Posts

Start inoculating prisoners, rights group presses gov’t

A support group for political detainees pressed the government to start inoculating prisoners, citing the higher possibility of coronavirus outbreaks inside the country’s overcrowded and poorly-ventilated jail facilities.

“Kapatid presses the national government to release a clear schedule for the vaccination of all prisoners, including the 704 political prisoners, in the national deployment plan for COVID-19 vaccines because the congested prison system places them at significant higher risk for the disease,” Kapatid spokesperson Fides Lim said.

The group Kapatid made the call after justice secretary Menardo Guevarra said that ordinary prisoners are not yet part of the priority list for the government’s vaccination activities against the increasingly contagious and deadly COVID-19.

Guevarra said that only elderly prisoners are eligible for early vaccination.

“[W]hile waiting for their turn to get vaccinated like the rest of the population, these [non-elderly] PDLs (persons deprived of liberty) will just have to follow minimum health protocols to reduce the risk of viral transmission,” Guevarra, Inter-Agency Task Force (IATF) Against COVID-19 member, said.

‘Mixed messaging’

Lim said Guevarra’s statement however contradicts an earlier assurance by the Department of Health (DOH) that “all persons deprived of liberty as determined by Bureau of Jail Management and Penology (BJMP) and the Bureau of Corrections (BuCor) are included under the Priority Eligible Group B-9.”

Kapatid asked DOH secretary and IATF Against COVID-19 chairperson Francisco Duque last March 2 to included all prisoners among the first to be vaccinated as part of the most “at-risk populations.”

DOH undersecretary and National Vaccine Operations Center chairperson Dr. Myrna Cabotaje told the rights group that prisoners are already identified for inclusion in the priority eligible population on the basis of stratifying the risks for contracting COVID-19 infection.

“So we quote to Secretary Guevarra the very words of the DOH in their reply to us: ‘Health is an absolute human right. No Filipino will be denied their right to get vaccinated with COVID-19 vaccine. The national government assures you that every consenting Filipino will receive the appropriate COVID-19 vaccine, to protect the life and health of every citizen, including all Political Prisoners,’” she added

“Shouldn’t the DOJ and the whole national government be saying the same thing to everyone?” Lim asked.

Lim said it is ironic that the DOJ whose mandate includes the supervision of the BuCor should contradict the DOH statement and ignore the plight of over 215,000 prisoners compelled to live in subhuman conditions.

“This apparently may be yet another case of mismanagement from the top that results in mixed messaging,” Lim said.

 ‘Death traps’

Kapatid said extreme congestion inside the country’s prisons makes them “death traps” during the pandemic.

In November 2019, the BJMP reported that its 467 jails nationwide were at 534 percent of capacity as of March of that year while the BuCor said that the congestion rate in its 125 prisons was at 310 percent as of January 2019.

In October 2018, the Commission on Human Rights said “deplorable jail conditions” in the country are aggravated by the failure of the government, including police officers, to faithfully comply with even the minimum human rights standards and laws, such as the Anti-Torture Act (RA 9745). # (Raymund B. Villanueva)

Health workers say hospitals ‘on the brink of collapse’

By Joseph Cuevas

Health workers said hospitals are on the brink of collapse amid the spike in new number of coronavirus cases around the country.

In a press conference Tuesday, April 7, Alliance of Health Workers (AHW) members said hospitals are overwhelmed with new patients every day and employees themselves are falling ill from the virus.

A number of health workers also resigned or have taken early retirement options due to fear, fatigue, frustration and severe demoralization, AHW said.

Emergency rooms, intensive care units, wards, isolation facilities of private and public hospitals are overcrowded and overflowing, the group said, while tents or modular container vans are full of patients waiting admission.

“Even ordinary rooms are now being used as COVID wards. Outpatient departments are closed in most hospitals and many patients are being bumped off,” the group added.

AHW said understaffing schemes by hospitals force health workers to be on duty for at least 12 hours or even 24 hours while some hospitals only have skeletal forces.

Contractualization in some hospitals, such as job order and contract of services especially for nurses, has worsened during the pandemic, AHW revealed.

AHW officer Sean Velchez said 117 out of 180 Philippine Orthopedic Center employees are Covid-positive.

Screenshot of the AHW=led online press conference.

Delayed benefits and other issues

Union officers of the Jose Fabella Memorial Hospital and National Kidney and Transplant Institute said their hazard pay, performance bonus and health risk allowances have been delayed since 2019.

Meal and transportation allowances are also on hold after the Department of Health (DOH) recalled funds for said benefits, the unions said.

Cristy Donguines of the Jose Reyes Memorial Medical Hospital said medical equipment like personal protective gears and gloves as well as medical supplies like oxygen tanks and others are also on low supply.

Philippine General Hospital’s Karen Faurillo complained of failed contact tracing as well as lack of mass testing, isolation and treatment for health workers.

Kodao file photo of an AHW protest action. (Joseph Cuevas/Kodao)

Collapsing health care system

Solidarity of Health Advocates and Personnel for a Unified Plan to Defeat COVID-19 (SHAPE-UP) convenor Dr. Eleanor Jara revealed that primary and secondary health care systems are also failing to help the spread of the virus.

Jara said important community level Covid interventions such as mass testing, contact tracing, equipped quarantine and isolation facilities are inadequate.

Jara, whose husband was among the first medical workers lost to Covid in 2020, said the situation will only worsen as the Department of Health continues to deny government’s inept and failed Covid response.

“The government must also held accountable for the death of 97 health workers since the pandemic and the rising cases of Covid-19 among health workers and people,” she said.

The AHW demanded an overhaul of the inter-agency task force’s militaristic response to the pandemic as well as the resignation of health secretary Francisco Duque.

The group said the Rodrigo Duterte government must also be held accountable for its failed pandemic response. #

Measly ECQ aid an afterthought — IBON

by IBON Foundation

Research group IBON said that the Duterte administration’s financial assistance to families affected by the enhanced community quarantine (ECQ) is so little that it is plainly just an afterthought.

Giving assistance clearly only entered the government’s mind when it once again resorted to an ill-conceived ECQ to try and contain the uncontrollable spread of COVID-19, said the group.

The Duterte administration announced that it will distribute assistance to some 22.9 million low-income households affected by the renewed ECQ in the National Capital Region, Cavite, Laguna, Rizal and Bulacan (dubbed NCR+).

It promises Php1,000 per individual to be distributed by the local government units (LGUs) as cash or in kind.

The so-called supplementary Social Amelioration Program (SAP) is evidently hastily being put together just now, said IBON.

The group said that after a year, the government has noticeably forgotten about giving aid and has not even bothered to make any contingencies or guidelines for providing further emergency cash subsidies.

IBON also observed how the budget for this is not being determined by the needs of Filipino families being driven into deeper distress.

Instead, the allocation for aid is decided based merely on the amount of leftovers from COVID-19 response funds that should have already been spent.

The economic managers said financing would be sourced from Php23 billion in unspent Bayanihan to Recover as One Act (Bayanihan 2) funds.

As a result, said IBON, only a measly Php1,000 is being allotted per individual including for those who have already suffered joblessness, loss of incomes and livelihoods, and depleted savings after over a year of lockdowns.

