- 10 minutes ago
Senators Risa Hontiveros and Pia Cayetano debated proposed amendments to the Anti-Hospital Detention Law during the Senate period of amendments on Wednesday, June 17.
Cayetano raised concerns over the proposed removal of the promissory note requirement, which has traditionally served as a guarantee for the payment of hospital bills incurred by indigent patients. Hontiveros, the bill’s principal author, responded to the proposed changes as deliberations on the measure continued.
Cayetano raised concerns over the proposed removal of the promissory note requirement, which has traditionally served as a guarantee for the payment of hospital bills incurred by indigent patients. Hontiveros, the bill’s principal author, responded to the proposed changes as deliberations on the measure continued.
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00:00Mr. President, for the information of the body and to remind the sponsor,
00:07when we were in the period of interpellation, this representation agreed that we closed the period of interpellation
00:16on the condition that we would be able to propound questions during the period of amendment
00:20to help us formulate the proper amendments and to also enlighten the body on the issues
00:28because, for the record, this bill amends the law that this representation sponsored 15 years ago.
00:36So I also congratulated the sponsor during my first amendment that the first time I made amendments
00:45that it is high time that we review this.
00:48So I'm supportive of this, but I just need to be able to propound these clarificatory questions
00:53because I hope the body will engage with us because I think it requires a whole-of-body approach in
01:01solving this issue
01:02because the next issue I'm going to take up might have a very big impact on the financial constraints of
01:10government.
01:11So with her honor's permission, can I proceed?
01:14Yes, Mr. President.
01:15So we will start now on Section 2, which is...
01:24Just to put everyone on the same page, we provided a copy, a clean copy to the body dated May
01:3119th.
01:32Yes, Mr. President.
01:33So that will be the base bill that we'll be referring to.
01:39Okay, so I would like to bring the body up to speed.
01:44The current law requires that there is a promissory note that is executed by the patient.
01:53And the reason for this, dear colleagues, is because a lot of the private hospitals,
02:00they do not have endless cash flow.
02:04They are also running a business.
02:07Karamihan po niyan, e mga single proprietary owners, na mga doktor mismo.
02:13And they also have to pay for their staff, for their lab technicians,
02:18for the...
02:20They have to cover all the investments they made, the purchases of their equipment, etc.
02:25So the reason that the law requires a promissory note,
02:29kasi hindi naman din kayang saluhin ng mga private hospitals,
02:37yung hospital bill ng mga pasyente, sino magbabayad, di ba?
02:42I mean, common sense po sa lahat ng...
02:45Kahit sari-sari store ka, kahit anong negosyo mo, at some point, somebody has to pay the bills.
02:50So ang law natin as it stands may promissory note.
02:55But the proposed amendment of the sponsor is provided that no promissory note shall be required of indigent patients
03:05who have been endorsed by the Medical Social Services Office of the Hospital, Medical Clinic,
03:12or any similar facility to the Department of Social Welfare and Development,
03:17provided further that those patients who are partially recovered shall sign a waiver undertaking
03:21that they are assuming the risk of the consequences for requesting for discharge despite having not fully recovered.
03:27So ang question po natin sa sponsor natin,
03:30magkano po ang impact nito sa ating private hospitals na wala ng promissory note?
03:38Magkano ba ang normal...
03:40I'll just...
03:41Her owner can answer in any way she would like based on the data that she has.
03:49Ilan ba ang indigent patients natin na pumapasok sa DOH hospitals?
03:55Because for now, pag DOH hospital, sabi ng DOH at ng PhilHealth, wala nang babayaran.
04:01Yun ang zero...
04:03Zero balance.
04:05ZBB.
04:05ZBB.
04:06ZBB.
04:06Zero...
04:06I was gonna say zero sum.
04:07Parang iba namang concept yun.
04:09Zero balance billing.
04:10ZBB.
04:11So yan ang DOH hospitals.
04:13And then...
04:15Na-cover na ba yung LGU hospitals?
04:17Hindi pa?
04:17Hindi pa po.
04:18Parang nagpakailot na.
04:19Okay.
04:20So yung question natin, when this was first brought up,
04:22I think we were deliberating the budget.
04:26Alam ni Senate President yan kasi siya yung chairman ng ating Committee on Finance.
