sí es jefa, y desguarriza la CDMX. -Otra vez van sobre el aborto; el PAN de cada día. -AMLO dice: El seguro popular no es seguro, ni es popular. - Shakira: ni ciega ni sorda, nomás evasora… de impuestos. -Y en los deportes, ni América, ni Cruz Azul, sino todo lo contrario.   Esto y más con Chumel Torres. Ya es viernes, ya llegamos, ya ni modo.

Pamela Thompson of HealthCare Resources in Puerto Vallarta Explains the Importance of Medical Travel Insurance when traveling in Mexico, Medical Tourism and Medical Procedures that Tourists Seek in Puerto Vallarta. Listen to the Podcast! Subscribe on iTunes & Leave a Good Review   Hello fellow travelers, welcome this episode of the Puerto Vallarta Travel show. I am your host Barry Kessler and I am just so happy to be to introducing you to my favorite vacation destination, and maybe even yours, Puerto Vallarta Mexico. That music you were just listing to is performed by Alberto Perez, the owner of the La Palapa Group of Restaurants. Those are La Palapa, The El Dorado [caption id="attachment_195" align="alignright" width="300"] La Palapa, Puerto Vallarta Mexico[/caption] Restaurant, and now, at night for dinner The El Dorado transforms into The Vista Grill. That’s the Vista Grill that used to be up on the hill. Well now it has a new vista and that is right on the beach where you get the same Vista Grill Menu, and the fantastic Vista Grill service and what’s best, is it’s right there on the beach with a dramatic view of the Los Muertos Pier. You’ll recognize the pier with its stunning sail like structure, all lit up at night with beautiful colors. You can enjoy dinner under the stars, with your toes in the sand right at the water’s edge. ! It’s so romantic, it’s so Puerto Vallarta my friends! Today we have a very special guest but first, what’s happening in Puerto Vallarta this week, the 12th of June, 2017. We had our first sprinkling of the summer the other day, but it was just a tease. This week will be the week the rains return to Vallarta. I’ll be waiting to see if we get rain on my birthday, June 15th  which according to our buddy JR is the beginning of the rainy season. Stay tuned for that report next week. Marigalante Getting a Facelift, New Shows [caption id="attachment_751" align="aligncenter" width="1000"] Marigalante Pirate Ship, Puerto Vallarta, Mexico[/caption] I was reading an article in the Banderas News and it explains the absence of the Marigalene Pirate Ship this last trip down. The boat has been in dry-dock up in Mazatlán, getting her biannual maintenance done. Now I didn’t know this, but the Marigalante is actually a replica of the Santa Maria, one of the three ships Columbus sailed across the Atlantic, and the Marigalante is the Spanish galleon that you may have seen out in the bay. She can be seen sailing out each morning, heading south to the cool beaches beyond Los Arcos, in fact I believe it goes to the beach cove off of the resort Majauetes, that Diana Edelman was talking about in episode 15, the show about vegan dining in Puerto Vallarta.  Then every night you will see the Marigalante in the bay just off  the Malecon, firing off fireworks at around between 9 and 9:30 each evening. [caption id="attachment_791" align="alignright" width="195"] Marigalante Puerto Vallarta[/caption]     [caption id="attachment_752" align="alignright" width="171"] Marigalante Pirate Ship, Drydock Mazatlan[/caption] But don’t  worry, After an absence of almost two months, the Marigalante, will soon return to the waters of Banderas Bay. She'll set sail again on Monday, June 19, 2017 - and she'll do it with a fresh look and all new shows. The last time the Marigalante was out of water was in 2015 when the last set of maintenance was carried out. One of the main tasks that is performed each time the ship is sent for maintenance is to make sure the galleon is completely watertight . This time, the 100% wood galleon had no leaks in its hull but, as the more than 30 species of tropical woods she's made from are constantly either submerged or weathered, it was time to give her some TLC. The scheduled maintenance cost around 10 million pesos (more than $500,000 USD) and involved 60 tons wood, stainless steel rods, over 850 liters of paint and 350 liters of varnish. Additional works included the installation of a new engine; servicing the generator, transmission and propeller; and replacing the bow and stern decks. The team of experts also reinforced the boat's keel and rudder and did some general renovating and redecorating. The Marigalente weighs about 700 tons, has three wooden masts with triangular sails and four decks with a total capacity of 240 passengers. [caption id="attachment_745" align="alignright" width="300"] Marigalante Pirate Ship, Drydock Mazatlan[/caption] I have had several people tell me that although the Pirate ship cruise is a little touristy and somewhat hokey, all of them say that the food was good and the alcohol flowed freely. Sounds good to me. Also, it seems to me that the tour gives you a great opportunity to see the Malecon at night from a whole different perspective. From the ocean looking in. So interesting. Look,  I didn’t want this to turn into a commercial for the Marigalante, but I guess it kinda was. If you have taken the cruise, either during the day or night, send me an email and let me know what you thought of the cruise. How you bought the tickets and how much you paid. Did you think it was worth the money? Let me know. Anyway, I have links and pictures of the Marigalante in drydock in Mazatlan. Check them out at www.puertovallartatravelshow.com episode 23. [caption id="attachment_788" align="alignnone" width="667"] Marigalante Puerto Vallarta[/caption] The Marigalante Website Click Here Travel Insurance in Mexico Okay, how many of you vacationers who travel to Mexico buy travel insurance before you leave for your trip? You don’t? How about this warning from the U.S. [caption id="attachment_749" align="alignright" width="300"] Pamela Thompson, HealthCare Resources, Puerto Vallarta[/caption] State Department… US Citizens should be aware of their rights under Mexican Law. Most Mexican healthcare facilities require payment “up front” prior to performing a procedure. Most hospitals in Mexico do not accept U.S. domestic health insurance or Medicare/Medicaid and will only accept payment via cash, credit, debit card or bank transfer. How about this headline? "Medical bills leave Lafayette woman stranded in Mexico." Or this one...?  "Man trapped in Mexican Hospital with allergic reaction to a jellyfish sting and a $50,000 bill". There are numerous articles you can find with a simple google search that tell us something that many of us never think about when we go to Mexico on vacation. What happens if something happens to us when we are in paradise? In fact, we talked about the subject of hospitals and doctors in Puerto Vallarta with Brad and Tami back on episode 18 I think. They had several incidents where they needed medical attention and they luckily had travel insurance that covered their medical bills. That brings us to our very special guest, Pamela Thompson of HealthCare Resources in Puerto Vallarta. I was introduced to Pamela by several of my friends here [caption id="attachment_734" align="alignright" width="216"] HealthCare Resources, Puerto Vallarta[/caption] who insisted she is the go to person when it comes to healthcare in Puerto Vallarta. She does so much here. You will see that she is involved in so many facets of the medical world, although her main thrust is Medical Tourism, and I was surprised at the types of medical procedures that she arranges for her clients in paradise. Kinda cool really. But this is going to be a very informative conversation and I would like to wrap it up at the end, with a quick review and good, reviewable show notes too. As usual. So let’s go to San Javier Hospital in Puerto Vallarta and join up with Pamela Thompson. Listen to the Podcast That was a lot of great information. The main takeaways... There is no such thing as free medical care here. Doesn’t matter how poor you are. The public system is the IMSS system and the regional hospital, that's the IMSS and Seguro Popular. Seguro Popular was created for the poorest of the [caption id="attachment_797" align="alignright" width="225"] Pamela Thompson[/caption] poor The regional hospital is a sad place. Medicare supplement or HMO doesn’t pay directly outside of the United States. And the air evacuation is very, very expensive and it must be paid upfront, before that plane leave take off down the runway. So it's important to have air evacuation policy or have your insurance include an air evac policy. Just have a good traveler’s insurance. Best Quote "  One of the things that I said in an article I wrote recently is, it's not always the case, but I say, I have seen in the past, especially this past year, a policy sometimes is just as good as the agent you buy it from. Some agents, and I use the term loosely, are don't really know the policy. You know, go to a website that have many of the insurance policies. Pretty much anybody can become an agent. They just make a commission on it. Some of them don't really even understand the policy. You want an agent that's going to be there to help you and that really understands the policy in case you have a claim or you have an emergency. That's really important." Make sure you are with an agent that understands the policy and that goes for an international policy or a Mexican private policy. The doctors Pam works with, total 26 of all specialties. I hope you got as much out of this conversation as I did. Pam Thompson, you are a very special person indeed and the people of Puerto Vallarta are so lucky to have you working for them. If you want to put pamela to work for you, her contact info is available right here in my show notes at www.puertovallartatravelshow.com episode 23. Contact Pamela Thompson www.healthcareresourcespv.com pamela@healthcareresourcespv.com   Well we are through for today. I hope you enjoyed our talk with Pamela Thompson of HealthCare Resources Puerto Vallarta .  Next week stay tuned for more on the ground reports from Puerto Vallarta Mexico and other surprises and Puerto Vallarta Travel tips and ideas.  Until then, remember, this is an interactive show where I depend on your questions and suggestions about all things Puerto Vallarta. If you think of something I should be talking about, please reach out to me by clicking on the Contact us tab and sending us your message. And remember, if you are considering booking any type of tour while you are in Puerto Vallarta, you must go to Vallartainfo.com, JR’s website and reserve your tour through him, right from his website. Remember the value for value proposition. His experience and on the ground knowledge of everything Puerto Vallarta in exchange for your making a purchase of a tour that you would do anyway, you’re just doing it through him as a way of saying thank you. It costs no more than if you were to use someone else so do it. Really. And when you do take one of these tours, email me about your experiences. Maybe you can come onboard and share with others what you liked or didn’t like about the tour. Again contact me by clicking on the Contact us tab and sending off a message. And once again, if you like this podcast, please take the time and subscribe and give me a good review on iTunes if you would. That way we can get the word out to more and more people about the magic of this place. So, thanks to Pamela  Thompson, check out the links to her website and blog at my website www.puertovallartatravelshow.com episode 23. I have pictures of most of her doctors and links to their information too.  