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Health
04 January 2025

Vietnam Healthcare Reforms Aim For Expanded Insurance Coverage

Minister Dao Hong Lan outlines efforts to reduce financial burden on cancer patients through insurance changes.

Vietnam's healthcare sector is undergoing significant reforms aimed at enhancing insurance coverage for cancer screening, as highlighted by Minister of Health Dao Hong Lan. This initiative is intended to alleviate the financial burdens faced by citizens, especially as the country grapples with rising cancer rates.

According to reports, the minister addressed citizen concerns during discussions with the National Assembly, emphasizing the importance of integrating cancer screening services under the health insurance scheme. "The proposal for health insurance to cover screening for common cancers is aimed at reducing the financial burden on citizens," she explained.

Currently, the statistics are troubling; Vietnam sees around 182,000 new cancer cases annually, with over 122,000 fatalities. For many patients, the costs incurred from late-stage cancer detection are astronomical. Minister Dao stressed the necessity for early diagnosis, stating, "This is particularly significant for cancers like cervical and breast cancer, where early detection can save up to 50 million VND annually for patients." By having comprehensive insurance coverage for screenings, the government hopes to drive down these costs significantly.

Beginning January 1, 2025, new regulations will also simplify the process for transferring patients to specialized care. The health transfer documents will now hold validity for one year from the date of issuance, rather than expiring at the end of the calendar year. Tran Thi Trang, Branch Chief of Health Insurance, remarked, "This regulation aims to improve patient access to timely specialist care, alleviating the previous requirement to renew transfer documents each year, which often led to congestion as individuals rushed to apply at the year's outset."

The expanded policies are not merely limited to insurance; they encompass broader reforms within healthcare access. The Ministry of Health has pledged to update and review the list of diseases eligible for insurance coverage, ensuring it reflects realities faced by Vietnamese citizens. Among the proposed changes are new provisions to include screenings for diseases such as diabetes, hepatitis B and C, and high blood pressure, which are highly prevalent and demand early interventions.

Doctors and health care institutions are encouraged to implement community cancer screening programs. While some programs already offer low-cost or even free screenings for at-risk groups, the minister expressed the need for systematic enhancements.

The implementation of these long-awaited reforms aims to mitigate the excruciatory costs incurred from advanced cancer treatment. The government intends to balance the healthcare budget effectively, thereby promoting preventative health services without jeopardizing treatment quality for existing patients.

Particularly telling is the health ministry's estimate which suggests implementing insurance coverage for cervical cancer screening could cost between 2,600 to 3,000 billion VND annually, with breast cancer screenings falling between 2,500 to 5,300 billion VND. Such investment, officials argue, could vastly improve outcomes and reduce pressure on health resources by catching these diseases early.

The financial potential of early detection cannot be overlooked. If detected at stages I or II, patients would experience significant reductions in annual treatment costs. For example, the average annual treatment expense for cervical cancer escalates dramatically from 89.8 million VND for Stage I to around 136.9 million VND by Stage IV. Early intervention not only improves survival rates but also minimizes the economic toll on families.

These measures represent more than just bureaucratic changes; they are part of Vietnam's broader ambition to revolutionize its healthcare framework. It highlights the government's recognition of preventative care as a cornerstone of public health strategy, which will keep pace with treatment models focused solely on recovery.

Minister Dao expressed optimism for the reforms, advocating for their backing during the forthcoming legislative session; stating, "The new regulations guarantee patients' rights to quality materials and medications," thereby positioning Vietnam at the forefront of modern healthcare advancements. The hope is vibrant – to see not just changes on paper but meaningful improvements to the health outcomes of millions of Vietnamese citizens.