{"id":15981,"date":"2026-04-14T11:22:04","date_gmt":"2026-04-14T14:22:04","guid":{"rendered":"https:\/\/impactocastex.com.ar\/?p=15981"},"modified":"2026-04-14T11:22:06","modified_gmt":"2026-04-14T14:22:06","slug":"con-el-ataque-a-los-medicos-de-cabecera-se-golpea-a-los-jubilados","status":"publish","type":"post","link":"https:\/\/impactocastex.com.ar\/?p=15981","title":{"rendered":"\u00abCon el ataque a los m\u00e9dicos de cabecera se golpea a los jubilados\u00bb"},"content":{"rendered":"\n

El m\u00e9dico de cabecera es clave en el esquema de la obra social.<\/p>\n\n\n\n

<\/strong>Los m\u00e9dicos de cabecera de la provincia se sumaron al paro nacional tras el recorte del 50% en sus honorarios dispuesto por el PAMI. Denuncian que la nueva resoluci\u00f3n vuelve \u00abinviable\u00bb la atenci\u00f3n y afecta directamente a los jubilados<\/strong>.<\/p>\n\n\n\n

Los m\u00e9dicos de cabecera se sumaron a una medida de fuerza nacional de tres d\u00edas. Dejar\u00e1n de atender esperando que la obra social nacional derogue la resoluci\u00f3n 1107 que redujo en un 50% lo que reciben por cada jubilado asignado. Ahora cobrar\u00e1n entre 2.100 y 2.300 pesos.<\/p>\n\n\n\n

Moises (delegado de los m\u00e9dicos de cabecera de PAMI en la provincia) explic\u00f3 -en una entrevista con El Diario- que esta medida se produce en un contexto de ajuste de las prestaciones: menos medicamentos sin cobertura al 100%, el retraso de las jubilaciones m\u00ednimas (que cobra la mayor\u00eda, en un sistema que se transform\u00f3 en inviable por la cantidad de jubilaciones otorgadas sin aportes).<\/p>\n\n\n\n

\u00abCon este castigo a los m\u00e9dicos de cabecera se golpea a los jubilados\u00bb, asegur\u00f3 Mois\u00e9s. \u00abEl sistema no es viable con este monto paup\u00e9rrimo que se recibe por cada paciente\u00bb<\/strong>, remarc\u00f3.<\/p>\n\n\n\n

El m\u00e9dico de cabecera es clave en el esquema de la obra social. Brinda la atenci\u00f3n de medicina general, administra los medicamentos, el que pide los estudios y realiza las derivaciones a los especialistas. <\/p>\n\n\n\n

\u00abEs el pilar de la atenci\u00f3n el m\u00e9dico de cabecera\u00bb, explic\u00f3 Mois\u00e9s. <\/p>\n\n\n\n

Otro factor de confrontaci\u00f3n es que en la actualidad no le est\u00e1n pagando los gastos de consultorios. El PAMI le exige a los m\u00e9dicos de cabecera el uso de recursos inform\u00e1ticos y la prestaci\u00f3n a trav\u00e9s de una plataforma, que requiere una inversi\u00f3n y gastos que no son reconocidos. <\/p>\n\n\n\n

La resoluci\u00f3n que cuestionan los prestadores ya est\u00e1 vigente. Fue emitida el 9 de abril, pero retroactiva al 1\u00b0 de abril. <\/p>\n\n\n\n

\u00abEste es un ajuste que no le hacen a la industria farmac\u00e9utica ni a las petroleras ni a las mineras. Por eso se inicia esta medida de fuerza\u00bb, dijo el m\u00e9dico pampeano.          <\/p>\n\n\n\n

Por el impacto de las medidas, creen que muchos profesionales dejar\u00e1n de atender con el sistema de m\u00e9dico de cabecera.<\/p>\n\n\n\n

La resoluci\u00f3n del conflicto<\/p>\n\n\n\n

El origen del conflicto es la Resoluci\u00f3n RESOL-2026-1107-INSSJP, firmada el 9 de abril de 2026 por el Instituto Nacional de Servicios Sociales para Jubilados y Pensionados (INSSJP-PAMI). La norma introdujo modificaciones en el Nomenclador Com\u00fan del Instituto y en el modelo prestacional de los m\u00e9dicos de cabecera, con tres ejes centrales: la unificaci\u00f3n y actualizaci\u00f3n del nomenclador, el incremento del valor de la c\u00e1pita a partir de abril de 2026, y la eliminaci\u00f3n del incentivo econ\u00f3mico destinado a la formaci\u00f3n de posgrado. Adem\u00e1s, la resoluci\u00f3n avanza en un proceso de simplificaci\u00f3n administrativa que incorpora dentro de la c\u00e1pita pr\u00e1cticas que antes se remuneraban por prestaci\u00f3n en forma separada.<\/p>\n\n\n\n

La propia resoluci\u00f3n reconoce en sus considerandos que el sistema previo combinaba pago capitado con pago por prestaciones m\u00e9dicas realizadas. Sin embargo, los profesionales sostienen que el nuevo modelo elimina en la pr\u00e1ctica los componentes variables del ingreso, dejando la remuneraci\u00f3n casi exclusivamente atada al valor de la c\u00e1pita.<\/p>\n\n\n\n

Un punto que los m\u00e9dicos cuestionan desde el plano jur\u00eddico es que la resoluci\u00f3n ratifica la continuidad de los contratos vigentes pero modifica las condiciones econ\u00f3micas sin haber mediado renegociaci\u00f3n previa, lo que abre la puerta a eventuales conflictos legales.<\/p>\n\n\n\n

N\u00fameros que preocupan<\/p>\n\n\n\n

Seg\u00fan estimaciones difundidas por delegados y asociaciones m\u00e9dicas, ingresos que rondaban los $3.800.000 mensuales podr\u00edan caer a un rango de entre $1.200.000 y $1.600.000, lo que representa una reducci\u00f3n superior al 50% de la facturaci\u00f3n.<\/p>\n\n\n\n

El escenario se agrava al considerar que los m\u00e9dicos trabajan bajo modalidad contractual, sin relaci\u00f3n de dependencia, con una carga horaria obligatoria de entre 25 y 28 horas semanales y deben afrontar por cuenta propia la totalidad de los costos del consultorio: alquiler, personal administrativo, servicios, insumos, conectividad, mantenimiento y cargas impositivas. En muchos casos, advierten, el ejercicio profesional podr\u00eda volverse econ\u00f3micamente inviable.<\/p>\n\n\n\n

A esto se suma la definici\u00f3n de coseguros para los afiliados, es decir, un copago que deber\u00e1n abonar los jubilados y pensionados por determinadas prestaciones, un punto que gener\u00f3 rechazo tanto en el sector m\u00e9dico como en organizaciones de adultos mayores.<\/p>\n\n\n\n

eldiariodelapampa.<\/p>\n","protected":false},"excerpt":{"rendered":"

El m\u00e9dico de cabecera es clave en el esquema de la obra social. 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