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Health service debts 'pay up or lose your car'

nurseA cunning new scheme, first announced two years ago, has been launched by the tax office and the heath service to ensure patients pay for their health consultations and chargeable treatments, or their cars could be seized.

The new system being trialled involves health service staff handing a note to every patient leaving an appointment. The note contains a payment reference for settling the bill at the nearest ATM.

If the patient, in whatever state of health, forgets to pay and misses two deadlines the debt is sent directly to the Tax Authority which then will be responsible for debt collection, by coercive means if necessary. 

Starting in September, the scheme will be tested at the Hospital Centre of Alto Ave near Oporto in a pilot project that aims to 'streamline the debt collection process for hospitals in the National Health Service.'

If the bill is not paid, the hospital sends a warning letter with a new deadline for payment within 10 days.

If the payment still is not made, the new collection process swings into action with the health service sending the debtor's details to the tax office which then starts collection proceedings.

The president of the Syndicate of Tax Workers, Paulo Ralha, said today that "there is a tremendous lack of human resources", which will prevent the compulsory collection of health user fees.

The intention of the health ministry under Paulo Macedo is to extend the collection scheme across the entire country by the end of this year but with unwilling tax office staff this will not happen.

Paulo Ralha added that "people could see their homes and cars seized for debts owed! It's completely ridiculous and will bring angry and aggressive people to our service counters."

According to the legislation this scheme should have started two years ago, a fact conveniently overlooked at today's (re)launch.

The new collection regime exempts those with an average monthly income at or below €628.83 and the debts are written off after three years.

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Comments  

+6 #2 Beryl Thomas 2014-08-19 10:43
It is also an often quoted fact that Portugal´s civil service is grossly 'unfit for purpose'.

The original job and later promotion interviews were rarely any deeper than 'Let's quickly remind ourselves who you vote for and how often' ....

or the marginally longer interview - 'So how is Tia Maria ? Didn't she have a cold ... something wrong with her chest ?'

Now these public sector people are entrenched. Often on relatively good salaries and expecting, or getting, relatively superb pensions - when compared with the private sector worker.

Many of whom it seems were paying into social security scams by their employers. Businesses which, then conveniently closed, to re-open under a new name - so the ex-employee now has little or nothing to fall back on in ill health or retirement.

The Troika said the obvous, still largely ignored - that the public sector is far too large. That is what restructuring means ! :sad:
+4 #1 Peter Booker 2014-08-19 07:24
It is an often quoted fact that Portugal´s civil service is grossly overstaffed. Barry Hatton says that for example, Lisbon Câmara has twice as many employees proportionally as its equivalent in Madrid. And yet we have this response from Paulo Ralha, that the tax offices have "a tremendous lack of human resources". Where then are these extra employees? Are they all at Câmara level? Perhaps a bit of streamlining could lead to greater efficiency.

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