About this transcript: This is a full AI-generated transcript of Senate hearing on Implementation of HFEP and Status of Health Infrastructure Projects — May 11 from Bilyonaryo News Channel, published May 11, 2026. The transcript contains 23,918 words with timestamps and was generated using Whisper AI.
"Let's listen to this so that the Health Facilities Enhancement Program, or HVEP, is a really important part of the Philippines. For many of us, especially in rural areas, the rural health unit, the health station, or the super health center is the first step when there is an emergency. There is a..."
[5:32] Let's listen to this so that the Health Facilities Enhancement Program, or HVEP, is a really important part of the Philippines.
[5:41] For many of us, especially in rural areas, the rural health unit, the health station, or the super health center is the first step when there is an emergency.
[5:54] There is a lot of children who need to eat.
[5:57] So, we need HVEP.
[6:01] But, the question is not just whether it is a problem.
[6:08] The question is whether it is really important to people's lives?
[7:24] At political intervention sa pagpapatupad at allocation ng ilang proyekto sa mismong loob ng DOH.
[7:32] Hindi katanggap-tanggap ang lahat ng ito.
[7:35] Hindi ito dapat maging normal, lalo na kung bilyong-bilyong piso ng taong bayan ang pinag-uusapan.
[7:43] Kaya, tatlong bagay ang dapat malinaw na masagot sa hearing na ito.
[7:50] Una, ilan bang HVEP-funded facilities ang tunay na functional, operational, at nagseserbiso sa mga pasyente ngayon?
[8:00] Ikalawa, bakit hanggang ngayon ay mayroon pa rin delayed, abandonado, at non-operational projects kahit bilyong-bilyong piso na ang nailaan?
[8:13] At ikatlo, paano natin titiyakin ang HVEP funds ay nagagamit ng tama, patas, transparent, at tunay na napapakinabangan ng mga Pilipino?
[8:26] Dahil sa huli, hindi sa dami ng ribbon cutting, photo ops, o gusaling na ipatayo, nasusukat ang tagumpay ng HVEP.
[8:37] Ang tunay na sukatan ay kung may kalidad na serbisyong pangkalusugan ang umaabot sa tao.
[8:44] Later, as my colleagues arrive, I will also give them the floor for their opening statements.
[8:51] But for now, Comsec, please recognize our guests and resource persons and administer the oath.
[8:59] Good morning, Madam Chair, for this inquiry in the legislation of the Committee on Health and Demography together with the Committee on Finance and the local government.
[9:07] We have the following resource persons.
[9:11] From the Department of Health, we have Dr. Albert Francis Domingo, Undersecretary and Chief of Staff of Secretary Herbosa.
[9:18] Together with Dr. Raymond Angelo Caradag, Ms. Madeleine Teresa Casimiro, Mr. Maximo A. Adan Jr.,
[9:27] Ms. Maria Angelica Guinto, Mr. Christian Escarin, Ms. Gerard Ersil Dandan, Mr. Julie Jasper Jo Molina, Ms. Leia Ay Portioncola, and Ms. Maria Donna Saramosing.
[9:43] Excuse me, Comsec.
[9:45] Yes, ma'am.
[9:46] Speaking of Secretary, dadalorin ba sila o hahabol man lang sa hearing?
[9:52] Madam Chair, hahabol po siya mula sa Medical City. May mga billary at resha patients lang po.
[9:58] Thank you.
[9:59] Please proceed, Comsec.
[10:00] We also have from Department of Health, we have Dr. Glenn Matthew Baggao, Undersecretary for
[10:05] Universal Health Care Health Sector Cluster Area 1, North and Central Luzon, and Head of the Health Facilities Enhancement Program.
[10:12] From the Department of Public Works and Highways, we have Undersecretary Lara Maris Esquibil,
[10:17] Undersecretary for Technical Services and External Convergence Projects of the DPWH.
[10:23] We also have Assistant Secretary Robert Tellio Regional Operations for Luzon, together with Engineer Mark Joseph Brutas,
[10:31] Ms. Jamela Shanice Magaway, Ms. Rasheen Edithan-Louis, Engineer Daryl Paul De La Rosa, Engineer Hannah Lou Argota,
[10:40] Ms. Mary Ann Glorioso, and Ms. Frolyn Cain.
[10:44] From the Department of Budget and Management, we have Ms. Andrea Celene Magdalas, Assistant Secretary and Chief of Staff of Secretary Toledo,
[10:53] together with Mr. Christian Andal.
[10:56] From the Commission on Audit, we have Mr. Frederick R. Manalo, State Auditor, Audit Team Leader for DOH.
[11:05] From the Philippine Institute for Development Studies, we have Ms. Therese Jules Thomas, Research Specialist,
[11:11] together with Ms. Sarah Riim Esham Mohamed Hagag, and Mr. Lyle Daryl Casas.
[11:17] From the Philippine Society of Public Health Physicians, we have Dr. Juhani Kapwedeng, Secretary General.
[11:22] And from the GWAT Citizen Action for Accountability, we have Ms. Jaylen Cabarillos, together with Ms. Annabel D. Luna, Madam Chair.
[11:33] That will be all.
[11:36] Thank you, Comsec.
[11:37] Paki-administer yung oath.
[11:38] May I request the resource persons on the table to stand up, raise your right hand, and take the oath.
[11:44] Do you swear to tell the truth, the whole truth, and nothing but the truth in this inquiry in aid of legislation of the Committee on Health and Demography,
[11:55] on the implementation of the HPEP or the Health Facilities Enhancement Program?
[11:59] Say I do po.
[12:00] Thank you very much.
[12:01] You can sit now.
[12:02] Thank you.
[12:04] We have a great day for our employees to see the UNSEC and all the resource persons.
[12:10] So, directo po tayo sa presentations ng mga agencies at organizations na andi rito.
[12:15] Unahin na po natin ang Department of Health tungkol sa status of implementation ng HPEP.
[12:19] Will it be Usec Domingo?
[12:22] All right Doctor, you have the floor.
[12:23] Maraming salamat po, Madam Chair.
[12:29] Magandang araw po.
[12:31] Dear Senator Risa Ontiveros at sa lahat po ng members ng ating committees on health, local government at committee on finance.
[12:39] Nagpapasalamat po ang Department of Health sa pagkakataong makadalo upang talakayin ang implementasyon ng Health Facilities Enhancement Program o mas kilala bilang HFEP.
[12:51] Ang HFEP ay isa sa pangunahing programa ng DOH upang mapalakas ang kapasidad ng ating mga pampublikong paggamutan at iba pang health facilities sa buong bansa.
[13:02] Layunin nitong mapabuti ang akses ng mamamayan sa dekalidad na serbisyong pangkalusugan sa pamamagitan ng pagpapatayo, pagsasayos at pag-upgrade ng mga health facilities alinsunod sa layunin ng Universal Health Care Act.
[13:17] Mayroong makahamon sa implementasyon ng ilang proyekto kabilang ang mga usapin sa procurement, site readiness, contractor performance at koordinasyon sa iba't-ibang implementing agencies at local government units.
[13:32] Ang solusyon ay mas malakas na monitoring, technical assistance at interagency coordination
[13:44] upang matiyak na ang mga proyektong pinupondohan ng pamahalaan ay magiging ganap na functional, operational at kapakipakinabang sa ating mga kababayan.
[13:54] Nais din po naming tiyakin sa Komite na bukas ang DOH sa mga rekomendasyon at reformang makatutulong upang higit pang mapahusay ang implementasyon ng HFEP at mas mapalapit ang servisyong pangkalusugan sa bawat Pilipino.
[14:10] At ngayon po ay tutungo na ako sa ating slide presentation. Pumunta po tayo sa next slide.
[14:17] The Health Facilities Enhancement Program is the flagship infrastructure program of the Department of Health, aimed at strengthening the Philippine healthcare system through the construction, upgrading, and modernization of public health facilities nationwide.
[14:35] Projects under HFEP support the implementation of the Philippine Health Facility Development Plan 2020-2040, isa po itong dokumento na ka-memorandum circular,
[14:47] through the provision of capital outlay investments for infrastructure, medical equipment, and motor vehicles.
[14:54] From 2020 to 2025, the Health Facilities Enhancement Program has significantly contributed to strengthening the country's health system through strategic investments in infrastructure, medical equipment, and transport support.
[15:13] As of April 2026, HFEP has completed a total of 3,713 infrastructure projects nationwide.
[15:23] These include the construction, upgrading, and rehabilitation of health facilities aimed at improving access to quality healthcare services, particularly in underserved and geographically isolated areas.
[15:36] In support of health service delivery, the program also facilitated the procurement of 13,660 medical equipment units.
[15:46] These equipment investments enhance the diagnostic, treatment, and operational capacities of hospitals, rural health units, and other healthcare facilities across the country.
[15:56] Madam Chair, 947 motor vehicles were also procured to strengthen emergency response, logistics, patient transport,
[16:04] and community outreach operations, ensuring that healthcare services become more responsive and accessible.
[16:13] Next slide, please.
[16:15] The table shows the country's projected healthcare infrastructure requirements from 2025 to 2028, alongside the Department of Health's planned interventions to address these gaps.
[16:27] For primary care facilities, the baseline in 2025 stands at 2,701 registered RHUs.
[16:35] Kulang po ito at makikita po natin yung projections na mataas through the years.
[16:40] Dahil ang projected national demand significantly increases to 6,294 facilities by 2026 and continues to rise through 2028.
[16:51] This highlights the continuing need to expand access to primary healthcare services, especially at the community level.
[16:58] In terms of hospital beds, projected national demand is estimated at more than 351,000 beds by 2026, increasing further to almost 369,000 by 2028.
[17:12] In response, the DOH planned supply for hospital beds is targeted to increase from 30,316 baseline beds to more than 46,000 beds by 2028 through hospital expansion and development initiatives.
[17:28] Madam Chair, for specialty centers, projected demand likewise continues to grow from 177 baseline specialty centers in 2025 to 349 by 2028.
[17:42] Correspondingly, the planned supply also increases, demonstrating the Department's commitment to strengthening specialized healthcare services nationwide.
[17:53] Overall, this slide emphasizes that while significant progress has already been made under HVEP, substantial gaps and increasing healthcare demands remain.
[18:02] This reinforces the importance of sustained investments in health infrastructure, facility upgrading, hospital capacity expansion, and specialized healthcare services to achieve a more equitable and resilient health system under universal healthcare.
[18:18] Excuse me, Yusek.
[18:19] Excuse me, Yusek. Bago kayo magpatuloy, gustong i-acknowledge ng Chair yung pagdating ni Senior Vice Chair JV Ehercito at gayon din, Senator Rafi Tulfo.
[18:29] Maraming salamat sa inyong pagdalo.
[18:31] Pagkatapos nitong unang presentation ng DOH, tatangin ko kung gusto nyo rin po mag-deliver ng opening statements.
[18:37] Salamat po. Please proceed, Yusek.
[18:39] Salamat po, Madam Chair, and good morning, Senators Ehercito and Rafi Tulfo.
[18:45] Continuing, next slide, please.
[18:49] This slide presents the HVEP budget proposal process.
[18:54] The process begins at the proponent level.
[18:57] Health facilities, including DOH hospitals, local government units, and other eligible implementing entities, prepare and submit their respective project proposals.
[19:08] These proposals must be supported by documentary requirements such as site readiness certifications, hospital development plans, local investment plans for health or LIPHS, specialty center requirements when applicable, and other technical and administrative documents required.
[19:28] This initial step is critical because AO 2025-0018 of the Department of Health emphasizes that only projects with sufficient readiness and alignment with national and local health priorities may be considered for funding.
[19:46] The objective is to ensure that proposed projects are feasible, implementable, and responsive to actual health care service gaps.
[19:53] Submitted proposals are consolidated, validated, and ranked according to the Philippine Health Facility Development Plan, alignment, and compliance with documentary requirements by the DOH.
[20:06] The objective is to ensure that proposed projects are feasible, implementable, and responsive to actual health care service gaps.
[20:13] Submitted proposals are consolidated, consolidated, and ranked according to the Philippine Health Facility Development Plan, alignment, and compliance with documentary requirements by the DOH.
[20:24] Please proceed, sir.
[20:27] Thank you, Madam Chair.
[20:30] Thank you, Madam Chair.
[20:32] Restating, submitted proposals are consolidated, reviewed, validated, and ranked according to PHFDP alignment, and compliance with documentary requirements by the DOH Centers for Health Development.
[20:43] Prioritization is guided by several key considerations, including underserved and geographically isolated areas, health facility licensing status, service capability gaps, disaster resilience, UHC integration, and the absorptive capacity of implementing entities.
[21:03] The proposals are then elevated to the HFEP management office, or HFEP MO, who conducts another layer of consolidation, technical review, and prioritization based on the indicative Tier 1 budget ceiling issued by the Department of Budget and Management, or DBM.
[21:21] Priority is given to projects that will complete ongoing infrastructure, operationalize previously funded facilities, provide essential medical equipment, and support high-impact health care services.
[21:35] This is intended to address issues of incomplete facilities and to ensure that government investments translate into actual and functional health care services for the public.
[21:45] After the technical evaluation and prioritization process, the recommendations are endorsed to the DOH Executive Committee, or EXECOM.
[21:54] The EXECOM reviews the proposed projects, provides policy directions, approves necessary adjustments, and finalizes the Department's HFEP budget proposal.
[22:04] Finally, the approved proposal is submitted to the Department of Budget and Management for inclusion in the National Expenditure Program, or NEP.
[22:14] Upon DBM review and approval, the projects become part of the proposed national budget for congressional deliberation and eventual implementation.
[22:24] Next slide, please.
[22:25] For the priorities of HFEP, first priority is given to the completion of previously funded HFEP facilities and those aligned with PHFDP.
[22:36] This includes health facilities funded from 2017 to 2023 that require additional support for completion, operationalization, medical equipment, or medical transport vehicles.
[22:49] The objective is to ensure that existing government investments become fully functional and capable of delivering health care services to the public.
[22:58] Second, the program prioritizes the upgrading of specialty centers and APEX hospitals.
[23:04] These projects aim to strengthen higher-level health care services, improve specialized care, and enhance the referral system across regions.
[23:13] Third, HFEP supports the construction of primary care facilities, particularly in universal health care integration sites and geographically isolated and disadvantaged areas, or GDAS.
[23:25] This is aligned with the Department's goal of expanding access to primary health care services, especially in underserved communities.
[23:32] Lastly, the program also addresses the infrastructure, equipment, and medical transport vehicle requirements of other health care facilities,
[23:41] including treatment and rehabilitation centers, blood facilities, regional offices, warehouses, and other support facilities essential to health service delivery.
[23:51] Next slide, please.
[23:52] On screen is the HFEP physical report as of April 2026, covering the years 2020 to 2026.
[24:02] Of note is the increase in the number of projects to as high as 5,000 in calendar year 2023.
[24:09] And also, in terms of percent completion, from a very high 94, it goes to as low as 2026 is still ongoing,
[24:20] kaya mababa po, 5.92.
[24:22] But 2025, which is already a complete year, mababa po damshare, dear senators, 24%.
[24:28] Dahil ito po yung panahon na infrastructure spending ay talagang bumagal across all sectors po.
[24:37] Next slide, please.
[24:38] Pagdating naman po sa mga super health centers.
[24:42] A super health center is a primary care facility designed to strengthen healthcare delivery at the community level
[24:48] and improve access to essential health services, particularly in underserved and geographically isolated areas.
[24:55] Unlike traditional rural health units, super health centers are envisioned to provide expanded primary healthcare services closer to the community,
[25:04] reducing the need for patients to travel to higher level hospitals for basic diagnostic and treatment needs.
[25:12] The facility is equipped to provide primary clinical laboratory services, including basic blood tests, urinalysis, stool analysis,
[25:21] pregnancy testing, complete blood count, blood sugar testing, serology testing, and sputum smear testing for tuberculosis.
[25:28] It also provides diagnostic radiologic services such as ECG, x-ray, and ultrasound, which are essential for early detection and management of diseases.
[25:39] In addition, super health centers are designed to provide pharmacy services, birthing services, minor surgical procedures, dental services, ambulance services,
[25:49] and telemedicine capabilities to improve healthcare accessibility and referral coordination.
[25:55] Next slide, please.
[25:56] Meron pong mga iba-ibang model ang super health center.
[26:02] Ito po ay sadyang para maging scalable and community-based ang ating primary healthcare services,
[26:09] depende sa populasyon, service requirements, at healthcare needs ng bawat lokalidad.
[26:14] The first is the small model.
[26:16] This model is intended for the communities with basic primary healthcare requirements
[26:21] and includes essential services such as consultation areas, pharmacy, primary clinical laboratory, records and office space, and a minor surgical room.
[26:31] Ang costing po namin, Madam Chair, on average ay 6.5 million per infrastructure only.
[26:37] Nagbabago lamang po yan at laging dokumentado, depende dun sa site particularities.
[26:44] The second is the medium model.
[26:46] In addition to the services available in the small model, it includes radiology services, birthing facilities, and ward or recovery rooms.
[26:54] This allows the facility to provide expanded diagnostic and maternal healthcare services.
[26:59] Ang average cost po ng medium-sized na super health center, infra only, ay 12 million pesos.
[27:05] The third is the large model.
[27:08] This model provides the most comprehensive range of services, including all components of the medium model,
[27:14] with the addition of a dental clinic and expanded support facilities to accommodate higher patient volume and broader healthcare services.
[27:22] Ang average cost po nito, Madam Chair, ay 15 million pesos infrastructure only.
[27:28] Next slide, please.
[27:33] Out of the 820 funded super health centers nationwide from 2021 to 2025, 481 projects or 58.7% have already been completed based on their approved scope of works.
[27:49] These completed facilities are expected to strengthen primary healthcare delivery and improve access to essential health services in communities.
[27:58] Meanwhile, 304 out of the 820 projects or 37.1% are still in various stages of construction and implementation.
[28:08] These include projects undergoing procurement, ongoing construction, rehabilitation, or completion activities.
[28:16] On the other hand, 35 projects or 4.3% were identified as unimplementable, terminated, or reverted due to issues such as site constraints, non-readiness, implementation challenges, or other technical and administrative concerns.
[28:37] Overall, the data reflects the department's continuing efforts to expand primary healthcare infrastructure nationwide through the establishment of super health centers,
[28:47] while also recognizing the implementation challenges that are being addressed in coordination with LGUs and other partner agencies.
[28:55] Madam Chair of Interest here, dun po sa ating total completed na 481, 243 na po yung aming tinatawag na ready for occupancy.
[29:05] Mahalaga po ito dahil even internally, kami po ay medyo napapakamot ng ulo kasi yung term na completion ay referring to scope of work.
[29:15] Pero yung scope of work po ay hindi pa pwedeng upuan ng doktor, hindi pwedeng tayoan.
[29:20] Halimbawa, yung mga super health center na foundation lamang mukha siyang completed sa papel dahil ang scope of work nung project na yon ay foundation only.
[29:30] Meron palang plinano na another project na hindi pa started.
[29:34] Kami pong mga doktor sabi namin, paano kami magkiklinik doon?
[29:37] Foundation lang yon.
[29:38] Kailangan at isahuto sa mga panokalari ni Secretary Erbosa,
[29:41] dapat ang reckoning hindi per project basis kundi RFO.
[29:45] Parang kondominium lang na kailangan pumasok ka na para magklinik, hindi pwede yung foundation lamang.
[29:50] Doon po sa talagang ready for occupancy, ang umaandar lamang ay 224, ang non-operational ay 19.
[29:58] Doon naman po sa partially completed, hindi pa po natatapos, meron ng operational na konti na 16, mas marami po yung non-operational.
[30:09] Pag dilagdag po natin yung 222 at yung 19, yan po ay magiging 241.
[30:14] Nung huli pong naiulat sa publiko ang status na ito ang mga bandang August, September, October last year,
[30:21] nasa 300 po yung non-operational.
[30:24] So in the past few months, bumawas na po siya, 241 na lamang po ang nakalista.
[30:29] Next slide please.
[30:31] Napakahalaga po nitong slide na ito Madam Chair, dear Senators,
[30:36] dahil kailangan nating linawin ano ba ang nangyayari sa isang HFEP project kapag ito ay natapos na.
[30:44] Yung talagang ready for occupancy na, huwag na natin sabihin completed, ready for occupancy.
[30:49] Tandaan po natin na ang LGU ay pwede mag-implement ng DUH-funded HFEP projects,
[30:56] pati po ang DPWH and other agencies basta po merong memorandum of agreement.
[31:02] Pursuant to Department of Health AO No. 2025-0019 or the guidelines in the implementation of HFEP projects,
[31:10] LGUs are mandated to ensure that HFEP-funded health projects,
[31:15] facilities become fully functional within three months upon turnover,
[31:20] are continuously maintained and operationalized,
[31:23] and are accredited by PhilHealth to ensure sustainable and accessible health service delivery.
[31:31] Further, existing DOH policies provide that LGUs may implement DOH-funded HFEP projects through the MOA.
[31:39] Other LGU requirements may include recognition under the seal of good local governance,
[31:45] demonstrated absorptive capacity, sound financial management,
[31:48] and other relevant indicators that establish the LGUs capacity to effectively implement and sustain health infrastructure projects.
[31:57] Ito rin po ay alinsunod sa ating Local Government Code, Section 17,
[32:02] kung saan ang devolution of health services ay nagtatakda ng basic health services sa puder ng local government unit.
[32:11] Next slide, please.
[32:12] Other national government agencies may undertake the implementation of DOH projects
[32:20] subject to the execution of a duly approved memorandum of agreement between the concerned agencies
[32:27] consistent with existing laws, rules, and regulations.
[32:31] Madam Chair, dear Senators, ito po ay alinsunod sa mga special provisions of the General Appropriations Act
[32:37] for fiscal years 2024 and 2025, kung saan nakalagay that DOH infrastructure projects amounting to more than 5 million pesos
[32:48] shall be implemented by the Department of Public Works and Highways except for DOH hospital projects
[32:55] and other projects as may be authorized under existing policies and guidelines.
[33:00] Sa statutory construction, ang keyword po dito ay shall.
[33:05] Next slide, please.
[33:06] For our ways forward, moving forward to further strengthen project implementation
[33:13] and address recurring challenges encountered under the Health Facilities Enhancement Program,
[33:18] the HFEP MO shall first strengthen site readiness and project preparation.
[33:24] Projects proposed for HFEP funding will undergo stricter readiness assessment prior to inclusion in the General Appropriations Act.
[33:32] This includes ensuring complete land ownership documents,
[33:36] feasibility requirements, approved program of works, utility access, and firm commitments from local government units.
[33:46] Second, institutionalize stronger coordination with local government units and the DPWH.
[33:53] Since HFEP implementation involves multiple stakeholders, enhanced convergence mechanisms are necessary under current law to improve project delivery.
[34:03] This includes regular coordination meetings, joint monitoring activities,
[34:08] clearly defined implementation timelines, and accountability mechanisms under existing memoranda of agreement.
[34:14] Third, to adopt a more performance-based prioritization approach in the allocation of HFEP funding.
[34:23] Priority consideration will be given to LGUs and implementing units with demonstrated absorptive capacity,
[34:30] good governance practices, good governance practices, and strong implementation track records.
[34:34] This includes recognition of LGUs with good financial management and governance indicators,
[34:40] such as the recipients of the seal of good local governance.
[34:45] Next slide please.
[34:46] The DOH also aims to improve monitoring and digital reporting systems.
[34:53] Sa katunayan po, ongoing ang aming trabaho dun sa Digital Information for Monitoring and Evaluation or DIME project
[35:05] ng Department of Budget and Management na isa pong website na papasok lahat pati yung GPS coordinates,
[35:11] pati yung mga picture at kung saan pwede rin mag-interact ng ating mga kababayan
[35:15] para makita kung ano ba talaga ang status ng mga infrastructure projects including in this case HFEP.
[35:23] Gusto rin po namin mag-focus on completion and operationalization and strengthen accountability of implementers
[35:30] including the use of, as mentioned, digital dashboards, geotagging, periodic validation, and field inspections.
[35:37] These mechanisms will allow the DOH to immediately identify delayed, suspended, or non-performing projects
[35:44] and facilitate timely interventions and corrective actions.
[35:48] This also includes stricter performance evaluation of contractors and implementing partners,
[35:54] immediate resolution of project slippages, enforcement of liquidated damages when warranted,
[36:01] blacklisting of consistently non-performing contractors,
[36:05] and deployment of technical assistance teams for critical or delayed projects.
[36:10] Next slide.
[36:13] The DOH also aims to enhance sustainability and post-turnover support for health facilities.
[36:19] Beyond infrastructure completion, local government units are encouraged to allocate adequate resources
[36:25] for maintenance, utilities, operational expenses, and human resources for health
[36:31] to ensure that facilities remain functional after turnover.
[36:36] Ito rin po naman na ilinsunod sa pinirmahan at legally binding na memorandum of agreement with the DOH.
[36:44] In line with DOH Administrative Order No. 2025-0019,
[36:49] health facilities must be integrated into local health systems and investment plans
[36:54] to maximize their long-term impact and ensure the continuity of healthcare services.
[36:59] Promoting a whole-of-government approach and strengthening capacities of LGUs for HVAP implementation requires strong collaboration among the DOH, DPWH, LGUs, DBM, and other oversight agencies
[37:14] to ensure that projects are implemented efficiently, completed on time, and are responsive to the healthcare needs of communities.
[37:22] Strengthening inter-agency coordination also supports the objectives of the
[37:28] Philippine Health Facility Development Plan 2020-2040 and the broader goals of universal healthcare.
[37:35] Continuous orientation, technical guidance, and capacity-building activities will also be provided on project implementation,
[37:43] procurement processes, contract management, monitoring, reporting, and health facility operationalization.
[37:50] By strengthening the technical and administrative capacities of LGUs, the Department aims to reduce implementation delays,
[37:57] improve project execution, and ensure that HVAP-funded facilities are properly completed, operationalized,
[38:05] and sustainably managed in accordance with national health standards.
[38:10] Next slide.
[38:11] Sa pagdatapos po, Madam Chair, dear Senators, the Health Facilities Enhancement Program is more than an infrastructure initiative.
[38:19] It is a continuing investment in the health, dignity, and future of every Filipino.
[38:25] While challenges in implementation remain, the DOH is still committed to strengthening coordination,
[38:33] improving accountability, accelerating project completion, and ensuring that every funded facility
[38:40] becomes fully functional and responsive to the needs of our communities.
[38:45] Through stronger partnerships with local government units, DPWH, Congress, the Senate, and all stakeholders,
[38:52] we move closer toward the healthcare system that is accessible, resilient, equitable, and truly responsive under UHC.
[38:59] Maraming salamat po, Madam Chair, your honors.
[39:03] Maraming salamat din po, Yusek Domingo.
[39:05] Bago tayo magpatuloy sa presentations ng mga resource persons.
[39:09] For the record, the Chair declares that this meeting is formally called to order.
[39:16] At ngayon, bibigyang daan muna yung mga opening statements ng iba pang mga miyembro ng Komite.
[39:23] Do you have an opening statement, Senator?
[39:24] Thank you, Madam Chair.
[39:25] A pleasure.
[39:26] Good morning, everybody.
[39:27] My colleagues, of course, our Chair, Santo Tiberos.
[39:32] To all the resource persons present, as you all know, the improvement of the health facilities
[39:39] is an integral factor in the success of the universal healthcare.
[39:44] And I think universal healthcare law is very, very important, very close to the hearts of the Chair.
[39:50] And yours truly, because we both worked hard to have this landmark legislation passed into law in 2019.
[39:59] And Madam Chair, the reason also that I participate today is that I have seen how the HFEP has benefited
[40:08] a lot of our health facilities, the improvement of the hospitals all around the country.
[40:15] Dati kasi pag sinasabi po, ano nakaraan,
[40:18] ang tingin pag government hospital, parang luma, madilim.
[40:23] Sabi nga, ang joke nga nun eh, pag government hospital,
[40:27] mapasok kang naglalakad at paglabas mo, nakahigana.
[40:32] But those have changed greatly the past few years.
[40:38] I have seen it.
[40:39] Kasi alam nyo, Madam Chair, dahil ako'y mahilig maglaboy,
[40:43] mahilig mag-ikot sa akin pong pagmumotor at iba pa,
[40:46] marami ako nabisita lately.
[40:48] And these are some hospitals that I have visited
[40:51] and have benefited greatly because of HFEP.
[40:54] Ito po yung Dr. Paulino Garcia which I visited last week,
[40:57] Medical Center, this is in Nueva Ecija.
[41:00] So proud to say that since we funded this since 2017 through HFEP,
[41:08] slowly, yung pong nasa gitna, yan po yung original facility.
[41:12] Yung nasa baba.
[41:14] And these two new buildings are ito po yung mga bagong dagdagdag.
[41:18] And proud to say, Madam Chair, that in one of my visits there,
[41:22] nakita ko sa monitor, meron na silang ongoing operation, kidney transplant,
[41:27] and they are already able to undertake open heart surgeries.
[41:34] So malayo na rin po narating na mga natulungan po natin.
[41:39] Lalo po yung mga DOH funded hospitals, yung mga identified specialty centers.
[41:44] Ito po naman, yung iba po mga provincial hospitals,
[41:47] if I might just share with the committee,
[41:49] South Cotabato Provincial Hospital,
[41:52] si Governor requested also by Governor Tamay
[41:57] and Congressman Hernandez.
[41:59] Tinulungan din po natin ito to HFEP several years ago,
[42:03] kaya lang kulang pa.
[42:05] May mga kulang pa.
[42:07] Kaya nga, I'd like to ask questions, Madam Chair,
[42:10] is that after we have funded some of the facilities,
[42:15] minsan nade-delay.
[42:16] Saan po yung delay?
[42:17] Sayang naman kasi bigkakastosin natin ng 100 million.
[42:20] May ibang nga dyan, billion na eh.
[42:22] Tulad ng Galliares Medical Center in Bohol, napakalaki.
[42:27] It's a specialty center for Visayas.
[42:30] Kaya lang, nade-delay po yung equipment and completion.
[42:33] Nagiging white elephant.
[42:35] So we would want to find out what is causing the delay
[42:39] because these health facilities cannot wait any longer
[42:43] kasi kailangan ng tao yan eh.
[42:44] In order for us to be proud of the universal healthcare law,
[42:48] our health facilities has to be at par also,
[42:51] na hindi na pwede yung dating Makaluma.
[42:53] Ito po sa Davao Oriental Provincial Medical Center
[42:57] that is also being requested for support.
[43:00] Although ito yung mga provincial hospitals na nadalo ko, Madam Chair,
[43:04] it's still part of the health delivery network, no?
[43:08] Na kailangan natin para hindi makongest,
[43:11] magkaroon ng congestion yung mga DOH hospitals.
[43:13] Kailangan yung mga secondary and other primary.
[43:16] Matulungan din natin.
[43:17] And that's why, Madam Chair, pinapoint out ko po yung tito,
[43:20] marami yung mga provincial hospitals that would want to really prioritize health center.
[43:25] Ito po yung sa Region 1 Medical Center, no?
[43:28] Maganda rin po ito.
[43:32] Malapit na rin humaging specialty center,
[43:34] even yung Mariano Marcos in Ilocos
[43:36] and the one in...
[43:37] Ito po yung sa Pangasinan, no?
[43:40] And also the one in La Union.
[43:42] Magaganda na rin po.
[43:43] Ano na lang?
[43:44] Kunting tulong pa.
[43:45] Pero that's what we want to find out.
[43:47] Saan po nagkukulang?
[43:48] Next please.
[43:49] Next slide.
[43:51] Ito po yung Laguna Medical Center, ma'am.
[43:56] Ito po yung hinihingin tulong din ni Governor Sol.
[43:59] Aragones.
[44:01] Because Laguna now, siguro I think the DOH family will agree.
[44:05] Although ang regional center niya is the Bat MC or Batangas Medical Center.
[44:09] But Cavite itself, Laguna and Batangas are very populated provinces
[44:15] na kailangan talaga nila magkaroon ng mga own tertiary or apex hospitals na sa dami ng tao, no?
[44:23] So itong Laguna Medical Center, medyo...
[44:25] I'm quite happy because si Sol Aragones po,
[44:28] the new governor,
[44:30] na-prioritize po niya ang health, no?
[44:33] And she is really requesting ko.
[44:35] So ito po yung mga in-identify natin, Madam Chair,
[44:37] that can really be supported
[44:41] para ma-augment natin yung whole service delivery network ng ating DOH hospitals.
[44:46] Next.
[44:47] Ito po yung Bat MC, Batangas Medical Center.
[44:50] This is...
[44:51] Ito po yung pinapoint ako, Madam Chair, kasi ito yung...
[44:53] Tama, no?
[44:54] Dr. Domingo, this is the...
[44:56] Ito po yung regional hospital, pero matagal ho yung...
[44:59] Yes, sir.
[45:00] Medyo may delay po yung...
[45:02] Kasi patagal na natin ito at pinagtulungan, Madam Chair,
[45:05] Finan, pero when I visited,
[45:07] meron ng bagong parang cancer center na building,
[45:09] pero yung ibang buildings, ganyan pa rin yung itsura.
[45:13] So...
[45:14] Kailangan-kailangan.
[45:15] Kasi nga po ito yung pinaka-main regional center ng DOH sa Calabar Zone.
[45:23] Meron naman magaganda, tulad ng Quezon Medical Center, tulad ng...
[45:27] Swerte natin dahil si Governor Helen Tan,
[45:30] our counterpart sa Universal Health Care.
[45:33] Of course, priority niya ito.
[45:34] Maganda ho yung facility na nila,
[45:36] they have MRI, may mga CT scan.
[45:38] Pero ang napapatulong na lang po sila doon sa ibang district hospitals
[45:42] to serve as secondary and primary hospital
[45:46] para hindi makongest.
[45:48] Next, please.
[45:49] So ito po yung mga para lang makita.
[45:51] Western Visayas, we also funded this, Madam Chair,
[45:54] several years ago.
[45:55] This malaki ho ang building.
[45:57] Meron ng mga equipment.
[45:59] But there still, meron pa rin yung pagkukulang.
[46:02] According to Congresswoman Jamjam Baronda,
[46:04] ito po yung mga kulang.
[46:06] Status of the cancer center.
[46:08] Yung construction of the lung center building.
[46:12] Ito na lang yung kulang.
[46:14] Outpatient department.
[46:15] And the expanded.
[46:16] I think this is the challenges that we pose.
[46:20] Yung we have increased the bed capacities of a lot of the facilities.
[46:25] Pero yung personnel, I think, yung challenge.
[46:27] Si Dr. Glenn Bagawa and Dr. Domingo, our USEC, would agree na ito yung challenge natin.
[46:35] How to complete yung personal services natin para talagang makumpleto na yung,
[46:40] halimbawa, 1,000 bed capacity or 600.
[46:43] Itong Western Visayas is ready to serve the region.
[46:46] Western Visayas.
[46:48] So Banay Island, Negros, and it will be served the Western Visayas Medical Center.
[46:56] Ito po na ang Governor Celestino Galliari's Memorial Medical Center in Bohol.
[47:01] Naku, napakalaki na ito.
[47:02] Madam Che, I think, kung ito susuma natin, I think we have already invested about 2 billion.
[47:09] Sayang naman kung hindi natin mamadali matapos kasi white elephant siya ma'am.
[47:14] Sayang naman yung, we have spent so much for infrastructure and other equipment.
[47:18] Siguro we can get on updates also kasi mga HVF funded ang most of these.
[47:23] But now, most are now being funded by sa GAA because of the specialty centers.
[47:31] Next, please.
[47:32] So, if you can see, malaki na rin yung improvement natin ng mga hospital facilities.
[47:38] And I'm happy that sa akin pag lalakbay, pag iikot, dinadalo ko.
[47:43] And I'm quite impressed with some. And some are all still needs a lot of focus and help.
[47:51] Tulad po nung sa, I think, Pangasinan.
[47:55] Nasa Tagupan, siguro alam nga DOH yan.
[47:58] Nako po, yun ang pinakamalungkot.
[48:00] Kahit walang baha, baha pa rin.
[48:03] Kasi nga, well, because of the, nangyari po kasi doon.
[48:07] Because of the, kailangan tulungan po natin.
[48:10] And even yung mga ward na kunsan sila nasa koridor, baha din, ano, nakakaawa.
[48:16] So, there are some facilities that I would want to point out that really needs attention and support of the committee.
[48:25] And pagtulungan po natin.
[48:27] Siguro yun ang naging advantage sa pagiging gala ko.
[48:31] Napupuntahan po natin talaga.
[48:33] And I would like to send some report to the committee, to the chair, for their appreciation and parusal.
[48:40] So, that's, you know, Mr. Chair, for my statement, I just showed yung mga nabisita ko po facilities that to show that the HVF indeed really helps
[48:50] and it's an integral part of the success of the universal healthcare law.