This is even less than two days of the NCR minimum wage of Php537, said the group.

IBON added that the assistance looks even more meager compared to its estimated family living wage (FLW) of Php1,064 as of February 2021. The FLW is the amount needed by a family of five members each day to meet their basic needs.

As it is, even the very few families getting the full amount of emergency cash aid under Bayanihan 1, Bayanihan 2 and this supplementary SAP would only have gotten around Php15,607 to help tide them over the 54 weeks of lockdowns since March 15, 2020.

This is the sum of average assistance received under the SAP 1st tranche (Php5,637) and SAP 2nd tranche (Php5,970), and assuming a family gets the maximum Php4,000 supplementary SAP today.

IBON said that poor and low-income families in NCR+ deserve not just Php1,000 but at least Php10,000 in emergency cash subsidies to be distributed immediately, or ten times more than being offered after a year of lockdowns.

This should even be given for at least three months and then to at least the poorest 18 million or even 22.5 million families, stressed the group.

Substantial emergency cash subsidies will provide immediate relief to tens of millions of Filipinos as well as significantly spur aggregate demand to help the economy recover faster, said IBON. #

= = = = = =

Kodao publishes IBON articles as part of a content-sharing agreement.

‘Hindi pwedeng ganito’

Gusto ko sanang abutin ang maraming pamilyang namatayan dahil sa COVID o mga pasyenteng nagka-COVID na nakaranas ng palpak na responde mula sa sistemang pangkalusugan ng bansa. Hindi dapat sila nagdusa, hindi sana tayo nagluluksa kung naging episyente lamang ang tugon sa atin.

Ni Man Hernando

Walang nag-akala na ang kuha sa litrato na ito ang magiging isa sa huling masasayang sandali natin bilang pamilya. Sana nilubos na natin. Sana nayakap ka namin.

Ang problema lang naman natin sa kalusugan mo ay ang pagiging makakalimutin mo. Minsan bibigyan ka ni nanay ng listahan ng mga dapat bilhin o dapat gawin para siguradong pagbalik mo ay gawa mo ang lahat ng ipinagagawa sa ‘yo. Pero babalik kang nagkakamot ng ulo dahil isa o ilan lang sa mga nakalista ang nagawa o nabili mo dahil nakalimutan mo kung saan mo nailagay ang listahan. May mga biyahe kayo ni nanay na nakakarating ka na sa malayong lugar bago mapagtanto na naiwan mo siya sa bahay dahil humarurot ka na sa pagpapatakbo ng motor nang hindi mo pa siya nai-aangkas. Ang ikinakatakot lang namin noon ay magka-Alzheimer’s ka.

Ang teorya namin, kaakibat na iyon ng iyong pagtanda at iniindang sakit na diabetes at mahinang baga. Pero bukod sa problemang iyan, kaya naman nating i-manage ang blood sugar at baga mo. Dahil na rin sa pandemic, tiniyak nating paborable ang nutrisyon at kaayusan sa bahay para sa inyo ni nanay. Regular ang pagdi-disinfect lalo na sa kwarto niyo. No Smoking Area ang buong bahay. At natuwa ako nang todo nang makumbinse ko kayong lahat na at least maging vegetarian. At pinakamahalaga, nakakakuha kayo ni nanay ng maraming energy kay Aully, Armee at iba niyong apo para manatiling malakas.

Unti-unting binalot ng kakaibang atmospera ang bahay nang nagsimula kang ubuhin. Napag-alaman natin kasunod na may nakatagpo kang isang kaibigang kalauna’y nagpositibo sa COVID. Sinikap natin kaagad noon na mapa-swab at mapatignan kayo pareho ni nanay sa isang klinika. Pero lahat ng subukan natin, mapa-publiko o pribadong pasilidad na malapit sa atin, ay ‘di kayo tinatanggap dahil mahaba ang pila at hindi tumatanggap ng walk-in. Kaya sinikap na lang namin, lalo ni nanay, na alagaan at pagalingin ka sa bahay.

Pero iba na ang pakiramdam mo nitong Martes. Lumala ang pag-ubo at nahirapan ka nang huminga. Hindi na rin kinakaya ni nanay kaya’t kahit walang appointment, nangahas na tayo na dalhin ka sa Bernardino General Hospital sa QC. Bandang alas-otso ito ng umaga. Doon, naigiit natin na i-x-ray at ma-test ka ng rapid antigen test. Agad na lumabas ang resulta. Positibo ka sa COVID at may pneumonia. Pero walang paglapat ng lunas na ginawa sayo o pagbibigay-gabay man lamang sa kasama mo kung paano ka magagamot. Ni hindi itinuro kung ano ang gagawin o paano ba ikino-koordina sa ibang pasilidad ang pang-gagamot sayo. Pinauwi ka ng ospital pagtapos magbayad ng limang libo.

Pag-uwi sa bahay, bandang alas-diyes, lalo ka nang nanghina. Kaya, sa payo ng kaibigang doktor, kumontak kami sa One Hospital Command Center (OHCC) at hotline ng Caloocan City Health Office (CCHO) para masundo at madala ka sa isang COVID facility. Wala tayong napala. Ni hindi makapasok ang tawag namin sa hotline ng OHCC. Palaging busy o cannot be reached ang kabilang linya.

Nakailang-tawag rin kami sa CCHO, naitatala ang ating request pero lagi lang sinasabi na maghintay. Naghintay tayo maghapon, pero walang dumating na tulong. Mabuti na lang at napakiusapan natin ang isang kakilala sa Barangay Hall ng Barangay 176 para magamit ang ambulansiya nila. Dumating sila alas kwatro ng hapon at kinuha ka, kasama si nanay. Pero hindi nila alam ang gagawin. Hindi pala naka-koordina iyon sa barangay at hindi rin naka-koordina ang barangay sa ospital na pagdadalhan.

Pagdating sa QC General Hospital, doon niyo nakita ang aktwal na kalagayan ng pandemya sa bansa: mahabang pila sa ER; hindi sapat na pasilidad; at over-burdened na mga medical frontliner. Nang lumapit kayo para humingi ng tulong, agaran ang tugon nila na hindi nila kayo magagamot sa mga oras na iyon. Una ay sinisi pa nila kayo kung bakit hindi kayo naka-coordinate. Ano nga bang malay natin na hindi pala tayo ikinordina ng barangay, hindi ba? Sinabi natin na huwag naman tayong pabayaan dahil lang sa hindi sila kinausap ng barangay. Nang maggiit tayo na huwag nila kayong tanggihan, saka lang nila sinabi na dapat kang mabigyan ng oxygen pero wala silang available. Mahaba raw ang pila at kailangang maghintay.

Pero tuloy-tuloy kang nagpapakita ng panghihina. Lumalalim na lalo ang paghinga mo at hindi na humihinto ang pag-ubo. Sa yugtong iyon, may isang kaibigang nagmagandang-loob na kumontak sa East Avenue Medical Center (EAMC) at nang malamang tumatanggap ng pasyente doon ay nagpasya tayong lumipat. Nagpaalam tayo sa QC Gen. Humingi sana ng kung anong coordination o endorsement pero wala silang ibinigay.