I also have a transcription of the conversation with Pamela in the shownotes as well so feel free to read, listen and share with all of your friends and fellow travelers. Remember to include a good travel insurance policy with your next trip to Mexico. Don't leave home without it! And hey, thanks to all of you for listening all the way through this episode of the Puerto Vallarta Travel Show. This is Barry Kessler signing off with a wish for you all to slow down, be kind and live the Vallarta lifestyle. Nos Vemos amigos! [caption id="attachment_719" align="alignright" width="300"] Dr. Daniel Velasco – Surgical Oncologist[/caption] [caption id="attachment_720" align="alignright" width="220"] Dr. Javier Diaz-Nuñez - Ear Nose and Throat Sp[/caption] [caption id="attachment_722" align="alignright" width="300"] Dr. Manuel Hernandez - Orthopedic[/caption] [caption id="attachment_723" align="alignright" width="300"] Dr. Octavio Lomeli - Dentist[/caption] [caption id="attachment_717" align="alignright" width="300"] Dra. Alma Vargas - Dermatologist[/caption] [caption id="attachment_728" align="alignright" width="231"] Mari Torres – Complementary Medicine[/caption] [caption id="attachment_726" align="alignright" width="275"] Dr. Miguel Saldaña - Plastic Surgery[/caption]                                                                 [caption id="attachment_784" align="alignleft" width="119"] Paul Cankar – Physical Therapist[/caption] [caption id="attachment_779" align="alignleft" width="251"] Dra. Leticia Arechiga - Pediatrician[/caption] [caption id="attachment_778" align="alignnone" width="300"] Dra. Leslie Swindle - Cardiologist[/caption] [caption id="attachment_780" align="aligncenter" width="111"] Dra. Maria Jose Cuevas - Oncologist[/caption] [caption id="attachment_782" align="alignright" width="221"] Dra. Patricia Garcia -Dermatologist[/caption] [caption id="attachment_781" align="alignnone" width="276"] Dra. Nashielli – Plastic Surgeon[/caption] [caption id="attachment_777" align="alignnone" width="300"] Dra. Laura Garcia – OB-GYN[/caption] [caption id="attachment_783" align="aligncenter" width="174"] Nathalie Batilliot – Licensed Dietician-Diabetic Educator[/caption] [caption id="attachment_765" align="aligncenter" width="290"] Dr. Cesar Gutierrez - Internist[/caption] [caption id="attachment_775" align="alignnone" width="243"] Dra. Cinthia Becerra - Specialist in BioIdentical Hormones[/caption] [caption id="attachment_764" align="aligncenter" width="300"] Dr. Carlos Olivares - Gastroenterologist[/caption] [caption id="attachment_774" align="alignnone" width="300"] Dra. Adi Dominguez – Psychiatrist[/caption] [caption id="attachment_763" align="aligncenter" width="292"] Dr. Carlos Garcia – Urologist[/caption] [caption id="attachment_762" align="aligncenter" width="300"] Dr. Armando Joya Gastroenterologist Gastric Surgeon Bariatric Surgeon[/caption] [caption id="attachment_773" align="alignnone" width="244"] Dr. Roberto Gutierrez – Endocrinologist[/caption] [caption id="attachment_760" align="aligncenter" width="185"] Dr. Antonio Matilla Torres[/caption] [caption id="attachment_772" align="alignnone" width="226"] Dr. Ricardo Rivera – Plastic Surgeon[/caption] [caption id="attachment_759" align="aligncenter" width="159"] Dr. Alberto Marron - Orthopedic[/caption] [caption id="attachment_771" align="alignnone" width="300"] Dr. Omar Morales – GP, Transfusional Medicine and Tic-Born Disease Specialist[/caption] [caption id="attachment_758" align="aligncenter" width="208"] Dr. Adolfo Curiel - Cardiologist[/caption] [caption id="attachment_770" align="alignnone" width="186"] Dr. Luis Robles - Neurosurgeon[/caption] [caption id="attachment_769" align="alignnone" width="294"] Dr. Luis Arias – General Practitioner[/caption] [caption id="attachment_768" align="alignnone" width="272"] Dr. Jose Rivas - Radiologist[/caption] [caption id="attachment_767" align="alignnone" width="269"] Dr. Hector Escoto Vascular Specialist[/caption] [caption id="attachment_766" align="alignnone" width="300"] Dr. Felipe Martinez – Anesthesiologist Pain Control Specialist[/caption] [caption id="attachment_776" align="alignnone" width="300"] Dra. Fabiola Gallegos - Physical Therapy[/caption]   Transcript of the Conversation between Barry Kessler and Pamela Thompson Barry Kessler:            Alright, I am in Puerto Vallarta, Mexico, ladies and gentlemen. And I have the honor of being here with Pamela Thompson of HealthCare Resources in Puerto Vallarta. Thank you so much for coming on the program Pamela. Pam Thompson:          Thank you for having me. Barry Kessler:            Now it seems like you are the go to person whenever, you know, when it happens to pertain to health issues. You seem to be the go to expert, according to all the local community anyway. And so first of all tell us about yourself and what was the path that led you to Puerto Vallarta. Pam Thompson:          I used to come here for vacation. Did that for many, many years. Fell in love with the place like everybody plus the right time to move here, so I did. Almost 28 years ago moved here full time. Worked in tourism for a while. Wanted to get back into healthcare. After doing a few other things in tourism went to work with air evacuation and long story but eventually worked my way into opening in health care resources. Barry Kessler:            Okay so health care resources, you are located where? Pam Thompson:          All over the place. Barry Kessler:            Everywhere? Pam Thompson:          My main office is at Hospital San Javier but I also work with a couple other hospitals. I work with 26 physicians and a couple of diagnostic companies. We are an independent company. Barry Kessler:            Excellent. Okay. Well sure seems like you found your niche here. Pam Thompson:          Oh I think so. Barry Kessler:            Yeah. Well this is a retirement town I would think on top of it being a big tourist destination. Lot of expats are moving here and living here. There is a lot ageing expats here. So what kind of medical plans do these expats get down in Mexico? Pam Thompson:          First I think you would be really surprised that it's not just not the retired and ageing. The past couple of years we have way more people who are, that are much younger than what used to be. Have way more request now for gynecologist and that's not just for menopause, it's for pregnant women. A lot more request for pediatricians. People are moving here that have small children. So it's a wide range of people moving here because now people can work from