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00:00:15the pharmaceutical policy in
00:00:2422, which obliges
00:00:28Good evening, viewers, and welcome to the main news bulletin from Al-Oula.
00:00:31You are watching
00:00:35the upcoming legislative elections, a democratic milestone where citizens' political
00:00:39institutions closer to the participation is renewed. This is a practice that guides the Kingdom towards solidifying the democratic option
00:00:42amidst increasing political and societal dynamism and widespread
00:00:46anticipation of what the ballot boxes
00:00:51due to the shortage of will reveal.
00:00:52from treatment without Morocco returns to working with Greenwich Mean Time by setting clocks back
00:00:56sixty minutes, requiring a reorganization of individuals' daily rhythm.
00:01:04the burden on the
00:01:53King Mohammed VI sent a congratulatory telegram to His Excellency Mr.
00:01:57Ram Chandra Poudel, President of Nepal, on the occasion of
00:02:00his country's National Day.
00:02:13A new legislative election is approaching,
00:02:16to all health institutions, both in for which Morocco is preparing amidst increasing political and social dynamism and widespread anticipation
00:02:21the participation of the private sector in this of what the ballot boxes will reveal. the private and public sectors. But this This is a democratic milestone that renews
00:02:24detection of diseases. On the pharmaceutical citizens' political participation and reinforces the Kingdom's
00:02:28direction towards consolidating the democratic option, strengthening elected institutions,
00:02:31and linking public affairs management to voters' will
00:02:35The expectations of citizens in the and expectations. This is a date where eyes are turned to programs
00:02:38and challenges, and to what the ballot boxes will produce in terms of
00:02:41choices that reflect citizens' aspirations
00:02:43and expectations.
00:02:49on participation, our insistence on Only three days separate us from the polling
00:02:50a participatory policy, officials date for the 2026 legislative elections, while parties intensify their electoral
00:02:56To discuss this topic, we are joined live from campaigns with field meetings and direct communication with citizens from Casablanca.
00:02:59We follow how the electoral scene is shaping up less than
00:03:02three days before the vote in
00:03:10regions and provinces of the Kingdom, the countdown has begun,
00:03:13and the electoral campaign is intensifying its presence in neighborhoods, markets,
00:03:17and public spaces with the aim of reaching
00:03:20by the parties to citizens voters at the last station before polling
00:03:23day. As for the legislative elections, we see
00:03:26that there are many campaigns.
00:03:30The parties. What is there is
00:03:33that we will try to vote for the candidate who will be able to
00:03:37convince the residents. So we hope, we hope,
00:03:40we hope the elections, God willing, will go on, on, on
00:03:44the best, on the best way,
00:03:47and whoever gains the trust, God willing, of the citizens, and who will be able to
00:03:50represent the residents in the best representation and speak about their rights and speak about
00:03:54the expectations of, of all
00:03:58residents. Behind the posters,
00:04:00for the implementation of this there are questions about daily life. In this city
00:04:03of millions, the expectations of the residents intersect
00:04:06regarding work, services,
00:04:09policy at the territorial and the future of neighborhoods, and so on. We see that this electoral campaign is going on its way,
00:04:13and we see people are,
00:04:16as for the campaign that these parties conducted,
00:04:19it seems to me that it is going, meaning it is going
00:04:22as we wish from God for the good of this nation,
00:04:26and we hope, God willing, that these people give us
00:04:30the promises they talk about, that they give them to us to be, meaning, in reality.
00:04:33This is what we hope. We hope there will be improvements, developments,
00:04:37budgets that have been allocated and reforms. This is what a person wants, to elect
00:04:40the party that we want, God willing, to be good. In recent days,
00:04:44the digital space is also strongly present in the campaign,
00:04:47alongside direct meetings,
00:04:49but the decision will be made on the 23rd
00:04:53of this September.
00:04:58sums of money that went into this With the approach of the legislative elections, the health sector features strongly in electoral programs,
00:05:02through promises to strengthen public hospitals, support human resources,
00:05:05expand health coverage, and reduce treatment costs,
00:05:09as well as accelerate digitalization and bring health services closer to citizens.
00:05:19is an issue that knocks on the doors of electoral programs from the gateway
00:05:22of daily questions that concern every citizen.