East Avenue Medical Center (larawan mula sa Wikipedia)

Pagdating sa EAMC, bandang alas nuwebe, ganoon rin ang sitwasyon. Walang tigil ang pagdating ng pasyente. Hirap na hirap ang mga frontliner. Walang sapat na pasilidad.

Gaya sa QC Gen, sinabi ulit sa atin na hindi tayo matatanggap dahil hindi tayo na-coordinate. Napaisip na ako nito. Bakit ganoon? Yung coordination, yung One Hospital Command Center ng DOH, imbes na makapagpadali sa proseso ng panggagamot sa mga pasyente ay nagiging burukratikong sagka pa para hindi nila gamutin ang tulad mo.

Sabi ng kausap natin sa triage, Lung Center of the Philippines(LCP) lang daw ang tumatanggap ng hindi naka-coordinate na pasyente. Dahil malapit lang, dali-dali kaming nag-inquire sa LCP. Pagdating doon bandang alas diyes ng gabi, sinabi sa information tent na hindi rin nila masasabi kung magagamot ka nila. Nagmamakaawa na kami sa kausap namin. Pero wala raw silang magagawa. Punuan ang pasilidad kaya’t wala silang maipangako.

Mabuti na lang sa oras ding iyon, naawa na sa kalagayan mo ang mga staff ng ER sa EAMC. Sa wakas, pinayagan ka na nilang pumasok sa loob ng ER. Habang tulak-tulak ko ang wheelchair mo paakyat sa ER kinakausap kita. Sabi ko sa yo: “Tatay, ito na, magagamot ka na. May mga doktor nang titingin sayo. Kaya tibayan mo lang loob mo, pagtutulungan nating lahat ang pagpapagaling mo.”

Pagdating sa pintuan, tinanong ko kung kumusta ka. Sumagot ka,” OK lang.” May kasamang thumbs up pa. Iyon na pala ang huli nating pag-uusap.

Bago pa man nila tingnan ang kalagayan mo, pinagsulat nila ako ng waiver na nagsasabing walang magiging pananagutan ang ospital sa kung ano man ang mangyari sa’yo. Desperado na kami. Hindi ka makakapasok hangga’t ‘di ako sumasang-ayon. Kaya kahit mabigat sa loob, isinulat ko ang idinikta nila.

Inakala naming malulunasan ka na kaagad. Pero hindi pa rin pala.

Pagpasok sa iyo, natanaw ka namin sa malayo. Ipinwesto lang ang wheelchair mo sa isang gilid kasama ng hindi ko mabilang na kritikal na pasyente. Aligaga ang mga frontliner. Hirap na hirap sila sa sitwasyon. Kami, alam kong ikaw rin noon, umaasa ka na mapapansin at makakatanggap na ng oxygen. Pero wala raw available. Hindi nila masabi kung kailan ka mabibigyan. Anong gagawin namin? May waiver kaming pinirmahan.

Gumawa kami ng paraan. Nanawagan kami kung sino sa kakilala ang pwedeng magpahiram ng aparato para sa oxygen. Nakakuha tayo, ala-una ng madaling araw. Pero sa hindi namin maintindihang kadahilanan: hindi nila pinayagang magamit mo iyon.

Lumipas pa ang ilang oras bago ka unang makatikim ng hangin mula sa oxygen. Sabi ng (nurse na) bantay mo, nangingitim ka na noon. Sa pag-alala namin, kumilos kami para mailipat ka sa isang pasilidad kung saan ka matututukan. Lumapit kami sa lahat ng kaya naming lapitan. May tumugon na ilang kaibigan sa loob ng ospital. Dahil sa paggigiit natin sa ER at sa tulong nila, naiakyat ka sa ward, madaling araw ng Abril 1.

Pag-akyat doon, siguro dahil sa paga-alala mo kung nasaan ka at nasaan kami o marahil dala na rin ng pagdidiliryo dulot ng kakapusan ng oxygen sa katawan mo, naging agitated ka raw. May oxygen ka na ulit. Pero hindi na pala sasapat iyon.

Ilang oras lang, bumagsak sa 60% ang oxygen level sa katawan mo. Lubhang napakababa kaya dinesisyunan na nilang gamitan ka ng ventilator. Last resort na raw iyon. At mula sa puntong iyon ay wala na raw kasiguruhan ang susunod na mangyayari.

Kung anuman ang ibig sabihin noon, hindi namin lubos na gagap. Basta huling kita namin sa iyo malakas ka. Naga-alala, pero buo ang pag-asa namin noon na para iyon sa mabilis mong recovery.

Lumipas ang mga oras na intubated ka. Kahit ang (nurse na) bantay mo ay nagimbal sa mga nasasaksihan niya sa mga oras na iyon. Wala kang malay. May mga oras na may sobrang lalim at bagal ang paghinga mo. May panahong para kang nalulunod. Pero sa mas mahabang panahon, payapa ka. Kaya sabi namin, kaya mo ‘yan.

Google search. Batay sa mga medical articles na nabasa ko, naglalaro sa 30-40% ang global death rate ng mga ginamitan ng ventilator. Inisip ko, malakas ka eh. Siguradong pasok ka doon sa 60-70% na magsu-survive. Hawak namin ang pag-asa na iyon hanggang alas-onse y medya.

Sinagot ko ang tawag ng kapatid ko. Hinatid ng iyong (nurse na) bantay sa kaniya ang balita na wala ka na. Idineklara kang patay 11:10 pm. Sabi ng bantay mo, ilang minuto lang daw iyon pagkatapos mong marinig ang boses ni nanay sa cellphone na sinasabing hinihintay ka niya na gumaling agad. Na mahal na mahal ka niya. Pinipilit mo raw dumilat ng mga panahon na iyon. Gumalaw pa nga raw ang isa mong daliri. Pero pagkatapos noon ay naghabol ka na ng hininga hanggang sa malagot ito.

Si G. Joseph Rumbaua, ang namayapa at ama ng awtor.

Hindi na namin alam kung ano talaga ang pahiwatig mo noon. Pero naniniwala ako na yun yung panahon na lubhang tumaas ang kagustuhan mong bumangon at makauwi pero nasa rurok na rin ng dominasyon sa katawan mo ang COVID. Lumaban ka hanggang huling hininga. Sana naramdaman mong nakipaglaban rin kami. Sadya lang talagang napakalupit ng kalaban natin at pinalalakas siya ng palpak na sistemang pangkalusugan sa bansa.

Sa pagpanaw mo, tatay, lalo kong naunawaan kung bakit natin iginigiit ang episyente at komprehensibong sistemang pangkalusugan. Kung sana naging masinsin ang sistema ng contact tracing at quarantine, pwedeng hindi ka na-expose sa COVID. Kung may accessible at maagap na testing, laboratoryo, at check up sa iyo, higit sana kaming mulat sa paga-alaga sa iyo. Kung malakas, nadaragdagan at napangangalagaan ang mga medical frontliner natin, may nakakatugon sana kaagad sa mga pangangailangan ng mga tulad mo. Kung may sapat na pasilidad lamang sana, hindi mo kailangang pumila ng matagal para madugtungan ang iyong hininga. Kung may episyente sanang polisiya at koordinasyon ang DOH at buong gobyerno para tuluyang wakasan ang pandemyang ito, siguro kasama ka pa namin ngayon.

