Built the way, WHO envisioned primary health care.

Dapat, aligned yung health system mo sa

ganito. So, built on principles of equity, universal access, community participation. Dapat may
consideration sa broader health population issues. Kailangan may conditions for effective provisions of
services to the poor; so, may bias to the poor and excluded groups. Tapos, konektado dapat yung
preventive, accute, and chronic care. And then, laging nagpoprogress, laging nag-eevaluate, hindi
puwedeng nagiistagnate. In democracies, health systems should look like this because this is the most
inclusive. But this alignment, kung aligned man yung health systems mo sa ganitong values, that
alignment would be determine by or shaped by politics. Whether PHC values, primary health care
values, are followed or not, will depend on state actors on the one hand, and civil society on the other,
tulad nung pinakita ng Thai case, na kahit na nirereform ulit back to the old system yung electoral
system, may rejection at the community level; so, hindi naging effective, hindi nila nabalik. Pasok din
dito yung electoral currency reading natin from last week na effective yung pangangampanya ni Joy
Belmonte para sa sarili niya kasi nakikita na ng mga tao yung benefits nung health program. Pero, hindi
natatranslate sa campaign niya for national kasi very divorced yung kandidato sa national dun sa local
health outcomes, or local health experiences. So, what this tells us or what it should tell us is that in
achieving equal or egalitarian health outcomes, hindi lang dapat tayo sa indibidwal nakatingin.
Kailangan, ang tinitignan natin ay health systems as a whole. Hindi natin tinitignan yung institutions in
isolation, dapat ang tinitignan natin ay yung institutions as they are embedded in broader sociopolitical
contexts. So, kung failure man si DOH ngayon, hindi lang si DOH yung failure. Kung failure man si Duque
ngayon, hindi lang si Duque ng DOH yung failure, marami pang ibang tao sa DOH yung may failure din.