00:05:26How do we get treatment, will we find it? In the upcoming
00:05:29legislative elections, electoral programs
00:05:32intersect on health system reform. The proposed solutions
00:05:36vary between expanding health coverage
00:05:39and reducing treatment costs, between strengthening public
00:05:42hospitals and enhancing human resources, digitalization,
00:05:45and achieving spatial justice. Proposals
00:05:49tend to reduce direct expenses borne by families,
00:05:52facilitate access to treatment, and develop primary
00:05:55healthcare. The gradual expansion
00:05:58of the third-party payment system is among the proposed mechanisms.
00:06:02According to this, the insured will benefit
00:06:05prior payment, while other programs propose reducing the direct
00:06:08co-payment percentage, or full coverage
00:06:12for some chronic and costly diseases.
00:06:15Electoral programs also propose increasing
00:06:19hospital capacity, improving equipment, and expanding
00:06:22the network of health institutions. Declared visions include
00:06:25establishing new regional university hospitals
00:06:28and rehabilitating existing health centers and hospitals,
00:06:31in addition to increasing the number of hospital beds
00:06:35and strengthening services. The proposals also
00:06:38focus on enhancing human resources
00:06:42by increasing the numbers of doctors, nurses, and health professionals,
00:06:46and improving their distribution among
00:06:49rural and mountainous areas,
00:06:52alongside improving working conditions and career paths
00:06:58in health provision and benefit from Moroccan competencies.
00:07:01To enhance primary healthcare, proposals call
00:07:04for adopting family doctors and developing mobile medical
00:07:08units and telemedicine.
00:07:12Regarding mental health, women's and children's health,
00:07:15elderly care, and addiction treatment, electoral
00:07:18programs advocate for establishing national or regional mental health
00:07:22networks and integrating psychological counseling into
00:07:25health coverage. They recommend monitoring maternal
00:07:29and child health during the first thousand days and taking
00:07:32measures concerning nutrition and early
00:07:36side, programs present proposals
00:07:40related to reducing drug prices, regulating the drug
00:07:43market, and strengthening local manufacturing and pharmaceutical sovereignty.
00:07:47To keep pace with the era of digitalization, electoral programs
00:07:50recommend adopting electronic medical records, smart
00:07:53health cards, and digitalizing appointments,
00:07:57prescriptions, and medical reports to facilitate the patient's
00:08:00journey and connect the various links of the health
00:08:03system.
00:08:08Casablanca by Dr. Ahmed Ben Boujida, President of the National Union
00:08:11of Private Sector Doctors. Doctor, to what extent
00:08:15are we in urgent need today to develop a health
00:08:18system that meets expectations in terms of providing
00:08:21appropriate treatment and bringing health services closer to
00:08:24Moroccans?
00:08:30Indeed, madam, from the Royal Speech of His Majesty King Mohammed
00:08:34VI, may God protect him, the historic speech
00:08:37of 1900 2021, through which
00:08:40the law concerning social
00:08:44protection and the framework law that framed the health
00:08:48system 06 22 were outlined, and which provided
00:08:51the broad outlines of the unprecedented royal project of health
00:08:54coverage and also the care for the health
00:08:58system and its
00:09:01rehabilitation for the benefit of citizens from health services.
00:09:04The goal of this system, as
00:09:07carried out by the previous government, is a group of legal
00:09:10provisions and implementing decrees, all of which have been issued. All of them have been set, and the problem
00:09:14was identified through social disparities and health
00:09:17coverage disparities. Regarding the demographic aspect, there are
00:09:21many areas that lack qualified infrastructure
00:09:24to receive citizens. Now, all
00:09:28legal provisions are in place, but unfortunately, what we,
00:09:31as professionals and citizens, observe is the rational
00:09:35implementation of this health system. The citizen now
00:09:38does not appreciate its advantages
00:09:43in reality. You know
00:09:46that despite the huge
00:09:49to the health sector for building hospitals and health
00:09:53centers, meaning local ones, more than 1400 health
00:09:57centers and 42 billion dirhams, at a time when the budget
00:10:01of the Ministry of Health did not exceed 13
00:10:04billion dirhams at one point, and then 18 billion dirhams, and then 23 billion
00:10:08dirhams. This means huge
00:10:10sector, in addition to health coverage and the coverage
00:10:14of health insurance, almost of the National Social Security Fund
00:10:18and the reserve fund of CNOPS, which is almost
00:10:22a huge budget. Despite this, the citizen now
00:10:25pays from their pocket almost 54% of
00:10:29the treatment costs that go to this sector, which they pay from their
00:10:32pocket. Therefore, with the high prices and high cost of living,
00:10:36the patient, or the Moroccan citizen, finds
00:10:39it difficult to resort to health centers
00:10:42and hospitals, and also to the private sector. The private
00:10:46sector, through law 06
00:10:49the government to establish a partnership between the private
00:10:53and public sectors. The private sector almost covers
00:10:5674% of health services at the national
00:10:59level. Here we find a disparity regarding the
00:11:03democratization of this sector
00:11:06and its integration. This is not competition, but rather integration between the private
00:11:10and public sectors. At a time when we see that the reference
00:11:14tariff, for example, which is set at a
00:11:17price that is not worth it, meaning it has remained for more than
00:11:2020 years, and now what does the citizen seek? They seek to have
00:11:24something that will alleviate
00:11:29funds so that the treatment process
00:11:33is respected, and thus the patient avoids
00:11:37going from doctor to doctor or doing some tests or
00:11:40some hospitalizations that are unnecessary
00:11:44and thus costly. Yes,
00:11:47in the same context, how can the achievements that
00:11:51Morocco has accumulated in the field of health coverage be invested
00:11:54towards a comprehensive health system that takes into
00:11:58account spatial justice and scientific research,
00:12:01Doctor?
