: : : : Between:the:two funding.sources (NHIP and TCIG), there are currentlyinsufficientfunds:
■ ■ to fund the delivery of health eare as mandated by NHIP bęnęfits regulątions,;TG!G/ięL • ■ : Hospitai cohttact obligations :arvd Ptimary: Health :Care and Public: Health neeids: : :
: : lnadequate funding of Primary Health Ćareto implemeot effective health promotion and : disease preverition and ćontrol prógrammes which shóuld reduce mórbidity and mórtality : and thus aconcomitant reduction :in :expenditure:on secondary and tertiary care services;
■ i in the medium and -long term! : ■
' Pośsible ineffective drugprocurerhent and distribution prógramme that may be tóocostly to the purchaser and the ;end; user. alike. This js an area that requires careful assessment: i ; and reyiew by an independent team with expertise in thiś area.
A ćońtińued requirementfor secondary and: tertiary health ćare śervicesrelative tó our-: : : abijity to affbrd them.These costs can be difficult to plan for coropletely.:
■ ; High cośt for medical tręatmęnt overseascontinues to threaten the ;sustainabi|ity of the • •
programme due to an open door, no limit policy as required by current legislation