home, online. Barry Kessler:            Yeah. Pam Thompson:          They can work, you know, be located anywhere in the world. So we have a wide, it's not just, you know, over 65 type age group anymore Barry Kessler:            Yes. Pam Thompson:          It's a lot of baby boomers and what are they called, millennials now that are moving here Barry Kessler:            Yeah I noticed that. Alright. Well that is interesting and actually some of the restaurant owners that I spoke with are very young. Pam Thompson:          Yeah. Barry Kessler:            They have got young families. They have chosen to come here, start a business. Pam Thompson:          Right. Exactly. Barry Kessler:            Live here, raise their families here. So yeah, you are right. Alright. So what kind of medical insurance do these people get? Pam Thompson:          It varies. There are international policies. These are policies for people that live or work outside of their home country, either full or part time. Sometimes they get a traveler’s insurance. You can purchase a traveler’s insurance for a couple of days up to a year. Sometimes people purchase a Mexican private policy. You have to have permanent residency to purchase of Mexican private policy. Barry Kessler:            Okay. So- Pam Thompson:          It's little bit - the older you get, a little bit more difficult to purchase a policy. I think may be you are going to ask me later but Medicare doesn’t cover anything outside of the United States. Sometimes people, they have Medicare and a supplement, then they recommend that you have a good air evacuation policy so that if you have a critical medical situation, you have an air evac policy that could take you back to the United States. Barry Kessler:            Yeah that's smart. So you would say supplement what you have in the States if you are receiving Medicare Medicaid then basically have yourself something that you can use local for the small stuff.  Pam Thompson:          The most important thing is to have a plan. Do your homework. See what works here. I am sorry. See what’s covered here. See what’s accepted here. Make a plan before you come down or as soon as you get here. Barry Kessler:            Okay. good. Alright. And so how would you go back doing that? I mean, you just go online, you pick up the phone and?  Pam Thompson:          Well, we have a lot of people email me ahead of time or may be when they come down and they are looking either for a place to rent or they are looking a property to buy. Lot of times real estate agencies will or their real estate agents will give their clients my number and we are more than happy to sit down, have a chat, go over general health care information. It's not just about health insurance, it's about making sure, maybe you have medications that you have to take. We want to make sure they are available here. You want to check and see how much they cost. Maybe you have  cardiac issues. You want to make sure that, you know, you connect with the cardiologist here. There is lot of different issues you want to make sure and do your homework, have everything in place once you get here. Barry Kessler:            Okay. Pam Thompson:          Rather than wait until you are in the middle of an emergency. Barry Kessler:            Yeah that's for sure. Well I have your contact information Pam Thompson:          Sure. Barry Kessler:            On the blog post for this particular episode of the Puerto Vallarta travel show. You will be able to find it there and great. Okay so what would you say is the most common issue that you deal with as far as the ageing population here?  Pam Thompson:          Oh my goodness! There are urgent issues and there, the most … Barry Kessler:            Or maybe there isn't. Maybe it's just a, it just runs the gamut. Pam Thompson:          It runs the gamut. Barry Kessler:            Yeah. Okay. Pam Thompson:          Everything from, “I have an ear ache” to “My husband just died.” Barry Kessler:            Oh. Pam Thompson:          I mean that it's a wide variety. Barry Kessler:            Yeah, yeah. Pam Thompson:          It's a wide variety. Barry Kessler:            Well there is a ... Pam Thompson:          I never have a boring day. Barry Kessler:            I bet you don't. Well here in Puerto Vallarta would you say that like trip falls and stuff like that, broken ankles, broken wrists and stuff like that are pretty common. Pam Thompson:          Well you keep saying the ageing population... Barry Kessler:            I mean, I mean real. Pam Thompson:          I guess I am in that ageing population. Barry Kessler:            Me too. Pam Thompson:          Yeah we have a lot of, you know, falls, hip replacements, those kind of things. Yeah, orthopedic things. You know the cobblestones are streets are kind of hard to maneuver sometimes. Barry Kessler:            Yeah I know that. Pam Thompson:          So lot of orthopedic issues. I think, I think so. Barry Kessler:            Okay. Pam Thompson:          No, no there really isn't any one specific. Barry Kessler:            So it's like normal. It's like at home. right? Pam Thompson:          Yeah it's just like in the United States and Canada. Barry Kessler:            Yeah okay. Well speaking of that let’s talk about Mexican citizens. What kind of medical insurance do or what do they have? What do they use for medical issue? Pam Thompson:          There is no such thing as free medical care here. Doesn’t matter how poor you are. There is a vast difference between the public system and the private system. And that's important for the people that are going to be moving here to understand. The public system is the system that all the private hospitals … I mean I am sorry, the private system is what the private hospitals fall under where you and most of the doctors that I work with. The public system is the IMSS system and the regional hospital, that's the IMSS and Seguro Popular. Seguro Popular was created for the poorest of the poor by one of the ex-presidents of Mexico, I don't know how many years ago. But