[48:54] Kaya, kailangan sana pagtulungan po natin.
[48:56] And especially, Ma'am, Madam Chair, yung probinsya or LGU, very supportive.
[49:01] Nakakatawa eh, sarap tulungan kasi that will mean the success of the health program natin.
[49:07] Like Tarlac, Bataan, to name a few, Quezon, na gusto na i-prioritize, Cebu, na they are asking for help.
[49:15] So, doon ho natin sana tignan.
[49:17] So, although meron ibang, yung mga key cities naman na kaya naman sana nila.
[49:23] Ayoko naman ano yung sana mamaya, pero meron na pabayaan din.
[49:28] Sana i-prioritize ho natin yung health facilities.
[49:32] So, that's all, Madam Chair. Thank you for this hearing because this will be very important
[49:38] because we are entering the seventh year of the implementation of the UHC.
[49:42] It's a ten-year program.
[49:44] Hindi naman to magic na pagkapasa, gaganda lahat.
[49:47] But I'm confident that with you there,
[49:52] tayo po, the center tool po, nandiyan din po.
[49:54] At least yung mga direct feedback ay masasabi natin
[49:59] and how we will be able to improve this HFEPS.
[50:03] Malaking bagay po ito sa atin po.
[50:05] Maraming salamat. Thank you very much, Madam Chair.
[50:07] Thank you very much also, Senator JV.
[50:10] And tama po kayo ahlimbawa dun sa Region 1 Medical Center sa Dagupan.
[50:16] Surprisingly, for several years, hindi na isasama yung konti na lang kulang niya
[50:22] for capital outlay sa GAA. Ang kulang lang nila for a few years, 150M.
[50:30] Nakapagmobilize na yung hospital management, yung directors,
[50:35] 100M from an NGO overseas. So, 50M na lang ang kulang.
[50:42] So, i-follow up din po natin yan kay Secretary of Health.
[50:47] Senator Rafi, would you like to make an opening statement?
[50:50] Thank you. Thank you, Madam Chair.
[50:53] Good morning.
[50:54] Excuse me.
[50:55] Madam Chair, Sen. Reza Anteveros and Sen. JV. Ayres ito sa mga kasamaan sa ating mga bisita
[51:07] at sa mga resource speakers.
[51:09] The purpose of the Health Facilities Enhancement Program or HFEPS is to bring healthcare closer to the people.
[51:16] Ngunit sa kabila ng mayigit P190 billion pesos na nagastos mula 2008 agang 2023, ang tanong,
[51:29] nang ba talaga ng taong bayan ng servisyong pangkalusugan na ipinangako ng HFEPS?
[51:34] Based on the COA 2024 findings, the problem is not just funding, but also the implementation and coordination of HFEPS projects.
[51:46] More than 11.54 billion pesos worth of health infrastructure projects were delayed.
[51:53] 619 million pesos worth of facilities remained unused and 405 million pesos worth of medical equipment still could not be used due to inadequate planning,
[52:07] lack of trained manpower, and delayed installation na kanina po paulit-ulit binanggit ni Sen. JV.
[52:15] Sa mga nakarambuan, sunod-sunod po ang reklamo at balita tungkol sa mga superhealth centers na parang ghost health centers.
[52:24] According to the DOH, there are already 820 superhealth centers nationwide, funded with around 8.7 billion pesos from 2021 to 2025.
[52:38] Ngunit sa dami ng napunduhan, 481 pa lang ang sinasabing completed as to last scope of works,
[52:49] habang 243 lang ang classified as ready for occupancy.
[52:55] Sa bilang na ito, 224 lamang ang operational at 19 pa rin ang hindi gumagana dahil sa utility connection, issues at kakulangan sa manpower.
[53:07] Mas nakakaalarma rito na 304 projects ang delayed at malaking bahagi nito ay mga DPWH implemented projects.
[53:21] Superhealth centers were envisioned to bridge the gap between barangay health stations and hospitals by providing essential healthcare services such as diagnostics, laboratories, birthing, dental, and emergency care.
[53:35] Sa mga binisita naming HFEF funded facilities, kulang sa operational readiness at actual utilization ang mga ito.
[53:45] So Bando Health Center, operational na raw pero hindi pa rin fully functional dahil wala pang permit ang lying-in facility at kulang sa essential services tulad ng radiology, pharmacy, at laboratory personnel.
[54:03] Sa mga kawayan superhealth center naman, operational na mula 2023 pero wala pa rin dental clinic at laboratory services kahit na ipinangako ito noong inauguration.
[54:19] It is apparent that completed does not necessarily mean operational.
[54:24] At hindi rin porket operational ay super na agad ang servisyo.
[54:30] Kung walang doktor, walang specialist, o trained personnel, kahit gaano pakaganda ang building at equipment, hindi rin ito magagamit ng pasyente at bakit tinawag pang super.
[54:41] However, I still hope that these super health centers will truly live up to the word super, complete, accessible, and responsive to the healthcare needs of the Filipinos.
[54:54] Isa na rito ang pagdami ng chronic kidney disease o CKD cases affecting around 13 million Filipinos.
[55:04] Kaya malagang pagkakaroon ng libreng kidney screening services because early detection and intervention can help prevent severe kidney disease and costly treatment.
[55:16] Ganito rin sa dental care kung saan tinatayang 73 million Filipinos ang may dental caries at tooth decay.
[55:25] Pero marami pa rin health facilities ang kulang sa maayos at accessible na dental services.
[55:33] Other than health facilities, motor vehicles are also part of HVIP that we should closely monitor.
[55:41] Mula 2021 hanggang 2026, halos 7.8 billion pesos na ang inilaan sa ilalim ng HVIP para sa ambulances at mobile clinics.
[55:53] Pero ang tanong, functional, properly equipped at nagagamit ba talaga ito na mga pasyente?
[56:04] Kamakailan may LGU-owned ambulance na nahuling ginagamit bilang pampasaherong sasakyan sa EDSA busway.
[56:10] At kahit kulang sa emergency equipment, habang nasa Nueva Vizcaya naman ay may ambulansyang pinabayaan na lang sa damuhan.
[56:18] Mas nakakabahala na ayon sa dating DOH Undersecretary na sa 25% lang umano ng mga mobile primary care facilities
[56:26] ang fully functional dahil sa kakulangan sa supplies at trained personnel.
[56:33] At bago po sa aking pagtatapos, hindi na kailangan sagutin muna ito.
[56:39] Mamaya na lang napansin ko ang presence ni Dr. Glenn Matthew Bagau.
[56:44] My question, Madam Chair, which later pwedeng sagutin nila.
[56:48] Is he still active sa mga HVIP-related projects?
[56:54] Dahil ang pagkakaalam ko, may kaso po ito sa ombudsman.
[57:00] He's facing gruff and corrupt administrative complaints over an alleged conflict of interest involving EGB construction
[57:09] reportedly owned by his brother Ernie Bagau.
[57:14] EGB construction allegedly secured at least five related HVIP-related projects worth nearly 141 million pesos,
[57:24] including Super Health Center in Isabela and District Hospital.
[57:32] The complainants, may mga complainants po na lumapit din sa akin.
[57:35] They're urging the ombudsman to investigate the case, suspend EGB Bagau, and revoke his authority over HVIP.
[57:47] Thank you, Madam Chair.
[57:48] Thank you also, Senator Rafi.
[57:51] Bago natin hingi ng presentation ng Commission on Audit, nais i-acknowledge ng Chair yung presensya ni Vice Chair Bonggo
[58:00] at isa sa mga may akda na mga resolusyon na dinidinig natin ngayon.
[58:06] Gusto niyo bang mag-opening statement, Senator Bong?
[58:08] Good morning, Madam Chair, distinguished colleagues, and to our resource persons present today.
[58:21] The right to health is not just a policy objective.
[58:31] It is a constitutional mandate.
[58:33] Kaya naman po patuloy tayo na nagsusumikap ng gobyerno na gawing mas accessible ng servisyo medical para sa ating mga kababayan.
[58:42] Access to basic healthcare remains highly uneven, particularly in far-flung and underserved communities
[58:50] where healthcare services are most needed.
[58:54] Ako mismo po'y saksi niyan dahil ako po'y umiikot sa buong Pilipinas.
[59:01] Minsan, kailangan pang tumawid ng ilog o bundok para lang makapunta sa pinakamalapit na health center o hospital.
[59:08] Yung iba nga, nanganganak sa bangka o sa tricycle sa sobrang layo.
[59:13] Remember, more than 7,000 islands tayo sa buong Pilipinas.
[59:16] The DOH aims to address this through its Health Facilities Enhancement Program.
[59:23] Ito po yung tinatawag na HPEP.
[59:27] Dahil bilang Chairman ng Committee on Health for 6 years po,
[59:32] ay sinuportahan natin ang programang ito kasama ng ating mga kasamaan sa Senado at Kongreso
[59:37] dahil alam natin ang kakulangan sa pasilidad, lalo na po sa malalayong lugar.
[59:43] Suportado rin natin po ang pagtatayo ng superhealth centers.
[59:47] These centers are badly needed to make primary health care more accessible
[59:52] and considering that we are an archipelagic country with more than 7,000 islands po.
[59:59] Layunin ang inisiyatibong ito na ma-decongest po ang ating mga hospitals.
[1:00:03] In fact, not only health centers, we also advocated for public hospitals.
[1:00:09] At sa aking pagdinig nga po dito sa Senado,
[1:00:15] kailangan naman talagang i-improve yung mga pasilidad natin.
[1:00:18] Yung iba, sinasabatas natin.
[1:00:20] Personal ko pong nakikita kung gaano kabigat ang kakulangan ng hospital beds sa ating mga hospital.
[1:00:26] Sa isang kama, dalawa o minsan nga ay higit pa sa dalawa o tatlo ang nagsisiksikan.
[1:00:34] Lalong-lalo na po noong panahon ng pandemia.
[1:00:39] Paano gagaling ang pasyente kung ganito ang kanilang sitwasyon?
[1:00:42] Kaya naman po nakapagpasa tayo ng 93 laws for the construction and upgrade of public hospitals across the country for the past 6 years.
[1:00:51] Trabaho namin yan sa kongreso at trabaho naman po ng taga-executive
[1:00:55] ang pagpapatupad ng mga batas at mga programa na gobyerno para sa tao.
[1:00:59] It is alarming and saddening to know that there are reports of delayed implementation, incomplete infrastructure, lack of equipment, and even unused health facilities.
[1:01:14] At sa bawat monthly hearings po natin noon sa bilang chairman ng Committee on Health,
[1:01:19] parati ko pong pinapaalala sa DOH na siguraduwing completed at operational ang mga proyekto para sa mga pasilidad.
[1:01:27] At matagal ko na yung sinasabi, every hearing po, yan po ang paalala ko sa DOH.
[1:01:32] Gusto ko lang pong balikan ito ngayon bilang membro po or vice chairperson ng Committee on Health.
[1:01:40] Use health facilities.
[1:01:42] At sa bawat monthly hearings po natin noon sa bilang chairman ng Committee on Health.
[1:01:46] Parati po pinapaalala sa DOH na siguraduwing completed at operational ang mga proyekto para sa mga pasilidad.
[1:01:55] At matagal ko na yung sinasabi, every hearing po, yan po ang paalala ko sa DOH.
[1:02:00] Please proceed, Senator Bong.
[1:02:04] Parati ko pong pinapaalala, yan pa si, during the 19th Congress, yan.
[1:02:12] Bakit nandyan yung mga...
[1:02:14] Anyway, during the budget hearing last year, we also raised this issue and called on the DOH
[1:02:25] to complete the construction and ensure health facilities are operational.
[1:02:29] Even the chairperson of the Committee on Finance, Senator Wynne Gatchelian, agreed to prioritize health facilities for completion.
[1:02:39] Kaya po napansin ko nung budget deliberation, inuuna talaga ni Senator Wynne yung mga completion po ng mga...
[1:02:47] finish ng mga projects.
[1:02:50] Mas importante sa kanya yung completion.
[1:02:54] At napansin ko nga po nung last year, nasa social media yun lumabas na naguunahan pa nga yung DOH at saka yung LGO,
[1:03:12] naguunahan pa silang lumabas yun sa media na merong mga uncompleted.
[1:03:23] Narinig nga natin na baka maunahan pa tayo.
[1:03:26] Pero anyway, ang importante po rito, complement each other.
[1:03:31] Hindi po kayo kailangan mag-away sa DOH.
[1:03:38] Kabisado rin po ni Yusek Domingo yan.
[1:03:42] Importante po rito mag-complement kayo with the LGU.
[1:03:45] Magtulungan po kayo dahil kailangan-kailangan po ng mga LGU yung pasilidad ninyo.
[1:03:51] At kayo naman po yung mga merong regional offices.
[1:03:55] Kayo yung mga may regional director.
[1:03:57] At proyekto nyo po ito, itong mga, not only health center, but yung mga hospitals.
[1:04:03] Marami po mga probinsya o mga LGUs na umaasa po sa DOH.
[1:04:09] Kayo, kasi kayo naman po yung may pera.
[1:04:11] Lalong-lalo na po yung mga LGUs, ng mga fourth class municipalities,
[1:04:15] na wala pong kakayahan talaga magpatayo ng mga pasilidad.
[1:04:18] Dahil wala po silang pondo, magkano lang na po yung kanilang budget.
[1:04:22] Noon pa man, naging consistent tayo at hindi tayo nagkulang sa ating paalala sa mga implementing offices.
[1:04:29] Huwag maging white elephant, huwag iwanan at sigurduin na mapapakinabangan po.
[1:04:35] Dapat bawat pisong inilaan ng gobyerno para sa mga proyekto ay ramdam po ng mga Pilipino.
[1:04:41] Lalong-lalo na po yung pinaka nangangailangan ng tulong medical.
[1:04:45] Maganda po ang layunin ng mga superhealth centers para malapit po ang medical services sa ating mga kababayan,
[1:04:51] lalong-lalo na po sa mga malalayong lugar.
[1:04:54] Pero importante dito, sabi ko nga, complement each other ang DOH at ang LGU.
[1:05:00] The roles of the national government and LGUs are important to ensure that completed health facilities are fully functional and operational.
[1:05:09] There are superhealth centers built which are now operational, made possible through the successful collaboration of the DOH and LGUs.
[1:05:19] Marami po yan.
[1:05:20] Gusto ko lang pong gawing halimbawa yung sa Batangas, Tinglo.
[1:05:24] Yan po.
[1:05:25] Island po siya, isang oras yung biyahe papunta sa Batangas and another one hour yata sa Batangas Medical Center.
[1:05:32] Pakibalikan lang po yung Tinglo.
[1:05:34] Island po siya.
[1:05:36] Yan.
[1:05:37] Maganda po yung ginawa nila doon.
[1:05:39] Proyekto po yan ng DOH.
[1:05:41] Salamat po sa mga natapos at magagandang proyekto.
[1:05:46] Napapakinabangan po.
[1:05:47] Yan yung sinabi ko, yung mga buntis raw noon, nanganak na lang sa bangka sa sobrang layo ng pagbabiyahe nila.
[1:05:54] At marami pong mga munisipyo na nasa island, even doon sa Sarangani, Dabao Occidental, four hours ang biyahe sa bangka.
[1:06:04] Meron rin po silang superhealth centers po doon.
[1:06:06] Nag-complement po ang DOH at ang ating mga LGUs.
[1:06:13] This exemplifies what can be achieved.
[1:06:15] Tingnan nyo rin po sa Iloilo.
[1:06:19] Silagay po yung sa Iloilo.
[1:06:22] Ito ay sa Bukid noon, Bukid po.
[1:06:23] Papalikan nyo po yung sa Bukid noon.
[1:06:25] Yan.
[1:06:26] Nasa Bukid yan.
[1:06:26] Nasa Toktok yan.
[1:06:29] Ang Iloilo.
[1:06:31] Anilaw.
[1:06:32] Yan.
[1:06:32] Pinaganda po nila, aside from DOH funding, yung LGU mismo, nagdagdag rin po sila ng pondo.
[1:06:42] Parang naging hospital yung superhealth centers nila.
[1:06:45] Yan yung magandang halimbawa ng complement each other po ang DOH at ang LGU.
[1:06:52] This exemplifies what can be achieved when the national government and local government units complement each other.
[1:07:02] Ensuring that infrastructure projects become fully operational and do not end up as white elephant projects.
[1:07:10] Meron pong kasunduan ang DOH at LGU bago umpisahan ang mga proyektong ito.
[1:07:17] Pero kung hindi kaya ng LGU, trabaho po ng national government na tulungan po ang ating mga LGU.
[1:07:23] At yan po ang layunin rin po ng mga HPEP projects na ito na maisakatuparan ang mga proyekto.
[1:07:30] Hindi pwedeng pabayaan lang po ito.
[1:07:32] Hindi lang po ito sa mga superhealth centers.
[1:07:34] This is also applicable to local hospitals na kadalasan po ay multi-year ang construction.
[1:07:42] Importante na maging efficient at timely ang construction para hindi maging semi-white elephant po ito.
[1:07:48] Mahalaga talaga dito ang, babalik pa rin tayo dito sa complement each other ang national government
[1:07:54] at LGUs.
[1:07:55] Yun iba nga dyan local hospitals, may mga batas na para tulungan ng DOH at LGU.
[1:08:02] Talagang gusto nilang magkaroon ng batas yung pagpapatayo ng hospital nila
[1:08:06] para to ensure funding each year through the HPEP.
[1:08:11] With this, we want to know from the DOH the status of the construction of primary care facilities in every region
[1:08:19] including superhealth centers at itong catch-up plan, how to ensure that these centers are operational.
[1:08:25] Not only that, yung mga hospitals rin po, yung mga batas na ating ipinasah dito sa Kongreso,
[1:08:35] ano na rin ho ba ang status nito?
[1:08:38] Kasi yun po ang layunin ng batas to ensure na yearly meron po silang supporta mula sa HPEP.
[1:08:47] Madam Chair, I filed one of the resolutions in our agenda today, Senate Resolution 384,
[1:08:51] and I want to express my support for this committee in assessing the status of our health care facilities nationwide,
[1:08:58] identifying implementation gaps, and ensuring that public funds allocated for health care infrastructure
[1:09:04] translate into accessible, functional, and quality health care services for every Filipino.
[1:09:11] Maraming salamat po, Madam Chair.
[1:09:14] Maraming salamat din po, Senator Bong.
[1:09:17] So ngayon, pakinggan po natin ang state auditor at audit team leader ng Commission on Audit, Frederick Manalo,
[1:09:28] dun sa current and recurring audit findings with regards to HPEP implementation,
[1:09:36] at kung pwedeng isama po yung ground validation across auditeers.
[1:09:40] You have the floor, sir.
[1:09:46] Good morning po, Madam Chair, Senators.
[1:09:49] So currently po, hindi pa po namin mabibigay yung for 2025 na observation at dahil po ay ongoing po
[1:09:56] yung pag-consolidate ng mga observation ng mga regional auditors.
[1:10:01] Ang currently po na na-prepare namin ay yung nabanggit rin po ni Sen. Rafi Tulfo
[1:10:06] na observation ng 2024 na nakapresent po sa CAR.
[1:10:09] Sir, yung mula 2019, kasama na po ba?
[1:10:14] Hindi pa po, Madam Chair.
[1:10:16] Pero mag-isasabit namin sa committee.
[1:10:18] Salamat.
[1:10:18] So for today, isang taon lang muna, 2024.
[1:10:21] Kailangan po namin makita yung audit nyo mula nung nagsimulang implementa yung HPEP.
[1:10:27] So aasahan po namin yun.
[1:10:28] Yes, Madam Chair.
[1:10:29] We will submit po, Madam Chair.
[1:10:29] Alright, please proceed.
[1:10:31] So yung observation po nung 2024, katulad rin po na nabanggit sa early representation po,
[1:10:36] mahinati po namin siya sa dalawang observation.
[1:10:39] Una po sa infrastructure projects.
[1:10:41] Pangalawa po sa equipment.
[1:10:43] Under po sa infrastructure projects.
[1:10:46] So deficiencies in the planning, coordination, procurement, and implementation process of the HPEP for CY 2024
[1:10:53] resulted in the delay, idle, or unimplemented infrastructure projects,
[1:10:58] thereby undermining the program's core objective of expanding equitable access to quality healthcare services.
[1:11:05] So meron pong tatlong bullets.
[1:11:08] Next slide po.
[1:11:09] So nahati po sa tatlo yung observation na to.
[1:11:13] Una po yung non-completion of the projects within contract time.
[1:11:16] Ito po yung mga delayed infrastructure projects worth 11.5 billion.
[1:11:22] And that's 123 projects or contracts.
[1:11:27] Second po ay yung unutilized.
[1:11:28] Ito po yung mga hindi nagagamit.
[1:11:30] Kompleto po ito, tapos.
[1:11:32] Pero hindi po siya nagagamit.
[1:11:34] That's 20 projects.
[1:11:36] And unimplemented, not yet started.
[1:11:38] Ito po yung hindi pa po nasisimulan, which is 59 projects.
[1:11:59] In location issues.
[1:12:00] Delayed issue once of kapat gamit.
[1:12:26] Yung sa COA po.
[1:13:15] Okay, please proceed.
[1:13:16] Next slide po.
[1:13:18] Ayan po.
[1:13:18] So for the non-completion of projects within contract time.
[1:13:22] So ang involved po dito na regions is NCR, CAR, Region 3, Region 6, Region 9, Region 10, and Region 11 po.
[1:13:32] With a total of 123 contracts or projects.
[1:13:36] So next slide po.
[1:13:37] For the unutilized idle projects, that's Region 9, Region 11, and Region 13 for a total of 20 projects.
[1:13:49] And next slide.
[1:13:53] For the unimplemented, not yet started infrastructure projects, it involves Region NCR, CAR, Region 1, and Region 6 for a total of 59 projects.
[1:14:03] So yun po yung sa infrastructure projects.
[1:14:05] And for the equipment.
[1:14:07] So next slide.
[1:14:07] So due to the absence of a well-structured plan, lack of site readiness, delayed procurement actions, and inadequate coordination and monitoring,
[1:14:18] thereby impending the timely enhancement of healthcare delivery and government facilities.
[1:14:23] So next slide.
[1:14:25] So dito po, kasama po dito yung mga hindi po nagagamit na equipment.
[1:14:30] Dahil po, hindi daw po kailangan ng operating units yung binigay na equipment.
[1:14:34] Meron po dito kasama na equipment na hindi nagagamit kasi hindi daw po ready yung site.
[1:14:39] So yun po ang summary po nung presentation po namin.
[1:14:44] Thank you po Madam Chair, Mr. Senators.
[1:14:49] Salamat Mr. Manalo.
[1:14:51] Sigurado pagkatapos ng lahat ng presentations, marami po kaming follow-up questions para sa COA.
[1:14:56] Thank you.
[1:14:58] Pakinggan naman na natin yung mga national government agencies at saka local government units
[1:15:04] tungkol sa implementation bottlenecks, operational challenges, at saka accountability issues.
[1:15:12] So let's hear first from the Department of Budget and Management.
[1:15:19] Yes, Ms. Andrea.
[1:15:22] Kung maari po bigyang diin din po ninyo yung budget utilization report.
[1:15:50] ...and medical equipment.
[1:15:52] However, we recognize that the true value of the HVP is in the improvement of health outcomes,
[1:15:58] provision of financial risk protection, and ensuring responsiveness of our public health system.
[1:16:03] However, we note that in reality, there are challenges encountered on the ground due to incomplete structures,
[1:16:13] undelivered equipment, lack of personnel, and limited coordination with the LGUs.
[1:16:18] As required, it was 81.31%.
[1:16:38] In 2024, this is, however, net of the direct release to the DPWH, the obligation rate is 61.33%.
[1:16:48] In 2025, it was 69.73%.
[1:16:54] And in 2026, as of March 31, 2026, the obligation rate is 6.33%.
[1:17:02] The disbursement rates, on the other hand, so this is disbursement over obligation.
[1:17:10] 2022 was 34.82%.
[1:17:14] 2023, 34.69%.
[1:17:18] 2024, 27.27%.
[1:17:23] 2025, 37.18%.
[1:17:26] And in 2026, as of March 31, it's 2.19%.
[1:17:34] According to the reports, and as represented by the implementing units, the common causes of low funding utilization
[1:17:41] and delayed obligation of HVP funds include pre-implementation and project readiness concerns,
[1:17:49] so unresolved land ownership issues, incomplete permits, and lack of site readiness.
[1:17:55] It's also caused by delays in the preparation of the DAED or detailed architectural and engineering design,
[1:18:05] particularly for large-scale infrastructure projects.
[1:18:09] Another concern is procurement and bidding constraints.
[1:18:13] A lack of reference, especially for specialized medical equipment requiring FDA registration.
[1:18:36] There's also contractor and staff issues, loading and procurement activities.
[1:19:05] There's also, of course, external disruptions and emergencies, such as COVID-19.
[1:19:10] DBM is still here to learn and to listen, while recognizing that the DOH is, of course,
[1:20:13] in the best position to provide the inputs and to provide the requirements.
[1:20:18] We are here to listen and provide the inputs to ensure that the DBM is able to provide the necessary support for the HVP
[1:20:26] while ensuring fiscal discipline subject to budgeting, accounting, and auditing laws, rules, and regulations.
[1:20:32] Thank you, Madam Chair.
[1:20:34] Thank you, Asek Andrea.
[1:20:36] Mamaya sa interpellation namin, mga Senador,
[1:20:39] banggain natin yung mga audit numbers ng COA at saka yung budget disbursement numbers ng DBM.
[1:20:45] Salamat po.
[1:20:47] Next, let's hear from the Department of Public Works and the Highways.
[1:20:51] So, I believe it will be Undersecretary Lara.
[1:20:54] Kung maaari, ma'am, magfocus sa mga issues na arising from the implementation, of course, of HVP,
[1:21:00] at ano yung accountability mechanisms sa mga delayed contractors.
[1:21:05] You have the floor, ma'am.
[1:21:07] Thank you, Madam Chair.
[1:21:08] Good morning to everyone.
[1:21:10] So, I'll just be quick.
[1:21:11] I have two slides.
[1:21:12] Next slide po.
[1:21:13] So, for the DOHH-HVP projects undertaken by DPWH,
[1:21:19] we have 452 projects endorsed for funding.
[1:21:25] And then we have reverted projects,
[1:21:28] and there are remaining 38 projects that still have not complied documentary requirements
[1:21:33] that are still not yet recommended for funding release.
[1:21:36] For the total, 452, 166 have completed contract scope of works.
[1:21:43] However, only 89 of which are completed buildings.
[1:21:47] And then ongoing construction works, there are still 169 contracts.
[1:21:52] And 117 contracts are ongoing pre-construction.
[1:21:57] So, the challenges for our pre-construction works are mainly, as mentioned also by the other agencies,
[1:22:04] are site readiness, the preparation of the detailed engineering design, and lastly, the permits.
[1:22:10] Currently, we are at 37% of completed project contracts under DPWH.
[1:22:17] Next slide, please.
[1:22:18] So, the main challenges on the projects undertaken by DPWH, first, is mainly really on-site readiness.
[1:22:28] So, some projects, some locations are found to be, after joint validation, to not be ready for implementation.
[1:22:36] So, there are still conflicts on which is the specific site location.
[1:22:42] Second, the land ownership or proof of ownership issues that we have difficulties in really getting the funding release without this.
[1:22:52] And then third is the unprepared site.
[1:22:55] So, due to misunderstandings on the most appropriate project location,
[1:23:02] some sites were recommended or unavailable, inaccessible.
[1:23:06] Some have existing buildings that need still demolition and clearing activities.
[1:23:12] And some sites have power requirements.
[1:23:16] So, kailangan pa po ma-instalan para po makapag-proceed sa Civil Works.
[1:23:19] Second is on the planning stage.
[1:23:22] So, this still is a problem naman po for all Civil Works projects
[1:23:25] since we have limited funding on the preliminary detailed engineering.
[1:23:30] So, some data necessary for design are still not yet collected during design stage.
[1:23:37] And then second, the finalization of scope of works and design plans.
[1:23:42] These are collaboration between DOH, DPWH, and sometimes the LGUs.
[1:23:48] So, we need better coordination between LGU and other stakeholders.
[1:23:54] And then lastly, there are permits necessary prior implementation.
[1:23:59] So, we need permit to construct from DOH, building permit from the LGU,
[1:24:05] and then demolition permit if necessary for areas with existing buildings.
[1:24:09] Dito po, medyo natatagalan din talaga po.
[1:24:13] And of course, other permits, environmental and other permits.
[1:24:17] So, for DPWH, we really want to strengthen project readiness.
[1:24:21] This is something that we tried to address already with DepEd on site readiness.
[1:24:26] We were hoping na this is the first step that we strengthen
[1:24:30] para po during implementation hindi na nagkaka-problema.
[1:24:33] And of course, to improve interagency coordination from national and the local.
[1:24:39] And for everyone just to really stick to timely approvals.
[1:24:44] And since these are all critical for the acceleration of the HVAC completion.
[1:24:49] So, yun lang po. Thank you po.
[1:24:51] Thank you also, Yusek Lara.
[1:24:54] So, so far, marami tayo po follow-up in terms of the quantitative feedback.
[1:24:59] So, yung from COA, about 7% of the 190 billion so far appropriated for HVAC,
[1:25:13] 7% lamang apparently ay talagang naiimplementa in 202 projects.
[1:25:21] Sa DBM, we heard yung about declining obligation rates
[1:25:25] and then also low up and down disbursement rates.
[1:25:31] And ngayon mula sa DPWH, only 37% of completed projects at least as of last month.
[1:25:38] So, let's hear now from the LGUs, yung kanilang feedback about the HVAC implementation,
[1:25:44] including more siguro of the additional qualitative feedback as well.
[1:25:49] Pakinggan po muna natin yung ulap.
[1:25:54] Andito ba ang ulap?
[1:25:55] Hindi pa dumarating.
[1:25:57] What about yung mga leagues natin?
[1:26:00] Wala pa.
[1:26:01] Okay, hopefully makahabol po sila para marinig din natin yung LGU experiences
[1:26:05] in implementing the Health Facilities and Enhancement Program.
[1:26:11] So, dako na muna po tayo sa ating expert panel, yung kanilang HVAC assessment
[1:26:17] at moving forward and implications para sa universal healthcare.
[1:26:23] Pakinggan po muna natin yung Philippine Institute of Development Studies o PIDS
[1:26:29] para ibahagi sa atin yung findings nila, kaugnay nga sa HVAC implementation
[1:26:36] at mga recommendations.
[1:26:39] Kung maaari po, Mr. Rees Research Specialist mag-focus dun sa pinaka-importanting mga slides ninyo,
[1:26:47] pakisubmit na lang po yung buong slides sets sa komite.
[1:26:53] So, you have the floor, ma'am.
[1:26:54] Hello.
[1:26:55] Good morning po, Madam Chair, and to the members of the Committee on Health and Demography.
[1:27:01] So, the assessment that the Philippine Institute for Development Studies conducted on the HVAC
[1:27:07] covers the whole process from planning up to the monitoring and evaluation stage of the program.
[1:27:15] Please note that we use the data provided by the HVAC Management Office in conducting our analysis.
[1:27:21] So, projects and other financial information not included in the data set were not captured in our analysis.
[1:27:29] So, could we skip to slide nine?
[1:27:40] Slide nine, please.
[1:27:52] Thank you.
[1:27:53] So, I'll just present our major findings.
[1:27:56] So, first is that our bed capacity is not keeping up with our population growth.
[1:28:01] So, despite more beds, mostly from our private sector investments, which now account for about 51%,
[1:28:08] our bed-to-population ratio actually declined to 0.93 beds per 1,000,
[1:28:15] which is far below the 2.7 beds target in the Philippine Health Facility Development Plan.
[1:28:21] So, this puts Philippines the second lowest in the ASEAN region, just above Cambodia,
[1:28:26] in terms of bed-to-population ratio.
[1:28:30] So, next slide, please.
[1:28:33] At the provincial level, bed-to-population ratios highlight major inequities.
[1:28:38] So, figure A shows that highly urbanized and wealthier areas have far more beds,
[1:28:44] while low-income provinces lag behind.
[1:28:46] So, places like Batanes, Iloilo, and City of Manila exceed the one bed per 1,000 average,
[1:28:53] while provinces such as Sulu, Leyte, and Basilan fall as low as 0.03 to 0.33 beds per 1,000.
[1:29:03] Figure B shows bed density by hospital level.
[1:29:06] So, out of our 116 provinces and highly urbanized cities, 22 have no public level 1 hospital,
[1:29:15] and 28 have no level 2 hospital, a continuing challenge despite the universal healthcare's goal of forming provincial health networks.
[1:29:26] And the figure on the right illustrates the relationship between bed-to-population ratio and poverty incidence.
[1:29:32] So, as we've mentioned earlier, and as mentioned by our fellow resource persons and resource speakers,
[1:29:39] the priority of HVEP is really to provide investment grants to LGUs that are located in remote areas
[1:29:46] and those that have high poverty incidence.
[1:29:49] But our data would suggest otherwise, where the red dashed curve presents an inverse relationship,
[1:29:57] where areas with lower poverty incidence have more beds.
[1:30:04] And because of our limited bed supply, next slide, please,
[1:30:09] many of our public hospitals have been operating beyond capacity.
[1:30:14] So, from 2017 to 2019, bed occupancy rates exceed 100%,
[1:30:21] and rates dipped in 2020 to 2021 as COVID wards failed and demand for non-COVID wards fell.
[1:30:28] Still, global evidence shows us that occupancy rates above 85% compromises hospital outcomes.
[1:30:37] Next slide, please.
[1:30:38] Many Filipinos depend on primary care at barangay health stations and rural health units.
[1:30:46] So, the figures here are meant to present our RHU to population ratio and barangay health stations to barangay ratio.
[1:30:56] So, as we've seen in our data, out of 44,000 barangays in the Philippines,
[1:31:03] there are only around 25,000 barangay health stations, despite the law requiring one per barangay.
[1:31:09] Likewise, only 17 provinces meet the target of one RHU per 20,000 population.
[1:31:17] So, please note that the data that we used here are from 2024.
[1:31:21] So, we've mentioned earlier that HPEP has received nearly 200 billion pesos, or 190 billion pesos,
[1:31:29] and this amount of funding has funded 42,439 projects between 2008 to 2022.
[1:31:40] But these projects mostly focused on refurbishing and equipping facilities other than expanding bed capacity.
[1:31:48] So, while 62% of projects target primary care, we still lack enough facilities for our growing population.
[1:31:55] The focus on refurbishing and equipping, it has resulted in positive changes in terms of our public hospital assets.
[1:32:08] So, the table on the left shows the age of fixed assets of hospitals.
[1:32:13] This simply means the useful life of the equipment and other assets that public hospitals have.
[1:32:20] And what we want to see here is for the numbers to decline over time, meaning hospitals are able to replenish their capital assets.
[1:32:29] And what this suggests, the fact that public DOH-owned hospitals have lower values than LGU hospitals,
[1:32:36] is because they receive funding directly from HPEP, unlike LGU-owned hospitals,
[1:32:43] where the priority to fund them, to equip them, would fall on the LGUs themselves, because of our decentralized regime.
[1:32:54] And then the figure on the right is about the hospital's risk appetite for asset expansion through debt.
[1:33:02] So, we want this figure.
[1:33:05] This figure basically shows that hospitals rely on subsidies for capital outlay.
[1:33:10] So, government hospitals between 2017 to 2020 rely on subsidies for capital outlay.
[1:33:19] Currently, PIDs is updating the figures and the numbers for these graphs.
[1:33:23] We've collected a few more hospital financial statements from the recent years,
[1:33:28] and we will be sharing the new data in the coming month.
[1:33:32] But despite the positive findings, we still encounter a lot of challenges in terms of operations.
[1:33:39] So, next slide, please.
[1:33:40] Because of our devolved system, LGUs are primarily responsible for health capital outlay,
[1:33:50] yet they only spend 4.41% of their capital budget on health infrastructure.
[1:33:57] Meanwhile, the national government covers 88% of the total capital spending on health,
[1:34:03] even though HPEP was implemented only as an augmentation to LGU spending.
[1:34:08] So, this indicates LGU's heavy reliance on HPEP for health capital outlay.
[1:34:14] Next slide, please.
[1:34:16] Thank you.
[1:34:17] Planning is also another challenge.
[1:34:19] So, in policy, LGUs and hospitals should propose HPEP-funded projects based on their local investments plan for health,
[1:34:28] the Philippine Health Facility Development Plan, hospital development plans, and et cetera.
[1:34:33] But in practice, we have local chief executives who have discretion over these proposals and may prioritize or implement projects
[1:34:42] that may not necessarily be aligned with their localities' long-term or medium-term plans.
[1:34:48] And when these political interventions happen, delay and implementation challenges arise,
[1:34:53] and the sustainability of the program is undermined.