Pero ayaw kong dito tapusin ang istorya mo. Hindi pwedeng ganito. Para sa iyo at iba pang tatay at nanay, lolo, lola at kapamilya, ipatigil na natin ito. Gusto ko sanang abutin ang maraming pamilyang namatayan dahil sa COVID o mga pasyenteng nagka-COVID na nakaranas ng palpak na responde mula sa sistemang pangkalusugan ng bansa. Hindi dapat sila nagdusa, hindi sana tayo nagluluksa kung naging episyente lamang ang tugon sa atin. Maaari tayong manghingi ng indemnipikasyon dahil sa kapalpakan nila. Higit doon, maaari nating ipanawagang palitan sila at ang nakamamatay nilang sistema. #

= = = = =

Si Man Hernando ay kasapi ng Migrante.

‘They treated me like I murdered someone’: Lockdown arrests mark 1st year of PH pandemic response

Fines from lockdown arrests have bled poor Filipinos dry while the rich and famous get wrist slaps for similar offenses. Calls for a different approach grow louder as the pandemic lockdown enters its second year.

BY AIE BALAGTAS SEE/Philippine Center for Investigative Journalism

Hunger pains hit Erwin Macahig, 30, at an inconvenient time on a hot and humid evening in the slums of Navotas. 

It was 9 p.m. on April 8, 2020, an hour past the city-imposed curfew that took effect roughly two weeks after the country’s Covid-19 infections began to rise and the Philippine capital was put on lockdown. The city streets turned into a ghost town manned by cops and soldiers in camouflage uniforms. The poorly lit alleys where Macahig lived seemed even darker in the silence of the night.

He was walking toward a sari-sari store when someone grabbed his wrist from behind. A cop. Three of his neighbors – out on the streets like him – were rounded up as well. 

The cops were accompanied by barangay officials who were jittery about Covid-19 spreading in the village and wouldn’t tolerate excuses that night from residents who violated the curfew ordinance. 

After getting a swab test at a public hospital, Macahig and the three other men were taken to a school where they were to be detained for the next 30 days for “simple disobedience” – unless they could post bail worth P3,000. For someone who had just been retrenched, the amount was a fortune that was impossible to raise in the middle of a pandemic.

“We did not receive financial aid from the government. Our food supply was only a few canned goods and three kilos of rice for a month. And they want us to pay a P3,000 fine? Where are we going to get that money? Frankly, they just made our difficult situation tougher,” Macahig told the Philippine Center for Investigative Journalism (PCIJ) in Filipino. 

Getting a criminal record for a mere attempt to buy food was beyond Macahig’s imagination.

“I don’t deny committing violations but why did they have to treat me like I just murdered someone?” he said.

Punitive pandemic response

Lockdown arrests marked the early months of the Philippines’s response to the coronavirus pandemic. Police Task Force Covid Shield has not released the total number of Filipinos arrested, detained, or fined one year since the lockdown began on March 15, but it was already at 100,000 as of September 2020. 

Police Major General Marni Marcos, chief of the Directorate for Investigation and Detection Management, has yet to respond to PCIJ’s requests for data. 

The punitive response has drawn a lot of controversies. In Santa Cruz town, capital of Laguna province, curfew violators, including children, were locked up in a dog cage. In Dasmariñas Village in Makati City, a Spanish national was declared an “undesirable alien” who could no longer return to the country, after an altercation with cops over mask rules. In Quezon City, a former soldier with mental illness was killed by cops after a commotion near a quarantine control point.

Many ended up in packed detention centers, which health and jail experts said were among the worst places to find one’s self in during the pandemic. They called them “breeding grounds” for Covid-19, where detainees were at risk of being exposed to the disease that the government has been trying to protect them from. 

In Navotas, about 1,000 people were cramped in the school where Macahig was detained. Fifty violators shared one classroom, he said. At night, they slept on cartons on cold floors. There were no provisions for food, soap, alcohol and potable water, he said. 

“I was more afraid of contracting the virus there because we didn’t comply with health protocols in the school at all. Detainees only wore face masks and followed social distancing rules when a high police official arrived for inspection,” Macahig said.

They were later transferred to an open space – a covered court behind the school building – after the school was converted into a quarantine site for suspected Covid-19 cases.

His friends and family – all of whom were financially knocked out by business closures themselves – eventually raised funds for his bail. “They did it out of pity. Some donated P20; others P100,” he said. 

Macahig was released on April 23 after he paid the fine. He pled guilty before a municipal trial court.

Relatives of quarantine violators wait outside the Navotas Metropolitan Trial Court to get their kin out of detention. There was a narrow window for the processing of release documents, 8 a.m. to noon, as working periods were shortened because of the pandemic. Photograph: Vincent Go
‘My family thought I was dead’

Other than imposing curfews, local governments also issued travel passes to limit the number of people allowed to go out even during day time. Those who didn’t have passes were arrested, too.

But Caloocan fish vendor Joseph Jimeda, known to many social media users as “Mang Dodong,” said he was arrested despite having a travel pass.

He was travelling to neighboring Navotas with friends to buy fish that they could sell in the market when the police took them on suspicion they didn’t have travel passes. Jimeda said he begged the cops for compassion because he had a four-year old at home and his wife had a cataract and could barely see.

“We kept explaining that we have them (about the travel passes), but the cops never listened to us. They just wanted to arrest people,” Jimeda said in an interview.

At the detention center, Jimeda received smacks and punches from authorities, instead of food and help. He could not inform his family of his whereabouts because he did not have a mobile phone at that time. The police did not help him. “All the while my family thought I was dead,” he said.

Jimeda was detained in the same covered court in Navotas several weeks after Macahig was released. Again, there was not enough food for the growing number of detainees. Those who didn’t receive visitors often suffered from hunger, he said. 

‘Yung iba akala mo patay-gutom (You’d think the others were destitutes),” Macahig said. “Some of them will join you in your meals uninvited. It’s embarrassing to shoo them away.”

Jimeda was released onMay 19 after 12 days in detention.

Photo shows Mang Dodong in detention  at the enclosed Navotas Sports Complex on May 14, 2020. The sports complex served as a detention center for quarantine violators. Photograph: Vincent Go
No money to pay fines

Those who couldn’t pay the fines had to stay longer in detention. 

Randy delos Santos, a coordinator of the church group Paghilom led by Fr. Flavie Villanueva, said several people from the slums have sought financial assistance from their office in Manila since April of last year. 

They had similar complaints: Being fined and arrested for violating quarantine rules.

The penalties ranged from P250 to P50,000, depending on the type of violation alleged and the city where it was committed.

Delos Santos said the calls for help usually came from people in Navotas, Manila and Caloocan. 

Delos Santos said there should be a shift in policies because fines imposed by ordinances that were passed to address the health crisis were bleeding the poor dry and sending them into deeper debt.

“It’s an additional burden to the poor,” delos Santos said. “Local governments should channel their energies toward educating the people and teaching the community how to follow proper health protocols,” delos Santos said.

While the poor suffered fines and long days in detention centers for finding ways to fend off their hunger, the past year has shown that the rich and powerful can hold parties and receive token wrist slaps for their violations. 