they are in it it's because there is no such as free medical care in Mexico. Many times people, non-Mexicans, have this idea that they are going to come down here and have free medical care or they are going to participate in the IMSS or the Seguro Popular system. They can, but they need to go take a look at the system. It's a vast difference than the private system. The regional hospital is … it's a sad place. I would suggest that they would go and take a look, ask any Mexican what they think about it. We collect donations for their - you need to take your own soap, you need to take your own shampoo. The staff there is wonderful. They work very, very, very hard with minimal resources. Maybe in other places in Mexico it's different. I have heard but it's over crowded, minimal resources. It's not a pleasant place and again the staff works extremely hard with minimal resources. It's not, I would never consider IMSS or Seguro Popular an insurance. But in some cases that's what people have to have. If one goes to a private hospital and there can't pay the bill then we have to send them on to the state hospital.  Barry Kessler:            Well, yes. Pam Thompson:          And -  Barry Kessler:            And that's like going off to Siberia. Pam Thompson:          Well no not really. Not really because they are Barry Kessler:            Okay. Pam Thompson:          Going to get the best care that they can give them out there. Barry Kessler:            Okay. Pam Thompson:          But it's going to be very different than the private system. They have volunteers that will go out and visit them and take soap and food and things like that. I just encourage people to the things that you know, the perfect system to go out and look at it first. Barry Kessler:            Right. Yeah and sounds little scary. Pam Thompson:          It is but and it's a sad situation and mostly for you know, it's for Mexicans and I often times feel bad when I have to send a non-Mexican out there because in reality I feel those beds are for deserving Mexicans. Barry Kessler:            Yeah. Pam Thompson:          But that's personal feeling.  Barry Kessler:            Well I understand. I agree with you. Alright, so people come here for you know, they don't come here expecting to get sick or anything like that. So people do come down here for medical tourism. You get involved in the medical tourism field? Pam Thompson:          I have many, we have many people that come down specifically to have medical services. It used to be years ago that people just came for plastic surgery or bariatric surgery. Barry Kessler:            Yeah. Pam Thompson:          Now they come for everything from hip replacement to cataract surgery, knee replacements. And I kind of look at medical tourism as little bit different. In the high season when I have, for example, this last high season I probably scheduled more MRIs than I ever have and that was because I would get emails and emails and phone calls, “Pam, somebody on the beach gave me your phone number. I am from Canada. I have been waiting for months for an MRI …” Barry Kessler:            Ah!! Pam Thompson:          “How soon can I get one here?” Well I can get you scheduled tomorrow. Okay, so then we set it up. To me that's kind of medical tourism as well.  Barry Kessler:            Yeah. Pam Thompson:          Or the same with a colonoscopy or an endoscopy, you know regular type procedures. So to me diagnostic services are sort of a medical tourism as well. Barry Kessler:            Yeah, although I would … you would never think that. You go, “Oh yeah I am coming here for you know a lift or this or that.” you never think, “Hey I will stop in for an endoscopy” Pam Thompson:          Right. Barry Kessler:            Or whatever. You are right. Pam Thompson:          Or we have people that come in the high season that plan ahead and they go ahead and get all their yearly studies done while they are here. The mammogram, you know their check ups, their physicals, you know, everything, the dermatology checks while they are here. So to me that's medical tourism as well. But as well we also have the plastic surgery and the big surgeries. Barry Kessler:            Yeah and do you get involved in that? Pam Thompson:          Oh yes. Quite often, there is many, you know just google medical tourism and you are going to come up with tons of companies. The difference, I think is that with a med … and most of medical tourism companies are not going to like that I say this but they are the middle man. And of course they are going to take a big chunk.  Barry Kessler:            Yeah. Pam Thompson:          And they also don't let you speak directly with the destination or the doctor. Where with me, I am in touch with the doctor, I am in the destination, there is not a big commission involved because I work in a different way with my doctors and hospitals. So, so yeah I am kind of all about cutting out that middle man.  Barry Kessler:            Good. Pam Thompson:          So yeah, we have, we do quite a few.  Barry Kessler:            Alright. How do you figure out, like price schedules and stuff like that? Do people …? Obviously they ask before they get it done. Pam Thompson:          Oh they write to me and tell me what they want done and it depends on the procedure. Barry Kessler:            Right. Pam Thompson:          Some of them I already have, I know. Barry Kessler:            Because you do them a lot. Pam Thompson:          Because I know what the doctor is going to charge. Barry Kessler:            Yeah. Pam Thompson:          We have a lot of package prices with you know, if somebody needs to come to have a hernia, I already know what that doctor’s package is with the hospital. If somebody is going to just you know, it just depends on what the procedure is. If it's a little bit different or if there is a complication, then I just check with the doctor and then I can send it back, send back the price to the patient. Barry Kessler:            Cool, wow! Alright. Well, what would you say is the most common procedure that's done here? Pam Thompson:          I think the most common request that I get is still for plastic surgery. Barry Kessler:            Okay. Pam Thompson:          That's the most common request. The most common procedure … well … it's still plastic surgery, bariatric surgery, lot more hip and knee replacements. Barry Kessler:            Really? Wow!  