[1:34:57] So, to support this, in a 2017 finding by the Commission on Audit,
[1:35:01] there were several legislator-requested HPEP projects with the assurance of LGU counterparting through lot ownership.
[1:35:09] However, it was later discovered that the proposed sites were unsuitable.
[1:35:14] They were too small, flood-prone, and were affected by road widening.
[1:35:19] Next slide, please.
[1:35:20] Per policy, HPEP projects are approved and granted following the National Allocation Framework,
[1:35:29] which was also developed by our team back in 2021.
[1:35:33] This allocation framework prioritizes LGUs based on public spending per capita,
[1:35:39] the presence of GEDA areas, and poverty incidents per province.
[1:35:44] Next slide, please.
[1:35:45] In practice, HPEP budget allocations undergo legislative and political processes
[1:35:52] which may prioritize different value systems that are neither explicit nor documented.
[1:35:59] So, proposals from LGUs and hospitals, as mentioned earlier,
[1:36:03] should go through a vetting process by the DOH Centers for Health Development Screening Committee
[1:36:10] before reaching the HPEP Management Office
[1:36:12] and before being submitted to the Department of Budget Management.
[1:36:16] However, LGUs can deviate from this process, submitting directly to other DOH offices or legislators
[1:36:24] and therefore skipping critical review and validation.
[1:36:29] Since 2010, DOH offices have been receiving proposals that have not been vetted by the CHDs.
[1:36:35] As such, they mandated that unreviewed requests be returned to CHDs to ensure equity and fairness.
[1:36:42] So, actually, the flowchart on the right was released by the DOH as early as 2010
[1:36:48] to show the preferred versus the non-preferred routes for HFEP requests and proposals.
[1:36:56] Next slide, please.
[1:36:59] And these deviations from the process have led to inequitable HFEP funding.
[1:37:05] So, using the HFEP data from 2008 to 2022, we have found that there is little to no strong correlation
[1:37:12] between poverty incidence and HFEP appropriations per capita.
[1:37:17] So, these stand in contrast to the prioritization set in the National Allocation Framework.
[1:37:24] Next slide, please.
[1:37:24] We also measured LGU absorptive capacity using the Absorptive Capacity Index computed using obligations, allotments, and appropriations.
[1:37:36] And this would show us the LGU's ability to spend HFEP funds.
[1:37:42] On average, 42.2% of LGUs have an OACI below 1, meaning they cannot fully absorb their allocations.
[1:37:52] And this does not vary by socioeconomic status.
[1:37:55] Next slide, please.
[1:38:00] Poor absorptive capacities among LGU's can be attributed to several things.
[1:38:05] One major reason is that LGU's have insufficient human resources.
[1:38:10] So, LGU's often lack engineers and other technical personnel who can design, monitor, and assess the locality's infrastructure proposals.
[1:38:19] So, it was mentioned earlier, the DAED.
[1:38:21] So, LGU's have difficulty submitting those because they lack technical personnel.
[1:38:28] And on the other end, HFEP projects are also underutilized due to lack of health human resources to man and operate the facilities and equip it.
[1:38:37] So, the Section 6 of the 2019 GAAS Special Provisions authorizes the DOH to use no more than 1% of the HFEP project budget for administrative overhead expenses such as hiring job order staff.
[1:38:53] While this helps address staffing challenges, the overall low budget for overhead expenses remains a major constraint.
[1:39:03] Next slide, please.
[1:39:05] Another issue is the monitoring and evaluation.
[1:39:09] So, although the DOH, through the HFEP Management Office and the Centers for Health Development conduct on-site inspections, the HFEP relies heavily on self-reported data by LGU's and DOH hospitals.
[1:39:24] This can improve data accuracy, but it can also risk biased reporting.
[1:39:29] And in the recent years, there have been reports concerning unfinished and underutilized HFEP projects despite close monitoring of end users.
[1:39:38] So, an example would be in 2022, an HFEP project for a regional hospital meant to raise bed capacity from 450 to 1,050 was reported 53.91% complete and received payments equivalent to 338 million.
[1:39:55] However, it was later confirmed by the DOH monitoring team that the actual accomplishment was only at 14.68%.
[1:40:03] So, given these operational challenges and the challenges that we've explained from planning to monitoring and evaluation, we present our recommendations and ways forward.
[1:40:15] Next slide, please.
[1:40:19] So, first is to stimulate LGU spending.
[1:40:22] So, DOH can implement something called like a fund matching because we want to prioritize LGU's that have high poverty incidents and with a lot of GEDA in their areas.
[1:40:33] We want to be able to ask richer LGU's to provide more counterparting for HFEP projects that they receive.
[1:40:40] So, this will allow lower capacity LGU's to receive more comprehensive grants to ensure equitable development across LGU's.
[1:40:51] And our second recommendation is, of course, to strengthen our monitoring and evaluation framework.
[1:40:57] So, to complement the self-reported progress reports by on-site visits and to do them more frequently.
[1:41:04] Apart from that, because we want to talk about health facilities and health infrastructure within the broader context of UHC, we should also be measuring HFEP's success not just in terms of disbursement and completed projects, but by other indicators such as service utilization.
[1:41:23] That way, we can see if our investments are translating to improved health outcomes in the LGU's that we are serving.
[1:41:30] And third, align HFEP with province-wide health system needs.
[1:41:36] So, it was highlighted also in our UHC law that we should create province-wide health systems.
[1:41:43] And so, we have to plan our facilities also at the provincial level so that we do not create fragmented referral systems.
[1:41:52] We do not duplicate efforts across provinces and we are able to target our budget to provinces that need these facilities and equipment the most.
[1:42:03] So, along with that, we also recommend implementation of service grants.
[1:42:08] So, a lot of the delays and the white elephant projects that we've been talking about is because of absorptive capacity issues.
[1:42:16] We don't have healthcare workers, we don't have technical staff.
[1:42:20] And so, HFEP should operate not within a silo, should not operate separate from these things, but we should also consider supporting other aspects such as human resources, operations, and technical assistance.
[1:42:36] So, we can face the grants that we provide to these LGU's.
[1:42:39] So, first year, we allow them to build.
[1:42:42] Second year, we allow them to hire.
[1:42:44] Third year, we help them maintain and so on and so forth.
[1:42:48] So, we have to be more comprehensive when we think about health facilities and HFEP.
[1:42:53] So, as we've mentioned earlier and as it has been discussed earlier, HFEP doesn't just, shouldn't just end at, okay, we provide and that's it.
[1:43:03] So, when we do service grants, we provide and there is follow-through that these hospitals will be functional.
[1:43:09] So, that is it on the side of the PIDS.
[1:43:12] Thank you.
[1:43:13] Thank you too, Ms. Therese.
[1:43:15] Ngayon, pakinggan natin yung Government Watch, Ms. Jailen.
[1:43:24] So, I understand wala pong presentation per se ang G-Watch, but you have a statement kung pwede po i-focus yung observations ninyo sa monitoring yung health facilities at saka ano pa yung kakulangan.
[1:43:37] So, para i-ground palalo yung ating discussion.
[1:43:40] Please proceed.
[1:43:41] Okay.
[1:43:42] Good morning, Madam Chair and to the esteemed members of the committee and also the resource persons of concerned agencies.
[1:43:49] So, in general, of course, at G-Watch, we support the conduct of investigation on the implementation of health facilities enhancement program and the status of health infrastructure projects.
[1:44:02] So, mainly there is a need to rationalize the allocation of health facilities because the need is high.
[1:44:08] So, many health centers are dilapidated and non-conducive for efficient service delivery.
[1:44:16] For instance, in the citizen-led monitoring conducted by G-Watch for its pro-health monitoring initiative across 257 health units in 13 sites in the Philippines in 2023 to early 2024,
[1:44:31] results show that while there have been reports that standards on facilities and equipment are complied with the health units or facilities are indeed in need of repair and rehabilitation and those in poor far-flung areas are hardly functional.
[1:44:49] Particularly, the health units lack space, access ramps, basic medical equipment, had broken rooftops, and did not have electricity and water supply, which are crucial in the delivery for various health services.
[1:45:06] And these were all validated by the citizens and public health worker respondents that we engaged with in the monitoring.
[1:45:13] In addition, the pro-health monitoring validated the DOH data indicating that
[1:45:19] not all barangays have their own barangay health units, particularly in 2019, it was shown in the National Health Facility Registry of DOH that out of the 42,045 barangays in the Philippines,
[1:45:34] there are only 22,613 barangay health stations.
[1:45:39] While the number of health stations rose to 27,052 as of April 29, 2026, approximately, if you will check, 14,993 barangays still lack access to health stations, or it could be more.
[1:46:00] Some LGUs also noted challenges like lack of land ownership as one of the reasons why there are barangays that do not have health units.
[1:46:11] And we find this alarming given that in the monitoring that we conducted, there are health units that do not have their own ambulance and budget for their gas.
[1:46:20] And usually, health units only have transport vehicles like tricycles or vans as an alternative that they could borrow from their barangays in case of emergencies.
[1:46:32] However, there are instances where inpatients would also have to shoulder the expenses for their transportation just to avail the necessary health services.
[1:46:44] And furthermore, local governments, engaged by GWAT as well, reported that health facilities are being constructed without prior consultation,
[1:46:54] which makes it harder for them to verify whether the facilities are implemented on time and are, or rather, if they meet public health standards.
[1:47:05] Thus, the investigation would be helpful not only to ensure that the facilities are constructed and are functional,
[1:47:13] but to determine what led to such gaps, the measures necessary in addressing the gaps in health facilities,
[1:47:20] and to hold those responsible for the irregularities in health facilities accountable.
[1:47:27] And mainly, this also upholds our agendas in our pro-health initiative, particularly in upholding holistic and preventive approach to health,
[1:47:38] strengthening primary health care, particularly those provided by community-based health units,
[1:47:44] and increasing the budget for health, especially for primary health care and remenka services or reproductive maternal and neonatal adolescent care health services,
[1:47:54] as well as improving the efficiency and effectiveness in the use of budget in filling up the critical gaps and needs by first clarifying the mandates of local governments on health spending,
[1:48:07] and lastly, tightening the coordination and convergence of the local government units, barangays, and health units in identifying and addressing the gaps and needs when it comes to health.
[1:48:20] And finally, in the immediate, it would also be good to publish the list of unused health facilities which were reported last year.
[1:48:31] Actually, we requested for this, but we have yet to receive an information regarding this.
[1:48:36] And hopefully, through the Senate investigation, it is going to be made public. Thank you.
[1:48:41] Thank you too, Ms. Jillian.
[1:48:43] And last but not the least, at tamang-tama, dahil parating na si Secretary Arbosa within 10 minutes,
[1:48:50] pakinggan po natin yung PSPHP.
[1:48:55] I heard, Dr. Kapiding, wala rin po kayong presentation, pero may statement.
[1:49:01] So, tungkol sa kahalagahan ng HFEP sa pag-deliver ng public health services.
[1:49:06] Please proceed, Doctor.
[1:49:08] To Madam Chair, members of the committee, good morning.
[1:49:11] I appear today on behalf of the Philippine Society of Public Health Physicians.
[1:49:16] Our members are mostly municipal health officers, city health officers, former doctor to the various DOH personnel, and academic public health practitioners.
[1:49:25] Many of us have spent our careers in places that HFEP was designed to reach.
[1:49:31] The underserved municipalities, the geographically isolated areas.
[1:49:35] So, we want to speak to the committees about what we see.
[1:49:39] And we see this as a health system strengthening problem as much as a facility health enhancement program.
[1:49:46] HFEP funds the structure and the equipment, but it does not fund the health staff the building requires to function.
[1:49:55] A fifth-class municipality that receives a new HFEP facility often has difficulty creating the plentile positions to staff it.
[1:50:04] So, the facility opens with the lights on and the staff list is often incomplete.
[1:50:09] We also see a life cycle gap for these projects.
[1:50:13] No single instrument in this country is responsible for the whole life of a health facility.
[1:50:18] So, HFEP touches the build and equip.
[1:50:21] PhilHealth touches the operating slice if accreditation has happened.
[1:50:26] The LGU touches the staff and maintain slice if its fiscal headroom allows.
[1:50:31] So, different instruments, different agencies, different time horizons.
[1:50:34] So, it's hard to often identify who is accountable for a functioning facility as a working whole.
[1:50:41] So, we submit that this problem is not that too little money is being spent.
[1:50:45] The problem is that the system as a whole has incentivized building structures that the system around them cannot carry.
[1:50:53] So, we hold a position of zero tolerance for corrupt practices in HFEP.
[1:50:57] So, we cover this as three pillars.
[1:51:00] Supporting competitive markets and efficient public administration, leading explicit anti-corruption efforts in coordination with government agencies and civil society monitors.
[1:51:13] And requiring the highest level of ethical standards of every official contractor and partner involved in HFEP delivery.
[1:51:20] And we believe this is a precondition for any health investment to reach the patient it was meant for.
[1:51:26] So, we have five recommendations.
[1:51:28] Our full paper is submitted for the record, but let me go through them briefly.
[1:51:34] First, ensure that there's no HFEP Peso flowing until readiness conditions are certified by the LGU, the DOHCHD, and the province-wide health system.
[1:51:45] So, we need to explore the specific bottlenecks of what keeps us from upholding existing HFEP policies.
[1:51:51] So, we have members who have tried applying for HFEP and they often say, no, napakarami na requirements.
[1:51:57] But we think that the cost of a deferred project is recoverable, but the cost of a white elephant is not.
[1:52:05] Second, let's consider the whole life cycle.
[1:52:07] Every HFEP facility above a defined threshold can be programmed with a five-year operating envelope, capital plus declining DOH transitional subsidy, plus a rising LGU share, plus a health revenue floor.
[1:52:21] Third, let us publish a prioritization rule.
[1:52:26] So, PIDs has documented that some LGUs receive HFEP funds despite not being among those with the greatest need.
[1:52:34] So, what if we cover primary care facilities before tertiary?
[1:52:39] We focus on rebuilding and completing for new construction outcomes, health outcomes over the actual buildings, equity, and implementation visibility.
[1:52:48] Insertions, when they occur, should satisfy the same hierarchy with disclosure on the DBM and DOH websites.
[1:52:57] Fourth, we build a single public real-time HFEP dashboard jointly maintained by relevant agencies.
[1:53:05] With that dashboard in place, the Senate's challenge that public funds build functional, staffed, fully operational facilities become verifiable in real-time.
[1:53:17] Fifth, we establish an HFEP integrity framework.
[1:53:20] We can benchmark this against what every multilateral development bank already requires of any infrastructure program of this scale in this country.
[1:53:29] Integrity due diligence on every contractor, beneficial ownership disclosure, cross-checking against government blacklists, and proactive integrity reviews.
[1:53:41] PSPHP acknowledges that work on several of these recommendations is already underway within the Department of Health, particularly on proposal review discipline, prioritization criteria, and multi-office coordination for HFEP planning.
[1:53:56] The role of the Senate is to authorize, accelerate, and entrench these directions so that the gains in technical practice survive any change in administration or in departmental leadership.
[1:54:09] Just a few notes before I end.
[1:54:11] I hope that now that we're discussing HFEP, we take this as an opportunity to highlight how important health centers are.
[1:54:19] Often in the media, we hear that the focus is on non-functional, non-functioning hospitals, and understandably so.
[1:54:27] Napakalaki po ng gastos natin.
[1:54:30] But achieving universal health care, we need to focus on the foundation, which is primary care.
[1:54:37] And the only way that the math works is that people don't get sick in the first place.
[1:54:42] If they do get sick, we maintain them at simple cases.
[1:54:47] I was a doctor to the barrio early in my career in an island municipality.
[1:54:53] And so, na-appreciate ko po yung napuntahan ni Senator Bongo.
[1:54:58] Ang laking bagay po, if we are able to resolve most of the cases at the health center level, at the super health center level, at hindi na pumunta sa mga hospital.
[1:55:07] Nakagawian po kasi nating mga Pilipino, kung nakatag sinabing health care, hospital agad.
[1:55:12] And nanggaling yun because of decades na nasanay tayo na walang gumagana health center.
[1:55:18] And I think this HPEP program is an opportunity to change that mindset for good.
[1:55:25] And it has been repeated here po, na ang big factor are human resources.
[1:55:29] We can build hospitals in a year, in three years, health centers in a year, or less than a year.
[1:55:36] Pero to train a doctor, to train a nurse, it takes almost two decades.
[1:55:40] So, we need to ensure that our health information systems, our planning systems, are talking to each other.
[1:55:48] Is CHED able to talk and share data with PRC?
[1:55:52] Are we able to see how many doctors are practicing sa mga RHUs in hospitals?
[1:56:00] So, if we don't give human resource planning the importance it deserves, we might be talking again in the next decade or so.
[1:56:09] To end, we stand ready to assist the committees in drafting, implementing language.
[1:56:14] And we thank the committees on health and demography, local government, and finance for the opportunity to be heard.
[1:56:20] Good morning.
[1:56:22] Good morning.
[1:56:24] And thank you, Dr. Capedin.
[1:56:27] Certainly, intention ng committee na hindi tayo nag-uusap patungkol dito in a decades time.
[1:56:32] Pero, ini-implementa natin yung mga pagkakasunduan nating mga rekomendasyon.
[1:56:36] So, quickly, before we open the interpolation, just to reiterate yung intent ng ating hearing.
[1:56:43] So, yung issue before us at sinabi na rin ito ng ilang resource persons ay hindi lamang budget allocation.
[1:56:52] Ang totoong tanong ay kung yung HPEP funds ay natatransform sa functioning healthcare services na kaya talagang i-access ng mga tao.
[1:57:02] So, just to open with the first of my few questions.
[1:57:07] Ah, magandang umaga po, Secretary Arbosa.
[1:57:10] Welcome to the hearing.
[1:57:12] Would you like to catch your breath, Sec?
[1:57:14] Or pwede ko na bang itanong sa inyo yung una sa kakaunti kong mga tanong?
[1:57:19] Pwede na po, Madam Chair.
[1:57:21] Pwede na po, Sec.
[1:57:21] Okay, kasi we've heard a lot already from the resource persons, DOH, other national government agencies, constitutional bodies, at saka yung ating panel of experts.
[1:57:34] We're still hoping yung mga LGUs makakarating.
[1:57:36] So, yung una sa mga tanong ko po, kung patuloy yung delayed, abandonado, at saka non-functional na proyekto, sa kabila ng bilyong-bilyong pondong inilaan, and this is particularly for the DOH,
[1:57:50] may sapat bang pamumuno, kakayahan din, ang kasalukuyang pamunuan ng Department of Health para mapatupad ng maayos ang HPEP.
[1:58:01] At matiyak na nakakarating yung servisyong pangkalusugan sa ating mga kababayan, Secretary.
[1:58:09] Madam Chair, magandang tanong yan. At yan din ang natutukang ko since last year, no?
[1:58:14] Habang binabantayan natin itong Health Facilities Enhancement Program, kasi every year, pag ako ipupunta dito sa Senado para pag-usapan ng budget ng kalusugan,
[1:58:25] nakikita yung mga delays diyan sa ating Health Facilities Enhancement Project,
[1:58:29] na mostly construction, at saka equipment ng mga mahal, ng mga medical equipment.
[1:58:35] So meron kami mga ibang nagawang solusyon, yung ibang facilities na hindi nagpa-function,
[1:58:40] pinadonate namin sa Department of Health at ginawa nating bukas.
[1:58:44] Yun yung naging sikat na bagong urgent care and ambulatory services center.
[1:58:48] Yung district hospital or infirmary, kinonvert namin into ambulatory services.
[1:58:53] At mas maraming pasyente. At ang nagpatakbo, yung ating regional hospitals.
[1:58:59] Yung mga family and community medicine ang nagpatakbo noon.
[1:59:02] Yung sa iba naman ng services na hindi nagpa-function, may nabisita ako, natapos na ng mga health centers.
[1:59:10] Ang ginawa namin, sabi namin, umalis na kayo dyan dun sa luma.
[1:59:14] At dun na kayo lumipat sa bago. Nagawa naman yung ibang LG yan.
[1:59:17] Pero karamihan po, kulang sa doktor.
[1:59:20] So most recently, ang nasagot namin yan dun sa tinatawag na National Health Workforce Support System.
[1:59:27] This year, nakapag-deploy kami ng most number of doctors to the various.
[1:59:31] Yan yung 193. At dinala ko pa nga po sila kay President BBM.
[1:59:38] At dun natin nag-send off ng 193.
[1:59:41] May dadagdag pa kami a few more. I think 80 plus more, 88 more dito sa team.
[1:59:46] Ito ang largest. And if you notice, in the last zona, hindi napansin ng marami yun.
[1:59:52] Ang napansin, yung zero balance billing.
[1:59:54] But actually, in-announced ng President na for the first time in the history of the Philippines,
[1:59:59] wala ng doctor-less municipality.
[2:00:02] So ito naman mga doktor, pwede naman sila kahit hindi sa health center.
[2:00:06] So ginawa namin yung tinatawag na purok kalusugan.
[2:00:09] Yung purok kalusugan, dinadala ko lahat ng services.
[2:00:13] Kasi for a long time, di ba, when we devolved healthcare,
[2:00:15] ang DOH humihin to at the level of the regional office or tinatawag nating centers for health development.
[2:00:22] Tapos may ina-assign lang kaming DOH representative bawat probinsya o munisipyo.
[2:00:29] Pagkatapos, basta binibigay lang kung anong kailangan nila.
[2:00:31] In my administration, binago namin to.
[2:00:34] Kasi sinasabi din naman sa UHC law na tapat tulungan yung mga LGU na PIP class municipality,
[2:00:41] port class municipality, port class municipality.
[2:00:43] So ang ginawa namin, lahat ng services ng DOH, dinadala namin by purok.
[2:00:48] Nakikikordinate kami ngayon sa purok leader.
[2:00:51] So ito yung programa naming purok kalusugan.
[2:00:54] Siguro nakapag-provide na kami ng services to over 2 million patients by just going around.
[2:00:59] Hindi lahat tutulungan kasi may mga LGU naman na napapatakbo nila yung local health system very well.
[2:01:06] Yung mga magagaling na governor, magagaling na mayor, napapatakbo nila.
[2:01:10] Yung iba naman talagang kailangan ng support, either HPEP.
[2:01:13] So yung HPEP po, most of the delay, and I will be honest,
[2:01:18] ang nangyari kasi dyan, ang funding niyan, pinapasa din namin sa DPWH.
[2:01:25] Pag ito ay local government, pag ito ay DOH, kami ang nag-implement.
[2:01:29] That means DOH will be did out.
[2:01:31] But if it is a local government project, nandun sa special provisions,
[2:01:36] that it will be passed on to the DPWH.
[2:01:39] And yun naman ang experience namin, may mga delays when it's implemented by DPWH.
[2:01:45] And I cannot blame them kasi ang dami nilang mas malalaking project.
[2:01:48] When you consider a health center, that's 12 million pesos compared to 12 billion project na dam.
[2:01:54] Nakikita mo the focus is on the bigger projects.
[2:01:57] So naiiwang kami, nadidelay yung.
[2:02:00] Wala naman ako magawa kasi kahit gusto namin gawin, nasa special provisions yun.
[2:02:05] So in fact, there are cases wherein pumapayag na na kami na mag-implement,
[2:02:10] natatapos naman yung project.
[2:02:11] So I think these are some of the solutions we have learned.
[2:02:14] Yung talagang partnership between the national government and the local government
[2:02:18] in terms of making local health systems work.
[2:02:22] Lalo na itong mga, nagbibigay kami na equipment,
[2:02:24] pero yung computer, nakakumot lang, walang gumagamit.
[2:02:29] Kasi walang doktor, sayang din yung pondong binibigay natin.
[2:02:33] So we're reviewing this.
[2:02:35] Nag-create ako ng team na parang pinabibilis yung procurement ng DOH.
[2:02:41] But sa construction talagang nadidelay kami.
[2:02:44] Whether we have expertise, kung kami naman ang kukuha,
[2:02:47] we don't have enough engineers.
[2:02:48] Kasi yung engineers nasa DPWH.
[2:02:51] Kung ibibigay nyo sa amin lahat ng project nito,
[2:02:53] mga health center, hospital ng LGU,
[2:02:57] kulang yung engineer, yung wala kaming capacity.
[2:02:59] Tama, we don't have the capacity.
[2:03:00] So tama rin naman.
[2:03:01] It's really the role of DPWH.
[2:03:04] So it's a balancing act, ma'am, ma'am chair.
[2:03:06] And I'll do my best para make sure that the money you give to us will finish.
[2:03:11] So for this 2027, ang sinabi ko nga sa team ko,
[2:03:15] tapusin na lang natin yung mga hindi pa tapos.
[2:03:17] So yung mga uncompleted, partial ang funding,
[2:03:21] pero nakatayo na.
[2:03:23] Mas nakakahiya kasi yung merong structure,
[2:03:25] tapos dekada na hindi pa na-inaugurate.
[2:03:29] At walang servisyo.
[2:03:30] To me, what is important, in fact, ang sabi ko,
[2:03:33] pwede ba planuhin na na buwari malaking building yan,
[2:03:36] kahit first floor ng building, magamit na for patient services
[2:03:39] as you construct the rest part of the building.
[2:03:42] So these are the things we are trying to,
[2:03:44] in terms of implementation.
[2:03:46] Adam Chair, thank you.
[2:03:47] Thank you, Secretary.
[2:03:49] Pero syempre, itong mga tinugon nyo so far,
[2:03:52] pagdodonate, pag-convert, paglipat, pagbago, balancing act.
[2:03:58] In a way, adjustments ito on the part of DOH
[2:04:01] para kahit papano habulin, kahit partially,
[2:04:05] kung ano dapat yung outcomes ng HPE.
[2:04:07] Pero so far, sa hiling na to,
[2:04:10] marami na rin binigay ng mga rekomendasyon moving forward
[2:04:14] ng iba't-ibang stakeholders.
[2:04:16] And I think, ang namumuo dito is yung desire na
[2:04:19] ma-achieve yung full intent at saka targets ng HPE moving forward.
[2:04:26] So I'm sure during this hearing,
[2:04:28] magkakaroon pa ng mga pagkakataon for us to ask you
[2:04:31] and the other DOH leaders to address this.
[2:04:34] Bago ko itanong yung a couple more questions,
[2:04:36] mag-interject si Senator J.P.
[2:04:38] Just a quick interjection, Madam Chair.
[2:04:41] You mentioned, as Secretary,
[2:04:43] isa sa mga dilema that you're experiencing
[2:04:46] because of the delays in project.
[2:04:47] Kasi nga, you're dependent on DPWH
[2:04:50] who has the technical expertise supposedly.
[2:04:53] But because of the floodgate scandal at lahat,
[2:04:56] ang plan na natin, Madam Chair,
[2:04:57] is that other projects that can be implemented
[2:05:01] by other agents, like for example,
[2:05:03] yung Department of Agriculture,
[2:05:06] yung Farm to Market, pinapaano na sa DA.
[2:05:08] So sa DOH, kaya is it possible
[2:05:11] that you still have to form,
[2:05:14] kailangan magbuo ng technical team.
[2:05:16] Kasi nga po, kung magre-relite tayo sa DPWH,
[2:05:19] now that DPWH is medyo controversial,
[2:05:22] pero both, two birds with one stone,
[2:05:26] at least mawala na yung Duda, Madam Chair,
[2:05:28] and at the same time, mapabilis din.
[2:05:30] Kasi as you said,
[2:05:31] halimbawa yung maliliit na mga projects,
[2:05:35] syempre pinaprioritize na DPWH, malalaki.
[2:05:39] So how can we go about this problem
[2:05:42] para nga hindi na ano-ano pang pwede yung solusyon na gawin,
[2:05:46] para nga hindi masaya.
[2:05:47] Kasi kanina, I presented to the approval
[2:05:51] of Madam Chair, yung mga nagbibisita ko,
[2:05:53] magaganda na, may improvements na,
[2:05:55] yung mga I'm so happy.
[2:05:56] Sabi ko nga, yung PJ Garcia Nueva Ecija,
[2:05:59] nakakapag-kidney transplant na.
[2:06:01] But there are other facilities
[2:06:03] na nagiging white elephant na sayang.
[2:06:05] Halimbawa, yung Galiaris,
[2:06:06] 2 billion na yung silayang nalagay natin,
[2:06:09] hindi pa siya fully functional,
[2:06:10] hindi pa siya gumagana.
[2:06:11] So what can, ano,
[2:06:12] what's your recommendation, Secretary?
[2:06:16] Because dito naman si Chair na,
[2:06:17] alam ko very much, ano rin ito,
[2:06:19] nakatutok with the UHC implementation
[2:06:21] lalo sa HVP.
[2:06:22] Sige.
[2:06:23] So nag-usap na kami ni Secretary Vince Lison
[2:06:25] and our solution is similar
[2:06:27] to the solution of DepEd
[2:06:29] na i-allow na mag,
[2:06:31] yung mga contracts na hindi nagawa
[2:06:33] for 2025 na all delayed,
[2:06:35] hindi na umpisahan
[2:06:36] because of all the hearings,
[2:06:39] imomowa ni DPWH to the LGU,
[2:06:44] to the local chief executive.
[2:06:46] At least, sabi namin,
[2:06:47] yung local chief executive,
[2:06:48] tatapusin yan.
[2:06:49] Kasi may election sa 2028.
[2:06:51] Hindi po pwedeng nakatingga yan.
[2:06:52] Baka matalo pa siya.
[2:06:54] So ang feeling namin,
[2:06:55] sige,
[2:06:55] apayag na ako na ibigay sa LGU.
[2:06:57] But again,
[2:06:58] this is also tricky
[2:06:59] kasi may iba,
[2:07:00] hindi magkasundo yung
[2:07:02] nag-sponsor nung budget
[2:07:05] at yung magpapa-implement.
[2:07:07] So may mga iba
[2:07:08] mariretain sa DPWH.
[2:07:10] But definitely,
[2:07:11] yun yung isang solution namin.
[2:07:13] Pass it on to the local government.
[2:07:15] Anyway,
[2:07:15] it's their local health system.
[2:07:17] It's their system na magwe-work.
[2:07:19] The second one is also,
[2:07:21] kung ayaw nilang dalawa
[2:07:22] at nag-aaway sila,
[2:07:23] willing naman yung aming regional office.
[2:07:25] Nakakapag-bid din yun for projects.
[2:07:27] So the regional office
[2:07:28] can be the one to implement it
[2:07:30] para lang matuloy na.
[2:07:32] Kasi otherwise,
[2:07:32] so solely natin sa treasury
[2:07:34] pag hindi yan na obligate,
[2:07:36] sayang binadjet natin.
[2:07:37] Tapos,
[2:07:37] so ito yung mga solutions
[2:07:38] na isip namin.
[2:07:40] Yung sa the rest,
[2:07:41] like for example,
[2:07:41] Gagliaris.
[2:07:42] Binisita ko na yung Gagliaris.
[2:07:44] And actually,
[2:07:44] nag-ooperate na po.
[2:07:45] So, it's the heart center.
[2:07:47] It's the specialty center of Gagliaris.
[2:07:49] Pero ako,
[2:07:50] ang nakita kong problem doon
[2:07:51] is personality.
[2:07:53] Medyo I have differences
[2:07:54] in personality
[2:07:55] between the director
[2:07:57] of the one in Tagbilaran
[2:07:58] and the director
[2:07:59] of the one in Cortez.
[2:08:00] Yung Cortez yung bago.
[2:08:01] Napaka-modern po niya.
[2:08:02] It's our most modern
[2:08:04] public hospital
[2:08:05] and can do heart operations,
[2:08:07] kidney transplants
[2:08:08] dito sa Island of Bohol.
[2:08:10] Ang problema,
[2:08:12] sabi ko nga,
[2:08:13] yung lahat ng heart,
[2:08:13] pwede ba padala mo na lang
[2:08:15] dito sa Cortez?
[2:08:16] Para tumakbo na.
[2:08:17] Kasi ready na.
[2:08:18] May doktor na.
[2:08:19] May team na.
[2:08:20] Pero apparently,
[2:08:21] mabagal yung
[2:08:22] pag-umpisa.
[2:08:24] But we're on top of that.
[2:08:25] And then the other one,
[2:08:26] yung PJG.
[2:08:27] Nakita nyo.
[2:08:28] So,
[2:08:29] ang nangyayari sa PJG,
[2:08:30] gumagawa na ang
[2:08:31] NKTI
[2:08:32] at saka heart center.
[2:08:33] Yung team
[2:08:34] ang pumupunta doon.
[2:08:35] Iniipon nila yung patient.
[2:08:36] And eventually,
[2:08:37] mangyayari,
[2:08:38] kagaya nangyayari
[2:08:38] sa Cagayan de Oro.
[2:08:39] Sa northern Mindanao,
[2:08:41] pinutol na yung
[2:08:41] umbilical cord.
[2:08:42] Yung nakapagpatrain na sila
[2:08:43] ng cardiac surgeon.
[2:08:44] And then,
[2:08:46] on their own na sila.
[2:08:47] Ang SPMC sa Dabaw,
[2:08:48] ganun din.
[2:08:49] So, ganun ang plano natin
[2:08:50] with all the things
[2:08:51] that were developed.
[2:08:52] Medyo matagal ma-
[2:08:53] I think the harder part
[2:08:54] is really the
[2:08:55] training of the personnel.
[2:08:57] The building,
[2:08:58] pwede talagang mapabilis yan.
[2:08:59] Pagka putututukan,
[2:09:01] construction can be finished
[2:09:02] within two to three years.
[2:09:04] Pero yung the personnel,
[2:09:06] yun yung,
[2:09:07] it takes a little bit more time
[2:09:09] and confidence.
[2:09:09] So, we're asking for
[2:09:11] the patience of
[2:09:11] Senator JB para
[2:09:13] yun, talagang
[2:09:15] gustong-gusto kong
[2:09:16] tumakbo na yung
[2:09:17] sa Bohol,
[2:09:17] yung sa Cortes.
[2:09:19] Pag nabisiti niyo yun,
[2:09:20] ma'am,
[2:09:20] I invite our senators
[2:09:21] to visit natin.
[2:09:22] Western Visayas,
[2:09:24] malaki rin,
[2:09:24] malapit na,
[2:09:25] ready na rin.
[2:09:26] But it's the personnel,
[2:09:27] Madam Chair,
[2:09:27] yung challenge dito,
[2:09:29] personnel.
[2:09:29] So, for the personnel,
[2:09:31] nakipag-Zoom meeting ako
[2:09:33] kay Chair Shirley Agripis
[2:09:35] just last week.
[2:09:36] And our idea was,
[2:09:37] there are now about
[2:09:38] 80 plus graduates,
[2:09:40] more,
[2:09:41] more na nag-graduate
[2:09:42] sa 22 medical schools
[2:09:44] ng SUCs.
[2:09:46] Ito yung ating
[2:09:47] scholarship fund.
[2:09:49] So,
[2:09:49] ang gagawin namin,
[2:09:51] gumawa kami ng
[2:09:52] combined technical
[2:09:53] working group,
[2:09:53] parang ipi-placement
[2:09:54] or matching na namin sila.
[2:09:56] Kasi ang service
[2:09:57] ng isang graduate
[2:09:58] ng doktor,
[2:09:59] 10 years,
[2:10:00] for 4 years
[2:10:02] of proper
[2:10:02] 1 year of internship,
[2:10:04] ang bayad nila,
[2:10:05] 1 is to 2.
[2:10:07] So, for 1 year scholarship,
[2:10:08] 2 years in government service.
[2:10:10] So,
[2:10:10] all of them
[2:10:12] get into the
[2:10:12] doctor to the various program.
[2:10:14] Kaya nga,
[2:10:14] madami yung DTTB.
[2:10:16] Pero 3 years lang yun.
[2:10:18] And then later on,
[2:10:19] we'll absorb them
[2:10:19] in the different hospitals
[2:10:21] para tuloy-tuloy.
[2:10:22] So, ang idea ko dito,
[2:10:23] parang magkakaroon na tayo
[2:10:25] ng parang PMA
[2:10:26] wherein from the
[2:10:27] military academy,
[2:10:30] cadet sila,
[2:10:31] diretso na sila
[2:10:31] doon sa armed forces.
[2:10:33] Ganun din yung idea ko.
[2:10:34] From the SUCs,
[2:10:35] diretso na sila
[2:10:36] to the DOH
[2:10:37] or the LGU government
[2:10:39] para hindi tayo
[2:10:39] maubusan ng personnel.
[2:10:41] At wala tayong nakatinggang.
[2:10:43] Kuminsan,
[2:10:43] natapos yung facility
[2:10:44] pero walang doktor,
[2:10:45] walang nurse.
[2:10:47] So,
[2:10:47] kuminsan,
[2:10:48] ganun din.
[2:10:48] And ang kalaban natin dyan
[2:10:49] yung brain drain.