In January, events organizer and host Tim Yap organized a party in Baguio City, attended by guests who didn’t wear masks, among them contact-tracing czar and Baguio mayor Benjamin Magalong. Another celebrity, Raymond Gutierrez, threw a birthday party at trendy Bonifacio Global City Taguig the same month. 

In the early days of the pandemic, Makati Medical Center castigated Sen. Aquilino “Koko” Pimentel III for breaching quarantine protocols when he brought his pregnant wife to the hospital while he was waiting for the results of his test for Covid-19. 

Philippine National Police chief Debold Sinas was caught holding a birthday party inside Camp Aguinaldo, while the president’s spokesperson, Harry Roque, visited a marine park in Subic. There were no repercussions for the two despite the ban on mass gatherings and unessential travel.

A different approach is needed

Carlos Conde, researcher for Human Rights Watch in Asia, said local governments must rethink “anti-poor policies” such as sending people to jail for breaking health protocols and fining violators who are obviously penniless.

“No one should spend a night in jail for violating quarantine rules. That’s inhumane,” Conde told PCIJ.

Conde said that instead of arrests and fines, the local government should channel their efforts into a massive information drive for the public to better understand the dangers of the virus that has so far killed two million people worldwide.

Political science professor Maria Ela Atienza said the government should train its sights on harnessing “bayanihan” or community spirit among Filipinos instead of imposing a culture of crime and punishment to address the pandemic. The public needed to be encouraged to take care of themselves in order to take care of one another, she said.

Atienza said the government’s message was “people should just follow rules” instead of  “the government is doing its best to make sure we have enough resources for public health and we are tying our best to support those who were economically dislocated as a result of the lockdown and we need the help of everyone to help each other.”

“The language is not focused on the cooperation of people, it’s more about getting them to follow. Otherwise, you’ll be meted with punishment. It’s (the government narrative) not for a country that’s supposed to be democratic,” she said.

To encourage better public participation, Atienza said efforts must be exerted to ensure that the law applied equally to the rich and the poor.

“The pandemic and the response of the government… exposed the inequality not only in Philipine politics but in Philippine society where you have senators and other officials, even police personnel, who violate the lockdown restrictions but at the same time they are not penalized,” she said

“But you have fish, vegetable vendors and jeepney drivers trying to find alternative sources of income penalized heavily. So you also see inequality in terms of enforcement of lockdown rules and accountability on the part of government officials,” she added.

Mang Dodong finally on his way home, late in the afternoon of May 19, 2020. Photograph: Vincent Go

One year after the Philippines went into lockdown, data from the World Health Organization showed the country as having the worst coronavirus performance in the Western Pacific Region, with a total of 611,618 infections and 12,694 deaths as of March 14. 

Infections are rising again, hovering between over 2,000 to nearly 4,000 new cases a day in recent days after months of recording less than 2,000 daily new infections on average. Metro Manila mayors have again imposed uniform curfew hours, from 10 p.m. to 5 a.m., beginning March 15. 

The punitive response cannot continue, said Macahig. “The government should find better solutions. It needs to stop imposing fines that only makes the poor poorer. We’re in the middle of a pandemic yet they keep milking us for money.” #

OFWs press for scrapping of mandatory PhilHealth membership

A group of overseas Filipino workers (OFWs) and overseas Filipinos pressed their demand for the scrapping of the mandatory Philippine Health Insurance Corp. (PhilHealth) membership amid difficulties brought them by the coronavirus pandemic.

In a statement, Migrante International said OFWs have been facing job losses amidst the pandemic that is aggravated by “onerous government fees” such as the proposed PhilHealth premium rate increase this year.

The group said mandatory PhilHealth membership has been a burden for OFWs since the passage of the Universal Healthcare Act (UHC) signed by President Rodrigo Duterte on February 20, 2019.

The law requires OFWs to be PhilHealth members before leaving for work abroad.

Migrante earlier said majority of the OFWs have no use for mandatory membership as PhilHealth is practically useless in helping them pay medical bills when they get sick abroad.

Instead, Migrante said PhilHealth membership should be “voluntary for those with capacity to pay contributions.”  

Migrante also scored the corruption at the health insurance agency that has yet to properly account for at least Php 15 billion in allegedly misspent funds.

“PhilHealth has been used as a tool for unscrupulous health officials appointed by the President to amass billions of members’ contributions for their own selfish interests,” the group said.

“Why should contributors suffer by paying increased premiums in response to the agency’s lack of funds?” the group also asked.

Migrante demands “corrupt” PhilHealth officials involved be held accountable and prosecuted. 

Migrante also said OFWs believe that Duterte’s recent announcement to defer the collection of increased PhilHealth premiums is only a tactic to quell the anger and anxiety of the people especially during this COVID crisis.

“Merely deferring the increased premium does nothing to calm down the people,” Migrante said in its statement.

Instead, the group said OFWs want a genuine, pro-people, universal health care program through free and comprehensive medical and health services. # (Raymund B. Villanueva)

2020 Yearender: Economic lessons from Jose Rizal

by Sonny Africa

Wrapping up a cataclysmic year, Jose Rizal’s legendary quote is something for the Duterte administration and its economic managers to reflect on: “Ang hindi marunong lumingon sa pinanggalingan ay hindi makakarating sa paroroonan.

The worst economic collapse in Philippine history and in Southeast Asia is mainly due to the government’s stumbling pandemic response and lackluster economic measures in 2020. If, again, there is more bluster than action in 2021 then real recovery will be much farther away than it should be.

Big promises

The economic managers announced a grandiose “4-Pillar Socioeconomic Strategy Against COVID-19” in April. The “Grand Total” of Php1.17 trillion was equivalent to 6.3% of gross domestic product (GDP) and sought to give the impression of grand action. This number was extremely misleading though.

There was significant double-counting. Supposedly Php338.9 billion in government spending on emergency support and health measures was counted alongside Php615 billion in borrowing – almost half of which debt was not even really going to be spent on COVID response. Another Php220.5 billion in additional liquidity and tax relief was also added.

The latest package released in October corrects some of these deceits while introducing new ones. The “Grand Total” is now an imposing Php2.57 trillion equivalent to 13.8% of GDP. The borrowing was removed while emergency support and health measures increase to Php558.8 billion. Emergency support now includes supposedly Php132 billion in credit guarantee and loan programs for small business.

The value of the package is particularly inflated by Php1.31 trillion in additional liquidity from Bangko Sentral ng Pilipinas (BSP) measures, Php459 billion in estimated incremental loans to MSMEs, and Php61.3 billion in foregone tax revenues especially because of corporate income tax cuts under the Corporate Recovery and Tax Incentives for Enterprises (CREATE) bill.

These are still misleading. The additional liquidity and incremental loans cited do not mean actual investments or economic activity. Smaller businesses are not borrowing because of collapsed aggregate demand and uncertain market conditions – the “incremental loans to MSMEs” are just an illustrative extrapolation from a Php45 billion capital infusion to government financial institutions. Banks meanwhile are becoming more risk averse with non-performing loans already nearly doubling to 3.2% of total loans in October from 1.7% in the same period last year.