Pam Thompson:          I work with a urologist who does a lot of high foo prostate cancer surgery. Bariatric surgery. Well it just kind of varies. Barry Kessler:            Yeah, it sounds like it. Okay, well tell us about the quality of care. I mean, where are the hospitals that you deal with. We are sitting in one right now, San Javier, right? Pam Thompson:          Marina. Barry Kessler:            Right by the Marina. Are they here in Puerto Vallarta, in Guadalajara, where are they? Pam Thompson:          Well I .. for the hospitals that I work with, I actually go inside, I mean I go inside. I see the English speaking in-patients, whose right now it's a little bit less because we are more in a low season. San Javier Marina, across the street from where the cruise ships stop. Also Vallarta Medical Center on the south side of plaza Caracol.  I don't go all the time but also hospital might assist on the south side. Hospital San Javier Riviera in Nuevo Vallarta. We have other good private hospitals in the area. I don't work with them mainly because I don't have time. But they are all the Puerto Vallarta area. Of course there is many, many hospitals in Guadalajara to pick I mean but I am the most familiar with this area. Barry Kessler:            Sure. Pam Thompson:          The doctors I work with, 26 of all specialties. I am really picky about the doctors that I work with. We have every specialty available right now. And now we even have dermatologist, geriatric. I work with a diagnostic center, MRI. I mean it's really hard to kind of say what I do.  Barry Kessler:            Yeah. well sounds you do everything. Pam Thompson:          We do monthly screening clinics of all kinds, weekly speakers programs. Every year we do a huge, it's like a medical expo. Last year we had up to 4000 people attend. Barry Kessler:            Wow! Really? Puerto Vallarta? Really? Pam Thompson:          It's called medical matters. It's at the hotel Marriot. Three large rooms with speakers programs running continually. I spend a lot of time at the funeral home this year. Barry Kessler:            Wow! Pam Thompson:          And do assist, you know the family or the surviving spouse when somebody passes away. And I don't know. Barry Kessler:            Yeah, yeah. Pam Thompson:          It's just everyday it's different. Barry Kessler:            Yeah. So yeah the repatriation thing. So you help along with that too. I guess the whole life cycle happens here. Pam Thompson:          Yes. Barry Kessler:            In Puerto Vallarta. It isn't that different from any other place in the whole wide world, even though Pam Thompson:          Exactly. Barry Kessler:            We are in paradise. Pam Thompson:          Right. Barry Kessler:            Yeah. So besides the expats that live here for years at a time, of course we also have our fair share of snowbirds Pam Thompson:          Right. Barry Kessler:            Here in Puerto Vallarta. They come in from Canada, they come in from the upper reaches of the United States. So what kind of coverage can they get when, you know, their long time rent is not necessarily …? Pam Thompson:          For full time? Full time residence? Barry Kessler:            Well they are not going to be full time. They are going to be like six months out of the year. So … Pam Thompson:          Then they should … okay. Barry Kessler:            Do they need to do what you are talking about before? Pam Thompson:          Then they need a good traveler’s insurance. Barry Kessler:            Okay. Pam Thompson:          And a traveler’s insurance really needs to be purchased prior to departing their home country. Barry Kessler:            Okay. Pam Thompson:          So for example, ones that are going to be coming for next winter can start looking at options during the summer. And I always say this is I think Canadians must learn in school that they need to have a traveler’s insurance Barry Kessler:            Really? Pam Thompson:          because it's pretty rare that a Canadian arrives without traveler’s insurance. Barry Kessler:            Ha! Pam Thompson:          It's very rare. Canadians are well prepared and they come with a good traveler’s insurance. People from United States, not so much. Barry Kessler:            Not so much. Pam Thompson:          And it's usually they are the ones that end up with a critical situation and then they are surprised that they are, you know, their Medicare supplement or HMO doesn’t pay directly outside of the United States. So in the summer months or prior to their vacation, whether they are coming for a month, two weeks or six months, they need to start looking at options. There is a lot of very good traveler’s insurance out there. A good traveler’s insurance will include an air evacuation policy in it and as I said Canadians are well aware of traveller’s insurance and their traveller’s insurance almost always includes an air evacuation policy. Barry Kessler:            Okay. Is it expensive? You know? Have you ever -? Pam Thompson:          Traveler’s insurance? Barry Kessler:            Yeah. Have you looked at it? Pam Thompson:          No, they are all very different prices. Barry Kessler:            Okay. Pam Thompson:          But I mean it's not cheap. Barry Kessler:            Right. Pam Thompson:          But I always, you know, tell people cheap isn't always better. Barry Kessler:            Right. Pam Thompson:          You want one that, you know, if you pay, you know, 10 or 15 bucks for traveler’s insurance obviously they are not going to do too much for you. Barry Kessler:            That might not save your life. Pam Thompson:          That's right. Barry Kessler:            Right. So you might as well, if