[2:10:51] Kasi all other countries
[2:10:52] are also taking
[2:10:53] our very good doctors
[2:10:55] and nurses.
[2:10:56] So,
[2:10:56] ang solusyon natin
[2:10:56] itong return service,
[2:10:58] yung matatalinong Pilipino,
[2:11:00] mahihirap,
[2:11:01] bibigyan natin yung scholarship,
[2:11:03] pero hindi sila makakaalis
[2:11:04] kasi they have to return
[2:11:05] the scholarship
[2:11:06] back to public service.
[2:11:09] Secretary,
[2:11:10] earlier,
[2:11:11] maraming mention din na
[2:11:13] kailangan
[2:11:16] mabawasan yung
[2:11:18] politization
[2:11:19] ng implementation
[2:11:20] ng HFEP.
[2:11:21] Hindi lang doon sa
[2:11:22] pagre-resolba
[2:11:25] ng mga away,
[2:11:26] ng mga personalidad,
[2:11:28] pero yung fact na
[2:11:29] yung technical vetting
[2:11:30] ay maaring
[2:11:31] nasasapawan
[2:11:33] ng political
[2:11:34] or other
[2:11:36] intervention.
[2:11:38] So,
[2:11:38] ibig pong sabihin,
[2:11:39] gusto po ng
[2:11:39] kumite
[2:11:40] ma-restore yung
[2:11:42] dapat na primacy
[2:11:44] ng HFEP
[2:11:45] sa implementation niya
[2:11:46] para matupad yung
[2:11:47] mga layuni ng
[2:11:48] universal healthcare.
[2:11:50] So,
[2:11:51] yes,
[2:11:53] Secretary,
[2:11:54] briefly po.
[2:11:54] That is exactly
[2:11:55] one of my other problems
[2:11:57] and thanks for raising it,
[2:11:58] the political
[2:11:59] intervention of projects.
[2:12:01] Kasi when an
[2:12:02] HFEP project comes in,
[2:12:03] inaaral yan
[2:12:05] when it's proposed,
[2:12:05] aaralin from the ground
[2:12:07] by the regional office,
[2:12:08] by our Health Facilities
[2:12:09] Planning and Development Bureau,
[2:12:11] merong kaming
[2:12:12] National Health Facility
[2:12:14] Development Plan.
[2:12:16] At kuminsan,
[2:12:16] hindi na susunod.
[2:12:18] So,
[2:12:18] ang hope ko lang
[2:12:19] is sana,
[2:12:20] I hope that the legislature
[2:12:21] can also
[2:12:22] align with that
[2:12:23] para talagang,
[2:12:24] kasi kuminsan,
[2:12:25] palakasan,
[2:12:26] well,
[2:12:26] aamin na ako,
[2:12:28] palakasan,
[2:12:28] lalapitan ako sa office,
[2:12:30] hihinga ng request
[2:12:31] na doon mauna.
[2:12:32] kuminsan yung pay mas malaki,
[2:12:34] kasi nga,
[2:12:34] siya yung mas,
[2:12:36] so,
[2:12:36] wala ko magawa,
[2:12:38] my hands are tied,
[2:12:39] hindi ko naman maano.
[2:12:40] And then,
[2:12:41] it gets passed,
[2:12:41] kasi it gets passed
[2:12:42] in legislation.
[2:12:43] So,
[2:12:44] magtulungan tayo,
[2:12:45] the executive branch
[2:12:46] and the legislature
[2:12:47] to follow these standards.
[2:12:49] Meron nga,
[2:12:50] kuminsan yung lupa,
[2:12:50] hindi pa pala,
[2:12:51] mapapondohan,
[2:12:53] tapos yung lupa,
[2:12:53] hindi pa pala
[2:12:54] nalilipat
[2:12:55] sa pangalan ng government.
[2:12:56] So,
[2:12:57] may pondo,
[2:12:57] pero hindi namin
[2:12:58] maumpisahan.
[2:12:59] So,
[2:12:59] these are some
[2:13:00] of the issues
[2:13:00] on this.
[2:13:02] Secretary,
[2:13:02] nag-a-align na po
[2:13:03] ang Senado dyan
[2:13:04] sa National Health
[2:13:05] Facilities Development Plan.
[2:13:07] Meron po kaming
[2:13:08] panukalang batas
[2:13:09] ini-interpellate
[2:13:10] ngayon
[2:13:11] tungkol sa
[2:13:12] yung administrative
[2:13:14] na pagtatakda
[2:13:15] ng Department of Health
[2:13:16] at ng mga hospital
[2:13:17] ng bed capacity
[2:13:18] at saka service capacity
[2:13:20] so para
[2:13:21] pag-align
[2:13:21] sa planong iyon.
[2:13:23] At this point,
[2:13:24] gustong mag-interject
[2:13:24] ng Senado Raffi
[2:13:25] and then Senado po.
[2:13:26] Yes,
[2:13:26] kasi nabanggit nga
[2:13:28] ni Secretary Bosa
[2:13:29] at maging kanina
[2:13:30] paulit-ulit
[2:13:31] na kulang tayo
[2:13:31] sa mga doktor.
[2:13:33] In fact,
[2:13:34] nag-ikot yung mga staff ko
[2:13:36] at meron talaga
[2:13:37] mga facilities
[2:13:38] na by schedule
[2:13:40] ang pagpunta
[2:13:40] ng mga pasyente.
[2:13:41] Pupuntahan yung
[2:13:42] pinuntahan namin
[2:13:43] yung facility
[2:13:44] at walang tao
[2:13:45] at yun pong
[2:13:46] reklamo
[2:13:47] ng mga tao doon
[2:13:48] at kung meron man
[2:13:50] doktor,
[2:13:51] kulang.
[2:13:51] So,
[2:13:52] paano nyo po
[2:13:52] na-address
[2:13:52] itong problema?
[2:13:55] Papakita ko sa inyo
[2:13:56] yung magnitude
[2:13:57] ng problema.
[2:13:58] So,
[2:13:58] yung doctor to the various
[2:13:59] program,
[2:14:00] kami nagpapadala,
[2:14:01] DOH nagsusweldo
[2:14:02] through GAAA funds,
[2:14:04] ma-assign siya
[2:14:05] sa isang locality
[2:14:06] and it will be assigned
[2:14:07] 35 barangay health centers
[2:14:10] to visit.
[2:14:11] So,
[2:14:11] sabi ko,
[2:14:12] eh paano nyo hindi?
[2:14:13] Next month mo
[2:14:14] na makikita yung isa
[2:14:15] so once a week lang siya.
[2:14:16] Once a month lang
[2:14:18] niya mapuntahan
[2:14:19] yung bawat isa.
[2:14:20] So,
[2:14:20] we really need more
[2:14:21] yung supply ko.
[2:14:23] Yung locality na yun,
[2:14:24] hindi kailang
[2:14:26] isang doktor lang.
[2:14:27] Kahit ma-assign sa'yo,
[2:14:28] 20.
[2:14:29] That's only
[2:14:29] once a month
[2:14:31] mo mapupuntahan yun.
[2:14:32] So,
[2:14:33] sometimes,
[2:14:33] tama kayo,
[2:14:34] you'll go to a health center,
[2:14:36] barangay health worker
[2:14:37] lang na nandun.
[2:14:37] Yung doktor,
[2:14:38] nandun sa kabilang health center,
[2:14:40] iniikot niya yun
[2:14:41] para makover niya lahat.
[2:14:43] Tapos,
[2:14:43] pag may meeting pa yan
[2:14:44] sa Manila
[2:14:45] or Cebu
[2:14:46] or Dabao,
[2:14:47] nagagalit sa amin
[2:14:48] yung local chief executive
[2:14:49] kasi ba't tinawag yung,
[2:14:51] kasi we're paying them
[2:14:52] so we need to do
[2:14:53] all this addition.
[2:14:53] Kaya nga,
[2:14:54] Madam Chair,
[2:14:54] bakit tayo tayo
[2:14:55] ng tayo ng health center,
[2:14:57] super health center,
[2:14:58] kung anong pantawag doon,
[2:14:59] at hindi din nagagamit
[2:15:00] dahil wala tayong mga doktor.
[2:15:03] Sayang lang yung facilities na yun.
[2:15:05] Tama yun, Madam Chair.
[2:15:06] Actually,
[2:15:07] when a health facility
[2:15:09] is included in the HPEP,
[2:15:11] the local chief executive
[2:15:12] signs an agreement
[2:15:13] that they will hire.
[2:15:16] Pero pag natapos,
[2:15:18] wala hong ma-hire eh.
[2:15:19] So we end up
[2:15:20] employing for them.
[2:15:21] Parang ganun na nangyayari.
[2:15:22] So,
[2:15:23] naka-catch 22 kami.
[2:15:24] Para lang tumakbo
[2:15:25] kaya sa nakatinga,
[2:15:27] DOH na nagsusuklay
[2:15:28] ng doktor nila,
[2:15:30] either doctor,
[2:15:31] nurse,
[2:15:31] midwife.
[2:15:32] So,
[2:15:32] ibig sabihin,
[2:15:33] nagpupull out kayo
[2:15:33] ng mga doctors at nurses
[2:15:35] from the DOH?
[2:15:37] And then, Madam Chair,
[2:15:38] meron talagang program,
[2:15:39] National Health Workforce
[2:15:40] Support System.
[2:15:42] So,
[2:15:42] dahil national,
[2:15:43] 20,000 yan,
[2:15:44] hinahire natin.
[2:15:46] Sinuswelduhan natin yan
[2:15:47] sa budget ng DOH.
[2:15:49] Tapos,
[2:15:49] dinideploy natin.
[2:15:50] Parang mga polis,
[2:15:52] dinideploy sa mga LGU.
[2:15:53] So,
[2:15:54] it's national.
[2:15:55] We need to make
[2:15:55] that program stronger.
[2:15:57] Dito ko kinukuha
[2:15:58] yung mga graduate na scholar
[2:16:00] sa SUC.
[2:16:02] Ipapasok sila
[2:16:02] sa National Health Workforce
[2:16:04] at doon natin
[2:16:05] susupply sa mga walang doktor
[2:16:06] sa ngayon,
[2:16:10] ilan sa pagkakaalam ninyo
[2:16:12] ang mga health centers
[2:16:13] na hindi fully operational
[2:16:16] dahil kulang sa doktor?
[2:16:20] At marami mga pasyente
[2:16:22] na pupupunta doon
[2:16:23] na nadidismaya sila
[2:16:26] dahil sarado
[2:16:27] at sinasabing walang doktor.
[2:16:29] Sometimes,
[2:16:30] twice a week lang
[2:16:30] nagbubukas,
[2:16:31] three times a week
[2:16:32] at ang mamahal
[2:16:33] ng ginastos
[2:16:34] para ipatayo
[2:16:35] itong mga health centers
[2:16:35] na ito.
[2:16:36] At kanina nga
[2:16:38] nabanggit
[2:16:38] I think someone
[2:16:40] did mention
[2:16:40] na merong mga
[2:16:42] kagamitan
[2:16:43] na binadyitan
[2:16:46] doon sa facility na yun
[2:16:47] yung pala hindi kailangan
[2:16:48] so hindi nagagamit.
[2:16:50] Those things
[2:16:50] dapat iniiwasan natin
[2:16:52] sayang yung pera.
[2:16:53] So ang tanong ko
[2:16:54] monitor nyo ba
[2:16:55] kung ilan itong mga facilities
[2:16:56] na hindi fully operational
[2:16:58] at nagsasayang lang tayo
[2:16:59] ng pera
[2:17:00] doon sa mga facilities na yun?
[2:17:01] Yes po, Madam Chair.
[2:17:03] So inaaral ko yan last year
[2:17:05] baka binisita ko
[2:17:06] personally yung iba
[2:17:07] at yung iba naman
[2:17:08] dahil binibisita ko
[2:17:09] nagpatakbo na yung mga
[2:17:11] LGU
[2:17:11] nilipat nga nila
[2:17:12] so as of now
[2:17:13] ang count namin
[2:17:14] we started
[2:17:15] we targeted to build
[2:17:17] health centers
[2:17:17] about 820
[2:17:18] since 2021
[2:17:20] mga pinondohan natin
[2:17:21] and of the 820
[2:17:23] 481 po
[2:17:25] ang natapos
[2:17:26] completed
[2:17:27] 304
[2:17:29] ongoing pa yan
[2:17:30] so under construction
[2:17:31] pa siya
[2:17:32] or baka
[2:17:32] and then may 35
[2:17:34] kami na terminated
[2:17:35] yung contract
[2:17:36] or tinakbo
[2:17:37] or yung mga walk away
[2:17:39] 35
[2:17:40] so ngayon
[2:17:41] meron na tayong
[2:17:42] 243
[2:17:44] natapos na
[2:17:44] na ready for
[2:17:46] ang tawag namin
[2:17:46] ready for occupancy
[2:17:47] ang tawag namin
[2:17:48] yung ready for occupancy
[2:17:50] so
[2:17:51] yung ready for occupancy
[2:17:52] napa-operate namin
[2:17:54] itong nakaraan taon
[2:17:55] 224
[2:17:56] so 19 na lang
[2:17:57] yung non-operational
[2:17:59] so medyo may progress kami
[2:18:00] and then meron kami
[2:18:02] pang 238
[2:18:04] of the 820
[2:18:05] na partially completed
[2:18:07] ito yung
[2:18:08] sabihin ko na yung totoo
[2:18:10] gagawin ng
[2:18:11] contractor ng DPWH
[2:18:13] may budget siya
[2:18:14] let's say 12 million
[2:18:15] hindi matatapos
[2:18:16] poste lang
[2:18:17] or something
[2:18:18] ibabalik samin
[2:18:19] to fund ulit
[2:18:20] and to finish
[2:18:20] for the next year
[2:18:22] so ito yung mga ibang
[2:18:23] problematic na
[2:18:24] partially completed
[2:18:25] so ito yung
[2:18:26] phase 1
[2:18:27] phase 2
[2:18:27] yeah
[2:18:28] secretary
[2:18:29] sandali lang
[2:18:30] kasi nabanggit mo
[2:18:31] partially completed
[2:18:33] at yung iba
[2:18:33] hindi completed
[2:18:34] kanina may nanigay ako
[2:18:36] dilapidated
[2:18:37] yung building
[2:18:38] at yung bubong
[2:18:39] aware po kayo
[2:18:40] na itong
[2:18:42] useck ninyo
[2:18:43] si Dr. Glenn
[2:18:44] Matthew Bagau
[2:18:45] ay related
[2:18:47] sa isang
[2:18:48] contractor
[2:18:49] na si Ernie Bagau
[2:18:50] ng EGB
[2:18:51] construction
[2:18:51] at nakakakuha
[2:18:53] itong si
[2:18:54] useck Bagau
[2:18:55] o yung
[2:18:55] DOH
[2:18:56] ng kontrata
[2:18:57] mula dito
[2:18:58] sa EGB
[2:18:58] contractor
[2:18:59] and mind you
[2:19:00] EGB
[2:19:00] contractor
[2:19:01] in both
[2:19:01] sa flood
[2:19:02] control
[2:19:02] I mean
[2:19:03] sa flood
[2:19:04] issue
[2:19:04] yes
[2:19:04] aware po ako
[2:19:05] kasi nung nakita
[2:19:06] ko nga yung
[2:19:06] pangalan
[2:19:07] tinanong ko
[2:19:08] kung kamag-anak
[2:19:09] na
[2:19:09] turns out
[2:19:09] kapatid
[2:19:10] niya nga
[2:19:10] yung
[2:19:10] nasa
[2:19:11] connected
[2:19:13] pa rin
[2:19:13] sa HVIP
[2:19:14] sapagat
[2:19:15] po yung
[2:19:15] in charge
[2:19:15] di ba meron siyang
[2:19:16] kaso sa
[2:19:16] ombudsman
[2:19:17] bago lang po yun
[2:19:19] recently lang
[2:19:20] nung in-appoint
[2:19:21] ko siya
[2:19:21] sa health
[2:19:22] facilities
[2:19:23] enhancement
[2:19:23] pero nung
[2:19:24] ni-review
[2:19:24] namin
[2:19:24] tinanong ko
[2:19:25] totoo ba
[2:19:25] itong claim
[2:19:26] nitong
[2:19:26] nag
[2:19:26] kasi as I
[2:19:28] said
[2:19:28] all of
[2:19:29] this
[2:19:29] funding
[2:19:29] is not
[2:19:30] DOH
[2:19:31] implementation
[2:19:33] it's
[2:19:33] DPWH
[2:19:34] pero ang
[2:19:35] tanong ko
[2:19:35] po
[2:19:35] Secretary
[2:19:36] Bosa
[2:19:36] aware
[2:19:37] ba
[2:19:37] kayo
[2:19:38] na may
[2:19:38] mga
[2:19:39] nakuhang
[2:19:40] kontrata
[2:19:41] ang DOH
[2:19:41] para magpatayo
[2:19:43] nitong mga
[2:19:43] HVIP
[2:19:44] facilities
[2:19:44] na galing
[2:19:45] kay Ernie
[2:19:46] Bagau
[2:19:47] na contractor
[2:19:48] ng EGB
[2:19:48] na kapatid
[2:19:49] nitong si
[2:19:50] Director
[2:19:51] Dr.
[2:19:51] Bagau
[2:19:52] aware ba
[2:19:52] kayo
[2:19:52] yes
[2:19:52] o no
[2:19:53] lang po
[2:19:53] ang alam ko
[2:19:54] tinanong ko
[2:19:55] siya
[2:19:55] sabi niya
[2:19:55] wala namang
[2:19:56] kontrata
[2:19:56] daw yung
[2:19:57] kapatid
[2:19:57] niya
[2:19:57] sa DOH
[2:19:58] wala
[2:19:58] are you
[2:19:58] sure
[2:19:59] are you
[2:20:00] sure
[2:20:00] sir
[2:20:01] you have
[2:20:01] to be
[2:20:02] sure
[2:20:03] kung
[2:20:03] hindi
[2:20:04] sasabihin
[2:20:05] ko
[2:20:05] kay
[2:20:05] chairwoman
[2:20:05] na
[2:20:06] dapat
[2:20:07] iotaking
[2:20:07] kayo
[2:20:08] ngayon
[2:20:08] para
[2:20:08] magalamanan
[2:20:09] it was
[2:20:15] still
[2:20:16] Undersecretary
[2:20:17] Murillo
[2:20:17] when the
[2:20:18] list
[2:20:18] sir
[2:20:19] pinatatakpan
[2:20:19] niyo siya
[2:20:20] sir
[2:20:20] hindi
[2:20:21] when the
[2:20:21] list
[2:20:21] was brought
[2:20:22] out
[2:20:22] it was
[2:20:25] Undersecretary
[2:20:26] Murillo
[2:20:27] in charge
[2:20:27] of HPEP
[2:20:27] when the
[2:20:28] list
[2:20:28] was brought
[2:20:29] out
[2:20:29] by the
[2:20:29] President
[2:20:29] pinahanap
[2:20:30] ko
[2:20:30] kay
[2:20:30] Undersecretary
[2:20:31] Murillo
[2:20:31] if we
[2:20:32] have
[2:20:32] contracts
[2:20:33] with
[2:20:33] any
[2:20:33] of
[2:20:33] those
[2:20:34] we
[2:20:34] found
[2:20:34] only
[2:20:34] a
[2:20:35] couple
[2:20:35] which
[2:20:36] were
[2:20:36] in
[2:20:36] Sambuanga
[2:20:37] sa
[2:20:37] Diskaya
[2:20:38] pero
[2:20:38] none
[2:20:39] of
[2:20:39] the
[2:20:39] Bagao
[2:20:40] contract
[2:20:41] so
[2:20:41] wala
[2:20:42] kami
[2:20:42] at
[2:20:43] that
[2:20:43] point
[2:20:43] so
[2:20:43] yun yung
[2:20:44] information
[2:20:44] na binigay
[2:20:45] sa akin
[2:20:45] nung
[2:20:46] former
[2:20:46] Undersecretary
[2:20:47] 11.93
[2:20:49] million
[2:20:49] 29.98
[2:20:50] million
[2:20:51] 5.96
[2:20:52] million
[2:20:52] 24.98
[2:20:53] million
[2:20:53] 63.14
[2:20:54] million
[2:20:55] lahat
[2:20:55] ito
[2:20:56] kontrata
[2:20:56] na ibigay
[2:20:57] sa kapatid
[2:20:58] ni
[2:20:59] Dr.
[2:20:59] Glenn
[2:20:59] Bagao
[2:21:00] and I'm
[2:21:01] sure
[2:21:01] kaya
[2:21:01] naibigay
[2:21:02] dito
[2:21:05] sa
[2:21:05] kontrakto
[2:21:05] na si
[2:21:06] Ernie
[2:21:07] Bagao
[2:21:07] Glenn
[2:21:08] Bagao
[2:21:09] Ernie
[2:21:11] Bagao
[2:21:11] because
[2:21:11] of
[2:21:12] Dr.
[2:21:12] Glenn
[2:21:12] that's
[2:21:13] complicated
[2:21:14] he was
[2:21:16] not in
[2:21:16] charge
[2:21:17] of
[2:21:17] HPEP
[2:21:17] if
[2:21:17] ever
[2:21:18] that
[2:21:18] is
[2:21:18] true
[2:21:19] he
[2:21:19] was
[2:21:19] not
[2:21:20] the
[2:21:20] one
[2:21:20] in
[2:21:20] charge
[2:21:20] of
[2:21:20] HPEP
[2:21:21] ito
[2:21:23] po
[2:21:23] ay
[2:21:23] datos
[2:21:24] na
[2:21:24] pinresenta
[2:21:25] na
[2:21:25] ni
[2:21:25] Senator
[2:21:26] Raffing
[2:21:26] so
[2:21:27] datos
[2:21:27] po
[2:21:28] na
[2:21:28] pinangahawakan
[2:21:30] at
[2:21:30] sinusuportahan
[2:21:31] ng
[2:21:32] komite
[2:21:32] so
[2:21:33] it's
[2:21:33] very
[2:21:34] serious
[2:21:34] nabanggit
[2:21:35] na
[2:21:35] po
[2:21:35] kanina
[2:21:36] and
[2:21:36] ngayon
[2:21:37] the
[2:21:37] data
[2:21:37] has
[2:21:37] been
[2:21:38] so
[2:21:39] the
[2:21:40] chair
[2:21:40] would
[2:21:40] appreciate
[2:21:40] it
[2:21:41] kung
[2:21:41] i-acknowledge
[2:21:43] ng
[2:21:44] Secretary
[2:21:44] na
[2:21:45] ito
[2:21:45] po
[2:21:45] ay
[2:21:46] documented
[2:21:46] at
[2:21:47] seryosong
[2:21:47] issues
[2:21:48] na
[2:21:48] binibring
[2:21:49] ng
[2:21:49] komite
[2:21:50] in
[2:21:50] relation
[2:21:50] po
[2:21:51] sa
[2:21:51] HPEP
[2:21:52] investigation
[2:21:53] po
[2:21:53] I will
[2:21:53] state
[2:21:54] clearly
[2:21:54] for
[2:21:54] the
[2:21:55] record
[2:21:55] and
[2:21:55] even
[2:21:55] under
[2:21:56] my
[2:21:57] information
[2:21:57] by
[2:21:57] the
[2:21:58] former
[2:21:58] USEC
[2:21:59] in
[2:21:59] charge
[2:21:59] of
[2:21:59] HPEP
[2:22:00] is
[2:22:00] that
[2:22:00] that
[2:22:01] company
[2:22:01] had
[2:22:01] no
[2:22:02] contracts
[2:22:02] with
[2:22:03] the
[2:22:03] DOH
[2:22:03] so
[2:22:04] iba
[2:22:04] po
[2:22:04] yun
[2:22:05] maybe
[2:22:05] you
[2:22:05] have
[2:22:05] contracts
[2:22:06] that
[2:22:06] you
[2:22:06] found
[2:22:06] but
[2:22:07] that's
[2:22:07] DPWH
[2:22:08] so
[2:22:09] hindi
[2:22:10] DOH
[2:22:11] and
[2:22:11] February
[2:22:12] po
[2:22:12] na
[2:22:12] appoint
[2:22:13] itong
[2:22:14] si
[2:22:14] undersecretary
[2:22:16] Bagau
[2:22:16] dahil
[2:22:16] natanggal
[2:22:17] nga
[2:22:17] itong
[2:22:18] si
[2:22:18] undersecretary
[2:22:19] murillo
[2:22:20] well
[2:22:20] perhaps
[2:22:21] secretary
[2:22:22] and
[2:22:22] senator
[2:22:22] rafi
[2:22:23] will
[2:22:23] also
[2:22:24] have
[2:22:24] the
[2:22:24] chance
[2:22:24] to
[2:22:25] ask
[2:22:26] DPWH
[2:22:26] about
[2:22:27] this
[2:22:27] pero
[2:22:28] very
[2:22:28] serious
[2:22:29] issue
[2:22:29] po
[2:22:29] talaga
[2:22:29] ito
[2:22:30] isa
[2:22:31] sa
[2:22:31] mga
[2:22:31] gusto
[2:22:31] pa
[2:22:31] namin
[2:22:32] tignan
[2:22:32] in
[2:22:32] terms
[2:22:33] of
[2:22:33] allegations
[2:22:34] of
[2:22:34] corruption
[2:22:34] and
[2:22:35] lack
[2:22:35] of
[2:22:36] accountability
[2:22:37] so
[2:22:37] hindi
[2:22:38] pa
[2:22:38] po
[2:22:38] tapos
[2:22:38] yung
[2:22:39] discussion
[2:22:40] diyan
[2:22:41] secretary
[2:22:42] and
[2:22:42] comsec
[2:22:43] just
[2:22:44] to
[2:22:44] remind
[2:22:44] bago
[2:22:44] po
[2:22:44] matapos
[2:22:45] yung
[2:22:45] hearing
[2:22:47] if
[2:22:47] we could
[2:22:48] also
[2:22:48] request
[2:22:49] the
[2:22:49] good
[2:22:50] secretary
[2:22:50] to
[2:22:50] take
[2:22:51] his
[2:22:51] oath
[2:22:51] para
[2:22:51] lang
[2:22:51] kompleto
[2:22:52] po
[2:22:52] yung
[2:22:52] panunumpan
[2:22:53] ng
[2:22:53] lahat
[2:22:53] ng
[2:22:54] persons
[2:22:54] all right
[2:22:55] before
[2:22:55] we
[2:22:56] ask
[2:22:56] the
[2:22:56] secretary
[2:22:57] one
[2:22:57] more
[2:22:58] question
[2:22:58] from
[2:22:58] senator
[2:22:58] rafi
[2:22:59] and
[2:22:59] then
[2:22:59] i'll
[2:22:59] go
[2:22:59] to
[2:23:00] senator
[2:23:00] bong
[2:23:00] yes
[2:23:01] okay
[2:23:02] secretary
[2:23:04] erbosa
[2:23:04] marami
[2:23:06] kang
[2:23:07] mga
[2:23:07] sinasabi
[2:23:07] in
[2:23:07] defense
[2:23:08] of
[2:23:08] dr.
[2:23:09] bagao
[2:23:09] and
[2:23:09] i can
[2:23:10] understand
[2:23:10] kung
[2:23:10] bata
[2:23:11] mo
[2:23:11] siya
[2:23:11] wala
[2:23:11] tayong
[2:23:11] problema
[2:23:12] doon
[2:23:12] pero
[2:23:13] meron
[2:23:13] siyang
[2:23:13] kaso
[2:23:14] ngayon
[2:23:14] sa
[2:23:14] ombudsman
[2:23:15] okay
[2:23:16] now
[2:23:17] sana
[2:23:17] out
[2:23:18] of
[2:23:18] delicadeza
[2:23:19] habang
[2:23:19] dinidinig
[2:23:20] yung
[2:23:20] kasin
[2:23:20] sa
[2:23:21] ombudsman
[2:23:21] baka
[2:23:22] pwedeng
[2:23:22] iasayin
[2:23:23] muna
[2:23:23] siya
[2:23:23] sa
[2:23:23] ibang
[2:23:23] lugar
[2:23:24] kulang
[2:23:24] pala
[2:23:24] yung
[2:23:25] mga
[2:23:25] doktor
[2:23:25] sa
[2:23:25] probinsya
[2:23:26] di
[2:23:26] gawin
[2:23:26] yun
[2:23:26] silang
[2:23:26] doktor
[2:23:27] sa
[2:23:27] isang
[2:23:27] health
[2:23:28] center
[2:23:28] sa
[2:23:28] tawi-tawi
[2:23:29] o
[2:23:29] sa
[2:23:30] main
[2:23:33] office
[2:23:33] ninyo
[2:23:34] na
[2:23:34] pwede
[2:23:34] siya
[2:23:35] mag
[2:23:35] influence
[2:23:35] sa
[2:23:36] mga
[2:23:36] transaksyon
[2:23:37] na
[2:23:37] nagaganap
[2:23:37] that's
[2:23:38] what
[2:23:38] I'm
[2:23:38] saying
[2:23:38] ngayon
[2:23:39] kung
[2:23:39] kakampiyan
[2:23:39] mo
[2:23:39] pa
[2:23:39] rin
[2:23:40] siya
[2:23:40] then
[2:23:40] I'm
[2:23:40] going to
[2:23:40] walk
[2:23:40] out
[2:23:41] because
[2:23:41] useless
[2:23:41] pala
[2:23:42] itong
[2:23:42] mga
[2:23:42] hearing
[2:23:42] natin
[2:23:43] dito
[2:23:43] dahil
[2:23:43] kinakampiyan
[2:23:44] mo
[2:23:44] mga
[2:23:44] bata
[2:23:44] mo
[2:23:45] So usually
[2:24:08] if there is
[2:24:08] an official
[2:24:09] of the
[2:24:09] DOH
[2:24:10] that is
[2:24:10] under
[2:24:10] investigation
[2:24:11] by the
[2:24:11] ombudsman
[2:24:12] the
[2:24:12] ombudsman
[2:24:13] will
[2:24:13] write
[2:24:13] us
[2:24:13] so
[2:24:14] if
[2:24:14] someone
[2:24:15] files
[2:24:15] a
[2:24:15] case
[2:24:15] I
[2:24:16] think
[2:24:16] they
[2:24:16] investigate
[2:24:17] first
[2:24:17] and
[2:24:18] after
[2:24:18] due
[2:24:18] diligence
[2:24:19] tsaka
[2:24:19] sila
[2:24:20] sumusulat
[2:24:20] sa
[2:24:20] secretary
[2:24:21] of the
[2:24:21] agency
[2:24:22] Has
[2:24:22] the
[2:24:22] ombudsman
[2:24:23] written
[2:24:23] USEC
[2:24:24] in the
[2:24:24] case
[2:24:25] of
[2:24:25] USEC
[2:24:25] Bagao
[2:24:26] So wala
[2:24:26] pong
[2:24:27] motoproprio
[2:24:29] na ginagawa
[2:24:30] ang department
[2:24:31] kapag may
[2:24:31] ganitong
[2:24:32] sikosyon?
[2:24:32] Motoproprio
[2:24:32] that's what
[2:24:34] I was
[2:24:34] gonna say
[2:24:35] I'll have
[2:24:36] to ask
[2:24:36] the
[2:24:36] lawyers
[2:24:37] in the
[2:24:37] department
[2:24:38] kung
[2:24:38] dapat
[2:24:39] mag
[2:24:39] motoproprio
[2:24:39] Kaya nga
[2:24:40] wala
[2:24:40] motoproprio
[2:24:41] kasi
[2:24:41] bata
[2:24:42] niya
[2:24:42] si
[2:24:42] Dr.
