MPs object to shift in medical exemptions mechanism

Royal Medical Services
King Hussein medical center
King Hussein medical center. (Photo: Twitter)
AMMAN — After the government announced last week that the management of medical exemptions would be transferred completely to the Royal Court, Parliament witnessed widespread objections as MPs protested the change. اضافة اعلان

Some deputies called the shift “unconstitutional”, while others voiced fears that the change would place too great a burden on the Royal Court.

What is Jordan’s medical exemption system?Medical exemptions aim to serve Jordanians who are unable to foot high bills for necessary medical treatment, as a way of ensuring that those in need receive care.

Exemptions are granted to citizens between the ages of six and 60 who are not covered by insurance and the Royal Medical Services. Those under six years of age and over 60 are automatically covered by health insurance.

Typically, cancer patients of all ages are also eligible for medical exemptions.

How are medical exemptions changing?Medical exemptions used to be dispensed by the Prime Ministry as well as the Royal Court, so Jordanians seeking a medical exemption could obtain a letter from either the Prime Ministry or the Royal Court.

Last week, Prime Minister Bisher Al-Khasawneh announced that the government had decided to transfer all management of medical exemptions to the Royal Court.

Parliament has maintained that each deputy must be provided with 10 medical exemptions per month to dole out to constituents, and that exemptions for cancer and heart patients remain unlimited, Lower House Speaker Ahmed Al-Safadi said during a Lower House session on Sunday.
Parliament has maintained that each deputy must be provided with 10 medical exemptions per month to dole out to constituents
He also said Parliament has stipulated that previous beneficiaries of the medical exemption system receive renewed exemptions.

Why the uproar in Parliament about the change?Deputies protested the government’s decision, with some saying that the Prime Ministry is unduly shifting its responsibilities to the Royal Court.

Several parliamentary blocs, including the Democratic Current, National Coalition, Future, and Justice blocs, issued a statement on Monday stating that they hold the government responsible for any violations in granting medical exemptions to citizens, as the government is the entity responsible for granting them.

In the statement, the MPs also expressed concerns that the decision will increase the burden on citizens, particularly in light of lack and shortage of sufficient health and medical services in all governorates.
“There is nothing in the Constitution in any of its articles that authorizes the Royal Court to work on behalf of the government.”
Linking medical exemptions to the public service unit affiliated with the Royal Court, the statement said, could place an additional burden on roles and tasks assumed by the court to serve Jordanians.

What do the MPs say?Member of Parliament Saleh Al-Armouti called the decision to “unconstitutional”, referring to a clause from Jordan’s Constitution that states that the management of state utilities falls within the duties of the government.

“There is nothing in the Constitution in any of its articles that authorizes the Royal Court to work on behalf of the government,” he said, suggesting that the government should rescind the decision.

Armouti also suggested that the Kingdom consider instating universal insurance coverage. "We hope that there will be comprehensive insurance for all citizens. This issue must be placed on Jordan’s list of priorities."

MP Suleiman Al-Qallab told Jordan News: “Our demands are for the exemptions to serve those who need it, considering that the exemptions are Royal donations for uninsured people.”

Regarding insurance, he concurred with Armouti, stating that universal health insurance should be made a priority, “as most countries follow this system”.

Al-Qallab called for bridging organizational and financial gaps accelerating measures to cover more Jordanians with health insurance.
"We hope that there will be comprehensive insurance for all citizens. This issue must be placed on Jordan’s list of priorities."
Former Minister of Health Mamdouh Al-Abbadi, on the other hand, said the idea of comprehensive health insurance “in a poor country like Jordan is impossible”.

Abbadi added that the percentage of spending on health institutions in Jordan is “weak compared to the rest of the world”.

He stressed that the Ministry of Health, as the party responsible for providing medical care, is the most capable of dealing with medical exemptions.

Abbadi also pointed out that, to reach those in need of exemptions for medical treatment, deputies representing all governorates bring the patients’ paperwork to Amman for processing.  


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