you are thinking about like living you might consider just getting the right kind. Pam Thompson:          One other thing I always stress to people that it's really probably one of the most important things to know is that insurance here is only accepted for inpatient services. You always, always have to pay out of pocket for consults, emergency room visits, medications, yeah, yeah, x-rays, lab, any of those things. You can turn it in for re-imbursement. That's not a problem. We will help you do that. But it's only accepted as form of payment for inpatient services normally with a minimum 24 hours stay. That's really important. Barry Kessler:            That is important. Pam Thompson:          You can't just go to the doctor and have a consult and flip out your insurance card. The receptionist will look at you kind of funny and say, “I want money.” Barry Kessler:            Yeah. Alright, so are, you know, credit cards accepted here? Pam Thompson:          Yes. Barry Kessler:            Alright. Pam Thompson:          Yes, of course. Barry Kessler:            Alright, right on. well bring your medical insurance and bring your credit card. Pam Thompson:          And your credit card. Barry Kessler:            Okay bring them both. Pam Thompson:          Right.  Barry Kessler:            So you do get involved with the like medical emergency repatriations as well? I imagine. Pam Thompson:          Sure. Barry Kessler:            Okay. Pam Thompson:          You know we don't do as many air evacuations as we used to because we have, we can take care of the patient here. Barry Kessler:            Yeah you must be … Pam Thompson:          But we do, we have done a few flights this season. There is different reasons why people would be air evacuated back to Canada or the United States. If it's a, going to be a long time recovery like may be a stroke patient and … here we don't have a … we have hospital or home. We don't have a like a long term rehab. Barry Kessler:            There is no rehab centers. Pam Thompson:          Right. So it's going to be really expensive to stay in a, you know hospital. Barry Kessler:            Yeah. Pam Thompson:          So you know they are going to … it's better to go home. Barry Kessler:            Alright. Pam Thompson:          And a lot of times the family wants the patient home. So then we do a, do an air evacuation. Barry Kessler:            Okay. Pam Thompson:          And the air evacuation is very, very expensive and it must be paid upfront, before that plane leave take off down the runway. So it's important to have air evacuation policy or have your insurance include an air evac policy. Barry Kessler:            Good. Alright. I think it's a great idea. We talked a little bit about having to be a citizen to get medical benefits. So if somebody was coming down here to live full time you would suggest, you know, getting a residency all straightened away so you can eventually get medical insurance in Mexico? Pam Thompson:          Not necessarily. Barry Kessler:            Okay. Pam Thompson:          Only if you want to have, I mean it's up to the person if they want to be a resident. Barry Kessler:            Okay. Pam Thompson:          A permanent resident, that's a personal decision. For medical benefits, in order to apply for Seguro Popular which would cover you only at the state hospital which isn't all that ... Barry Kessler:            Which is the horror show that Pamela was just telling us. Pam Thompson:          No, it's not necessarily a horror show.  Barry Kessler:            Oh alright. Okay, not a horror show. Pam Thompson:          But it's just not … it's very different than the private ...  Barry Kessler:            Yeah. Pam Thompson:          System. But sometimes that's all anybody can afford. Barry Kessler:            Sure. Pam Thompson:          Then you have to have your residency. But also there is some very good Mexican private policies.  Barry Kessler:            Okay … Pam Thompson:          But you have to ... Barry Kessler:            That's what you are getting at. Pam Thompson:          Yeah. that's not a horror show and there are some good policies but you have to have your permanent residency. Barry Kessler:            Okay. So you do need to get that permanent residency. Pam Thompson:          For that, yeah. Barry Kessler:            For that. Pam Thompson:          Sure. Barry Kessler:            Otherwise you are just doing it with what you were talking before. You are supplementing and you are … Pam Thompson:          And there is also, you know, the other option which is part of the public system but you still have to apply. Some people think they automatically can get it as the IMSS system. IMSS is a government program for people that are employed. Mexican workers by law, their employers pay for them to participate in the system. Barry Kessler:            Interesting. Pam Thompson:          Non-Mexicans can apply but there is a long list of pre-existing conditions. So if one has certain pre-existing conditions they wont qualify for it. Barry Kessler:            You better be healthy. Pam Thompson:          Yeah and they’ve added a lot of pre-existing conditions. So, but that, it's kind of confusing but that's also part of the public system. Barry Kessler:            Okay. Alright. What is …? I think we already talked about the most common issue that you work with day to day, which is everything. You don't really have anything special here. What type of coverage would you get if you are coming to Puerto Vallarta? We have talked … Pam Thompson:          As a visitor? Barry Kessler:            As a visitor. What would you do? Pam Thompson:          Well I would just,I would make sure and have a good traveller- Barry Kessler:            Just get that travelers insurance? Pam Thompson:          Yeah. Barry Kessler:            And it doesn’t really matter if you come in for a week or …? Pam Thompson:          No. Barry Kessler:            Or a month or …? Pam Thompson:          Just have a good traveller’s insurance. Barry Kessler:         Just do it for a week even. Pam Thompson:          Right.  