[2:24:44] Bagao
[2:24:44] kasi
[2:24:44] kung
[2:24:45] hindi
[2:24:45] tama
[2:24:45] nga
[2:24:45] si
[2:24:46] madame
[2:24:46] chair
[2:24:46] dapat
[2:24:47] motoproprio
[2:24:47] nang
[2:24:47] nalaman
[2:24:48] nyo
[2:24:48] na
[2:24:48] meron
[2:24:49] palang
[2:24:49] ganong
[2:24:49] klaseng
[2:24:50] problema
[2:24:51] na
[2:24:52] na
[2:24:52] ifinal
[2:24:53] na
[2:24:53] sa
[2:24:53] ombudsman
[2:24:54] you should
[2:24:54] have
[2:24:55] done
[2:24:55] something
[2:24:55] yung
[2:24:56] gumawa
[2:24:56] kaya
[2:24:56] motoproprio
[2:24:57] investigation
[2:24:58] So
[2:25:00] secretary
[2:25:00] before
[2:25:01] the
[2:25:01] hearing
[2:25:02] is
[2:25:02] suspended
[2:25:03] the
[2:25:04] chair
[2:25:04] would
[2:25:05] strongly
[2:25:05] request
[2:25:06] from
[2:25:06] the
[2:25:06] good
[2:25:06] secretary
[2:25:07] kung
[2:25:08] nakonsulta
[2:25:08] nyo na
[2:25:08] po
[2:25:09] yung
[2:25:09] legal
[2:25:09] ng
[2:25:10] department
[2:25:10] ano
[2:25:11] po
[2:25:11] yung
[2:25:11] tamang
[2:25:12] dapat
[2:25:12] gawin
[2:25:13] kapag
[2:25:13] may
[2:25:14] investigation
[2:25:14] by a
[2:25:15] constitutional
[2:25:16] body
[2:25:17] in this
[2:25:17] case
[2:25:17] the
[2:25:17] office
[2:25:18] of
[2:25:18] the
[2:25:18] ombudsman
[2:25:19] at
[2:25:19] tungkol
[2:25:20] kaugnay
[2:25:20] ng
[2:25:21] programa
[2:25:22] na
[2:25:23] mismong
[2:25:23] ini-investiga
[2:25:24] ngayon
[2:25:25] ng
[2:25:25] ng
[2:25:25] komite
[2:25:26] kasama
[2:25:29] rin
[2:25:29] pala
[2:25:29] si
[2:25:29] secretary
[2:25:30] herbosa
[2:25:32] kasama
[2:25:33] rin
[2:25:33] po
[2:25:33] pala
[2:25:33] kayo
[2:25:33] sa
[2:25:33] graph
[2:25:34] complaint
[2:25:34] filed
[2:25:35] with
[2:25:35] the
[2:25:35] ombudsman
[2:25:36] with
[2:25:36] use
[2:25:36] bagao
[2:25:37] over
[2:25:37] alleged
[2:25:38] rigging
[2:25:38] of
[2:25:39] procurement
[2:25:39] ng
[2:25:40] mobile
[2:25:40] primary
[2:25:41] care
[2:25:41] facilities
[2:25:41] worth
[2:25:42] 1.8
[2:25:43] billion
[2:25:43] kasama
[2:25:44] po
[2:25:44] pala
[2:25:44] kayo
[2:25:44] doon
[2:25:45] alam
[2:25:45] nyo
[2:25:45] ba
[2:25:45] yun
[2:25:46] wala
[2:25:46] wala
[2:25:46] pa
[2:25:46] yung
[2:25:46] bidding
[2:25:47] yan
[2:25:47] so
[2:25:48] parang
[2:25:48] hindi
[2:25:48] ko
[2:25:48] maitid
[2:25:49] yan
[2:25:49] so
[2:25:50] yan
[2:25:50] nga
[2:25:51] ang
[2:25:51] problema
[2:25:51] ko
[2:25:51] madaming
[2:25:52] cases
[2:25:52] nasa
[2:25:53] news
[2:25:53] anonymous
[2:25:54] magfafile
[2:25:55] tapos
[2:25:57] of course
[2:25:58] hindi naman
[2:25:58] guilty
[2:25:59] yun
[2:25:59] so
[2:25:59] kailangin
[2:26:00] thank you
[2:26:00] yung
[2:26:00] ombudsman
[2:26:01] investigation
[2:26:02] if the
[2:26:02] ombudsman
[2:26:02] says
[2:26:03] there is
[2:26:04] prima
[2:26:04] fasi
[2:26:04] case
[2:26:05] at
[2:26:05] kalakang
[2:26:06] kasuhan
[2:26:06] pwede
[2:26:07] na natin
[2:26:07] isuspend
[2:26:08] yun
[2:26:08] yun
[2:26:08] yun
[2:26:08] yun
[2:26:08] yung
[2:26:08] understanding
[2:26:09] ko
[2:26:09] of
[2:26:09] the
[2:26:09] law
[2:26:09] but
[2:26:10] I'm
[2:26:10] not
[2:26:10] a
[2:26:10] lawyer
[2:26:10] so
[2:26:11] I'll
[2:26:11] still
[2:26:11] consort
[2:26:12] the
[2:26:12] lawyers
[2:26:12] of
[2:26:13] the
[2:26:13] DOH
[2:26:13] para
[2:26:14] dyan
[2:26:14] sa
[2:26:14] action
[2:26:15] please
[2:26:15] do
[2:26:15] secretary
[2:26:16] also
[2:26:23] tinanong ko
[2:26:23] kayo
[2:26:24] tungkol
[2:26:24] sa
[2:26:24] pamumuno
[2:26:25] ng
[2:26:25] department
[2:26:26] so
[2:26:26] at least
[2:26:28] for this
[2:26:28] hearing
[2:26:28] we need
[2:26:29] you there
[2:26:29] to answer
[2:26:30] these
[2:26:30] questions
[2:26:31] and to
[2:26:31] lead
[2:26:31] yung
[2:26:32] commitment
[2:26:32] ng
[2:26:32] anong
[2:26:33] gagawin
[2:26:34] but
[2:26:34] these
[2:26:34] are
[2:26:35] very
[2:26:35] important
[2:26:36] and
[2:26:36] serious
[2:26:36] issues
[2:26:37] po
[2:26:37] ng
[2:26:38] accountability
[2:26:39] and
[2:26:39] yung
[2:26:39] ongoing
[2:26:40] anti-corruption
[2:26:41] efforts
[2:26:42] po
[2:26:43] natin
[2:26:43] so
[2:26:43] again
[2:26:43] bago
[2:26:44] po
[2:26:44] matapos
[2:26:45] yung
[2:26:45] hearing
[2:26:45] please
[2:26:46] furnish
[2:26:47] the
[2:26:48] committee
[2:26:48] yung
[2:26:49] information
[2:26:49] kung
[2:26:50] ano
[2:26:51] yung
[2:26:51] motu
[2:26:51] proprio
[2:26:52] at
[2:26:53] the
[2:26:54] least
[2:26:54] pwede
[2:26:55] at
[2:26:55] dapat
[2:26:55] gawin
[2:26:56] ng
[2:26:56] department
[2:26:56] kaugnay
[2:26:57] po
[2:26:58] ni
[2:26:58] Yusek
[2:26:59] Bagaw
[2:26:59] regardless
[2:27:00] yung
[2:27:01] timing
[2:27:01] kung
[2:27:01] kailan
[2:27:02] sila
[2:27:02] umupo
[2:27:03] bilang
[2:27:03] head
[2:27:04] ng
[2:27:04] HFE
[2:27:04] pero
[2:27:04] HFE
[2:27:05] po
[2:27:05] ang
[2:27:06] subject
[2:27:06] ngayon
[2:27:07] ng
[2:27:07] kaso
[2:27:09] or
[2:27:09] investigation
[2:27:11] and also
[2:27:12] the matter
[2:27:13] that the
[2:27:13] secretary's
[2:27:14] name
[2:27:14] has also
[2:27:15] been
[2:27:15] mentioned
[2:27:16] in relation
[2:27:17] to that
[2:27:17] investigation
[2:27:18] or case
[2:27:18] so
[2:27:18] we'd
[2:27:19] like to
[2:27:19] hear
[2:27:20] from
[2:27:20] the
[2:27:20] department
[2:27:21] before
[2:27:21] the
[2:27:21] hearing
[2:27:22] is up
[2:27:22] at
[2:27:23] this
[2:27:23] point
[2:27:23] Senator
[2:27:24] Bong
[2:27:25] would
[2:27:25] like
[2:27:25] to
[2:27:25] interject
[2:27:26] Salamat
[2:27:27] Madam Chair
[2:27:28] Madam Chair
[2:27:31] kanina
[2:27:31] po
[2:27:31] hindi pa
[2:27:33] dumarating
[2:27:33] si
[2:27:33] Secretary
[2:27:34] Herbosa
[2:27:35] napagusapan
[2:27:36] natin
[2:27:37] itong
[2:27:37] kakulangan
[2:27:39] nga po
[2:27:40] ng mga
[2:27:40] uneven
[2:27:41] access
[2:27:43] po
[2:27:44] sa mga
[2:27:44] healthcare
[2:27:44] services
[2:27:45] natin
[2:27:45] salamat
[2:27:46] salamat
[2:27:46] salamat
[2:27:46] sa
[2:27:47] philipine
[2:27:51] institute
[2:27:51] of
[2:27:51] development
[2:27:52] studies
[2:27:53] sa inyong
[2:27:53] pag-aaral
[2:27:54] na
[2:27:55] klaro
[2:27:55] naman
[2:27:56] talaga
[2:27:56] na
[2:27:57] access
[2:27:58] to
[2:27:58] basic
[2:27:58] healthcare
[2:27:59] remains
[2:28:00] highly
[2:28:01] uneven
[2:28:01] particularly
[2:28:02] in
[2:28:02] far
[2:28:03] flung
[2:28:03] and
[2:28:04] underserved
[2:28:05] communities
[2:28:05] where
[2:28:06] healthcare
[2:28:07] services
[2:28:07] are
[2:28:08] most
[2:28:08] needed
[2:28:08] nabanggit
[2:28:10] nyo
[2:28:10] kanina
[2:28:10] yung
[2:28:11] dinagat
[2:28:11] island
[2:28:11] minsan
[2:28:13] kailangan
[2:28:13] pa
[2:28:13] tumawid
[2:28:14] ng
[2:28:14] ilog
[2:28:14] o
[2:28:14] bundok
[2:28:15] para
[2:28:15] lang
[2:28:15] makapunta
[2:28:16] sa
[2:28:16] pinakamalapit
[2:28:17] na
[2:28:17] healthcare
[2:28:17] center
[2:28:18] o
[2:28:19] hospital
[2:28:20] at
[2:28:20] salamat
[2:28:21] rin
[2:28:21] po
[2:28:21] sa
[2:28:21] philipine
[2:28:23] society
[2:28:23] of
[2:28:23] public
[2:28:24] health
[2:28:24] physicians
[2:28:25] sa
[2:28:26] kaysak
[2:28:26] gen
[2:28:26] doctor
[2:28:28] capeding
[2:28:29] isa
[2:28:30] rin
[2:28:31] po
[2:28:31] itong
[2:28:31] doctor
[2:28:32] to
[2:28:32] the
[2:28:33] barrio
[2:28:34] na
[2:28:34] produkto
[2:28:35] ng
[2:28:36] ating
[2:28:36] gobyerno
[2:28:38] at
[2:28:39] meron
[2:28:39] rin
[2:28:39] po
[2:28:39] dun
[2:28:39] napuntahan
[2:28:41] sa san
[2:28:41] fernando
[2:28:42] bukid
[2:28:42] nun
[2:28:43] si
[2:28:43] doctor
[2:28:43] otit
[2:28:44] mambukon
[2:28:46] sila yung
[2:28:47] mismong
[2:28:47] nakakaalam
[2:28:48] talaga
[2:28:48] sa
[2:28:49] problema
[2:28:49] dun
[2:28:50] sa
[2:28:50] bundok
[2:28:51] sa
[2:28:51] kakulangan
[2:28:52] ng
[2:28:52] healthcare
[2:28:53] services
[2:28:53] and
[2:28:54] ginagawa
[2:28:56] nyo
[2:28:56] naman
[2:28:56] po
[2:28:56] ang inyong
[2:28:57] trabaho
[2:28:57] bilang
[2:28:58] secretary
[2:28:58] of
[2:28:59] health
[2:28:59] lalong
[2:29:00] lalo
[2:29:00] na
[2:29:00] po
[2:29:01] sa
[2:29:01] pag
[2:29:01] iba't
[2:29:02] ibang
[2:29:02] mga
[2:29:02] programa
[2:29:03] yung
[2:29:04] mga
[2:29:05] yakap
[2:29:05] bukas
[2:29:07] o
[2:29:08] ano
[2:29:08] pa
[2:29:08] yung
[2:29:08] nabanggit
[2:29:09] nyo
[2:29:09] kanina
[2:29:09] sir
[2:29:09] yung
[2:29:09] pro
[2:29:11] apurok
[2:29:12] kalusugan
[2:29:13] so
[2:29:15] iba't
[2:29:15] ibang
[2:29:15] pangalan
[2:29:16] na po
[2:29:16] ito
[2:29:16] iba't
[2:29:16] ibang
[2:29:17] programa
[2:29:17] ang
[2:29:18] atin
[2:29:18] naman
[2:29:19] dito
[2:29:19] is
[2:29:19] ano
[2:29:19] yung
[2:29:19] makakatulong
[2:29:20] sa
[2:29:20] pinakamahirap
[2:29:21] nating
[2:29:21] kababayan
[2:29:23] at
[2:29:24] balikan
[2:29:24] ko
[2:29:24] lang
[2:29:25] po
[2:29:25] itong
[2:29:25] mga
[2:29:27] batas
[2:29:27] na
[2:29:27] naipasa
[2:29:28] natin
[2:29:28] dito
[2:29:29] for
[2:29:30] the past
[2:29:31] six
[2:29:31] years
[2:29:31] bilang
[2:29:31] chairman
[2:29:32] ng
[2:29:32] committee
[2:29:32] on
[2:29:32] health
[2:29:34] nakapagpasa
[2:29:36] tayo
[2:29:36] ng
[2:29:37] 93
[2:29:37] laws
[2:29:38] ito
[2:29:39] po
[2:29:39] yung
[2:29:39] establishment
[2:29:40] po
[2:29:40] ng
[2:29:41] public
[2:29:41] hospitals
[2:29:42] or
[2:29:42] increasing
[2:29:43] the bed
[2:29:44] capacity
[2:29:44] at
[2:29:45] meron
[2:29:46] rin
[2:29:46] kaming
[2:29:46] naipasa
[2:29:46] rito
[2:29:47] itong
[2:29:47] regional
[2:29:49] specialty
[2:29:50] center
[2:29:52] republic
[2:29:54] act
[2:29:54] 11959
[2:29:55] sorry
[2:29:57] excuse
[2:29:57] me
[2:29:57] ito
[2:29:59] yung
[2:29:59] batas
[2:29:59] na
[2:30:00] pinasa
[2:30:03] namin
[2:30:03] dito
[2:30:04] 24
[2:30:04] zero
[2:30:05] talagang
[2:30:05] bumoto
[2:30:06] ang
[2:30:06] principal
[2:30:07] sponsor
[2:30:07] nito
[2:30:08] ako
[2:30:08] ang
[2:30:08] principal
[2:30:08] author
[2:30:09] nito
[2:30:09] si
[2:30:09] senator
[2:30:10] mig
[2:30:11] subiri
[2:30:12] supportado
[2:30:12] rin
[2:30:12] po
[2:30:13] ito
[2:30:13] ng
[2:30:13] ating
[2:30:13] chairperson
[2:30:15] ng
[2:30:15] committee
[2:30:15] on
[2:30:15] health
[2:30:15] ngayon
[2:30:16] na
[2:30:17] may
[2:30:17] pasa
[2:30:17] at
[2:30:19] may
[2:30:19] isa
[2:30:19] batas
[2:30:20] para
[2:30:20] tuloy
[2:30:20] tuloy
[2:30:21] po
[2:30:21] yung
[2:30:21] pagpupondo
[2:30:22] sa mga
[2:30:23] regional
[2:30:23] specialty
[2:30:24] center
[2:30:25] maganda
[2:30:25] po
[2:30:25] ang
[2:30:26] layunin
[2:30:26] ng
[2:30:26] batas
[2:30:26] na
[2:30:26] ito
[2:30:27] kaya
[2:30:28] nga
[2:30:28] natin
[2:30:28] isinabatas
[2:30:29] para
[2:30:29] tuloy
[2:30:29] tuloy
[2:30:30] yung
[2:30:30] pagpupondo
[2:30:30] through
[2:30:31] HPEP
[2:30:32] nabanggit
[2:30:32] po
[2:30:33] kanina
[2:30:33] yung
[2:30:33] gallares
[2:30:34] ako
[2:30:34] mismo
[2:30:35] napuntahan
[2:30:35] ko
[2:30:35] rin
[2:30:35] po
[2:30:36] yun
[2:30:36] ang
[2:30:37] layunin
[2:30:38] po
[2:30:38] ng
[2:30:38] regional
[2:30:38] specialty
[2:30:39] center
[2:30:40] kasi
[2:30:42] ang
[2:30:42] laki
[2:30:42] ng
[2:30:42] Pilipinas
[2:30:43] kami
[2:30:43] mga
[2:30:43] taga
[2:30:44] Mindanao
[2:30:44] taga
[2:30:45] Bisayas
[2:30:45] kailangan
[2:30:46] pang
[2:30:47] bumiyahin
[2:30:47] ng
[2:30:47] heart
[2:30:48] center
[2:30:48] para
[2:30:48] magpa
[2:30:49] opera
[2:30:49] sa
[2:30:49] puso
[2:30:49] yung
[2:30:51] may
[2:30:51] mga
[2:30:52] problema
[2:30:52] sa
[2:30:52] kidney
[2:30:53] kailangan
[2:30:53] pang
[2:30:54] magpumunta
[2:30:54] ng
[2:30:54] Maynila
[2:30:55] para
[2:30:55] pumunta
[2:30:56] sa
[2:30:56] NKTI
[2:30:56] buti
[2:30:57] po
[2:30:57] ngayon
[2:30:58] meron
[2:30:58] ng
[2:30:58] NKTI
[2:30:59] sa
[2:31:00] Mindanao
[2:31:01] sa
[2:31:01] Davao
[2:31:01] sa
[2:31:02] SPMC
[2:31:02] at
[2:31:03] meron
[2:31:04] ng
[2:31:04] mga
[2:31:04] heart
[2:31:04] center
[2:31:05] sa
[2:31:06] Sambuanga
[2:31:06] Iloilo
[2:31:08] Cebu
[2:31:09] Marawi
[2:31:10] Northern
[2:31:11] Mindanao
[2:31:12] Medical
[2:31:12] Center
[2:31:13] para
[2:31:14] hindi
[2:31:14] na
[2:31:14] kailangan
[2:31:14] bumiyahin
[2:31:15] yung
[2:31:15] mga
[2:31:15] kababayan
[2:31:16] natin
[2:31:16] ang
[2:31:16] hirap
[2:31:16] talagang
[2:31:17] mahirap
[2:31:18] yung
[2:31:18] mga
[2:31:18] pasyente
[2:31:19] wala
[2:31:19] silang
[2:31:19] kamag-anak
[2:31:20] rito
[2:31:20] wala
[2:31:21] silang
[2:31:21] pamasahe
[2:31:22] yung
[2:31:23] iba
[2:31:23] hindi
[2:31:24] na
[2:31:24] makapagpa-opera
[2:31:26] o makapagpa-check
[2:31:27] up
[2:31:27] man lang
[2:31:28] kawawa
[2:31:28] talaga
[2:31:28] yung
[2:31:29] mga
[2:31:29] mahirap
[2:31:29] natin
[2:31:30] kababayan
[2:31:30] yan
[2:31:31] sana
[2:31:31] ang
[2:31:32] pakiusap
[2:31:32] ko
[2:31:33] sa inyo
[2:31:33] tutukan
[2:31:34] ninyo
[2:31:34] batas
[2:31:35] na
[2:31:35] po
[2:31:35] itong
[2:31:35] regional
[2:31:36] specialty
[2:31:36] center
[2:31:37] republic
[2:31:38] act
[2:31:38] number
[2:31:39] 11959
[2:31:40] at
[2:31:40] kasama
[2:31:41] po
[2:31:41] ito
[2:31:41] sa
[2:31:42] HPEP
[2:31:43] program
[2:31:44] na
[2:31:44] sinusuportahan
[2:31:45] ninyo
[2:31:45] halimbawa
[2:31:47] na lang
[2:31:47] sa
[2:31:47] yung
[2:31:47] Galliares
[2:31:48] totoo
[2:31:49] po
[2:31:49] yung
[2:31:49] sinabi
[2:31:49] nyo
[2:31:49] kanina
[2:31:50] na
[2:31:51] kung
[2:31:51] pwedeng
[2:31:51] ilipat
[2:31:52] yung
[2:31:52] heart
[2:31:52] doon
[2:31:52] though
[2:31:53] ang
[2:31:54] Vicente
[2:31:54] Soto
[2:31:55] may
[2:31:55] cardiovascular
[2:31:56] care
[2:31:56] naman
[2:31:57] po
[2:31:57] sila
[2:31:57] pero
[2:31:58] yung
[2:31:59] Bohol
[2:31:59] po
[2:31:59] island
[2:31:59] po
[2:32:00] ito
[2:32:00] malayo
[2:32:00] rin
[2:32:01] po
[2:32:01] ito
[2:32:01] at
[2:32:01] sayang
[2:32:01] naman
[2:32:02] po
[2:32:02] yung
[2:32:02] ininvest
[2:32:03] ninyo
[2:32:03] doon
[2:32:04] kung
[2:32:04] hindi
[2:32:04] magagamit
[2:32:05] sana
[2:32:05] matutukan
[2:32:06] rin
[2:32:06] po
[2:32:06] itong
[2:32:06] mga
[2:32:07] regional
[2:32:08] specialty
[2:32:08] center
[2:32:09] ngunit
[2:32:10] ito
[2:32:11] po
[2:32:11] yung
[2:32:11] mga
[2:32:11] specialty
[2:32:12] center
[2:32:13] heart
[2:32:14] cardiovascular
[2:32:15] neonatal
[2:32:17] sa
[2:32:17] babies
[2:32:17] ortho
[2:32:21] mental
[2:32:22] health
[2:32:23] 17
[2:32:24] po
[2:32:24] ito
[2:32:25] na
[2:32:25] specialty
[2:32:25] center
[2:32:26] na
[2:32:26] kasama
[2:32:27] doon
[2:32:28] sa
[2:32:28] batas
[2:32:29] at
[2:32:29] tuloy-tuloy
[2:32:30] yung
[2:32:30] programa
[2:32:30] kahit
[2:32:31] magpalit
[2:32:33] na
[2:32:33] ng
[2:32:33] administration
[2:32:34] ang
[2:32:35] purpose
[2:32:35] nito
[2:32:36] bilang
[2:32:36] mambabatas
[2:32:37] isinabatas
[2:32:37] natin
[2:32:38] para
[2:32:38] tuloy-tuloy
[2:32:38] sa
[2:32:39] gaan
[2:32:40] na
[2:32:40] supportado
[2:32:40] ng
[2:32:41] Department
[2:32:41] of
[2:32:42] Health
[2:32:42] pakiusap
[2:32:43] ko
[2:32:43] lang
[2:32:43] na
[2:32:44] sana
[2:32:44] itutukan
[2:32:45] ninyo
[2:32:46] lalong
[2:32:46] lalo
[2:32:46] na
[2:32:47] itong
[2:32:48] mga
[2:32:48] nasa
[2:32:49] malalayan
[2:32:49] lugar
[2:32:49] na
[2:32:49] walang
[2:32:50] kapasidad
[2:32:50] po
[2:32:51] yung mga
[2:32:51] kababayan
[2:32:51] natin
[2:32:52] na
[2:32:52] pumunta
[2:32:52] ng
[2:32:52] Manila
[2:32:53] para
[2:32:53] magpa-opera
[2:32:54] sa
[2:32:54] puso
[2:32:55] sa
[2:32:55] kidney
[2:32:56] at
[2:32:57] iba
[2:32:57] pang
[2:32:58] mga
[2:32:58] specialty
[2:32:59] center
[2:33:00] care
[2:33:00] na
[2:33:00] kailangan
[2:33:01] po
[2:33:01] natin
[2:33:02] at
[2:33:02] balikan
[2:33:03] ko
[2:33:03] lang
[2:33:03] po
[2:33:03] yung
[2:33:03] Dr.
[2:33:04] Johani
[2:33:06] kapidin
[2:33:07] kanina
[2:33:07] yun
[2:33:08] po
[2:33:09] yung
[2:33:09] mga
[2:33:09] kailangan
[2:33:10] ng
[2:33:10] medyo
[2:33:11] mga
[2:33:12] specialty
[2:33:13] centers
[2:33:13] natin
[2:33:14] pero
[2:33:14] yung
[2:33:14] sa inyong
[2:33:15] primary
[2:33:15] care
[2:33:16] po
[2:33:16] part
[2:33:18] po
[2:33:19] ito
[2:33:19] ng
[2:33:19] universal
[2:33:19] health
[2:33:20] care
[2:33:20] batas
[2:33:20] naman
[2:33:21] po
[2:33:21] itong
[2:33:22] universal
[2:33:22] health
[2:33:22] care
[2:33:23] natin
[2:33:23] yung
[2:33:24] mga
[2:33:25] minor
[2:33:26] cases
[2:33:27] yung
[2:33:27] mga
[2:33:28] check
[2:33:28] up
[2:33:28] yung
[2:33:29] mga
[2:33:30] malalayong
[2:33:30] lugar
[2:33:31] talaga
[2:33:31] sa buong
[2:33:32] Pilipinas
[2:33:33] sabi ko
[2:33:33] nga
[2:33:33] kanina
[2:33:34] Secretary
[2:33:34] Herbosa
[2:33:35] wala ka
[2:33:36] pa rito
[2:33:37] kanina
[2:33:37] 7,000
[2:33:38] islands
[2:33:38] tayo
[2:33:39] yung
[2:33:40] mga
[2:33:40] nasa
[2:33:40] bundok
[2:33:41] wala
[2:33:41] pong
[2:33:41] pamasahe
[2:33:42] bumaba
[2:33:43] para
[2:33:43] pumunta
[2:33:44] sa
[2:33:44] mga
[2:33:44] hospital
[2:33:44] sayang
[2:33:46] naman
[2:33:46] po
[2:33:46] yung
[2:33:46] mga
[2:33:47] health
[2:33:47] centers
[2:33:48] or
[2:33:49] itong
[2:33:49] mga
[2:33:49] barangay
[2:33:50] health
[2:33:50] station
[2:33:51] na
[2:33:51] itinayo
[2:33:53] ninyo
[2:33:53] kung
[2:33:54] hindi
[2:33:54] magagamit
[2:33:55] ang
[2:33:55] importante
[2:33:56] lang po
[2:33:56] dito
[2:33:57] Secretary
[2:33:57] sa
[2:33:58] DOH
[2:33:59] officials
[2:33:59] natin
[2:33:59] please
[2:34:01] magtulungan
[2:34:02] lang po
[2:34:02] kayo
[2:34:03] tama
[2:34:04] ka
[2:34:04] kanina
[2:34:04] na
[2:34:06] lahat
[2:34:07] naman
[2:34:08] ng LGU's
[2:34:09] gusto
[2:34:09] magkaroon
[2:34:10] ng sarili
[2:34:10] nilang
[2:34:11] health
[2:34:11] facilities
[2:34:12] sabi
[2:34:12] mo nga
[2:34:12] maaaring
[2:34:13] ikatalo
[2:34:14] nila
[2:34:14] yun
[2:34:14] sa
[2:34:14] eleksyon
[2:34:15] kung
[2:34:15] hindi
[2:34:15] magagamit
[2:34:16] kaya
[2:34:17] importante
[2:34:18] rito
[2:34:18] iwasan
[2:34:19] yung
[2:34:19] politika
[2:34:20] sa
[2:34:21] pag
[2:34:21] implement
[2:34:23] ng
[2:34:23] mga
[2:34:23] health
[2:34:24] program
[2:34:24] pera
[2:34:26] po
[2:34:26] ng
[2:34:26] tao
[2:34:27] at
[2:34:27] karapatan
[2:34:28] po
[2:34:28] ng
[2:34:28] bawat
[2:34:29] Pilipino
[2:34:30] yung
[2:34:30] ating
[2:34:31] health
[2:34:32] care
[2:34:32] program
[2:34:32] iwasan
[2:34:33] ang
[2:34:34] politika
[2:34:34] and
[2:34:35] the
[2:34:35] key
[2:34:35] word
[2:34:35] there
[2:34:36] is
[2:34:36] complement
[2:34:37] each
[2:34:37] other
[2:34:38] magtulungan
[2:34:39] kayo
[2:34:40] ang DOH
[2:34:40] naman
[2:34:41] ang
[2:34:41] may
[2:34:41] kakayahan
[2:34:42] may regional
[2:34:42] offices
[2:34:43] kayo
[2:34:43] kayo
[2:34:43] po
[2:34:44] yung
[2:34:44] nakakaalam
[2:34:44] kung
[2:34:45] saan
[2:34:45] yung
[2:34:46] may
[2:34:46] mga
[2:34:46] kakulangang
[2:34:48] at
[2:34:49] yung
[2:34:49] LGU
[2:34:50] gustong
[2:34:50] tumulong
[2:34:51] po
[2:34:51] yan
[2:34:51] gustong
[2:34:52] gusto
[2:34:52] nila
[2:34:52] magkaroon
[2:34:53] ng
[2:34:53] sarili
[2:34:53] nilang
[2:34:54] health
[2:34:54] center
[2:34:56] lahat
[2:34:57] halos
[2:34:57] lahat
[2:34:57] po
[2:34:58] ng
[2:34:58] napuntahan
[2:34:59] ko
[2:34:59] gustong
[2:35:00] gusto
[2:35:00] nila
[2:35:00] kaya
[2:35:00] lang
[2:35:01] kulang
[2:35:01] talaga
[2:35:01] yung
[2:35:01] pasilidad
[2:35:02] yung
[2:35:03] mga
[2:35:03] fourth
[2:35:03] class
[2:35:04] municipalities
[2:35:04] ang
[2:35:05] budget
[2:35:05] nyan
[2:35:06] yung
[2:35:07] iba
[2:35:07] less
[2:35:07] than
[2:35:07] 100
[2:35:08] million
[2:35:09] walang
[2:35:10] pampatayo
[2:35:10] ng
[2:35:11] health
[2:35:11] center
[2:35:11] yan
[2:35:11] so
[2:35:12] kung
[2:35:13] maari
[2:35:13] may
[2:35:14] programa
[2:35:14] naman
[2:35:14] kayo
[2:35:15] sabi
[2:35:15] kanina
[2:35:15] senator
[2:35:16] tool
[2:35:16] malagyan
[2:35:17] ng
[2:35:17] doktor
[2:35:18] o
[2:35:18] malagyan
[2:35:19] ng
[2:35:19] medical
[2:35:20] workers
[2:35:21] baka
[2:35:22] pwede
[2:35:22] nyo
[2:35:22] matulungan
[2:35:23] compliment
[2:35:24] each other
[2:35:25] wag
[2:35:25] kayong
[2:35:25] magsisihan
[2:35:26] sa isa't
[2:35:27] isa
[2:35:27] wag
[2:35:27] wala
[2:35:28] hong
[2:35:28] dapat
[2:35:29] magturuan
[2:35:30] ang
[2:35:30] kailangan
[2:35:31] ng
[2:35:32] Pilipino
[2:35:32] rito
[2:35:32] mag
[2:35:33] tulungan
[2:35:34] tayo
[2:35:34] lalong
[2:35:34] lalo
[2:35:35] na
[2:35:35] sa
[2:35:35] kapakanan
[2:35:36] ng
[2:35:36] ating
[2:35:36] mga
[2:35:36] mahihirap
[2:35:37] nating
[2:35:37] kababayan
[2:35:38] totoo
[2:35:38] po yun
[2:35:39] kanina
[2:35:39] problema
[2:35:39] talaga
[2:35:40] and
[2:35:40] dito
[2:35:40] naman
[2:35:41] si
[2:35:41] Yusek
[2:35:41] Clara
[2:35:42] yung
[2:35:43] 2025
[2:35:44] ninyo
[2:35:45] ng
[2:35:45] mga
[2:35:45] classrooms
[2:35:46] nga po
[2:35:46] ng
[2:35:47] DepEd
[2:35:47] ay hindi
[2:35:48] pa
[2:35:48] nauumpisahan
[2:35:49] hanggang
[2:35:50] ngayon
[2:35:50] 2025
[2:35:51] po
[2:35:52] ito
[2:35:52] ganun
[2:35:54] rin
[2:35:54] po
[2:35:54] siguro
[2:35:55] ang
[2:35:55] sa
[2:35:55] HPEP
[2:35:55] marami
[2:35:56] pang
[2:35:56] mga
[2:35:56] 2025
[2:35:58] projects
[2:35:59] ng
[2:36:00] HPEP
[2:36:00] na
[2:36:01] hindi
[2:36:01] pa
[2:36:01] nauumpisahan
[2:36:02] hanggang
[2:36:03] ngayon
[2:36:03] ano ba
[2:36:05] talaga
[2:36:05] ang problema
[2:36:06] ng
[2:36:06] gobyernong
[2:36:06] ito
[2:36:07] classroom
[2:36:08] 2025
[2:36:09] hindi
[2:36:10] pa
[2:36:10] nauumpisahan
[2:36:10] health
[2:36:11] facilities
[2:36:12] wala
[2:36:13] pang
[2:36:13] 50%
[2:36:13] siguro
[2:36:14] nauumpisahan
[2:36:14] sa
[2:36:15] 2025
[2:36:19] kailan ba
[2:36:21] ito
[2:36:22] maumpisahan
[2:36:23] nagaantay
[2:36:24] po
[2:36:24] ang
[2:36:24] Filipino
[2:36:26] may
[2:36:26] problema
[2:36:26] talaga
[2:36:27] dyan
[2:36:27] gawan
[2:36:27] nyo
[2:36:27] talaga
[2:36:28] ng
[2:36:28] solusyon
[2:36:30] nagmowa
[2:36:32] na ba
[2:36:32] kayo
[2:36:32] sa
[2:36:33] LGUs
[2:36:33] para
[2:36:34] sa
[2:36:34] mga
[2:36:35] health
[2:36:36] facilities
[2:36:36] and even
[2:36:37] sa
[2:36:37] classroom
[2:36:38] nga
[2:36:38] po
[2:36:38] karamihan
[2:36:40] hindi
[2:36:40] pa
[2:36:40] nauumpisahan
[2:36:41] sa
[2:36:41] 2025
[2:36:43] ilang
[2:36:44] estudyante
[2:36:45] saanong
[2:36:45] nakikinabang
[2:36:46] dito
[2:36:47] sa
[2:36:47] ngayon
[2:36:48] so
[2:36:49] yun
[2:36:49] lang
[2:36:50] po
[2:36:50] ang
[2:36:50] pakiusap
[2:36:51] ko
[2:36:51] rin
[2:36:51] po
[2:36:51] sa
[2:36:51] ating
[2:36:52] DOH
[2:36:56] marami
[2:36:56] po
[2:36:56] mga
[2:36:57] doktor
[2:36:57] na
[2:36:57] gustong
[2:36:57] tumulong
[2:36:58] mga
[2:36:58] doktor
[2:36:59] to the
[2:36:59] barrio
[2:36:59] natin
[2:37:00] na
[2:37:00] gustong
[2:37:02] magsakripisyo
[2:37:03] at
[2:37:04] para sa
[2:37:05] ating
[2:37:05] mga
[2:37:05] kababayan
[2:37:06] lalong
[2:37:06] lalo
[2:37:06] na po
[2:37:07] sa
[2:37:07] mga
[2:37:07] malalayong
[2:37:08] lugar
[2:37:08] salamat
[2:37:08] po
[2:37:08] sa
[2:37:09] ating
[2:37:09] mga
[2:37:09] medical
[2:37:09] workers
[2:37:10] sa
[2:37:10] mga
[2:37:10] doktor
[2:37:11] natin
[2:37:11] nurses
[2:37:12] lahat
[2:37:18] lalong
[2:37:18] lalo
[2:37:18] na po
[2:37:19] nung
[2:37:19] panahon
[2:37:19] ng
[2:37:19] pandemia
[2:37:21] pakitutok
[2:37:23] lang po
[2:37:23] ito
[2:37:23] make it
[2:37:24] operational
[2:37:24] parati
[2:37:25] ko
[2:37:25] naman
[2:37:25] po
[2:37:25] pinaalala
[2:37:26] sa inyo
[2:37:26] yan
[2:37:27] noon
[2:37:27] Secretary
[2:37:28] Ted
[2:37:29] at
[2:37:30] isinabatas
[2:37:31] natin
[2:37:31] itong
[2:37:31] mga
[2:37:32] establishment
[2:37:33] of
[2:37:33] public
[2:37:33] hospitals
[2:37:34] upgrading
[2:37:34] of
[2:37:35] bed
[2:37:36] capacity
[2:37:36] noon
[2:37:37] pupunta
[2:37:38] rito
[2:37:38] yung
[2:37:38] mga
[2:37:39] LGUs
[2:37:40] and even
[2:37:41] the
[2:37:41] congressmen
[2:37:43] pupunta
[2:37:44] talaga
[2:37:44] rito
[2:37:44] nagpa
[2:37:45] follow up
[2:37:45] kasi
[2:37:46] gusto
[2:37:46] nilang
[2:37:46] maisabatas
[2:37:47] para
[2:37:48] kahit
[2:37:48] na
[2:37:49] hindi
[2:37:49] mapulitika
[2:37:50] pagpalit
[2:37:51] ng
[2:37:51] local
[2:37:52] leaders
[2:37:53] nila
[2:37:53] doon
[2:37:53] mata
[2:37:54] sila
[2:37:54] at
[2:37:54] supportado
[2:37:55] ng
[2:37:55] HPF
[2:37:56] yun
[2:37:57] po
[2:37:57] ang
[2:37:57] pakiusap
[2:37:58] po
[2:37:59] sa inyo
[2:37:59] na
[2:37:59] to
[2:38:00] make it
[2:38:01] operational
[2:38:02] paalala
[2:38:02] ko
[2:38:03] yan
[2:38:03] noon
[2:38:03] pa
[2:38:03] siguro
[2:38:04] for
[2:38:04] the
[2:38:05] past
[2:38:05] 6
[2:38:05] years
[2:38:06] yan
[2:38:06] ang
[2:38:06] prate
[2:38:06] kong
[2:38:06] pinapaalala
[2:38:07] make
[2:38:07] it
[2:38:08] operational
[2:38:08] at
[2:38:09] huwag
[2:38:09] niyong
[2:38:09] iwanang
[2:38:10] maging
[2:38:11] white
[2:38:12] elephant
[2:38:12] not only
[2:38:13] itong
[2:38:13] super
[2:38:14] health
[2:38:14] center
[2:38:14] pati
[2:38:14] yung
[2:38:15] mga
[2:38:15] hospital
[2:38:16] I
[2:38:18] have
[2:38:18] noticed
[2:38:18] na
[2:38:19] halimbawa
[2:38:20] sa
[2:38:20] province
[2:38:22] ng
[2:38:22] Capiz
[2:38:23] meron silang
[2:38:23] magandang
[2:38:24] hospital
[2:38:24] itinatayo
[2:38:25] doon
[2:38:25] pero
[2:38:26] yearly
[2:38:27] kulang
[2:38:28] siguro
[2:38:28] yung
[2:38:28] pondon
[2:38:29] nila
[2:38:29] from
[2:38:30] local
[2:38:31] hindi
[2:38:32] pa
[2:38:32] maging
[2:38:33] operational
[2:38:33] at
[2:38:34] umaasa
[2:38:34] rin
[2:38:34] sa
[2:38:35] tulong
[2:38:35] ng
[2:38:35] HPF
[2:38:37] so
[2:38:37] maaaring
[2:38:38] tingnan
[2:38:38] nyo
[2:38:38] po
[2:38:39] ito
[2:38:39] dahil
[2:38:39] kayo
[2:38:39] ang
[2:38:40] may
[2:38:40] kakayahang
[2:38:41] sumilip
[2:38:42] dahil
[2:38:42] national
[2:38:44] office
[2:38:44] naman
[2:38:44] po
[2:38:45] itong
[2:38:45] DOH
[2:38:45] at
[2:38:46] meron
[2:38:46] kayong
[2:38:46] regional
[2:38:47] offices
[2:38:48] meron
[2:38:48] kayong
[2:38:49] in
[2:38:49] charge
[2:38:49] sa HPF
[2:38:50] na
[2:38:50] tutukan
[2:38:51] po
[2:38:51] ito
[2:38:51] at
[2:38:51] paalala
[2:38:52] ko
[2:38:52] lang
[2:38:52] make
[2:38:53] it
[2:38:53] operational
[2:38:54] wag
[2:38:54] nyong
[2:38:54] iwanang
[2:38:55] maging
[2:38:55] white
[2:38:55] elephant
[2:38:56] and
[2:38:57] the
[2:38:57] keyword
[2:38:57] there
[2:38:58] is
[2:38:58] please
[2:38:59] DOH
[2:39:01] complement
[2:39:03] with each
[2:39:04] other
[2:39:04] with
[2:39:05] the
[2:39:05] LGU
[2:39:06] dahil
[2:39:06] lahat
[2:39:06] ng
[2:39:07] LGU
[2:39:07] gustong
[2:39:08] gusto
[2:39:08] magkaroon
[2:39:09] ng
[2:39:09] sarili
[2:39:10] nilang
[2:39:10] health
[2:39:11] center
[2:39:12] gusto
[2:39:12] magkaroon
[2:39:13] ng
[2:39:13] sarili
[2:39:13] nilang
[2:39:14] even
[2:39:14] hospital
[2:39:15] nga
[2:39:15] o
[2:39:15] district
[2:39:16] hospital
[2:39:16] gusto
[2:39:17] rin
[2:39:17] nilang
[2:39:17] magkaroon
[2:39:18] at
[2:39:19] kung
[2:39:20] talagang
[2:39:20] gamit
[2:39:21] na gamit
[2:39:21] yung
[2:39:22] mga
[2:39:22] health
[2:39:23] facilities
[2:39:23] nagagamit
[2:39:24] sa tama
[2:39:24] napapakinabangan
[2:39:25] po
[2:39:25] ng ating
[2:39:26] mga
[2:39:26] kababayan
[2:39:27] ginawa ko
[2:39:28] nga po
[2:39:28] halimbawa
[2:39:28] kanina
[2:39:29] sa TED
[2:39:29] yung
[2:39:31] sa Anilao
[2:39:31] sa Iloilo
[2:39:32] health
[2:39:33] center
[2:39:33] nila
[2:39:33] dinagdaga
[2:39:35] nila
[2:39:35] ng sarili
[2:39:35] nilang
[2:39:36] pondo
[2:39:36] ang ganda
[2:39:36] ngayon
[2:39:37] parang
[2:39:37] naging
[2:39:37] hospital
[2:39:38] pumunta
[2:39:38] ka ng
[2:39:39] General
[2:39:39] Trias
[2:39:40] pumunta
[2:39:40] ka ng
[2:39:40] Imos
[2:39:41] Cavite
[2:39:41] yung
[2:39:41] health
[2:39:42] center
[2:39:42] nila
[2:39:42] dinagdaga
[2:39:43] nila
[2:39:44] parang
[2:39:50] 2 hours
[2:39:51] ang biyahe
[2:39:52] meron na silang
[2:39:53] health center
[2:39:53] yung mga
[2:39:53] buntis
[2:39:54] doon na po
[2:39:54] nanganak
[2:39:55] sa Lake Cebu
[2:39:57] sa South
[2:39:57] Cotabato
[2:39:58] Lake Cebu
[2:39:59] yun yung
[2:40:00] bundok
[2:40:00] na 2 hours
[2:40:01] kang magbabiyahe
[2:40:02] may health
[2:40:03] center
[2:40:03] na sila
[2:40:04] doon
[2:40:04] at
[2:40:05] napapakinabangan
[2:40:06] ng mga
[2:40:06] kababayan
[2:40:07] ating
[2:40:07] IPs
[2:40:08] mga
[2:40:08] indigenous
[2:40:08] people
[2:40:09] at
[2:40:10] gamit
[2:40:11] na gamit
[2:40:12] po
[2:40:12] ito
[2:40:13] doon
[2:40:13] sa kanila
[2:40:14] at
[2:40:14] tinan nila
[2:40:14] kailangan
[2:40:15] bumiyahe
[2:40:15] pag
[2:40:15] nagagamit
[2:40:16] po
[2:40:16] ang pera
[2:40:16] ng
[2:40:17] gobyerno
[2:40:17] sa
[2:40:17] tama
[2:40:18] napapakinabangan
[2:40:19] po
[2:40:19] ng ating
[2:40:20] mga
[2:40:20] kababayan
[2:40:20] sa anila
[2:40:22] proyektor
[2:40:23] ng DOH
[2:40:24] yan
[2:40:24] tapos
[2:40:25] dinagdaga
[2:40:26] ng LGU
[2:40:27] Lake Cebu
[2:40:29] 2 hours
[2:40:32] ang biyahe
[2:40:32] dyan
[2:40:33] super health
[2:40:34] centers
[2:40:34] tapos na rin
[2:40:35] po
[2:40:35] yung
[2:40:36] sa Tingloy
[2:40:37] Batangas
[2:40:38] papakita nyo
[2:40:39] ayan
[2:40:39] bundok po yan
[2:40:40] mayroong
[2:40:40] doctor
[2:40:41] pwede
[2:40:41] barrio
[2:40:41] rin po
[2:40:42] dyan
[2:40:42] sa San
[2:40:43] Fernando
[2:40:44] Bukidnon
[2:40:44] biyahein mo
[2:40:45] yan
[2:40:45] from
[2:40:45] Dabao
[2:40:46] it's
[2:40:46] 5 hours
[2:40:47] away
[2:40:48] nasa
[2:40:49] bundok
[2:40:49] bundok
[2:40:51] yun
[2:40:51] kuha
[2:40:51] na yan
[2:40:52] may mga
[2:40:54] volunteers
[2:40:55] din po
[2:40:56] na
[2:40:56] doctor
[2:40:56] to
[2:40:56] the
[2:40:56] barrio
[2:40:57] yan
[2:40:57] island
[2:40:57] ng
[2:40:58] Batangas
[2:41:00] Tingloy
[2:41:01] yung mga
[2:41:02] buntis
[2:41:02] nanganganak
[2:41:03] sa bangka
[2:41:04] sa tricycle
[2:41:05] ngayon
[2:41:05] meron na silang
[2:41:06] pasilidad
[2:41:07] na nagagamit
[2:41:08] gamitin nyo
[2:41:10] lang po
[2:41:10] yung pondo
[2:41:11] ng
[2:41:11] bayan
[2:41:12] sa tama
[2:41:13] mapapakinabangan
[2:41:14] po ito
[2:41:15] ng mga
[2:41:15] mahihirap
[2:41:15] compliment
[2:41:17] each other
[2:41:17] magtulungan
[2:41:18] lang po
[2:41:19] kayo
[2:41:19] and make it
[2:41:20] operational
[2:41:20] yung mga
[2:41:21] ginawa nyo
[2:41:21] at
[2:41:22] nung
[2:41:24] nakaraang
[2:41:24] budget
[2:41:24] hearing
[2:41:25] po rito
[2:41:25] bilang
[2:41:25] vice
[2:41:26] chairperson
[2:41:26] ng
[2:41:26] committee
[2:41:27] on
[2:41:27] finance
[2:41:28] si
[2:41:29] senator
[2:41:29] win
[2:41:29] the
[2:41:30] chairperson
[2:41:30] of the
[2:41:31] committee
[2:41:31] on
[2:41:31] finance
[2:41:32] ang
[2:41:32] naging
[2:41:33] prioridad
[2:41:33] niya
[2:41:33] is to
[2:41:34] make it
[2:41:34] operational
[2:41:36] yung
[2:41:36] yung
[2:41:36] mga
[2:41:36] uncompleted
[2:41:37] health
[2:41:38] facilities
[2:41:39] including
[2:41:39] health
[2:41:39] centers
[2:41:40] mas
[2:41:43] binigyan
[2:41:43] niya
[2:41:43] ng
[2:41:43] prioridad
[2:41:44] yung
[2:41:44] completion
[2:41:45] rather than
[2:41:46] building
[2:41:47] new ones
[2:41:48] so
[2:41:50] yun
[2:41:52] paalala
[2:41:53] ko
[2:41:53] lang
[2:41:53] po
[2:41:54] muli
[2:41:54] at
[2:41:54] hindi
[2:41:54] po
[2:41:54] titigil
[2:41:55] na
[2:41:56] magpaalala
[2:41:56] sa inyo
[2:41:57] tatututukan
[2:41:58] ito
[2:41:58] to make
[2:41:59] it
[2:41:59] operational
[2:42:00] and
[2:42:00] complement
[2:42:01] with each
[2:42:02] other
[2:42:03] ang
[2:42:03] LGU
[2:42:03] at
[2:42:04] DOH
[2:42:05] salamat
[2:42:05] po
[2:42:06] madam
[2:42:06] chair
[2:42:06] salamat
[2:42:07] senator
[2:42:08] pong
[2:42:08] bago tayo
[2:42:09] mag proceed
[2:42:10] kung maaari
[2:42:10] sec
[2:42:11] or
[2:42:11] bosa
[2:42:11] mag oath
[2:42:12] lang
[2:42:13] para
[2:42:13] lahat
[2:42:13] po
[2:42:14] ng
[2:42:14] resource
[2:42:14] persons
[2:42:15] ay
[2:42:15] nakapagsumpa
[2:42:16] comsec
[2:42:17] please
[2:42:17] do you swear
[2:42:23] to tell the truth
[2:42:23] the whole truth
[2:42:24] and nothing but the truth
[2:42:25] in this
[2:42:25] incognitive
[2:42:25] legislation
[2:42:26] of the
[2:42:26] committee
[2:42:26] on health
[2:42:27] on the
[2:42:28] implementation
[2:42:28] of the
[2:42:29] HPEP
[2:42:29] program
[2:42:30] Mr.