The big numbers seem to be designed for press releases and media briefings to convince the public that the Duterte administration is undertaking herculean efforts to boost the economy. The reality is very different.

Tiny action

Measured against the economic devastation from poor pandemic containment – including over-reliance on long and harsh lockdowns and under-investment in effective testing, tracing, quarantines and isolation – government efforts border on the trivial. The most recent official estimate of -9% real GDP growth in 2020 means that the economy will be Php1.74 trillion smaller than in 2019.

There has not really been any stimulus which, to mean anything, has to involve significant additional spending beyond pre-pandemic levels. The government originally projected Php4.21 trillion in disbursements in 2020. Upon the pandemic, planned disbursements increased only slightly by Php121.4 billion to Php4.34 trillion or just a 2.9% increase.

Measured in current prices, GDP in 2019 was Php19.52 trillion which means that additional government spending in 2020 will be equivalent to just 0.6% of GDP in 2019. The economic managers refuse to spend more because of their fixation on being creditworthy to foreign debtors. The stingy non-stimulus is due to their narrow-minded fiscal conservatism.

How to reconcile this with the Php500.7 billion figure allotted for COVID-19 response as of mid-December – consisting of Php386.1 billion under Bayanihan 1, Php6.6 billion under Post-Bayanihan 1, and Php108 billion under Bayanihan 2? Most of this spending comes from existing budget items – either discontinued programs/projects (Php306.7 billion), existing special purpose funds (Php109.3 billion), regular agency budgets (Php21.2 billion), and unutilized automatic appropriations/excess revenue collections (Php63.5 billion).

The Bayanihan 2 funds released also do not even seem to have been spent yet including for vital cash assistance. The social welfare department supposedly has Php6 billion budget for around 1.2 million beneficiaries. As of mid-December, only Php931 million has actually been disbursed to just 142,058 beneficiaries.

It is likewise with labor department emergency assistance of Php16.4 billion for around 800,000-1.4 million formal workers under CAMP, 500,000 informal workers under TUPAD, and 200,000 OFWs under AKAP. Only 350,000 workers have been reported to get assistance as of the first week of December.

The rigidity and obsession with creditworthiness unfortunately carries over into the New Year. The recently approved Php4.5 trillion national government budget for 2021 is 9.9% larger than the 2020 General Appropriations Act (GAA). This increase is smaller than the historical annual average increase of 11.1% since 1987. It is actually even smaller than previous budget increases of the Duterte administration in 2017 (23.6% increase) and 2020 (13.6%). So, again, there’s no stimulus there.

Devastating consequences

The Duterte government’s inadequate efforts are behind the extreme economic collapse and excessive suffering of tens of millions of Filipino families. The biggest blunder is the failure to contain COVID-19 – economic activity will remain repressed as long as the pandemic is raging. The administration diverts from this original sin whenever it invokes the false dichotomy between health and the economy.

The stingy fiscal response and inappropriate monetary measures come on top of that. The lockdowns and continued physical distancing have most of all caused household incomes, business investments and aggregate demand to collapse. These warrant a much larger fiscal response especially in terms of emergency assistance to households to improve their welfare and boost consumption spending in the economy.

Yet the economic managers were stingy in providing cash assistance under Bayanihan 1 – at the height of the draconian lockdowns – and only deign to give token amounts under Bayanihan 2 and in the 2021 national government budget. The trillion peso liquidity infusions gave the illusion of meaningful intervention but, with domestic and even global demand so weak, were really just pushing on a string with little or no results.

Measured as a share of GDP, the Philippines has the smallest fiscal response in Southeast Asia – which, along with the poor health response, goes far in explaining its experiencing the biggest economic contraction in the region. The economy is smaller today than it was in 2018, and will likely only return to its size last year at the earliest by 2022.

The insistence of the economic managers that the economy was going strong coming into the pandemic harkens to glory days that never were. Economic growth has been slowing in every year of the Duterte administration from 6.9% in 2016. This fell to 6.7% in 2017, 6.2% in 2018, and 5.9% in 2019. Average annual employment growth of 1.2% in 2017-2019 is the lowest in the post-Marcos era.

The number of employed Filipinos in 2020 has fallen to its lowest in four years. The 39.4 million reported employed Filipinos in 2020 (average for the whole year) is 2.6 million less than in 2019, and even less than the 41 million reported employed four years ago in 2016.

There were probably at least 5.8 million unemployed Filipinos and an unemployment rate of 12.7% as of October 2020, more than the official count of just 3.8 million if the nearly two million invisibly unemployed for dropping out of the labor force due to the pandemic shock are also counted. There were more unemployed Filipinos in 2020 at any time in the country’s history.

Domestic unemployment is bloated by displaced overseas Filipino workers (OFWs). The labor department reported over 680,000 OFWs seeking emergency assistance as of end-November. Deployments have also drastically collapsed with the 682,000 OFWs leaving in the first nine months of the year a huge 60% less than the 1.7 million deployed in the same period last year.

Household incomes are collapsing. Family incomes are only measured every three years with the last time this was done being in 2018. At the time, 17.6 million Filipinos were estimated to fall below the low official poverty threshold of about Php71 per person per day. In a worst case scenario of incomes contracting 20% without emergency cash subsidies, the Philippine Institute for Development Studies (PIDS) estimates the number to rise to as much as 29.7 million.

As it is, extrapolating from BSP Consumer Expectations Survey data, as much as 2.6-3.2 million households have had their savings wiped out by the pandemic economic shock. These are the vulnerable families whose income and livelihood losses were so large as to eat up their savings that were so low to begin with.

Lessons for 2021

The plight of tens of millions of Filipinos adversely affected by the pandemic and poor government response is not helped by the administration insisting that all is well.

The government could have pre-empted complete economic decline with a more rapid and effective health response as in Vietnam and Thailand. This remains the most urgent concern today. Unfortunately, despite relatively large numbers of COVID-19 testing, contact tracing and quarantining are lagging which means the coronavirus is still spreading. The vaccine-driven strategy is also not reassuring with emerging controversies around procurement, potential distribution bottlenecks, and self-serving preferential inoculation.

Economic distress in 2020 could also have been mitigated by a larger and better economic response of more emergency assistance, bigger support for MSMEs and domestic agriculture, and larger government spending on social infrastructure and services. These could also have been paid for with a more creative debt and finance mobilization strategy.

Instead, the Duterte administration’s poor health and economic response has resulted in the destruction of large swathes of service-oriented informal sector livelihoods, hundreds of thousands of displaced workers, reduced wages and benefits, worsened insecurity, MSME closures, and record joblessness. The wealthiest families and biggest corporations on the other hand will easily weather momentary income losses, with many even seeing their profits and market shares increase.

And yet despite a meager economic response, the budget deficit is soaring to record highs because of the collapse in revenues and continued misprioritization of infrastructure, militarism and debt service. Government debt is moreover bloating not to finance COVID-19 response but mainly to pay for unchanged government spending mispriorities.

The biggest economic lesson of 2020 is clear – the government has a vital role in economic development especially in times of crises. COVID-19 hit the entire world and the difference was in how each country dealt with it. The public has a right to decent governance which civil society groups and many other concerned Filipinos have been asserting throughout the year, many even at great risk to their lives and liberty.