00:12:06As I explained to you earlier, these huge investments made by the state
00:12:10and also the health coverage project must have
00:12:14rational management. Firstly, within
00:12:17hospitals and within the sector as a whole, this governance and good
00:12:20management of the sector's hospitals is what will lead to a level like
00:12:27that which can develop digitalization, as mentioned in your report.
00:12:30There should be digitalization of, of, of
00:12:33all stakeholders, all patients, and there should be a medical file, a medical
00:12:37file that will be available
00:12:43requires study and
00:12:46project. The problem is that there is no, what we observe
00:12:50is no, there is an absence of a participatory
00:12:53policy with professionals. Therefore, the project cannot
00:12:57succeed unless both sectors, the public and private sectors, are integrated.
00:13:00Therefore, we, as the private sector, which has almost 17,000
00:13:04doctors across the Kingdom, feel that we are not concerned
00:13:08with this system, and we see that despite our insistence
00:13:15must involve the private sector for
00:13:19the success of this health system. Let's not forget that there
00:13:22is now, regarding human resources, an emigration
00:13:25of health professionals and doctors abroad,
00:13:29700 doctors and structured health professionals
00:13:32abroad, at a time when we know that there is a huge
00:13:35shortage at the national level of medical staff, almost
00:13:3932 doctors who need to be in the national territory,
00:13:43and a large group as well
00:13:47of health professionals. Now, if there is no
00:13:51participatory policy, a firmness for political parties
00:13:54now whose programs and they present programs that are almost all
00:13:58similar, and there is no commitment and dedication to the
00:14:02royal project because it is integrated,
00:14:05unprecedented, and therefore its implementation
00:14:09will be the responsibility of, God willing, the political parties
00:14:12to ensure that the implementation is correct and to allow the citizen to
00:14:16have access to health services regionally
00:14:20and locally. Now what is called
00:14:24regional territorial
00:14:26groups have been created. They
00:14:29will implement the national policy regarding health
00:14:34level, at the regional level. And these regional
00:14:38territorial groups will have a fundamental
00:14:41role regarding, firstly, the management of human
00:14:44resources, the governance in managing the health sectors of public hospitals, which we know have
00:14:48major problems. When a citizen wants an
00:14:51appointment to be able to get their appointment to
00:14:55have a medical consultation or for this, they need almost months to
00:14:59be able to reach to go, for example, to be hospitalized
00:15:03and treated. Therefore, if there is no involvement of civil
00:15:07society, of health professionals, of the government, of the
00:15:10councils, the health system cannot succeed
00:15:14unless efforts are
00:15:23reform of the healthcare system file tops the programs
00:15:26of competing parties in the legislative elections scheduled for September
00:15:3023, at a time when citizens' aspirations are directed towards
00:15:33improving health services and enhancing access to medical facilities.