[2:42:30] Secretary
[2:42:31] you guys
[2:42:32] sit
[2:42:33] now
[2:42:33] thank you
[2:42:33] salamat
[2:42:34] sec
[2:42:35] or
[2:42:35] bosa
[2:42:35] salamat
[2:42:36] comsec
[2:42:36] follow up
[2:42:37] dun sa isang
[2:42:38] earlier
[2:42:38] discussion
[2:42:39] request
[2:42:40] po
[2:42:40] both
[2:42:40] sa
[2:42:41] DPWH
[2:42:42] at
[2:42:42] saka
[2:42:42] sa
[2:42:43] DOH
[2:42:44] magsubmit
[2:42:46] po
[2:42:46] ng listahan
[2:42:46] ng lahat
[2:42:47] ng
[2:42:48] HPEP
[2:42:48] projects
[2:42:49] so
[2:42:51] listahan
[2:42:51] po
[2:42:51] ng
[2:42:52] private
[2:42:52] contractors
[2:42:53] ng mga
[2:42:54] projects
[2:42:55] na yun
[2:42:55] yung
[2:42:56] amount
[2:42:56] ng
[2:42:56] kontrata
[2:42:58] saka
[2:42:58] yung
[2:42:58] status
[2:42:59] of
[2:42:59] project
[2:43:00] implementation
[2:43:01] isa
[2:43:02] pang
[2:43:02] follow up
[2:43:03] sa
[2:43:03] earlier
[2:43:03] discussion
[2:43:04] gusto
[2:43:06] po
[2:43:06] ba
[2:43:06] ni
[2:43:06] Yusek
[2:43:07] Bagau
[2:43:08] mag
[2:43:08] respond
[2:43:09] dun sa
[2:43:09] mga
[2:43:09] issues
[2:43:10] na
[2:43:10] ni
[2:43:10] race
[2:43:11] ng
[2:43:12] aming
[2:43:12] komite
[2:43:12] and
[2:43:13] if
[2:43:14] you
[2:43:14] wish
[2:43:14] to
[2:43:14] respond
[2:43:15] kung
[2:43:16] pwede
[2:43:16] rin
[2:43:16] pong
[2:43:17] sagutin
[2:43:19] yung
[2:43:19] given
[2:43:19] the
[2:43:20] allegations
[2:43:21] dapat po
[2:43:23] bang
[2:43:23] i-consider
[2:43:24] ng
[2:43:24] Yusek
[2:43:24] mag
[2:43:24] step
[2:43:25] back
[2:43:25] for
[2:43:26] now
[2:43:27] mula
[2:43:27] sa
[2:43:28] engagement
[2:43:28] sa
[2:43:28] HPEP
[2:43:29] would
[2:43:30] you like
[2:43:30] to take
[2:43:30] the
[2:43:30] floor
[2:43:30] sir
[2:43:31] Yusek
[2:43:31] sige
[2:43:32] po
[2:43:32] you have
[2:43:32] the
[2:43:33] floor
[2:43:33] thank
[2:43:36] you
[2:43:36] madam
[2:43:36] chair
[2:43:37] and
[2:43:38] senator
[2:43:39] bong
[2:43:39] i
[2:43:42] was
[2:43:42] assigned
[2:43:44] to
[2:43:45] the
[2:43:45] HPEP
[2:43:45] only
[2:43:45] last
[2:43:46] february
[2:43:46] night
[2:43:46] madam
[2:43:47] madam
[2:43:48] chair
[2:43:48] i
[2:43:49] think
[2:43:49] the
[2:43:50] projects
[2:43:50] being
[2:43:51] referred
[2:43:51] to
[2:43:52] that
[2:43:52] was
[2:43:53] undertaken
[2:43:53] by
[2:43:53] my
[2:43:54] brother
[2:43:54] is
[2:43:55] under
[2:43:56] the
[2:43:56] dbwh
[2:43:57] so
[2:43:58] that
[2:43:58] i
[2:43:59] do
[2:43:59] not
[2:43:59] have
[2:44:00] anything
[2:44:00] to
[2:44:00] do
[2:44:00] about
[2:44:01] the
[2:44:01] projects
[2:44:02] that
[2:44:02] are
[2:44:02] being
[2:44:02] undertaken
[2:44:04] by
[2:44:04] my
[2:44:04] brother
[2:44:05] madam
[2:44:05] chair
[2:44:06] so
[2:44:06] that's
[2:44:06] all
[2:44:07] what
[2:44:08] i
[2:44:08] can
[2:44:08] say
[2:44:08] madam
[2:44:08] chair
[2:44:09] so
[2:44:09] when
[2:44:11] i
[2:44:11] was
[2:44:11] designated
[2:44:12] by
[2:44:12] secretary
[2:44:12] ted
[2:44:13] to
[2:44:13] be
[2:44:13] the
[2:44:13] cluster
[2:44:14] head
[2:44:15] of
[2:44:15] HPEP
[2:44:16] last
[2:44:16] february
[2:44:16] 9
[2:44:17] to be
[2:44:17] exact
[2:44:17] these
[2:44:19] projects
[2:44:19] were
[2:44:19] already
[2:44:20] being
[2:44:20] undertaken
[2:44:21] last
[2:44:21] year
[2:44:21] pa
[2:44:21] po
[2:44:21] so
[2:44:22] wala
[2:44:22] po
[2:44:23] akong
[2:44:23] kinalaman
[2:44:23] po
[2:44:23] doon
[2:44:24] madam
[2:44:24] chair
[2:44:24] thank
[2:44:25] you
[2:44:25] madam
[2:44:25] chair
[2:44:26] thank
[2:44:27] you
[2:44:27] din
[2:44:27] yusek
[2:44:28] bagao
[2:44:28] so
[2:44:29] isama
[2:44:30] po
[2:44:30] yung
[2:44:30] mga
[2:44:30] proyektong
[2:44:31] iyon
[2:44:31] dun
[2:44:32] sa
[2:44:32] hiningi
[2:44:32] po
[2:44:32] ng
[2:44:33] committee
[2:44:33] na
[2:44:33] listahan
[2:44:34] mula
[2:44:34] sa
[2:44:34] DPWH
[2:44:35] at
[2:44:36] sa
[2:44:36] DOH
[2:44:36] follow
[2:44:37] up
[2:44:37] lang
[2:44:37] yusek
[2:44:38] bagao
[2:44:38] one
[2:44:38] follow
[2:44:39] up
[2:44:39] head
[2:44:42] po
[2:44:42] kayo
[2:44:42] ng
[2:44:42] HPEP
[2:44:43] ngayon
[2:44:43] just
[2:44:43] for
[2:44:43] the
[2:44:44] last
[2:44:44] three
[2:44:44] months
[2:44:45] pero
[2:44:47] given
[2:44:47] the
[2:44:48] allegations
[2:44:49] kinoconsider
[2:44:51] nyo
[2:44:51] ba
[2:44:51] at
[2:44:51] all
[2:44:52] mag
[2:44:52] step
[2:44:53] back
[2:44:53] mula
[2:44:53] sa
[2:44:53] engagement
[2:44:54] sa
[2:44:54] HPEP
[2:44:55] actually
[2:44:55] madam
[2:44:55] chair
[2:44:56] yes
[2:44:57] I
[2:44:57] would
[2:44:58] like
[2:44:58] to
[2:44:59] thank
[2:44:59] the
[2:44:59] secretary
[2:45:00] for
[2:45:00] trust
[2:45:01] that
[2:45:01] he
[2:45:01] has
[2:45:01] given
[2:45:02] me
[2:45:02] to
[2:45:03] be
[2:45:03] the
[2:45:04] head
[2:45:04] of
[2:45:04] this
[2:45:04] cluster
[2:45:05] however
[2:45:06] I
[2:45:07] have
[2:45:07] initially
[2:45:08] I
[2:45:09] refused
[2:45:09] to
[2:45:09] accept
[2:45:10] it
[2:45:11] the
[2:45:12] secretary
[2:45:12] knows
[2:45:12] about
[2:45:13] it
[2:45:13] and
[2:45:14] I
[2:45:14] have
[2:45:15] I
[2:45:15] think
[2:45:15] for
[2:45:16] three
[2:45:16] times
[2:45:17] that
[2:45:17] I
[2:45:17] said
[2:45:18] to
[2:45:18] him
[2:45:18] to
[2:45:18] relieve
[2:45:19] me
[2:45:19] from
[2:45:19] this
[2:45:19] cluster
[2:45:20] so
[2:45:22] yun
[2:45:24] po
[2:45:24] ang
[2:45:24] totoo
[2:45:24] madam
[2:45:25] chair
[2:45:25] so
[2:45:26] since
[2:45:26] tatlong
[2:45:27] beses
[2:45:27] na
[2:45:27] po
[2:45:28] ninyong
[2:45:28] hiningi
[2:45:29] kay
[2:45:29] SEC
[2:45:29] na
[2:45:30] i-relieve
[2:45:30] kayo
[2:45:30] sa
[2:45:31] cluster
[2:45:31] yun
[2:45:33] na nga
[2:45:33] po
[2:45:33] given
[2:45:33] the
[2:45:34] allegations
[2:45:34] na
[2:45:35] particular
[2:45:35] sa
[2:45:36] HPEP
[2:45:36] kino
[2:45:37] consider
[2:45:37] nyo
[2:45:38] po
[2:45:38] pa
[2:45:38] or
[2:45:38] hindi
[2:45:39] na
[2:45:39] mag
[2:45:40] disengage
[2:45:40] muna
[2:45:40] sa
[2:45:41] HPEP
[2:45:41] that's
[2:45:42] correct
[2:45:42] madam
[2:45:42] chair
[2:45:43] you
[2:45:43] are
[2:45:43] considering
[2:45:44] it
[2:45:44] you
[2:45:44] SEC
[2:45:44] okay
[2:45:45] and
[2:45:45] the
[2:45:46] committee
[2:45:46] appreciates
[2:45:47] that
[2:45:47] po
[2:45:47] dun
[2:45:48] sa
[2:45:49] mga
[2:45:49] usapin
[2:45:49] ng
[2:45:50] transparency
[2:45:51] and
[2:45:51] accountability
[2:45:51] anti
[2:45:52] corruption
[2:45:56] so
[2:45:56] I hope
[2:45:57] the
[2:45:58] good
[2:45:58] USEC
[2:45:58] will
[2:45:59] make
[2:45:59] the
[2:45:59] right
[2:46:00] decision
[2:46:00] dun po
[2:46:01] sa
[2:46:01] kinoconsider
[2:46:02] nila
[2:46:02] thank
[2:46:03] you
[2:46:03] madam
[2:46:03] chair
[2:46:03] thank
[2:46:04] you
[2:46:04] USEC
[2:46:04] and
[2:46:06] then
[2:46:06] yes
[2:46:09] second
[2:46:09] boss
[2:46:10] just
[2:46:10] rejoinder
[2:46:11] madam
[2:46:11] chair
[2:46:11] to the
[2:46:12] words
[2:46:12] of
[2:46:12] senator
[2:46:12] bongo
[2:46:13] true
[2:46:14] the
[2:46:15] regional
[2:46:15] specialty
[2:46:16] centers
[2:46:16] act
[2:46:17] is a
[2:46:17] landmark
[2:46:17] law
[2:46:18] because
[2:46:18] of
[2:46:19] that
[2:46:19] po
[2:46:19] bumilis
[2:46:19] talaga
[2:46:20] ang
[2:46:20] pagpapagawa
[2:46:21] ng
[2:46:22] mga
[2:46:22] regional
[2:46:22] specialty
[2:46:23] centers
[2:46:23] in
[2:46:23] fact
[2:46:23] today
[2:46:24] nakaka
[2:46:25] operate
[2:46:25] na tayo
[2:46:26] ng
[2:46:26] heart
[2:46:26] sa
[2:46:26] northern
[2:46:27] Mindanao
[2:46:27] sa
[2:46:27] SPMC
[2:46:28] sa
[2:46:28] Dabaw
[2:46:29] sa
[2:46:29] Marawi
[2:46:30] at
[2:46:30] sa
[2:46:30] Cotobato
[2:46:31] can you
[2:46:31] imagine
[2:46:31] four
[2:46:32] I think
[2:46:33] even
[2:46:33] sa
[2:46:33] Buanga
[2:46:33] five
[2:46:34] places
[2:46:35] na
[2:46:35] na
[2:46:35] pwedeng
[2:46:35] mag-opera
[2:46:36] ng
[2:46:36] heart
[2:46:36] ng
[2:46:37] taga
[2:46:37] Mindanao
[2:46:37] so
[2:46:38] napabilis
[2:46:39] talaga
[2:46:39] yung
[2:46:39] pagpapatayo
[2:46:40] dati
[2:46:41] kasi
[2:46:41] before
[2:46:42] you can
[2:46:42] build
[2:46:42] a
[2:46:42] specialty
[2:46:43] center
[2:46:43] kukuha
[2:46:44] ka pa
[2:46:44] ng
[2:46:44] license
[2:46:45] dun
[2:46:45] sa
[2:46:45] aming
[2:46:45] bureau
[2:46:46] itong
[2:46:46] sa
[2:46:47] batas
[2:46:47] basta
[2:46:48] may
[2:46:48] operating
[2:46:48] hospital
[2:46:49] ka
[2:46:49] na
[2:46:56] cortez
[2:46:57] yung
[2:46:57] sa
[2:46:57] Bohol
[2:46:57] ang
[2:46:58] tagal
[2:46:58] previous
[2:46:59] because
[2:46:59] of that
[2:47:00] wala pa
[2:47:00] yung
[2:47:00] law
[2:47:00] na
[2:47:00] yun
[2:47:01] today
[2:47:01] napabilis
[2:47:02] talaga
[2:47:02] pangalawa
[2:47:03] yung
[2:47:03] UHC
[2:47:04] law
[2:47:04] naman
[2:47:04] na
[2:47:05] pinasa
[2:47:05] din
[2:47:05] ng
[2:47:05] senado
[2:47:06] diyan
[2:47:07] kami
[2:47:07] nakatutok
[2:47:07] ngayon
[2:47:08] yung
[2:47:08] primary
[2:47:08] healthcare
[2:47:09] sa
[2:47:09] mga
[2:47:09] geographically
[2:47:11] isolated
[2:47:11] and
[2:47:12] mahirap
[2:47:12] I will
[2:47:13] admit
[2:47:13] as a
[2:47:14] secretary
[2:47:14] of
[2:47:15] health
[2:47:15] this
[2:47:15] job
[2:47:16] is
[2:47:16] probably
[2:47:16] the
[2:47:16] hardest
[2:47:17] nakala
[2:47:17] ko
[2:47:17] I'm
[2:47:18] from
[2:47:18] the
[2:47:18] hospital
[2:47:19] pero
[2:47:19] providing
[2:47:20] access
[2:47:21] to
[2:47:21] healthcare
[2:47:22] to
[2:47:22] geographically
[2:47:23] isolated
[2:47:23] and
[2:47:24] this
[2:47:24] is
[2:47:24] very
[2:47:25] difficult
[2:47:25] ang
[2:47:25] hirap
[2:47:25] kumanap
[2:47:26] ng
[2:47:26] doktor
[2:47:26] mag
[2:47:27] nagkakaproblema
[2:47:28] sa HPEP
[2:47:29] patayo
[2:47:29] ng
[2:47:30] health
[2:47:30] facility
[2:47:30] looks
[2:47:31] very
[2:47:31] simple
[2:47:32] but
[2:47:32] it
[2:47:32] turns
[2:47:33] out
[2:47:33] ang
[2:47:33] daming
[2:47:34] issues
[2:47:34] so
[2:47:34] tama
[2:47:34] kayo
[2:47:35] it
[2:47:35] should
[2:47:35] be
[2:47:35] a
[2:47:36] partnership
[2:47:36] between
[2:47:36] national
[2:47:37] and
[2:47:38] local
[2:47:38] government
[2:47:39] to
[2:47:39] actually
[2:47:39] deliver
[2:47:40] good
[2:47:40] local
[2:47:41] health
[2:47:41] and
[2:47:43] the
[2:47:43] third
[2:47:43] nakuha
[2:47:44] namin
[2:47:45] through
[2:47:45] the
[2:47:45] yakap
[2:47:46] yung
[2:47:46] Phil
[2:47:46] health
[2:47:46] so
[2:47:47] sa
[2:47:47] Phil
[2:47:47] health
[2:47:47] nagkaroon
[2:47:49] na
[2:47:49] ng
[2:47:49] primary
[2:47:49] benefit
[2:47:50] packages
[2:47:50] and
[2:47:50] this
[2:47:51] is
[2:47:51] also
[2:47:51] because
[2:47:51] of
[2:47:51] the
[2:47:51] UHC
[2:47:52] law
[2:47:52] yung
[2:47:53] nilagay
[2:47:53] natin
[2:47:54] yung
[2:47:54] pera
[2:47:54] ng
[2:47:54] PagCorp
[2:47:55] PCSO
[2:47:56] at
[2:47:57] iba pa
[2:47:57] doon
[2:47:58] sa
[2:47:58] development
[2:47:59] of
[2:48:00] primary
[2:48:00] care
[2:48:00] benefits
[2:48:01] ito
[2:48:01] na
[2:48:01] po
[2:48:01] yun
[2:48:01] yung
[2:48:02] yakap
[2:48:02] program
[2:48:03] na
[2:48:04] may
[2:48:04] 1,007
[2:48:05] per
[2:48:05] person
[2:48:06] for
[2:48:06] primary
[2:48:07] care
[2:48:08] at
[2:48:08] yung
[2:48:08] gamot
[2:48:09] package
[2:48:10] na
[2:48:10] 20,000
[2:48:11] per
[2:48:11] member
[2:48:11] so
[2:48:12] ang
[2:48:12] importante
[2:48:12] na
[2:48:12] lang
[2:48:13] ngayon
[2:48:13] ng
[2:48:13] complaint
[2:48:13] sa
[2:48:14] akin
[2:48:14] wala
[2:48:15] daw
[2:48:15] gamot
[2:48:15] wala
[2:48:15] supply
[2:48:16] so
[2:48:16] yun
[2:48:16] na
[2:48:17] mga
[2:48:17] kailangan
[2:48:17] namin
[2:48:17] ayusin
[2:48:18] so
[2:48:18] it's
[2:48:18] a
[2:48:18] work
[2:48:19] in
[2:48:19] progress
[2:48:19] po
[2:48:19] ma'am
[2:48:20] so
[2:48:20] the
[2:48:20] UHC
[2:48:21] law
[2:48:21] and
[2:48:21] all
[2:48:22] its
[2:48:22] changes
[2:48:23] the
[2:48:23] regional
[2:48:23] has
[2:48:23] really
[2:48:24] changed
[2:48:24] the
[2:48:24] health
[2:48:25] care
[2:48:25] of
[2:48:25] the
[2:48:25] people
[2:48:25] and
[2:48:26] the
[2:48:26] latest
[2:48:26] studies
[2:48:27] I
[2:48:27] was
[2:48:27] given
[2:48:28] was
[2:48:28] that
[2:48:28] yung
[2:48:29] out
[2:48:29] of
[2:48:29] pocket
[2:48:29] bumaba
[2:48:30] na
[2:48:30] when
[2:48:30] I
[2:48:30] came
[2:48:31] in
[2:48:31] it
[2:48:31] was
[2:48:31] 44
[2:48:31] the
[2:48:32] latest
[2:48:33] now
[2:48:33] is
[2:48:33] 39.9
[2:48:34] and
[2:48:34] it's
[2:48:35] closer
[2:48:35] to
[2:48:35] the
[2:48:35] 20%
[2:48:36] out
[2:48:36] of
[2:48:37] pocket
[2:48:37] to
[2:48:38] say
[2:48:38] UHC
[2:48:39] sa
[2:48:39] Pilipinas
[2:48:40] so
[2:48:40] malayo
[2:48:41] yung
[2:48:41] 44
[2:48:42] sa
[2:48:42] 39
[2:48:43] kaya
[2:48:44] pa
[2:48:44] natin
[2:48:44] dating
[2:48:45] yung
[2:48:45] 20
[2:48:46] with
[2:48:46] the
[2:48:46] help
[2:48:46] of
[2:48:46] Congress
[2:48:47] and
[2:48:47] Senate
[2:48:48] thank you
[2:48:48] thank you
[2:48:49] madam
[2:48:49] chair
[2:48:49] thank you
[2:48:50] sec
[2:48:50] and
[2:48:51] count
[2:48:51] on it
[2:48:51] definitely
[2:48:52] kakayanin
[2:48:53] natin
[2:48:53] yan
[2:48:54] at
[2:48:54] dapat
[2:48:54] lamang
[2:48:54] yes
[2:48:56] senator
[2:48:56] Bong
[2:48:56] you can
[2:48:58] do
[2:48:59] it
[2:49:00] you can
[2:49:02] do
[2:49:04] it
[2:49:04] basta
[2:49:04] mahalin
[2:49:05] nyo
[2:49:06] lang
[2:49:06] yung
[2:49:06] trabaho
[2:49:06] isipin
[2:49:07] nyo
[2:49:08] lang
[2:49:08] parati
[2:49:08] yung
[2:49:08] mga
[2:49:09] pasyente
[2:49:10] na
[2:49:10] mga
[2:49:12] mahihirap
[2:49:12] nating
[2:49:13] kababayan
[2:49:13] na
[2:49:13] walang
[2:49:14] kakayahan
[2:49:14] at
[2:49:14] takot
[2:49:14] magpa
[2:49:15] hospital
[2:49:15] at
[2:49:16] salamat
[2:49:19] rin
[2:49:19] po
[2:49:19] sana
[2:49:20] itong
[2:49:22] yung
[2:49:22] PhilHealth
[2:49:24] speaking
[2:49:24] of
[2:49:25] PhilHealth
[2:49:26] dahil
[2:49:26] since
[2:49:27] under nyo
[2:49:28] naman po
[2:49:29] ito
[2:49:29] kasamahan
[2:49:32] nyo
[2:49:32] naman
[2:49:32] rin
[2:49:33] po
[2:49:33] itong
[2:49:33] PhilHealth
[2:49:34] nakakalungkot
[2:49:36] nga po
[2:49:36] doon
[2:49:38] nabalik
[2:49:38] na yung
[2:49:39] 60
[2:49:39] billion
[2:49:39] for
[2:49:40] this
[2:49:41] year
[2:49:41] but
[2:49:42] nung
[2:49:43] 2025
[2:49:45] na
[2:49:46] deprive
[2:49:46] rin
[2:49:47] talaga
[2:49:47] yung
[2:49:48] mga
[2:49:48] kababayan
[2:49:48] natin
[2:49:49] na
[2:49:49] zero
[2:49:50] po
[2:49:50] yung
[2:49:51] budget
[2:49:51] ng
[2:49:51] PhilHealth
[2:49:52] in fact
[2:49:53] nag-object
[2:49:54] talaga
[2:49:54] po
[2:49:54] ako
[2:49:54] doon
[2:49:55] isa
[2:49:55] sa
[2:49:55] reason
[2:49:56] na
[2:49:56] hindi
[2:49:56] ako
[2:49:56] pumirma
[2:49:57] ng
[2:49:57] BICAM
[2:49:58] report
[2:49:59] for
[2:50:00] 2025
[2:50:01] and
[2:50:02] 2026
[2:50:03] pag
[2:50:03] health
[2:50:03] na yung
[2:50:04] nakikita
[2:50:05] kong
[2:50:05] nababawasan
[2:50:06] yung
[2:50:06] pondo
[2:50:07] lessons
[2:50:08] learned
[2:50:09] tayo
[2:50:09] dito
[2:50:09] parate
[2:50:10] during
[2:50:11] the
[2:50:11] pandemic
[2:50:12] po
[2:50:13] noon
[2:50:13] unang
[2:50:14] nakita
[2:50:14] ko
[2:50:14] bilang
[2:50:15] chairman
[2:50:15] ng
[2:50:15] committee
[2:50:16] on
[2:50:16] health
[2:50:16] noon
[2:50:17] nakita
[2:50:17] ko
[2:50:18] na
[2:50:18] binawasan
[2:50:18] yung
[2:50:18] RITM
[2:50:19] before
[2:50:20] pandemic
[2:50:21] pa
[2:50:21] ito
[2:50:22] and
[2:50:22] who
[2:50:22] would
[2:50:22] expect
[2:50:23] that
[2:50:23] feel
[2:50:23] ko
[2:50:23] lang
[2:50:23] po
[2:50:24] hindi
[2:50:24] po
[2:50:24] kumayag
[2:50:25] na
[2:50:25] mabawasan
[2:50:26] yung
[2:50:26] pondo
[2:50:27] ng
[2:50:27] RITM
[2:50:28] pinabalik
[2:50:29] pa
[2:50:29] natin
[2:50:29] at
[2:50:29] dinagdagan
[2:50:30] and
[2:50:31] who
[2:50:31] would
[2:50:31] expect
[2:50:31] na
[2:50:31] after
[2:50:32] 3
[2:50:32] months
[2:50:32] magkaroon
[2:50:33] tayo
[2:50:34] ng
[2:50:34] pandemia
[2:50:34] at
[2:50:35] RITM
[2:50:35] po
[2:50:36] ang
[2:50:36] pinaka
[2:50:36] importante
[2:50:37] opisina
[2:50:37] so
[2:50:38] lessons
[2:50:38] learned
[2:50:39] tayo
[2:50:39] na
[2:50:39] the
[2:50:40] more
[2:50:40] we
[2:50:40] should
[2:50:40] invest
[2:50:41] sa
[2:50:41] health
[2:50:42] natin
[2:50:43] at
[2:50:43] sa
[2:50:43] field
[2:50:43] health
[2:50:44] naman
[2:50:44] since
[2:50:45] member
[2:50:46] naman
[2:50:47] po
[2:50:47] ang
[2:50:47] DOH
[2:50:47] sa
[2:50:48] board
[2:50:48] sana
[2:50:50] gamitin
[2:50:51] nyo
[2:50:51] po
[2:50:51] yung
[2:50:51] pondo
[2:50:52] sa
[2:50:52] tama
[2:50:53] talaga
[2:50:53] at
[2:50:54] mandated
[2:50:54] naman
[2:50:55] na
[2:50:55] naka
[2:50:56] earmark
[2:50:56] yan
[2:50:57] sa
[2:50:57] syntax
[2:50:59] law
[2:50:59] na
[2:51:00] magkaroon
[2:51:00] ng
[2:51:00] more
[2:51:01] than
[2:51:01] 100
[2:51:02] billion
[2:51:04] pesos
[2:51:05] funding
[2:51:07] subsidy
[2:51:08] yearly
[2:51:09] kaya nga
[2:51:10] po
[2:51:11] ikatanggap
[2:51:12] tanggap
[2:51:12] noong
[2:51:12] 2024
[2:51:13] para sa
[2:51:14] akin
[2:51:14] na
[2:51:15] isa
[2:51:16] sa
[2:51:16] mga
[2:51:17] kinuha
[2:51:18] ng
[2:51:19] national
[2:51:20] treasury
[2:51:20] yung
[2:51:22] winalis
[2:51:22] na pondo
[2:51:23] ng
[2:51:23] field health
[2:51:24] na
[2:51:24] 90
[2:51:25] billion
[2:51:26] tangan
[2:51:27] salamat
[2:51:28] sa
[2:51:29] supreme
[2:51:29] court
[2:51:29] nakapag
[2:51:30] decide
[2:51:30] sila
[2:51:30] na
[2:51:30] during
[2:51:31] that
[2:51:32] time
[2:51:32] sabi
[2:51:32] ko
[2:51:32] morally
[2:51:35] unacceptable
[2:51:37] po
[2:51:37] legally
[2:51:38] lusot
[2:51:39] kayo
[2:51:39] siguro
[2:51:39] during
[2:51:40] that
[2:51:40] time
[2:51:40] that
[2:51:40] was
[2:51:41] 2024
[2:51:41] but
[2:51:42] nag
[2:51:42] decide
[2:51:43] po
[2:51:43] ang
[2:51:43] supreme
[2:51:43] court
[2:51:44] even
[2:51:45] legally
[2:51:45] hindi
[2:51:46] po
[2:51:46] siya
[2:51:46] tama
[2:51:47] so
[2:51:48] para
[2:51:48] sa
[2:51:48] akin
[2:51:49] ang
[2:51:49] pondo
[2:51:49] ng
[2:51:49] field
[2:51:51] health
[2:51:51] claro
[2:51:51] naman
[2:51:52] field
[2:51:52] health
[2:51:53] para
[2:51:53] sa
[2:51:54] health
[2:51:54] talaga
[2:51:54] gamitin
[2:51:55] nyo
[2:51:55] sa
[2:51:56] health
[2:51:56] ng
[2:51:56] pondo
[2:51:57] ng
[2:51:57] field
[2:51:57] health
[2:51:57] 2024
[2:51:59] na
[2:52:00] deprive
[2:52:00] yung
[2:52:01] filipino
[2:52:01] sa
[2:52:01] pondo
[2:52:02] ng
[2:52:02] field
[2:52:02] health
[2:52:02] inaprobahan
[2:52:05] nyo yung
[2:52:05] mga
[2:52:05] changes
[2:52:06] yung mga
[2:52:07] increasing
[2:52:07] ng
[2:52:07] case
[2:52:08] rates
[2:52:08] December
[2:52:08] na
[2:52:09] ng
[2:52:09] 2024
[2:52:09] if
[2:52:10] inaprobahan
[2:52:10] yung
[2:52:11] january
[2:52:12] wala
[2:52:12] sanang
[2:52:12] excess
[2:52:13] funds
[2:52:13] na
[2:52:14] wawalisin
[2:52:14] ang
[2:52:14] national
[2:52:15] treasury
[2:52:15] 2025
[2:52:16] zero
[2:52:17] subsidy
[2:52:18] po
[2:52:18] ng
[2:52:18] field
[2:52:19] health
[2:52:19] ang
[2:52:20] sakit
[2:52:20] po
[2:52:20] nun
[2:52:20] ang
[2:52:21] dami
[2:52:21] po
[2:52:22] mga
[2:52:22] kababayan
[2:52:22] natin
[2:52:23] na
[2:52:23] takot
[2:52:23] mag
[2:52:23] hospital
[2:52:24] ayaw
[2:52:24] mag
[2:52:25] hospital
[2:52:25] ayaw
[2:52:26] na
[2:52:27] lang
[2:52:27] mag
[2:52:27] hospital
[2:52:27] dahil
[2:52:28] takot
[2:52:29] sa
[2:52:29] babayarin
[2:52:30] sana
[2:52:30] po
[2:52:31] yan
[2:52:31] po
[2:52:31] ang
[2:52:31] burahin
[2:52:33] nyo
[2:52:33] sa isipan
[2:52:34] ng
[2:52:34] Pilipino
[2:52:34] na huwag
[2:52:35] sila
[2:52:36] matakot
[2:52:36] mag
[2:52:36] hospital
[2:52:37] dahil
[2:52:37] meron
[2:52:37] silang
[2:52:38] gobyernong
[2:52:39] masasandalan
[2:52:40] kahit
[2:52:41] anong
[2:52:41] programa
[2:52:41] ko
[2:52:42] susuportahan
[2:52:43] ko yan
[2:52:43] mayakap
[2:52:45] mapurok
[2:52:48] makonsulta
[2:52:49] bukas
[2:52:51] just
[2:52:52] do it
[2:52:53] tandaan
[2:52:53] nyo
[2:52:53] lang
[2:52:54] yung
[2:52:55] inyong
[2:52:55] opisina
[2:52:56] do it
[2:52:56] importante
[2:52:58] rito
[2:52:58] yung
[2:52:58] pagmamahal
[2:52:59] at
[2:52:59] pagmamalasakit
[2:53:00] mo
[2:53:00] sa mga
[2:53:01] kapwa
[2:53:02] nating
[2:53:02] Pilipino
[2:53:03] lalong
[2:53:03] lalo
[2:53:03] na po
[2:53:04] sa mga
[2:53:04] mahirap
[2:53:04] nating
[2:53:05] pasyente
[2:53:05] gamitin
[2:53:06] nyo
[2:53:06] po
[2:53:06] lahat
[2:53:07] ng
[2:53:07] pondo
[2:53:08] ng
[2:53:08] DOH
[2:53:08] program
[2:53:10] makakatulong
[2:53:11] sa mga
[2:53:11] mahirap
[2:53:12] nating
[2:53:13] kababayan
[2:53:14] yan po
[2:53:14] ang
[2:53:14] parati
[2:53:15] ko
[2:53:15] ipaalala
[2:53:16] po
[2:53:16] sa inyo
[2:53:16] yung
[2:53:17] ito
[2:53:17] naman
[2:53:18] pong
[2:53:18] specialty
[2:53:20] center
[2:53:20] nasa
[2:53:21] patas
[2:53:21] naman
[2:53:21] po
[2:53:22] hindi
[2:53:22] siya
[2:53:22] stand
[2:53:22] alone
[2:53:23] at
[2:53:23] sa
[2:53:23] existing
[2:53:24] DOH
[2:53:24] hospital
[2:53:25] para
[2:53:25] mas
[2:53:26] mapabilis
[2:53:26] yung
[2:53:26] implementation
[2:53:27] ninyo
[2:53:28] sabi
[2:53:29] nyo
[2:53:29] may
[2:53:29] mga
[2:53:30] lupa
[2:53:30] at
[2:53:31] may
[2:53:31] mga
[2:53:31] spaces
[2:53:33] po
[2:53:34] dun
[2:53:34] sa
[2:53:34] existing
[2:53:35] DOH
[2:53:36] hospitals
[2:53:36] bilisan
[2:53:37] nyo
[2:53:37] na
[2:53:37] po
[2:53:38] dahil
[2:53:38] time is
[2:53:39] of the
[2:53:39] essence
[2:53:40] yung mga
[2:53:40] may mga
[2:53:42] karamdaman
[2:53:42] sa puso
[2:53:43] hindi na
[2:53:43] makakaantay
[2:53:44] ng buwan
[2:53:44] yun
[2:53:45] at saka
[2:53:45] ng
[2:53:45] taon
[2:53:46] sa totoo
[2:53:47] lang
[2:53:48] yung mga
[2:53:48] nasa
[2:53:49] malalayong