Barry Kessler:            Right? Because There are issues. There are people … Pam Thompson:          Of course. Barry Kessler:            That get in trouble. You know they, they don't have to be long term travelers to have a medical issue. Pam Thompson:          Exactly. Barry Kessler:            Alright. What’s the biggest mistake you can make when you are buying, let’s say, medical insurance in Mexico? Is there something that you would kind of tell people to stay away from or don't do that or …? Pam Thompson:          Well you don't necessarily, you don't know it's … it's kind of hard to say buying medical insurance in Mexico. I will say buying medical insurance period because you are not always going to buy your medical insurance in Mexico. One of the things that I said in an article I wrote recently is, it's not always the case, but I say, I have seen in the past, especially this past year, a policy sometimes is just as good as the agent you buy it from. Some agents, and I use the term loosely, are don't really know the policy. You know, go to a website that have many of the insurance policies. Pretty much anybody can become an agent. They just make a commission on it. Some of them don't really even understand the policy. You want an agent that's going to be there to help you and that really understands the policy in case you have a claim or you have an emergency. That's really important. Barry Kessler:            Yeah. Pam Thompson:          I mean a lot of … many of them you can just go online and purchase. And that probably okay for a short term traveller’s insurance. But if you are purchasing a, you know, a year around policy, you know, regular policy, you are here full time. Make sure you are with an agent that understands the policy and that goes for an international policy or a Mexican private policy. And there are some very good agents in the area. And there is also some people that are just kind of in it to get the commision, they don't really understand the policy. that's an important ... Barry Kessler:            Yeah. Pam Thompson:          Important point.  Barry Kessler:            Excellent. That's good to know. Is there …? Pam Thompson:          And I don't sell insurance by the way. Barry Kessler:            Okay. Pam Thompson:          That's really important that people know. Barry Kessler:            Well you know everybody has got to Google search. Do it yourselves, everybody. And you should always, you know, follow up with these Google searches with, you know, just find out what their record is. Okay, if it's an insurance company that's got a bad record, believe me there will be a trail of people saying, “Hey stay away from these people.” so do your homework, double check before you buy the policy and like Pamela said get yourselves somebody who is experienced, not a fly by night. Pam Thompson:          I do have a list of reps that I can recommend and that I work with. I can tell you which hospitals work with which insurance companies and I can answer any questions but I don't sell any insurance. Barry Kessler:            Okay, good. Alright well I will have links for you to get hold of Pam and ask her those questions if and when you need it and believe me if you are going to be coming down here, you will have some questions for Pamela. Have we forgotten anything? Is there something that we haven’t touched base on yet about medical here in Puerto Vallarta? Pam Thompson:          Oh probably but I can't remember. I mean anyone is welcome to send me an email. I prefer an email over a phone call. It's really kind of hard to describe what I do. I work closely with both the Canadian and US consulate. The most important thing is do your homework, have an emergency plan, we do a lot of conferences. I do a conference in the fall called ‘End of Life Decisions and Banderas Bay’. That's a real uplifting topic. Barry Kessler:            Oh yeah. I just said, Yeah baby, it's a good one. Pam Thompson:          You know, what to … how to die here but those are the important topic. Barry Kessler:            Yes, yeah well. Pam Thompson:          We do a lot of fun, you know, kind of topics too. I am always looking for a few volunteers, work with the kids with cancer. That's why when you saw at my office it looked like Sounds club. Barry Kessler:            Yeah it did. Pam Thompson:          I am real proud of my doctors. I have worked with them for many years. I think they are really professional. I think they are really good people. I don't know. I think we have covered everything. They are welcome to get on my newsletter list. We send a monthly newsletter of all of our clinics and our speakers programs. Well that's about it. Barry Kessler:            Okay. We will have all of the great links so that you can get in touch with Pamela. Send her an email. Don't pick up the phone and call her. She gets busy … Pam Thompson:          You can call if it's an emergency but ... Barry Kessler:            Yeah. Pam Thompson:          Prefer an email. Barry Kessler:            She is a busy, busy lady you guys. So keep that in mind but also remember that she is here to help. You know, I have spoken with a lot of people in town and a lot of important people in town and more than once I have heard them say, “Pam Thompson saved my life.” Pam Thompson:          Aww!  Barry Kessler:            And you know I think that that says a lot. Pam Thompson:          Thank you. Barry Kessler:            About you and about how people feel about you. Pam Thompson:          Thank you. Barry Kessler:            And I just thank you so much for coming on the program and sharing all this great information with my listeners and once again I will have all that information that you can get a hold of Pam on my website. Thanks again.

Españolenado programa de radio Casa de España en México

In this week's episode of Chicago Policy Radio, Thomas Day sits down with David Garcia Junco to discuss Seguro Popular, its impact on health care for Mexicans, and investing in Mexico's future.