Sustained administration disinformation and diversionary tactics seek to hide a plain fact: the government’s mismanagement of the pandemic and economy is behind the worst economic collapse in the region and in Philippine history. The coming year can be better only if the people keep working at changing the government and governance for the better.

As Rizal of course also asserted: “There are no tyrants where there are no slaves.” #

= = = = =

Kodao publishes IBON articles as part of a content-sharing agreement.

More LGBTIQ+, sex worker rights defenders attacked during COVID pandemic

There are more violence against LGBTIQ+ (lesbians, gays, bisexual, transgender, intersex, queer +) and sex worker rights defenders as the COVID-19 pandemic rages, an international human rights group revealed.

Ireland-based Front Line Defenders  said 50 human rights defenders (HRDs) protecting LGBTIQ+ communities and sex workers in 13 countries had been at risk between April and August 2020 when the pandemic had been at its worst.

“The results were stark. Activists around the world reported an increase in physical attacks, sexual assault, arrests, raids on their homes, and harassment by security forces during COVID-19,” the group said in a report last December 17, International Day to End Violence Against Sex Workers.

“Almost every week since COVID-19 began, we’ve received photos of violent attacks on the homes of LGBTIQ+ HRDs,” Erin Kilbride, researcher and author of the report, said.

The report said that apart from the virus itself, state responses to the pandemic have affected queer and sex worker communities in ways that worsen class, gender, sexual and racial injustices.

As they responded to emergencies, HRDs from these groups faced increasing risks of arrest, physical attack, and psychological trauma, Kilbride wrote.

Frontline Defenders cited Tanzania where it investigated a spate of attacks on activists’ homes after it became known locally that they were housing LGBTIQ+ people or sex workers at risk of homelessness, hunger and police violence on the streets.

Aside from the east African country, Frontline Defenders conducted fact-finding missions in Kyrgyzstan, Myanmar and El Salvador and interviewed respondents Tunisia, the United States, Ireland, Thailand, Malawi, the Dominican Republic, Indonesia, Zimbabwe, and Eswatini.

Also documented in the report are mass arrests at the offices of LGBTI rights organisations; closure of

HRD-run medical clinics; sexual harassment and detention of transgender HRDs at security checkpoints; homophobic and transphobic defamation portraying HRDs as spreaders of COVID-19; and severe psychological trauma over their inability to fully respond to the many dire needs of their communities.

 “The HRDs who gave their stories to this investigation are enduring violent attacks, raids on shelters, arrests, and rampant stigmatization for peacefully demanding access to food, shelter and healthcare for their communities during the pandemic,” the report said.

The group reported that activists around the world have turned their homes into emergency shelters for homeless members of the LGBTIQ+ and sex workers sectors, but have themselves endure severe physical, sexual and psychological trauma for helping their communities survive the pandemic.

“LGBTIQ+ and sex worker rights defenders have continued their critical, life-saving work during COVID-19 despite immense threats to their physical and psychological health. In addition to human rights advocacy and emergency response work, they are filling humanitarian gaps left by corrupt governments and discriminatory pandemic response programmes,” Front Line Defenders Executive Director Andrew Anderson said.

“Now more than ever, we affirm our call to end attacks on marginalized defenders doing life-saving work on the ground,” he added. # (Report and photo by Raymund B. Villanueva)

Surviving surgery in the middle of COVID-19

by Jose Lorenzo Lim

COVID-19 has struck the country’s healthcare system in a major way. The system became too overloaded that healthcare workers in August sought a two-week return to modified enhanced community quarantine (MECQ). Government has since been touting that the country’s active COVID cases are going down and that the healthcare system is unloading. But what was it like having a family member who needed minor life-changing surgery amid this pandemic?

Hospital 1

The night that we decided to take my grandmother to the hospital was when she nearly fainted, was feeling weak, and had a low heartbeat. It was already the second time that this happened. It was a night filled with questions – where do we take her? Is it COVID-19 free? Are they going to accept us? These were the things running through our heads when we decided to take her to our trusted family hospital (Hospital 1). There, even with the growing number of patients, there was an available slot in the intensive care unit (ICU) where they stabilized her. 

My grandmother’s cardiologist said that she needed a pacemaker to stabilize her heartbeat and bring it back to a normal level from 40 beats per minute to around 60 beats per minute. Pacemaker surgery would cost around Php250,000 for a single-chamber pacemaker alone. This does not yet include the professional fees of the doctors that would operate on my grandmother. Prices vary depending on the type of pacemaker – if it’s dual or single chamber, and if it can pass through a magnetic resonance imaging (MRI) machine. Additionally, payment would only be on a cash basis for the pacemaker.

My grandmother decided not to have the surgery and to just go home. She believed that the surgery was costly and not worth it given that she was already old.

Hospital 2

Just a few days after, she had another episode and nearly fainted again. This fell on the month of August when Metro Manila was put back on MECQ. We went back to Hospital 1, luckily was able to get another private room, and planned to have my grandmother get her surgery. Financially, it would cost around Php350,000 for the whole pacemaker operation which would have to be done at another hospital since Hospital 1 doesn’t have the facilities for this type of surgery. Before a surgery could take place, my grandmother had to get an RT-PCR swab test. Since she had to be operated on quickly, we had no choice but to avail of a Php12,000 test at the big hospital nearby (Hospital 2) that would show a result in 24 hours.

Hospital 3

My grandmother tested negative for COVID-19 with Hospital 2’s swab test. A negative result is said to have a validity period of only one week. On the day of her transfer to a medical center and hospital (Hospital 3) for the surgery, we paid Hospital 1 around Php100,000 for the doctor’s fee, private room, and medicines. We decided it was best that she have her surgery since the cost of her one-week hospitalization was like getting a pacemaker already. When we reached Hospital 3, they looked at her charts and found a problem. First, her doctor wasn’t really an affiliate at Hospital 3, and second, her chest x-ray showed some white particulates which is said to be an indication of COVID-19. Hospital 3 gave us two choices, either go home and treat the particulates or have a Php12,000 CT-Scan to check if it really is liquid in the lungs.

We took a gamble and went for the Php12,000 CT-Scan that does not have a senior citizen discount. They confirmed it was liquid in her lungs which could be indicative of COVID-19. We were stunned since she had already tested negative. We had no choice but to get her home, isolate her, find other options and rest.

The next day, we called her former cardiologist from Hospital 1 again. He just apologized and advised us to take her back to Hospital 1 because at her age she needed medical attention. My grandmother returned to Hospital 1 but was told that all COVID-19 isolation rooms were full. The accounting department told my dad that her only choice was to go to a tent that would cost around Php100,000 for a three-day stay inclusive of doctors’ fees. Of course, my grandmother chose to come home and continued her isolation.

Hospital 4

Luckily, we knew someone from another medical center (Hospital 4), a public hospital. Through connections, we were put in the emergency room. The plan was to get my grandmother to test negative for COVID-19 and find her a new cardiologist so she could be operated on. If she tested positive for COVID-19, then she would be admitted to the COVID-19 ward of Hospital 4. It was like going through a limbo of uncertainty.  While waiting for the result, my grandmother and father stayed at the emergency room and were transferred two days later to the COVID-19 isolation ward once a room was available. Eventually, my grandmother tested negative for COVID-19.