[2:53:50] probinsya
[2:53:51] or region
[2:53:51] hindi talaga
[2:53:53] makapunta
[2:53:53] ng
[2:53:53] Maynila
[2:53:54] para
[2:53:54] magpa-opera
[2:53:55] sa puso
[2:53:55] walang
[2:53:56] pamasahe
[2:53:56] walang
[2:53:57] kakayahan
[2:53:58] so
[2:53:58] malaking
[2:53:59] tulong
[2:53:59] po
[2:53:59] itong
[2:53:59] mga
[2:54:00] specialty
[2:54:00] centers
[2:54:01] natin
[2:54:01] kung
[2:54:02] matatapos
[2:54:03] nyo
[2:54:03] na
[2:54:03] kagad
[2:54:04] sa
[2:54:04] Buhol
[2:54:05] sa
[2:54:05] Cebu
[2:54:06] Marawi
[2:54:07] sa
[2:54:07] Buanga
[2:54:08] Iloilo
[2:54:09] at
[2:54:10] even
[2:54:11] sa
[2:54:11] North
[2:54:12] sa
[2:54:12] Cagayan
[2:54:13] Valley
[2:54:13] kung saan
[2:54:14] po
[2:54:14] nanggaling
[2:54:15] si
[2:54:15] Yusek
[2:54:16] Bagau
[2:54:17] meron
[2:54:17] ba
[2:54:18] kayong
[2:54:18] specialty
[2:54:19] center
[2:54:19] o
[2:54:20] kakayahan
[2:54:20] rin
[2:54:20] po
[2:54:20] sa
[2:54:21] opera
[2:54:22] sa
[2:54:23] puso
[2:54:24] doon
[2:54:24] Madam
[2:54:25] Chair
[2:54:26] in
[2:54:28] answer
[2:54:28] to
[2:54:28] the
[2:54:28] questions
[2:54:29] of
[2:54:29] Honorable
[2:54:30] Bogo
[2:54:31] Actually
[2:54:32] on
[2:54:32] Friday
[2:54:32] Sir
[2:54:33] we'll
[2:54:34] be
[2:54:34] groundbreaking
[2:54:35] the
[2:54:36] Heart
[2:54:37] Lung
[2:54:37] and
[2:54:38] Kindy
[2:54:38] Center
[2:54:39] for
[2:54:39] CBMC
[2:54:39] the
[2:54:41] specialty
[2:54:42] center
[2:54:42] for
[2:54:43] CBMC
[2:54:43] Madam
[2:54:44] Chair
[2:54:44] Yan po
[2:54:47] layunin
[2:54:47] ng
[2:54:47] batas
[2:54:48] na
[2:54:48] ito
[2:54:48] natuloy
[2:54:48] tuloy
[2:54:49] ang
[2:54:49] pagtatayo
[2:54:50] ng
[2:54:50] mga
[2:54:50] specialty
[2:54:51] center
[2:54:52] Nakikiusap
[2:54:53] rin
[2:54:53] tayo
[2:54:54] sa
[2:54:54] DPWH
[2:54:55] magtulungan
[2:54:57] po
[2:54:57] kayo
[2:54:58] ng
[2:54:58] DOH
[2:55:00] para
[2:55:00] matapos
[2:55:01] na rin
[2:55:01] po
[2:55:01] ito
[2:55:02] maging
[2:55:02] malaki
[2:55:03] o
[2:55:03] maliliit
[2:55:04] na
[2:55:04] proyekto
[2:55:04] importante
[2:55:05] po
[2:55:05] magamit
[2:55:06] na po
[2:55:06] ng mga
[2:55:07] kababayan
[2:55:07] natin
[2:55:07] iba
[2:55:07] iba
[2:55:07] rin
[2:55:08] po
[2:55:08] itong
[2:55:09] kaso
[2:55:09] ng
[2:55:09] mga
[2:55:09] health
[2:55:10] facilities
[2:55:11] dami
[2:55:11] po
[2:55:12] mga
[2:55:12] pasyente
[2:55:12] na
[2:55:12] nangangilangan
[2:55:13] po
[2:55:13] ng
[2:55:14] tulong
[2:55:15] nito
[2:55:16] at
[2:55:16] pasyente
[2:55:36] at
[2:55:37] sana
[2:55:38] tingnan
[2:55:39] nyo
[2:55:39] rin
[2:55:40] po
[2:55:40] ito
[2:55:40] meron
[2:55:41] na
[2:55:41] pong
[2:55:41] naitayo
[2:55:42] sa
[2:55:42] PGH
[2:55:43] PGH
[2:55:44] na
[2:55:44] Watchers
[2:55:46] Hall
[2:55:46] laking
[2:55:47] tulong
[2:55:48] ito
[2:55:48] sa
[2:55:48] ating
[2:55:48] mga
[2:55:49] kababayan
[2:55:49] even
[2:55:49] in
[2:55:49] Davao
[2:55:50] meron
[2:55:50] na rin
[2:55:50] po
[2:55:50] silang
[2:55:51] halfway
[2:55:51] house
[2:55:51] na
[2:55:52] yung
[2:55:52] mga
[2:55:52] Watchers
[2:55:53] ay
[2:55:53] pwede
[2:55:54] pong
[2:55:54] magpahinga
[2:55:55] while
[2:55:57] waiting
[2:55:58] sa
[2:55:58] kanilang
[2:55:58] mga
[2:55:59] pasyente
[2:56:00] na
[2:56:00] hindi
[2:56:00] lang
[2:56:00] po
[2:56:01] nakaupo
[2:56:01] dyan
[2:56:01] sa
[2:56:02] sidewalk
[2:56:03] na
[2:56:03] ulanan
[2:56:04] o
[2:56:04] nainitan
[2:56:05] po
[2:56:06] nagagamit
[2:56:07] po
[2:56:07] nila
[2:56:07] itong
[2:56:07] mga
[2:56:07] halfway
[2:56:08] house
[2:56:08] not
[2:56:09] only
[2:56:09] the
[2:56:09] Watchers
[2:56:10] including
[2:56:11] the
[2:56:11] mga
[2:56:11] patients
[2:56:12] na
[2:56:12] pwede
[2:56:12] nang
[2:56:13] umuwi
[2:56:13] sa
[2:56:13] mga
[2:56:13] malalayong
[2:56:14] probinsya
[2:56:14] pwede
[2:56:15] silang
[2:56:16] doon
[2:56:17] muna
[2:56:17] magpahinga
[2:56:18] and
[2:56:19] it will
[2:56:20] help
[2:56:20] decongest
[2:56:21] the
[2:56:21] hospitals
[2:56:22] na
[2:56:22] pwede
[2:56:22] na
[2:56:22] silang
[2:56:23] lumabas
[2:56:23] ng
[2:56:23] hospitals
[2:56:24] while
[2:56:25] waiting
[2:56:25] na
[2:56:25] pwede
[2:56:25] na
[2:56:26] silang
[2:56:26] bumiyahe
[2:56:26] doon
[2:56:26] sila
[2:56:27] sa
[2:56:27] mga
[2:56:27] halfway
[2:56:27] houses
[2:56:28] maaring
[2:56:28] tingnan
[2:56:28] nyo
[2:56:28] rin
[2:56:29] po
[2:56:29] ito
[2:56:29] not
[2:56:30] only
[2:56:30] sa
[2:56:30] kapakanan
[2:56:30] ng
[2:56:31] ating
[2:56:31] mga
[2:56:31] pasyente
[2:56:32] but
[2:56:32] kapakanan
[2:56:33] rin
[2:56:34] po
[2:56:34] ng
[2:56:34] mga
[2:56:34] watchers
[2:56:35] na
[2:56:35] nagaantay
[2:56:36] sa
[2:56:37] kanilang
[2:56:37] mga
[2:56:37] pasyente
[2:56:38] secretary
[2:56:38] Madam Chair
[2:56:40] thank you
[2:56:40] sa comment
[2:56:41] ni
[2:56:41] Senator
[2:56:42] Bongo
[2:56:42] about
[2:56:42] watchers
[2:56:44] we want
[2:56:45] to do
[2:56:45] that
[2:56:45] yung
[2:56:46] HPEP
[2:56:46] Funds
[2:56:47] Health
[2:56:47] Facilities
[2:56:47] Enhancement
[2:56:48] Program
[2:56:48] may
[2:56:49] restriction
[2:56:49] siya
[2:56:50] bawal
[2:56:51] ang admin
[2:56:51] offices
[2:56:52] bawal
[2:56:52] ang hindi
[2:56:53] patient
[2:56:53] services
[2:56:54] so it's
[2:56:55] only
[2:56:55] for
[2:56:55] patient
[2:56:55] services
[2:56:56] era
[2:56:56] so kung
[2:56:57] maalis
[2:56:57] natin
[2:56:57] yun
[2:56:58] or
[2:56:58] malagay
[2:56:58] natin
[2:56:59] na
[2:56:59] for
[2:57:00] including
[2:57:00] the
[2:57:01] bantay
[2:57:02] we can
[2:57:02] use
[2:57:02] some
[2:57:03] of
[2:57:03] that
[2:57:03] funds
[2:57:03] to
[2:57:04] build
[2:57:04] better
[2:57:05] accommodation
[2:57:06] toto yan
[2:57:07] yung mga
[2:57:07] regional
[2:57:07] specialty
[2:57:08] center
[2:57:08] ang galing
[2:57:09] mga
[2:57:09] 5
[2:57:09] hours
[2:57:10] away
[2:57:10] galing
[2:57:11] sa
[2:57:11] malalayo
[2:57:12] so and
[2:57:12] then they
[2:57:13] really
[2:57:13] have
[2:57:13] no place
[2:57:14] to
[2:57:14] stay
[2:57:14] so maganda
[2:57:16] yung may
[2:57:16] accommodation
[2:57:16] sila
[2:57:17] so ang
[2:57:17] nangyayari
[2:57:18] dun sa
[2:57:18] mga
[2:57:18] nakita
[2:57:19] nyo
[2:57:19] donation
[2:57:19] usually
[2:57:20] siya
[2:57:20] yun
[2:57:21] sa PGH
[2:57:21] was
[2:57:21] donated
[2:57:22] by
[2:57:22] non-government
[2:57:24] or
[2:57:25] organization
[2:57:25] so
[2:57:25] sana
[2:57:26] ko
[2:57:26] ma
[2:57:26] correct
[2:57:28] yung
[2:57:29] kahit
[2:57:30] provisions
[2:57:31] special
[2:57:32] provisions
[2:57:32] na
[2:57:33] pwede din
[2:57:33] gamitin
[2:57:34] for
[2:57:34] bantays
[2:57:35] then we
[2:57:36] can
[2:57:36] build
[2:57:36] mga
[2:57:37] areas
[2:57:37] for
[2:57:38] bantays
[2:57:38] in
[2:57:38] hospitals
[2:57:39] well
[2:57:40] noted
[2:57:40] secretary
[2:57:41] siguro
[2:57:42] siyempre
[2:57:43] ipaprioritize
[2:57:44] natin
[2:57:44] yung
[2:57:45] original
[2:57:46] intention
[2:57:47] ng
[2:57:47] HFEP
[2:57:48] and then
[2:57:48] this is
[2:57:49] also
[2:57:49] good
[2:57:50] to
[2:57:50] consider
[2:57:50] kumbaga
[2:57:51] sa
[2:57:51] next
[2:57:52] batch
[2:57:53] pwede
[2:57:54] natin
[2:57:54] mapagkasundo
[2:57:55] ang
[2:57:55] recommendations
[2:57:56] moving
[2:57:56] forward
[2:57:57] if I
[2:57:58] may
[2:57:59] of course
[2:58:00] you're
[2:58:01] that
[2:58:01] you still
[2:58:03] have
[2:58:03] the
[2:58:03] floor
[2:58:04] kaya
[2:58:04] lang
[2:58:04] salamat
[2:58:08] po
[2:58:08] so
[2:58:09] follow up
[2:58:10] din
[2:58:10] sa isang
[2:58:11] earlier
[2:58:11] discussion
[2:58:12] dito
[2:58:13] sa mga
[2:58:13] delays
[2:58:14] sa
[2:58:14] HFEP
[2:58:15] na
[2:58:15] pinag-usapan
[2:58:16] natin
[2:58:16] in a way
[2:58:17] we're
[2:58:17] playing
[2:58:18] catch-up
[2:58:18] as more
[2:58:19] laws
[2:58:19] are being
[2:58:20] passed
[2:58:21] to increase
[2:58:21] bed
[2:58:22] capacity
[2:58:22] o
[2:58:23] minsan
[2:58:23] nga
[2:58:24] to
[2:58:24] renationalize
[2:58:25] health
[2:58:26] services
[2:58:26] and
[2:58:27] facilities
[2:58:27] so
[2:58:28] and there
[2:58:28] are
[2:58:28] more
[2:58:29] in the
[2:58:29] pipeline
[2:58:29] so
[2:58:30] marami
[2:58:31] pong
[2:58:31] local
[2:58:31] bills
[2:58:31] ang
[2:58:32] nakapila
[2:58:32] in fact
[2:58:33] isa
[2:58:33] sa mga
[2:58:33] susunod
[2:58:34] na
[2:58:34] pagdinig
[2:58:35] nitong
[2:58:35] committee
[2:58:36] on
[2:58:36] health
[2:58:36] ay
[2:58:36] para
[2:58:37] matalakay
[2:58:38] namin
[2:58:38] lahat
[2:58:39] nung mga
[2:58:39] local
[2:58:39] bills
[2:58:40] na
[2:58:40] pending
[2:58:40] so
[2:58:41] kailan
[2:58:42] po
[2:58:43] sa tingin
[2:58:43] ng
[2:58:43] DOH
[2:58:44] tayo
[2:58:44] makaka
[2:58:44] catch-up
[2:58:45] dun sa
[2:58:46] bed
[2:58:46] capacity
[2:58:47] at sa
[2:58:47] service
[2:58:47] capacity
[2:58:49] at the
[2:58:49] rate
[2:58:50] we are
[2:58:50] going
[2:58:50] actually
[2:58:53] if you
[2:58:55] look at
[2:58:55] the
[2:58:56] numbers
[2:58:56] we have
[2:58:56] to
[2:58:56] triple
[2:58:57] the
[2:58:57] current
[2:58:57] health
[2:58:58] system
[2:58:58] both
[2:58:58] public
[2:58:59] and
[2:58:59] private
[2:58:59] but
[2:59:00] ang
[2:59:01] trust
[2:59:01] namin
[2:59:02] is
[2:59:02] to
[2:59:03] incentivize
[2:59:04] by
[2:59:04] increasing
[2:59:05] field
[2:59:05] health
[2:59:05] benefit
[2:59:06] packages
[2:59:07] like
[2:59:07] for
[2:59:07] example
[2:59:07] itong
[2:59:08] zero
[2:59:08] balance
[2:59:09] at
[2:59:09] yung
[2:59:09] tinaas
[2:59:10] namin
[2:59:10] yung
[2:59:10] case
[2:59:10] rates
[2:59:11] itong
[2:59:12] mga
[2:59:12] private
[2:59:12] hospital
[2:59:13] nagtatayunan
[2:59:13] ng
[2:59:13] field
[2:59:14] health
[2:59:14] ward
[2:59:14] so
[2:59:15] that
[2:59:15] means
[2:59:15] government
[2:59:15] doesn't
[2:59:16] have
[2:59:16] to
[2:59:16] build
[2:59:17] it
[2:59:17] like
[2:59:17] itong
[2:59:17] medical
[2:59:18] city
[2:59:18] 51
[2:59:19] beds
[2:59:19] more
[2:59:20] than
[2:59:20] enough
[2:59:20] for
[2:59:21] field
[2:59:21] health
[2:59:21] only
[2:59:23] ang
[2:59:23] gagawin
[2:59:23] nilang
[2:59:24] ward
[2:59:24] so
[2:59:24] I
[2:59:25] think
[2:59:25] the
[2:59:26] key
[2:59:26] is
[2:59:26] really
[2:59:26] making
[2:59:27] efficient
[2:59:27] use
[2:59:27] of
[2:59:27] field
[2:59:28] health
[2:59:28] benefit
[2:59:29] packages
[2:59:30] mataas
[2:59:30] mag
[2:59:31] move
[2:59:33] yung
[2:59:33] private
[2:59:34] sector
[2:59:34] for
[2:59:34] example
[2:59:35] tinaas
[2:59:35] natin
[2:59:36] to
[2:59:36] 530,000
[2:59:37] yung
[2:59:38] heart
[2:59:38] attack
[2:59:38] package
[2:59:39] yung
[2:59:40] mga
[2:59:40] private
[2:59:40] hospital
[2:59:40] nagbilihan
[2:59:41] ng
[2:59:41] ang
[2:59:41] ang
[2:59:41] ang
[2:59:41] machine
[2:59:42] tapos
[2:59:43] tinatanggap
[2:59:44] na nila
[2:59:44] kahit
[2:59:44] jeepney
[2:59:45] driver
[2:59:45] lang
[2:59:45] tricycle
[2:59:46] driver
[2:59:46] kasi
[2:59:47] bayan
[2:59:47] yung
[2:59:50] 1350
[2:59:51] per
[2:59:51] session
[2:59:52] wala
[2:59:52] akong
[2:59:53] mabiling
[2:59:53] dialysis
[2:59:53] machine
[2:59:54] kasi
[2:59:54] lahat
[2:59:55] ng
[2:59:55] private
[2:59:55] na
[2:59:55] dialysis
[2:59:56] center
[2:59:56] nagbilihan
[2:59:57] na
[2:59:57] tapos
[2:59:57] nakikipag
[2:59:58] tie-up
[2:59:58] pa sila
[2:59:59] sa
[2:59:59] mga
[3:00:00] LGU
[3:00:00] yung
[3:00:01] mga
[3:00:01] hindi
[3:00:01] gumaga
[3:00:01] ng
[3:00:02] health
[3:00:02] center
[3:00:03] lalagyan
[3:00:03] nila
[3:00:04] ng
[3:00:04] dialysis
[3:00:04] nagiging
[3:00:05] dialysis
[3:00:05] center
[3:00:06] so
[3:00:06] isa
[3:00:06] din
[3:00:06] to
[3:00:06] dun
[3:00:06] sa
[3:00:07] naging
[3:00:07] mga
[3:00:07] solusyon
[3:00:08] sa
[3:00:08] ibang
[3:00:08] mga
[3:00:09] LGU
[3:00:09] ginawang
[3:00:10] dialysis
[3:00:11] center
[3:00:11] run
[3:00:11] by
[3:00:12] the
[3:00:12] private
[3:00:12] bayad
[3:00:13] ng
[3:00:13] field
[3:00:13] health
[3:00:13] nagbibigay
[3:00:14] ng
[3:00:14] servisyo
[3:00:15] sa mga
[3:00:15] tao
[3:00:15] ito
[3:00:15] so
[3:00:16] this is
[3:00:17] the
[3:00:17] direction
[3:00:17] we're
[3:00:17] trying
[3:00:18] and
[3:00:18] i have
[3:00:19] no
[3:00:19] timeline
[3:00:19] i hope
[3:00:19] i'm
[3:00:20] only
[3:00:20] 780
[3:00:21] days
[3:00:22] left
[3:00:22] packages
[3:00:29] ng
[3:00:29] field
[3:00:29] because
[3:00:29] this
[3:00:30] will
[3:00:30] drive
[3:00:30] the
[3:00:31] next
[3:00:31] secretary
[3:00:32] this
[3:00:32] will
[3:00:32] drive
[3:00:33] private
[3:00:33] sector
[3:00:34] to
[3:00:34] build
[3:00:34] more
[3:00:34] hospitals
[3:00:35] and
[3:00:36] to
[3:00:37] make
[3:00:37] it
[3:00:37] affordable
[3:00:38] para
[3:00:39] even
[3:00:40] the
[3:00:40] middle
[3:00:40] class
[3:00:40] will
[3:00:41] now
[3:00:41] be
[3:00:41] kasi
[3:00:41] dati
[3:00:42] yung
[3:00:42] ayuda
[3:00:42] natin
[3:00:43] sa
[3:00:43] freely
[3:00:44] poor
[3:00:44] ngayon
[3:00:45] ang
[3:00:45] nagreklamo
[3:00:46] is
[3:00:46] the
[3:00:46] middle
[3:00:47] class
[3:00:47] sila
[3:00:47] yung
[3:00:47] nagkocontribute
[3:00:48] ng
[3:00:48] field
[3:00:48] pero
[3:00:49] dapat
[3:00:50] tama
[3:00:50] rin
[3:00:50] yung
[3:00:50] nakukuha
[3:00:51] nilang
[3:00:51] benefit
[3:00:51] mag
[3:00:52] nagkasakit
[3:00:53] yung
[3:00:53] family
[3:00:53] nila
[3:00:53] para
[3:00:54] hindi
[3:00:54] sila
[3:00:54] nagbank
[3:00:54] bankrupt
[3:00:55] so
[3:00:55] yun
[3:00:56] yung
[3:00:56] direction
[3:00:56] ma'am
[3:00:57] trying
[3:00:57] to
[3:00:57] do
[3:00:58] field
[3:00:58] and
[3:00:58] then
[3:00:58] more
[3:00:58] outpatient
[3:00:59] and
[3:00:59] more
[3:00:59] prevention
[3:01:00] more
[3:01:01] of
[3:01:01] wellness
[3:01:01] so
[3:01:02] we're
[3:01:02] focusing
[3:01:02] on
[3:01:03] yakap
[3:01:03] para
[3:01:04] yung
[3:01:05] gamot
[3:01:05] para
[3:01:06] yung BP
[3:01:06] mo
[3:01:07] na may
[3:01:07] maintain
[3:01:08] may
[3:01:08] gamot
[3:01:08] kang
[3:01:08] libre
[3:01:09] kesa
[3:01:09] hindi
[3:01:10] ka
[3:01:10] bumibili
[3:01:10] tapos
[3:01:11] stroke
[3:01:11] or
[3:01:11] heart
[3:01:12] attack
[3:01:12] ang
[3:01:12] inuuwi
[3:01:13] doon
[3:01:13] mas
[3:01:13] mahal
[3:01:14] ang
[3:01:14] gasto
[3:01:14] sa
[3:01:14] atin
[3:01:15] so
[3:01:15] sinishift
[3:01:16] natin
[3:01:17] sa
[3:01:17] primary
[3:01:17] healthcare
[3:01:18] although
[3:01:18] tuloy-tuloy
[3:01:19] naman
[3:01:19] yung
[3:01:19] regional
[3:01:20] specialty
[3:01:21] centers
[3:01:21] kasi
[3:01:21] may
[3:01:21] batas
[3:01:22] naman
[3:01:22] yun
[3:01:22] so
[3:01:23] ganun
[3:01:23] yung
[3:01:23] balancing
[3:01:24] act
[3:01:24] my
[3:01:25] thinking
[3:01:25] another
[3:01:27] malapit
[3:01:28] another
[3:01:28] 3 to
[3:01:29] 5
[3:01:29] years
[3:01:29] will
[3:01:30] probably
[3:01:30] get
[3:01:31] to
[3:01:31] that
[3:01:31] level
[3:01:32] acceptable
[3:01:33] as
[3:01:33] of
[3:01:34] now
[3:01:34] our
[3:01:34] spending
[3:01:34] for
[3:01:35] healthcare
[3:01:35] is
[3:01:36] already
[3:01:36] 5.5
[3:01:37] yata
[3:01:38] percent
[3:01:39] of
[3:01:39] GDP
[3:01:39] which
[3:01:40] is
[3:01:40] already
[3:01:40] above
[3:01:41] the
[3:01:41] WHO
[3:01:42] minimum
[3:01:43] standard
[3:01:43] ang
[3:01:44] problema
[3:01:44] we still
[3:01:45] have
[3:01:45] to
[3:01:45] build
[3:01:45] and
[3:01:45] we still
[3:01:46] have
[3:01:46] to
[3:01:46] make
[3:01:46] the
[3:01:47] health
[3:01:47] centers
[3:01:48] functional
[3:01:48] pag
[3:01:49] nag
[3:01:49] functional
[3:01:49] lahat
[3:01:50] yan
[3:01:50] pala
[3:01:51] we're
[3:01:51] nearer
[3:01:52] to
[3:01:52] access
[3:01:52] and
[3:01:53] quality
[3:01:53] affordable
[3:01:54] healthcare
[3:01:54] UHC
[3:01:55] sa
[3:01:55] ating
[3:01:56] mga
[3:01:56] Pilipino
[3:01:56] Susie
[3:01:58] talaga
[3:01:58] PhilHealth
[3:01:59] the
[3:02:00] committee
[3:02:00] agrees
[3:02:00] and
[3:02:01] yung
[3:02:01] pagpasa
[3:02:02] ng
[3:02:02] bed
[3:02:02] cap
[3:02:02] rationalization
[3:02:03] bill
[3:02:04] kasi
[3:02:04] yung
[3:02:05] policy
[3:02:05] mananatili
[3:02:06] naman
[3:02:06] sa
[3:02:06] amin
[3:02:07] sa
[3:02:07] senate
[3:02:07] sa
[3:02:08] congress
[3:02:08] pero
[3:02:09] yung
[3:02:09] operationalization
[3:02:11] DOH
[3:02:11] at yung
[3:02:12] hospital
[3:02:12] if I may
[3:02:15] Madam Chair
[3:02:15] Secretary
[3:02:17] Ted
[3:02:17] speaking
[3:02:18] about
[3:02:18] PhilHealth
[3:02:19] do you
[3:02:21] agree
[3:02:22] talaga
[3:02:22] na
[3:02:22] wala
[3:02:23] talagang
[3:02:24] excess
[3:02:24] funds
[3:02:25] ang
[3:02:25] PhilHealth
[3:02:26] dapat
[3:02:26] walang
[3:02:28] matatawag
[3:02:28] na
[3:02:29] so-called
[3:02:29] excess
[3:02:30] funds
[3:02:30] honest
[3:02:33] answer
[3:02:33] po
[3:02:33] ito
[3:02:33] sa
[3:02:34] Secretary
[3:02:34] of
[3:02:35] Health
[3:02:35] you're
[3:02:35] under
[3:02:35] oath
[3:02:36] Madam Chair
[3:02:37] so
[3:02:37] many
[3:02:38] countries
[3:02:38] mayroon
[3:02:39] din
[3:02:39] health
[3:02:39] insurance
[3:02:40] and
[3:02:40] they
[3:02:41] use
[3:02:41] up
[3:02:41] all
[3:02:41] the
[3:02:42] funds
[3:02:42] for
[3:02:42] benefit
[3:02:43] packages
[3:02:43] tayo
[3:02:44] lang
[3:02:44] ang
[3:02:44] nagtalaga
[3:02:45] sa
[3:02:45] batas
[3:02:45] ng
[3:02:46] 2
[3:02:46] year
[3:02:46] minimum
[3:02:47] reserve
[3:02:48] fund
[3:02:48] so
[3:02:49] like
[3:02:49] ngayon
[3:02:49] ang
[3:02:49] binabayad
[3:02:50] ng
[3:02:50] PhilHealth
[3:02:50] is
[3:02:50] over
[3:02:51] 300
[3:02:51] billion
[3:02:52] a
[3:02:52] year
[3:02:52] so
[3:02:53] ibig
[3:02:53] sabihin
[3:02:53] nun
[3:02:53] ang
[3:02:54] reserve
[3:02:54] fund
[3:02:54] dapat
[3:02:55] minimum
[3:02:56] 600
[3:02:56] billion
[3:02:57] yung
[3:02:57] tanong
[3:02:57] ko
[3:02:57] wala
[3:02:58] talagang
[3:02:59] dapat
[3:02:59] na excess
[3:03:00] funds
[3:03:00] ang PhilHealth
[3:03:01] na
[3:03:01] dapat
[3:03:03] zero
[3:03:03] parang
[3:03:03] NGO
[3:03:04] ma'am
[3:03:04] dapat
[3:03:04] kung ano
[3:03:05] yung pumasok
[3:03:06] ginastos
[3:03:06] lahat
[3:03:06] sa benefit
[3:03:07] packages
[3:03:07] I prefer
[3:03:08] that
[3:03:08] kasi
[3:03:09] the
[3:03:09] reserve
[3:03:10] magtatabi
[3:03:12] ka pa
[3:03:12] imbis
[3:03:12] of
[3:03:12] patients
[3:03:13] being
[3:03:13] served
[3:03:14] sa
[3:03:15] ibang
[3:03:15] bansa
[3:03:15] pag
[3:03:15] naubos
[3:03:16] na yung
[3:03:16] pera
[3:03:16] ng
[3:03:16] insurance
[3:03:17] tumitigil
[3:03:18] sila
[3:03:19] and
[3:03:19] then
[3:03:19] pagpasok
[3:03:20] ng
[3:03:20] budget
[3:03:20] the
[3:03:21] following
[3:03:21] year
[3:03:21] operahan
[3:03:22] na nila
[3:03:23] yung
[3:03:23] kailangan
[3:03:23] maoperahan
[3:03:24] so
[3:03:31] PhilHealth
[3:03:32] na hindi
[3:03:32] related
[3:03:32] sa
[3:03:33] health
[3:03:34] tama
[3:03:34] naman
[3:03:35] pag
[3:03:36] syntax
[3:03:36] may allocation
[3:03:37] talaga
[3:03:38] na
[3:03:38] sabi nga
[3:03:39] ng
[3:03:39] Supreme
[3:03:39] Court
[3:03:39] the way
[3:03:40] I interpret
[3:03:40] their
[3:03:41] decision
[3:03:41] is
[3:03:41] hard
[3:03:42] earmark
[3:03:43] yung
[3:03:43] syntax
[3:03:43] para
[3:03:44] sa
[3:03:44] health
[3:03:44] siya
[3:03:44] para
[3:03:45] sa
[3:03:45] health
[3:03:45] kaya
[3:03:45] klaro
[3:03:46] diba
[3:03:46] PhilHealth
[3:03:46] is
[3:03:47] para
[3:03:47] sa
[3:03:47] health
[3:03:47] may
[3:03:48] pakiusap
[3:03:49] lang
[3:03:49] po
[3:03:49] sa
[3:03:49] health
[3:03:50] officials
[3:03:51] natin
[3:03:51] gurahin
[3:03:52] niyo
[3:03:52] po
[3:03:52] sa isipan
[3:03:53] ng
[3:03:53] tao
[3:03:54] yung
[3:03:54] fear
[3:03:55] ng
[3:03:57] mahihirap
[3:03:58] natin
[3:03:59] kababayan
[3:03:59] yung
[3:03:59] mga
[3:03:59] pasyente
[3:04:00] na
[3:04:00] ayaw
[3:04:02] magpa-hospital
[3:04:03] yun
[3:04:05] sanang
[3:04:05] tandaan
[3:04:06] ninyo
[3:04:07] parati
[3:04:07] marami
[3:04:07] mga
[3:04:08] kababayan
[3:04:08] natin
[3:04:08] ayaw
[3:04:09] ko
[3:04:09] na lang
[3:04:09] magpa-hospital
[3:04:10] kasi
[3:04:10] takot
[3:04:11] ako
[3:04:11] sa
[3:04:11] babayarin
[3:04:12] at
[3:04:12] mahal
[3:04:13] yung
[3:04:13] gastos
[3:04:13] hanggang
[3:04:14] yung
[3:04:14] iba
[3:04:14] po
[3:04:15] ay
[3:04:15] nalalagutan
[3:04:15] na lang
[3:04:16] po
[3:04:16] ng
[3:04:16] hininga
[3:04:16] o
[3:04:17] talagang
[3:04:18] namamatay
[3:04:18] na lang
[3:04:19] po
[3:04:19] dahil
[3:04:19] sa
[3:04:20] kahirapan
[3:04:21] yun
[3:04:21] po
[3:04:21] sana
[3:04:21] ang
[3:04:22] maging
[3:04:24] parati
[3:04:25] ninyong
[3:04:26] isaisip
[3:04:27] at aim
[3:04:27] ninyo
[3:04:28] na
[3:04:28] meron
[3:04:29] silang
[3:04:29] gobyerno
[3:04:30] na
[3:04:30] masasandalan
[3:04:31] at
[3:04:31] malalapitan
[3:04:32] at
[3:04:32] may
[3:04:32] hospital
[3:04:33] sila
[3:04:33] na
[3:04:34] mapupuntahan
[3:04:36] makakapag
[3:04:36] pa-checkup
[3:04:37] sila
[3:04:37] not only
[3:04:38] gagaling
[3:04:41] sila
[3:04:41] but
[3:04:41] yung
[3:04:41] prevention
[3:04:42] rin
[3:04:42] po
[3:04:43] yan
[3:04:44] naman
[3:04:44] po
[3:04:45] ang
[3:04:45] layunin
[3:04:45] ng
[3:04:45] UHC
[3:04:46] mas
[3:04:47] mabuting
[3:04:48] prevention
[3:04:48] para
[3:04:48] hindi
[3:04:49] lumala
[3:04:49] yung
[3:04:50] sakit
[3:04:50] at
[3:04:50] hindi
[3:04:50] sila
[3:04:51] matakot
[3:04:51] magpa-checkup
[3:04:53] yung
[3:04:55] mga
[3:04:55] health
[3:04:55] facilities
[3:04:56] natin
[3:04:56] health
[3:04:56] centers
[3:04:57] kung
[3:04:58] kailangan
[3:04:58] yung
[3:04:58] tulungan
[3:05:00] sa mga
[3:05:00] health
[3:05:02] workers
[3:05:02] natin
[3:05:03] mga
[3:05:03] doctors
[3:05:03] na
[3:05:04] marami
[3:05:05] pong
[3:05:05] mga
[3:05:05] nagmamahal
[3:05:06] sa ating
[3:05:06] mga
[3:05:06] kababayan
[3:05:07] na gustong
[3:05:07] mag
[3:05:08] trabaho
[3:05:09] at tumulong
