The financial manager, specified that for health insurance, total expenses are distributed as follows:
- Remuneration: 50.4%.
- Services: 9.0%.
- Materials and Supplies 14.9%.
- Financial Assets: 11.4%.
- Durable Goods: 7.6%.
- Current transfers: 4.7%.
- Others: 2.0%.
Furthermore, in pension insurance, the total expenses are distributed as follows:
- Remuneration: 0.5%.
- Services: 1.4%.
- Interest and Commissions: 0.4%.
- Financial Assets: 15.7%.
- Current Transfers: 81.4%.
- Special Accounts: 0.6%.
Calderón said that the 2021 budget includes various programs and activities of the CCSS, among which are:
- Resources for the operation of the health centers and administrative units, in accordance with the objectives and strategic plans established by the Institution and the income estimates for the 2021 period.
- Reinforcement of the program of timely care for people, for an amount of ¢ 21 934 million.
- Strengthening of the health insurance contingency fund to reach the sum of ¢ 60,000 million, considering the epidemiological behavior of covid-19 and the possibility of impacting the provision of services in 2021, also as a forecast for the purchase of equipment of personal protection, the possible acquisition of the vaccine to combat the coronavirus (this aspect is expected to be addressed by the Government of the Republic), as well as any other expense related to risks covered by said fund.
- Strengthening of investments in infrastructure and equipment: resources are incorporated for the project equipping the new headquarters of the Monseñor Sanabria Martínez hospital in Puntarenas, which will be financed with resources from the loan from the Central American Bank for Economic Integration and health insurance, construction and equipment for the William Allen Taylor hospital in Turrialba, in addition to the project to build and equip the operating rooms, delivery rooms and the intensive care unit of the Mexico hospital. Also included are other projects for the retrofitting of operating rooms in various health centers and the projects for the construction and equipment of the new Santa Cruz and Naranjo health area headquarters, among others; at the same time, projects are financed to build the headquarters of basic comprehensive health care teams (ebáis) in the different regions of the country.
- Environmental engineering programs, safety, replacement of elevators, replacement of boilers (human, electrical, seismic safety, among others), information and communications technology projects, financed with institutional resources, as well as the Strengthening Program for Oncology Care and the General Law of Tobacco Control.
- The resources corresponding to the Trust between the CCSS and the Bank of Costa Ricas are incorporated, as foreseen in the Institutional Investment Portfolio, in order to improve the infrastructure conditions of the first level of care.
- In terms of equipment, it is worth mentioning the incorporation of resources from the equipment program for operating rooms for the acquisition of operating tables and the first phase of surgery lamps for different executing units. The acquisition of Lithotriptor equipment for Hospital México, a hemodialysis project, among others. In addition, it includes financing for the Medical Equipment Recovery Fund (FREM) for the provision of low and medium complexity equipment to different medical centers.
- For administrative and logistical projects, resources are incorporated for the structural reinforcement and readjustment of the Central Offices, as well as for the remodeling of the CENDEISSS facilities and the construction of the Limón Branch.
- In information systems, the implementation of the Single Digital Health Record (EDUS) stands out in its phase II hospital EDUS and Phase I, first level of care, as well as projects such as to expand and update local networks and equipment at the national level, to operate institutional technological services, professional support services in quality assurance processes and life cycle management of applications in the CCSS, support services for the development and maintenance of administrative financial systems, technological solution for perimeter security, consolidate the institutional processing centers, in addition to the acquisition of computer, printing and projection equipment for different units.
- Resources are included for the Institutional Infrastructure Recovery Plan (FRI), in order to strengthen the institutional infrastructure.
- There are also ¢ 10 billion for the acquisition of the land for the Torre La Esperanza Construction with resources from the National Children’s Trust (PANI).
- Resources from the Social Protection Board (JPS) are incorporated for the construction and equipping projects of the Peritoneal Dialysis and Hemodialysis Unit of the Enrique Baltodano Briceño Hospital, Liberia.
- Finally, from the Rural Development Institute (INDER), for the project to build and equip a module for the care of patients with chronic kidney disease and the Palliative Care Unit headquarters in the Cañas area
- In the Disability, Old Age and Death Regime, the corresponding resources are incorporated for the payment of pensions and financial investments, through the purchase of securities and incomaae points decreased due to the economic slowdown, unemployment.