00:15:37Bringing healthcare closer to different social groups in a way that meets
00:15:51for every citizen and expanding its umbrella to include all
00:15:55essential services are challenges that are renewed
00:15:58with the approach of the upcoming legislative
00:16:00elections. Making treatment costs suitable for families'
00:16:04financial capabilities is a primary priority in the political
00:16:08appointment. The success of this coverage is linked
00:16:12to achieving comprehensive spatial justice by bringing health
00:16:17local population and ensuring equitable distribution
00:16:21across the Kingdom. Among the problems of the medical sector
00:16:24in Morocco is the difficulty of accessing treatment pathways
00:16:29human and material resources, especially for vulnerable
00:16:32groups and residents of remote areas. There is also
00:16:36the high cost of treatment and hospitalization
00:16:39for several reasons, including the fact that health coverage does not include
00:16:43a wide segment of citizens, and the high rate of participation
00:16:46in treatment costs even with health coverage, where a citizen who is not insured
00:16:49pays 50% of the treatment costs. Well-equipped health
00:16:53facilities and a smoother treatment pathway are aspirations
00:16:57that directly connect with what citizens want with the approaching
00:17:00elections. In addition to rehabilitating infrastructure
00:17:04and strengthening human resources, the importance of
00:17:07organizing appointments, simplifying administrative procedures, and accelerating
00:17:11the handling of hospitalization cases stands out to ensure
00:17:15healthcare that preserves the patient's
00:17:18dignity. In light of the upcoming elections that Morocco will witness,
00:17:22as a Moroccan citizen, health sector, I see today
00:17:25that any electoral program must take into
00:17:29account the demands of the
00:17:32population, which are easy access to public facilities.
00:17:35Today, the treatment pathway should be a clear treatment pathway, reducing
00:17:39appointments that have problems, and also
00:17:42generalizing health coverage and social protection
00:17:46for citizens so that they can benefit from treatments. The officials
00:17:50managing this health matter must put their
00:17:53matters in order and conduct a deep diagnosis regarding the Moroccan
00:17:57health system. Another issue is the matter of health services.
00:18:01It is also necessary to consider
00:18:04this aspect by ensuring the availability of a good
00:18:12health sector remain the compass that determines the effectiveness of the
00:18:16next political stage. These are challenges that place political
00:18:20actors before the responsibility of transforming these aspirations
00:18:23into a reality that citizens experience in their daily lives within
00:18:27health institutions.
00:18:30Returning to us from Casablanca, Dr. Ahmed Ben Boujida, President of the
00:18:34National Union of Private Sector Doctors. Doctor, only a few
00:18:38days separate us from the legislative elections for the House of Representatives. How
00:18:41do you read the electoral programs of the political parties
00:18:44related to the health sector, and what is the extent of the applicability of these
00:18:48programs?
00:18:54In reality, the programs presented
00:18:57are mostly similar. However, if we consider all
00:19:00political parties and their references,
00:19:03then no party can implement its
00:19:07political program regarding the health
00:19:11system because the government that will be formed will be based on a
00:19:15coalition, meaning there will be a coalition between the parties, and they will
00:19:18implement that program. The health program and the health system
00:19:22is the political program that His Majesty, may God protect him, presented.
00:19:25There is no project, meaning this project is unprecedented,
00:19:29it is integrated. If you take the framework law 06 22 related
00:19:33to the health system, it is integrated and provides the broad outlines
00:19:37project. Now, political parties and the projects they present
00:19:41to citizens must present projects that are implementable. Political
00:19:45parties should not keep saying we will do this, and we will do this, and we will do this.
00:19:48It has been five years now, and perhaps
00:19:512021, and we are going to put this health
00:19:54system on its right track. What concerns us, what
00:19:58concerns the citizen, is firstly, it must
00:20:01facilitate for the citizen through these huge investments, as
00:20:05I told you, made by the state, building, meaning,
00:20:08and local health centers and university and medical colleges,
00:20:11and so on, and through comprehensive health coverage between
00:20:15management by the National Social Security Fund. Political parties have one
00:20:19role, which is that in the upcoming government coalition, God willing,
00:20:22they should try to implement a participatory policy and reach out to professionals
00:20:26and also civil society and this health
00:20:29system through the framework law and do things that are
00:20:33implementable. I am confident that the electronic medical record
00:20:37and, for example, the electronic prescription are coming. And I will tell
00:20:40you something, the electronic prescription. There is a
00:20:43system in Canada because it will reduce
00:20:46the practices of illegal medical practice.
00:20:50And thus, even the pharmaceutical policy, through that
00:20:53barcode, for example, when that prescription is given,
00:20:57a prescription will be given that will be controlled and have
00:21:01its goal to improve
00:21:05the country and also improve health services at the national level.