[3:05:10] maaring
[3:05:10] tingnan nyo
[3:05:11] rin po
[3:05:11] ito
[3:05:12] ng
[3:05:12] mabuti
[3:05:12] at
[3:05:14] aralan
[3:05:15] nyo
[3:05:15] rin
[3:05:15] po
[3:05:15] yung
[3:05:15] benefits
[3:05:16] ng
[3:05:16] ating
[3:05:16] mga
[3:05:17] health
[3:05:17] workers
[3:05:17] yung
[3:05:18] mga
[3:05:18] iba
[3:05:18] dyan
[3:05:19] na
[3:05:19] ano
[3:05:19] yung
[3:05:19] programa
[3:05:20] ninyo
[3:05:20] na
[3:05:20] marami
[3:05:23] lumalapit
[3:05:24] na
[3:05:24] yung
[3:05:26] status
[3:05:27] nila
[3:05:27] na
[3:05:27] halos
[3:05:28] maging
[3:05:28] sana
[3:05:29] the same
[3:05:29] as
[3:05:29] the
[3:05:30] plantilla
[3:05:31] though
[3:05:32] hindi nyo
[3:05:33] naman
[3:05:33] pwedeng
[3:05:33] plantilla
[3:05:36] lahat
[3:05:36] but
[3:05:37] yung
[3:05:37] benefits
[3:05:37] sana
[3:05:38] ay
[3:05:39] magiging
[3:05:39] halos
[3:05:40] pareho
[3:05:40] ng
[3:05:40] plantilla
[3:05:41] para
[3:05:41] ma-encourage
[3:05:42] sila
[3:05:42] na
[3:05:42] dito
[3:05:43] na lang
[3:05:43] magtrabaho
[3:05:44] at
[3:05:45] yung
[3:05:46] iba
[3:05:46] dyan
[3:05:46] nag
[3:05:48] abroad
[3:05:49] na lang
[3:05:49] dahil
[3:05:49] mas malaki
[3:05:50] yung
[3:05:50] sweldo
[3:05:51] pero
[3:05:52] mas
[3:05:52] nanaisin
[3:05:52] nilang
[3:05:53] magservisyo
[3:05:53] at
[3:05:54] magtrabaho
[3:05:54] dito
[3:05:54] sa ating
[3:05:55] mga
[3:05:56] kababayan
[3:05:57] natin
[3:05:57] kung
[3:05:58] hindi
[3:05:58] naman
[3:05:59] ganun
[3:05:59] kalayo
[3:06:00] yung
[3:06:01] sweldo
[3:06:02] na
[3:06:03] natatanggap
[3:06:03] nila
[3:06:04] mas
[3:06:05] mahirap
[3:06:05] mapalayo
[3:06:06] sa
[3:06:06] pamilya
[3:06:06] sa abroad
[3:06:07] mas
[3:06:08] mabuting
[3:06:08] magservisyo
[3:06:09] po sila
[3:06:10] rito
[3:06:10] maring
[3:06:10] tingnan
[3:06:10] nyo
[3:06:11] rin
[3:06:11] po
[3:06:11] yan
[3:06:11] para
[3:06:12] to
[3:06:12] fill
[3:06:13] in
[3:06:13] the
[3:06:13] gaps
[3:06:14] po
[3:06:14] dito
[3:06:14] sa
[3:06:15] pangangailangan
[3:06:15] ng
[3:06:15] health
[3:06:16] workers
[3:06:16] natin
[3:06:17] sa
[3:06:18] mga
[3:06:18] health
[3:06:18] centers
[3:06:18] natin
[3:06:19] na
[3:06:19] hindi
[3:06:20] naging
[3:06:20] operational
[3:06:20] dahil
[3:06:21] kakulangan
[3:06:22] sa
[3:06:22] mga
[3:06:22] doctors
[3:06:22] at
[3:06:23] mga
[3:06:23] health
[3:06:28] complement
[3:06:29] with
[3:06:30] each
[3:06:30] other
[3:06:30] ang
[3:06:30] DOH
[3:06:31] and
[3:06:31] the
[3:06:31] LGU
[3:06:32] lahat
[3:06:33] ang
[3:06:33] LGU
[3:06:33] gusto
[3:06:33] talaga
[3:06:34] maging
[3:06:35] operational
[3:06:35] rin
[3:06:36] po
[3:06:36] ang
[3:06:36] mga
[3:06:37] health
[3:06:37] facilities
[3:06:38] mga
[3:06:38] super
[3:06:39] health
[3:06:39] centers
[3:06:39] nila
[3:06:40] Salamat
[3:06:40] po
[3:06:41] Secretary
[3:06:42] Ted
[3:06:42] sa DOH
[3:06:43] Salamat
[3:06:43] Madam Chair
[3:06:44] Salamat
[3:06:45] follow up
[3:06:47] sa isang
[3:06:47] point
[3:06:47] na niraised
[3:06:48] ni
[3:06:48] Secretary
[3:06:49] kanina
[3:06:49] per
[3:06:50] SEC
[3:06:51] for
[3:06:52] 2027
[3:06:53] ang
[3:06:54] priority
[3:06:54] ay
[3:06:54] kumpletuhin
[3:06:56] saka
[3:06:56] finalize
[3:06:57] lahat
[3:06:57] ng mga
[3:06:58] HVEP
[3:06:58] projects
[3:06:59] na
[3:06:59] currently
[3:06:59] nasa
[3:07:00] pipeline
[3:07:00] so
[3:07:01] ibig
[3:07:01] bang
[3:07:01] sabihin
[3:07:02] nun
[3:07:02] ay
[3:07:02] walang
[3:07:03] bagong
[3:07:04] HVEP
[3:07:04] proposals
[3:07:05] ang
[3:07:06] i-entertain
[3:07:07] sa
[3:07:08] DOH
[3:07:08] budget
[3:07:09] presentation
[3:07:09] for
[3:07:10] 2027
[3:07:11] Madam Chair
[3:07:15] ang ginawa
[3:07:15] namin
[3:07:16] yung
[3:07:16] new
[3:07:17] nilagay
[3:07:18] namin
[3:07:18] sa
[3:07:18] tier 2
[3:07:19] ng
[3:07:19] DBM
[3:07:20] so
[3:07:20] nandun
[3:07:21] pa rin
[3:07:21] siya
[3:07:22] so
[3:07:22] especially
[3:07:22] kung
[3:07:23] ready
[3:07:24] na siya
[3:07:24] yung
[3:07:24] may land
[3:07:25] yung
[3:07:25] ideal
[3:07:26] na
[3:07:27] check
[3:07:27] na
[3:07:27] inspect
[3:07:28] kung
[3:07:29] the
[3:07:29] planning
[3:07:29] is
[3:07:30] there
[3:07:30] and
[3:07:31] kung
[3:07:32] lalagyan
[3:07:32] yun
[3:07:32] ng
[3:07:32] pondo
[3:07:33] aakit
[3:07:33] siya
[3:07:33] sa
[3:07:34] final
[3:07:35] budget
[3:07:36] sa
[3:07:36] GAA
[3:07:36] so
[3:07:37] it's
[3:07:38] there
[3:07:38] it's
[3:07:38] just
[3:07:39] for the
[3:07:39] choosing
[3:07:39] of
[3:07:39] our
[3:07:40] legislators
[3:07:40] who
[3:07:41] will
[3:07:41] choose
[3:07:42] to
[3:07:42] fund
[3:07:42] new
[3:07:42] if
[3:07:43] you
[3:07:43] can
[3:07:43] you
[3:07:44] can
[3:07:45] do
[3:07:46] but
[3:07:46] we
[3:07:47] want
[3:07:47] to
[3:07:48] finish
[3:07:48] the
[3:07:49] unfinished
[3:07:49] and
[3:07:49] the
[3:07:50] existing
[3:07:50] and
[3:07:50] the
[3:07:50] mga
[3:07:51] natingga
[3:07:51] well
[3:07:52] well
[3:07:52] well
[3:07:52] well
[3:07:52] salamat
[3:07:53] sa
[3:07:53] gabay
[3:07:53] na
[3:07:53] yun
[3:07:54] sec
[3:07:54] we
[3:07:56] share
[3:07:57] your
[3:07:57] prioritization
[3:07:58] na
[3:07:59] yung
[3:07:59] nasa
[3:08:00] pipeline
[3:08:00] na
[3:08:00] ilabas
[3:08:01] nasa
[3:08:02] pipeline
[3:08:02] para
[3:08:02] magamit
[3:08:03] na
[3:08:03] ng
[3:08:03] ating
[3:08:03] mga
[3:08:03] kababayan
[3:08:04] and
[3:08:04] of course
[3:08:05] kung
[3:08:06] mas may
[3:08:06] fiscal
[3:08:06] space
[3:08:07] pa
[3:08:07] laging
[3:08:08] minded
[3:08:08] naman
[3:08:09] hindi
[3:08:10] lang yung
[3:08:10] committee
[3:08:10] namin
[3:08:10] yung
[3:08:11] buong
[3:08:11] senado
[3:08:11] to
[3:08:12] fund
[3:08:13] even
[3:08:13] beyond
[3:08:13] that
[3:08:14] sabi
[3:08:15] nyo
[3:08:15] lampas
[3:08:15] na
[3:08:15] po
[3:08:15] tayo
[3:08:16] sa
[3:08:16] WHO
[3:08:17] recommended
[3:08:18] percentage
[3:08:19] ng
[3:08:19] GDP
[3:08:20] spending
[3:08:21] for
[3:08:21] health
[3:08:21] we still
[3:08:24] have
[3:08:25] a few
[3:08:25] minutes
[3:08:25] naman
[3:08:26] kanina
[3:08:27] tinanong
[3:08:28] po
[3:08:28] namin
[3:08:28] at
[3:08:29] sumagot
[3:08:29] yung
[3:08:30] iba't
[3:08:30] ibang
[3:08:30] resource
[3:08:30] persons
[3:08:31] kung
[3:08:31] bakit
[3:08:32] hanggang
[3:08:32] ngayon
[3:08:32] may
[3:08:32] mga
[3:08:33] pasilidad
[3:08:33] na
[3:08:33] sarado
[3:08:34] abandonado
[3:08:35] o
[3:08:35] hindi
[3:08:36] nagagamit
[3:08:36] kahit
[3:08:36] bayad
[3:08:37] na
[3:08:37] ng
[3:08:38] taong
[3:08:38] bayan
[3:08:39] sino
[3:08:40] po
[3:08:40] yung
[3:08:41] mananagot
[3:08:41] sino
[3:08:42] po
[3:08:42] yung
[3:08:42] mananagot
[3:08:43] sa
[3:08:44] nasayang
[3:08:44] na
[3:08:44] pondo
[3:08:45] at
[3:08:45] yung
[3:08:45] servisyong
[3:08:46] hindi
[3:08:47] na
[3:08:47] bibigay
[3:08:47] sa
[3:08:47] mga
[3:08:48] Pilipino
[3:08:48] would
[3:08:50] maybe
[3:08:50] COA
[3:08:51] and
[3:08:51] BBM
[3:08:51] have
[3:08:52] thoughts
[3:08:53] on
[3:08:53] that
[3:08:53] State
[3:08:54] Auditor
[3:08:55] Manalo
[3:08:55] Madam
[3:08:58] Chair
[3:08:58] siguro
[3:08:59] i-consult
[3:08:59] ko
[3:08:59] muna
[3:08:59] sa
[3:09:00] legal
[3:09:00] namin
[3:09:00] in
[3:09:01] terms
[3:09:01] of
[3:09:01] that
[3:09:02] question
[3:09:02] BBM
[3:09:05] Ask
[3:09:07] Andrea
[3:09:07] Meron
[3:09:09] po
[3:09:09] tayong
[3:09:09] general
[3:09:09] provision
[3:09:10] number
[3:09:10] 18
[3:09:11] which
[3:09:11] states
[3:09:11] that
[3:09:12] the
[3:09:12] accountability
[3:09:12] for
[3:09:13] government
[3:09:13] funds
[3:09:14] the
[3:09:14] use
[3:09:14] of
[3:09:14] government
[3:09:15] funds
[3:09:15] shall
[3:09:16] rest
[3:09:17] with
[3:09:17] the
[3:09:17] head
[3:09:17] of
[3:09:18] agency
[3:09:18] so
[3:09:19] yun
[3:09:20] lang
[3:09:20] po
[3:09:20] yung
[3:09:21] aking
[3:09:21] sagot
[3:09:21] based
[3:09:22] on
[3:09:22] the
[3:09:22] general
[3:09:22] provision
[3:09:23] Salamat
[3:09:25] Asik
[3:09:26] Ibig
[3:09:26] sabihin
[3:09:26] Seker
[3:09:27] Bosa
[3:09:28] since
[3:09:28] kayo
[3:09:28] rin
[3:09:28] naman
[3:09:28] nag
[3:09:29] flag
[3:09:29] sa
[3:09:30] attention
[3:09:30] namin
[3:09:31] even
[3:09:31] during
[3:09:32] the
[3:09:32] Blue
[3:09:32] Ribbon
[3:09:32] investigation
[3:09:33] the
[3:09:33] earlier
[3:09:34] hearings
[3:09:34] on
[3:09:34] the
[3:09:35] flood
[3:09:35] control
[3:09:35] scam
[3:09:36] actually
[3:09:36] actually
[3:09:36] actually
[3:09:36] in
[3:09:36] in
[3:09:36] fair
[3:09:37] in
[3:09:37] DOH
[3:09:37] kayo
[3:09:38] po
[3:09:38] yung
[3:09:38] nag
[3:09:38] bring
[3:09:39] sa
[3:09:39] attention
[3:09:39] namin
[3:09:40] na
[3:09:40] may
[3:09:40] mga
[3:09:40] super
[3:09:41] barangay
[3:09:41] health
[3:09:42] centers
[3:09:42] na
[3:09:42] fully
[3:09:43] appropriated
[3:09:44] for
[3:09:44] by
[3:09:44] Congress
[3:09:45] pero
[3:09:45] hindi
[3:09:46] pa
[3:09:46] rin
[3:09:46] operational
[3:09:47] and
[3:09:47] well
[3:09:48] as
[3:09:48] DBM
[3:09:48] has
[3:09:48] just
[3:09:49] reminded
[3:09:49] us
[3:09:49] head
[3:09:51] of
[3:09:51] agency
[3:09:51] po
[3:09:51] ang
[3:09:53] mananagot
[3:09:54] so
[3:09:54] I'm
[3:09:54] sure
[3:09:55] that
[3:09:55] you
[3:09:56] share
[3:09:56] the
[3:09:56] committee
[3:09:57] sense
[3:09:58] of
[3:09:58] urgency
[3:09:59] po
[3:09:59] na
[3:09:59] may
[3:10:00] account
[3:10:00] for
[3:10:00] lahat
[3:10:01] nung
[3:10:01] piso
[3:10:02] at
[3:10:06] in
[3:10:07] terms
[3:10:07] of
[3:10:07] the
[3:10:07] actually
[3:10:08] operating
[3:10:08] health
[3:10:09] facilities
[3:10:10] and
[3:10:10] programs
[3:10:11] and
[3:10:12] then
[3:10:12] well
[3:10:13] medyo
[3:10:13] natalakay
[3:10:14] na rin
[3:10:14] natin
[3:10:14] ito
[3:10:15] kanina
[3:10:15] but
[3:10:15] the
[3:10:16] secretary
[3:10:16] may
[3:10:16] wish
[3:10:17] to
[3:10:17] add
[3:10:17] some
[3:10:17] thoughts
[3:10:17] on
[3:10:18] this
[3:10:18] paano
[3:10:18] masisiguro
[3:10:19] ng
[3:10:19] DOH
[3:10:20] ulit
[3:10:20] na
[3:10:21] yung
[3:10:21] mga
[3:10:21] HVEP
[3:10:22] projects
[3:10:22] ay
[3:10:23] napupunta
[3:10:23] sa
[3:10:23] mga
[3:10:24] komunidad
[3:10:24] na
[3:10:24] pinaka
[3:10:25] nangangailangan
[3:10:26] so
[3:10:27] per
[3:10:27] HVEP
[3:10:27] prioritization
[3:10:28] at
[3:10:29] hindi
[3:10:29] na
[3:10:30] apektuhan
[3:10:30] ito
[3:10:31] mas
[3:10:31] napag-usapan
[3:10:32] na
[3:10:32] at
[3:10:32] hindi
[3:10:32] na
[3:10:33] apektuhan
[3:10:33] ng
[3:10:33] political
[3:10:34] intervention
[3:10:35] palakasan
[3:10:35] or
[3:10:36] pag-bypass
[3:10:37] ng
[3:10:37] tamang
[3:10:38] technical
[3:10:38] vetting
[3:10:39] so
[3:10:41] very
[3:10:42] important
[3:10:43] yung
[3:10:43] technical
[3:10:44] review
[3:10:44] in fact
[3:10:45] we're
[3:10:45] trying
[3:10:45] to
[3:10:45] use
[3:10:46] new
[3:10:47] methods
[3:10:47] GIS
[3:10:48] mapping
[3:10:49] artificial
[3:10:50] intelligence
[3:10:51] yung
[3:10:51] IT
[3:10:52] na
[3:10:53] magamit
[3:10:54] talaga
[3:10:54] natin
[3:10:55] para
[3:10:55] ma-identify
[3:10:56] talaga
[3:10:57] yung
[3:10:57] mga
[3:10:57] kailangan
[3:10:58] tapusin
[3:10:59] agad
[3:10:59] and
[3:10:59] where
[3:11:00] there
[3:11:00] are
[3:11:00] people
[3:11:01] and
[3:11:01] nawala
[3:11:02] pa
[3:11:02] silang
[3:11:02] facility
[3:11:03] so
[3:11:03] we're
[3:11:03] trying
[3:11:04] to
[3:11:04] use
[3:11:04] technology
[3:11:05] as
[3:11:05] driver
[3:11:06] para
[3:11:07] mapabilis
[3:11:11] kasi
[3:11:11] nga
[3:11:11] I will
[3:11:12] admit
[3:11:12] mabagal
[3:11:13] yung
[3:11:13] current
[3:11:14] system
[3:11:14] the
[3:11:15] current
[3:11:15] way
[3:11:15] we
[3:11:15] do
[3:11:15] it
[3:11:16] yung
[3:11:16] mabigyan
[3:11:16] nyo
[3:11:16] kami
[3:11:17] ng
[3:11:17] pondo
[3:11:17] papasasa
[3:11:18] DPWH
[3:11:19] ipapabidding
[3:11:20] before
[3:11:21] matapos
[3:11:22] health
[3:11:22] center
[3:11:23] natatapos
[3:11:23] tatlong
[3:11:24] taon
[3:11:24] liman
[3:11:24] taon
[3:11:25] it's
[3:11:25] too
[3:11:26] long
[3:11:26] so
[3:11:26] we're
[3:11:27] going
[3:11:28] for
[3:11:28] efforts
[3:11:28] to
[3:11:29] improve
[3:11:30] our
[3:11:30] asset
[3:11:31] management
[3:11:32] supply
[3:11:33] chain
[3:11:33] pati
[3:11:33] yung
[3:11:34] pag
[3:11:34] deliver
[3:11:34] gamot
[3:11:35] na
[3:11:36] binibili
[3:11:36] natin
[3:11:36] na
[3:11:37] binibigay
[3:11:37] so
[3:11:38] all of
[3:11:38] this
[3:11:39] we're
[3:11:39] trying
[3:11:39] to
[3:11:39] correct
[3:11:39] sabi
[3:11:40] nga
[3:11:40] kanina
[3:11:40] malaki
[3:11:42] na yung
[3:11:42] budget
[3:11:42] na
[3:11:43] binibigay
[3:11:43] sa
[3:11:43] amin
[3:11:44] our
[3:11:44] job
[3:11:45] is to
[3:11:45] make
[3:11:45] efficient
[3:11:46] use
[3:11:46] of
[3:11:47] the
[3:11:47] budget
[3:11:47] that
[3:11:48] is
[3:11:48] allocated
[3:11:48] by
[3:11:49] senate
[3:11:49] and
[3:11:50] congress
[3:11:50] to
[3:11:50] us
[3:11:51] so
[3:11:51] dito
[3:11:51] ang
[3:11:52] focus
[3:11:52] ng
[3:11:52] administration
[3:11:53] ng
[3:11:53] DOH
[3:11:54] ngayon
[3:11:54] how
[3:11:55] to
[3:11:55] efficiently
[3:11:55] use
[3:11:56] the
[3:11:56] 448
[3:11:58] billion
[3:11:58] that's
[3:11:59] given
[3:11:59] to
[3:11:59] us
[3:11:59] that's
[3:12:00] the
[3:12:00] annual
[3:12:00] budget
[3:12:01] now
[3:12:01] of
[3:12:01] DOH
[3:12:02] and
[3:12:02] Phil
[3:12:02] health
[3:12:03] kailangan
[3:12:04] sabi
[3:12:04] namin
[3:12:04] hindi
[3:12:05] naman
[3:12:05] pala
[3:12:05] talaga
[3:12:06] throwing
[3:12:06] money
[3:12:07] at
[3:12:07] the
[3:12:07] problem
[3:12:07] it's
[3:12:08] really
[3:12:08] efficient
[3:12:09] use
[3:12:09] of
[3:12:10] the
[3:12:10] money
[3:12:10] so
[3:12:11] ito
[3:12:11] yung
[3:12:12] tutok
[3:12:12] namin
[3:12:13] ngayon
[3:12:13] and
[3:12:13] thinking
[3:12:14] ko
[3:12:14] IT
[3:12:15] will
[3:12:15] help
[3:12:16] us
[3:12:16] nakita
[3:12:17] ko
[3:12:17] yung
[3:12:18] sa
[3:12:18] DICT
[3:12:18] nagreview
[3:12:20] sila
[3:12:20] ng
[3:12:20] contracts
[3:12:21] through
[3:12:22] AI
[3:12:22] pagka
[3:12:23] lawyer
[3:12:23] yung
[3:12:23] ginamit
[3:12:24] mo
[3:12:24] tagal
[3:12:24] buwan
[3:12:25] so
[3:12:26] papa
[3:12:26] AI
[3:12:27] na
[3:12:27] lang
[3:12:27] natin
[3:12:27] tapos
[3:12:27] papa
[3:12:28] check
[3:12:28] natin
[3:12:28] sa
[3:12:28] lawyer
[3:12:29] kung
[3:12:29] tama
[3:12:29] yung
[3:12:30] ginawa
[3:12:30] ng
[3:12:30] AI
[3:12:31] sa
[3:12:32] pag
[3:12:32] review
[3:12:32] ng
[3:12:32] mga
[3:12:32] contract
[3:12:33] so
[3:12:33] these
[3:12:33] are
[3:12:33] the
[3:12:33] things
[3:12:33] we're
[3:12:34] doing
[3:12:34] and
[3:12:35] we're
[3:12:35] hoping
[3:12:35] to
[3:12:35] do
[3:12:35] more
[3:12:36] ang
[3:12:36] isa
[3:12:37] pang
[3:12:37] magdadrive
[3:12:38] I think
[3:12:39] is
[3:12:39] doing it
[3:12:40] through
[3:12:40] PPP
[3:12:41] or
[3:12:41] public
[3:12:41] private
[3:12:42] partnership
[3:12:42] kasi
[3:12:43] when we
[3:12:43] do
[3:12:44] that
[3:12:44] I
[3:12:44] think
[3:12:45] we've
[3:12:45] done
[3:12:45] it
[3:12:45] for
[3:12:45] classrooms
[3:12:46] so
[3:12:47] baka
[3:12:47] pwedeng
[3:12:47] gawin
[3:12:48] din yan
[3:12:48] for
[3:12:48] simple
[3:12:49] health
[3:12:49] centers
[3:12:50] ngayon
[3:12:51] may
[3:12:51] mga
[3:12:51] lumalapit
[3:12:52] na
[3:12:52] sa
[3:12:52] ppp
[3:12:53] because
[3:12:54] of
[3:12:54] the
[3:12:54] yakap
[3:12:55] program
[3:12:55] and
[3:12:56] the
[3:12:57] gamot
[3:12:57] parang
[3:12:57] interesado
[3:12:58] na
[3:12:58] sila
[3:12:58] in fact
[3:12:59] some
[3:12:59] of
[3:12:59] the
[3:12:59] PPP
[3:13:00] offers
[3:13:00] are
[3:13:00] sila
[3:13:01] na
[3:13:01] magmamanage
[3:13:02] kung
[3:13:02] walang
[3:13:02] doktor
[3:13:03] yan
[3:13:03] sabi ko
[3:13:04] usapin
[3:13:04] nyo
[3:13:04] yung
[3:13:04] mga
[3:13:05] LGU
[3:13:05] baka
[3:13:06] kung
[3:13:06] willing
[3:13:06] kayo
[3:13:07] they
[3:13:07] will
[3:13:07] operate
[3:13:08] the
[3:13:08] health
[3:13:08] center
[3:13:09] and
[3:13:09] through
[3:13:09] the
[3:13:10] PhilHealth
[3:13:11] mapapatakbo
[3:13:12] na nila
[3:13:12] yun
[3:13:12] so
[3:13:12] these
[3:13:12] are
[3:13:13] some
[3:13:13] of
[3:13:13] the
[3:13:13] two
[3:13:14] possibilities
[3:13:14] public
[3:13:15] private
[3:13:15] partnership
[3:13:16] at
[3:13:16] using
[3:13:17] IT
[3:13:17] and
[3:13:18] technology
[3:13:18] Thank
[3:13:19] you
[3:13:19] ma'am
[3:13:20] Thank
[3:13:21] you
[3:13:21] sec
[3:13:21] so
[3:13:22] unless
[3:13:22] may
[3:13:23] inputs
[3:13:24] yung
[3:13:24] iba
[3:13:24] pang
[3:13:24] resource
[3:13:25] persons
[3:13:25] or
[3:13:26] final
[3:13:27] point
[3:13:27] from
[3:13:28] Senator
[3:13:29] Bong
[3:13:29] Okay
[3:13:31] na po
[3:13:31] Salamat
[3:13:32] Madam Chair
[3:13:33] Dila naman
[3:13:33] po
[3:13:33] paalala
[3:13:34] ko
[3:13:34] sa
[3:13:34] kanila
[3:13:34] Unahe
[3:13:35] ng
[3:13:36] kapakanan
[3:13:36] ng
[3:13:36] mga
[3:13:36] mahirap
[3:13:37] nating
[3:13:37] kababayan
[3:13:38] and
[3:13:38] complement
[3:13:39] with
[3:13:39] each
[3:13:40] other
[3:13:40] ang
[3:13:40] DOH
[3:13:41] and
[3:13:41] LGU
[3:13:42] and
[3:13:43] of
[3:13:43] course
[3:13:43] yung
[3:13:43] mga
[3:13:43] batas
[3:13:44] na
[3:13:44] naipasa
[3:13:44] natin
[3:13:44] specialty
[3:13:45] center
[3:13:46] make
[3:13:48] it
[3:13:48] fully
[3:13:50] operational
[3:13:51] Salamat
[3:13:51] po
[3:13:52] and
[3:13:53] including
[3:13:53] the
[3:13:54] health
[3:13:55] centers
[3:13:56] health
[3:13:57] station
[3:13:57] maaring
[3:13:59] malaking
[3:13:59] pasilidad
[3:14:00] maliliit
[3:14:01] na
[3:14:02] pasilidad
[3:14:02] gamit
[3:14:03] na gamit
[3:14:03] po
[3:14:04] ito
[3:14:04] lalong
[3:14:05] lalo
[3:14:05] na po
[3:14:05] sa mga
[3:14:06] far
[3:14:06] flung
[3:14:07] areas
[3:14:07] na wala
[3:14:08] pong
[3:14:09] access
[3:14:09] yung
[3:14:10] mga
[3:14:10] kababayan
[3:14:10] natin
[3:14:11] walang
[3:14:11] pamasahe
[3:14:12] pumunta
[3:14:12] sa mga
[3:14:13] hospitals
[3:14:13] yun
[3:14:14] lang
[3:14:14] pong
[3:14:14] isa
[3:14:15] isip
[3:14:15] natin
[3:14:15] na
[3:14:16] huwag
[3:14:17] silang
[3:14:17] matakot
[3:14:18] magpa
[3:14:19] check
[3:14:19] up
[3:14:19] dahil
[3:14:20] meron
[3:14:20] silang
[3:14:20] gobyernong
[3:14:21] masasandalan
[3:14:22] Salamat
[3:14:23] po
[3:14:23] Madam
[3:14:24] Chair
[3:14:24] Salamat
[3:14:25] sa
[3:14:25] pagdinig
[3:14:25] ngayong
[3:14:31] araw
[3:14:32] isang
[3:14:33] bagay
[3:14:33] ang
[3:14:33] malinaw
[3:14:34] hindi
[3:14:35] sapat
[3:14:35] na may
[3:14:35] naipatayong
[3:14:36] gusali
[3:14:37] kung wala
[3:14:38] namang
[3:14:38] servisyong
[3:14:39] na ibibigay
[3:14:39] sa tao
[3:14:40] kapag
[3:14:41] may health
[3:14:41] facility
[3:14:42] na sarado
[3:14:42] equipment
[3:14:43] na nakatambak
[3:14:45] o
[3:14:45] proyektong
[3:14:46] abandonado
[3:14:47] hindi
[3:14:48] lang pera
[3:14:48] ng bayan
[3:14:49] ang
[3:14:49] nasasayang
[3:14:50] may
[3:14:51] pasyenteng
[3:14:52] hindi
[3:14:52] nagagamot
[3:14:53] may
[3:14:53] komunidad
[3:14:54] na
[3:14:54] naiiwan
[3:14:55] at
[3:14:56] maaaring
[3:14:56] may
[3:14:56] buhay
[3:14:57] na
[3:14:57] nawawala
[3:14:58] at
[3:14:59] kung
[3:14:59] may
[3:14:59] mga
[3:14:59] proyektong
[3:15:00] na
[3:15:00] apektuhan
[3:15:01] ng
[3:15:01] kapabayaan
[3:15:02] mahinang
[3:15:03] pagpapatupad
[3:15:04] o
[3:15:05] posibleng
[3:15:06] political
[3:15:06] intervention
[3:15:07] na hindi
[3:15:08] natin
[3:15:08] ito
[3:15:09] maaaring
[3:15:09] ipawalang
[3:15:10] bahala
[3:15:10] dahil
[3:15:11] ang pinag-uusapan
[3:15:12] natin
[3:15:12] dito
[3:15:13] gaya
[3:15:13] ng
[3:15:13] sinabi
[3:15:14] ng
[3:15:14] marami-rami
[3:15:15] sa ating
[3:15:15] resource
[3:15:16] persons
[3:15:16] ay
[3:15:17] hindi
[3:15:17] lang
[3:15:18] usapin
[3:15:18] ng
[3:15:18] infrastruktura
[3:15:19] karapatan
[3:15:20] nito
[3:15:21] ng
[3:15:21] bawat
[3:15:21] Pilipino
[3:15:22] sa
[3:15:22] maayos
[3:15:23] at
[3:15:23] accessible
[3:15:24] na
[3:15:24] servisyong
[3:15:25] pangkalusugan
[3:15:26] kaya
[3:15:26] malinaw
[3:15:27] ang
[3:15:27] mensahe
[3:15:27] ng
[3:15:28] committee
[3:15:28] tungkol
[3:15:28] dito
[3:15:29] hindi
[3:15:30] pwedeng
[3:15:30] completed
[3:15:31] lang
[3:15:31] sa
[3:15:32] papel
[3:15:32] hindi
[3:15:33] pwedeng
[3:15:34] ribbon
[3:15:34] cutting
[3:15:34] lang
[3:15:35] ang
[3:15:35] sukatan
[3:15:36] ng
[3:15:36] tagumpay
[3:15:37] at
[3:15:38] hindi
[3:15:38] pwedeng
[3:15:38] milyong
[3:15:39] bilyong
[3:15:39] piso
[3:15:40] ang
[3:15:40] ginagastos
[3:15:41] habang
[3:15:41] may
[3:15:41] mga
[3:15:42] Pilipinong
[3:15:42] hindi
[3:15:43] pa rin
[3:15:43] makapagpagamot
[3:15:44] maniningil
[3:15:46] tayo
[3:15:46] ng
[3:15:46] pananagutan
[3:15:47] at
[3:15:48] maninindigan
[3:15:48] tayo
[3:15:49] upang
[3:15:49] matiyak
[3:15:50] na
[3:15:50] ang
[3:15:51] bawat
[3:15:51] pondong
[3:15:51] inilaan
[3:15:52] sa
[3:15:52] HVEP
[3:15:53] ay
[3:15:53] napupunta
[3:15:54] hindi
[3:15:55] sa
[3:15:55] palabas
[3:15:56] o
[3:15:56] palakasan
[3:15:57] kundi
[3:15:57] sa
[3:15:57] tunay
[3:15:58] na
[3:15:58] servisyong
[3:15:59] pangkalusugan
[3:16:00] para sa
[3:16:00] mamamayan
[3:16:01] dahil
[3:16:02] sa huli
[3:16:02] ang
[3:16:03] tunay
[3:16:03] na
[3:16:04] sukatan
[3:16:05] ng
[3:16:05] universal
[3:16:05] healthcare
[3:16:06] ay
[3:16:07] hindi
[3:16:07] dami
[3:16:08] ng
[3:16:08] gusaling
[3:16:09] na
[3:16:09] ipatayo
[3:16:09] kundi
[3:16:10] kung
[3:16:11] may
[3:16:11] Pilipinong
[3:16:12] nagamot
[3:16:13] na
[3:16:13] iligtas
[3:16:14] at
[3:16:14] napagservisyohan
[3:16:17] na
[3:16:17] alagaan
[3:16:18] so
[3:16:19] nang may
[3:16:20] ubos
[3:16:22] na
[3:16:22] pagpapasalamat
[3:16:23] sa bawat
[3:16:23] resource
[3:16:23] person
[3:16:24] this
[3:16:25] hearing
[3:16:25] is
[3:16:26] hereby
[3:16:26] suspended