Of course, Hospital 4 did not have any private rooms so she had no choice but to go to the ICU where she met her new cardiologist who was affiliated with yet another medical center (Hospital 5). They quoted around Php500,000 for the whole operation with a single-chamber pacemaker.  We immediately agreed and scheduled the operation with the doctor. We left Hospital 4 with a total bill of around P10,000 which was reduced due to PhilHealth and a senior citizen discount.

Hospital 5

The transfer from Hospital 4 to Hospital 5 was smooth since there was proper coordination between the two hospitals. Of course, before being operated on, my grandmother had to undergo her third and hopefully last swab test. After getting her swab test, she was transferred to the COVID-19 isolation room and got her result in 24 hours. The test cost around Php2,500, which was way less than at Hospital 2.

After her negative result, her new cardiologist immediately decided to push through with the operation. The operation was successful. However, there were no private wards available and she ended up at the ICU again. After two days, she was discharged from the hospital and allowed to go home.

Health neglect

The experience of going back and forth to various hospitals was hell. This is what patients who need surgery are going through. If you have symptoms of cough or colds, then you are immediately tagged as a COVID-19 suspect and would have to go through anxieties on top of being sick. If you don’t have money, you won’t be fixed. We were very fortunate enough to have my aunt, uncle, and other family members to financially support us through this.

A family of five living under minimum wage wouldn’t be able to afford getting a pacemaker. While I do understand that each hospital has its own set of protocols, the additional cost of swab tests is really hard especially if you don’t have enough money. I can’t imagine the number of patients who have to delay their life-saving surgery due to the overcrowding at hospitals and the burden of producing money for the operation itself. I would even call it criminal negligence on the government’s part for not immediately addressing the COVID-19 situation of patients who need surgery.

PhilHealth and a senior citizen discount really helped to lower my grandmother’s hospital expenses, but then again the situation at Hospital 4 was that they didn’t have the facilities to carry out pacemaker surgery. The government should invest in our public hospitals so that they are able to do these minor surgeries. Patients are forced to go to private hospitals just to get a pacemaker implanted. We were shocked at the Php10,000 bill of Hospital 4 and I think that if government invests funds in our healthcare system then more patients would be able to access and afford life-saving operations.

In the end, its priorities will still depend on government’s political will or lack of it. The government could invest in social services, especially health, instead of allotting Php19 billion to fund a deceptive and destructive National Task Force to End Local Communism and Armed Conflict (NTF-ELCAC). The latter, which has been on a spree of terrorist-tagging activists and progressive personalities and institutions, appears to still be the government’s priority even while COVID-19, typhoon relief operations, and even the economic downturn, warrant much urgent and greater attention. #

Jose Lorenzo Lim is a researcher at IBON Foundation. His research topics include Build, Build, Build, the oil industry, and social services. Prior to IBON, he served as Editor-in-Chief of the UPLB Perspective for the academic year 2016-2017. When not in the office, Jose Lorenzo enjoys writing with his fountain pens and trying out new ink.

Duterte gov’t fails to meet its human rights obligations amid the pandemic

by IBON Media & Communications

The Philippine government is a signatory to the International Covenant on Economic, Social and Cultural Rights (ICESCR). The covenant obliges the government to take measures to prevent or at least mitigate the impact of the pandemic. Its gross failure to do so is leading to unprecedented but preventable suffering for millions of Filipinos.

The country’s poorest and most marginalized are being left behind by the COVID-19 response of the Duterte administration. On the other hand, wealthy creditors are protected and large corporations including foreign investors are getting their profits boosted.

COVID-19 spreading

The Duterte administration’s inability to contain COVID-19 is the clearest sign of its failure to address the pandemic. In Southeast Asia, Vietnam and Thailand show that an effective government response is possible. Yet the Philippines, adjusting for population size, has the second most number of COVID cases next to small city-state Singapore, and the most number of deaths.

The Philippines has over 4,000 cases per million population (more than double the regional average of around 2,000), and nearly 80 deaths per million population (more than triple the regional average of 26). This is despite the longest and harshest lockdowns and quarantine measures in the region.

Emergency aid falling

The government’s refusal to give meaningful aid is causing unparalleled suffering. The latest labor force survey reported 3.8 million unemployed Filipinos and an unemployment rate of 8.7% in October. IBON however estimates the real number to be at least 5.8 million, with an unemployment rate of 12.7%, if those who were forced out of the labor force by the pandemic or discouraged by the obvious lack of work are also counted. Earlier, private opinion surveys already reported 7.6 million families going hungry.

At least 12-13 million Filipino families, or the poorest half of the population, are facing economic distress because of the pandemic and the worst economic collapse in the country’s history. The administration’s Bayanihan 2 however gives emergency aid to at most around 3.3 million families, who are even getting just half as much cash subsidies as supposedly given under Bayanihan 1.

This is because the economic managers refuse to spend on emergency aid for poor and vulnerable families and only allowed a token Php22.8 billion under Bayanihan 2. This is a far cry from the Php238 billion in aid under Bayanihan 1 which has already been used up by beneficiary households. It is even worse in the proposed 2021 national government budget where pandemic-related aid falls to just Php9.9 billion.

As it is, with only nine days left in the effectivity of Bayanihan 2, the social welfare department has only given one-time emergency subsidies to a mere 64,839 beneficiaries at an average of just Php6,720 per family. The labor department meanwhile has only given CAMP support to around 350,000 workers.

The Duterte administration’s so-called emergency assistance is so small that it is just a token measure to give the illusion of responding. Tens of millions of Filipinos are not getting any help causing millions to go hungry and sink deeper into poverty.

Corporate profits rising

The government is also making inequality worse. While millions of poor families are neglected, large corporations including foreign firms are going to get hundreds of billions of pesos in additional profits over the coming years from big corporate income tax cuts.

Disregarding the critical need for revenues to respond to the pandemic, the economic managers pushed their Corporate Recovery and Tax Incentives for Enterprises (CREATE) Act and even dishonestly presented this as a COVID-19 stimulus. This is a willful violation of the obligation to mobilize the necessary resources for responding to serious health and economic distress from COVID-19.

Rights being violated

The proposed 2021 budget also violates human rights. The state has an obligation to devote the maximum available resources to combat COVID-19 and the economic crisis in the most equitable manner.

However, the 2021 budget fails to allocate resources in a way that prioritizes the public health crisis and the economic burdens the poor are facing. The proposed 2021 budget spends less on health and on emergency aid than in 2020. On the other hand, the budgets for infrastructure, military and police, and debt servicing all increase. Next year’s budget does not protect poor and vulnerable groups nor mitigate the impact of the pandemic on them.

The Duterte administration’s contempt for human rights is complete. It violates civil and political rights with its systematic political repression and killings of activists and alleged drug offenders. With its neglectful pandemic response, it also violates the social and economic rights of tens of millions of Filipinos. The country is even further away from the full and equal enjoyment of the social and economic rights enshrined in the ICESCR and even in the 1987 Philippine Constitution. #

= = = = = =

Kodao publishes IBON articles as part of a content-sharing agreement.