04:31Yung question is, paano naman yung mga LGU hospitals?
04:33Kasi if you are a patient, you do not even distinguish between a DOH hospital and an LGU hospital.
04:38Basta you will go to a hospital that is near you and that can take care of you.
04:42So hirap na hirap yung mga mayor na masabi sa pasyente na, ay hindi ka namin covered kasi hindi kami
04:50DOH, LGU di yung pasyente, ha?
04:53Ha?
04:53They do not understand that distinction because in their mind, this is a public hospital.
04:57Sabi, ZBB.
04:59So later on, nag-clarify ang DOH na DOH hospitals lang.
05:07And then now, my understanding is they are piloting some LG hospitals.
05:13I might have some numbers, I will also be happy to share what I have, but I believe it is
05:18incumbent upon the sponsor who is now proposing na wala ng promissory note kasi sino ang sasagot nito?
05:27Ang concern ko is, we are partners, public and private institutions are partners in delivering health service in this country.
05:38So we do not want to see these private hospitals shut down because wala na hong magbabayad ng kanilang mga
05:45bills.
05:45I don't know if there are arrangements that have been made already prior to the passage of this bill to
05:53ensure that these private hospitals will be paid.
05:56Because even the LGU hospitals, nandun pa lang tayo sa pilot testing.
06:06So I give the floor to her honor to enlighten us because I would love to be able to support
06:13the needs of the indigent patients.
06:15But I also don't want the private hospitals to close.
06:19Thank you, Mr. President. Of course, I also shared that particular concern of the gentle lady from Taguigan, Pateros as
06:28to her first question kung magkano lahat-lahat ang magiging financial implications sa mga ospital kung maipasa natin itong batas
06:37na ito.
06:37Unfortunately, there's no concrete data of the universe of that amount.
06:43But at the very least, pwede natin sabihin na variable yung fees.
06:47The fees range from as low as P50,000 to P1,000,000 per patient depende sa kaso.
06:57Then of course, we would need to multiply that to come up with the range.
07:02Multiply that with yung pangalawang tanong ng gentle lady kung ilan lahat yung mga indigent patients ang hindi nakakasettle ng
07:10bills nila under the current system.
07:12And before I go to ano yung kapalit ng current system proposed in this bill, I would just like to
07:19note, Mr. President, na because of this concern being raised by the gentle lady,
07:24kaya alam ko rin po na Senator Joel will also propose amendments in terms of transparency of billing and charges
07:33dahil sa cost variability na ito.
07:35Alright, then, dako na po ako, Mr. President, sa kung hindi na magpapatuloy yung kasalukuyang promissory note system,
07:43ano naman ang kahit papaanong mga garantya or reassurance sa mga ospital na they will be eventually paid?
07:51The bill proposes at least five which may be used either singly or in combination with each other.
08:01So, the promissory note or yung katumbas ng promissory note shall be secured by any or a combination of the
08:10following.
08:11A mortgage of a real or personal property of the patient, a relative, or a co-maker.
08:17B. A guarantee of a co-maker who shall be jointly and severally liable.
08:23C. A deed of assignment. Dito, importante, Mr. President, gentle lady, yung papel ng mga government financial institutions.
08:32A deed of assignment of the loan proceeds or benefits entitlement from the social security system or the government service
08:41insurance system
08:42in case the patient is an active member thereof.
08:45D. A guarantee letter from the Philippine charity, sweepstakes, office, and in the case nga po of indigent and financially
08:53incapacitated patients,
08:55a guarantee letter from the Department of Social Welfare and Development or the Department of Health.
09:01So, at least in the interim, Mr. President, between when dapat ma-discharge na yung indigent patient kahit may balance
09:10pa siya sa bill
09:11and the time na makokompensate nga yung ospital, ito po yung nakitang mga kapalit na mala promissory note o garansya
09:23para sa kanila, Mr. President.
09:26Mr. President, perhaps the sponsor can enlighten me because with all due respect, yung binasa niyo po is section 2
09:39which states
09:40the promissory note shall be secured by any or a combination of the following.
09:46Yun ang binasa niyo.
09:47So, this is, the promissory note will be secured by these items, yung inisa-isa niyo.
09:51So, what you told me, you will, what you told me is yung, ito yung mga kapalit ng promissory note.
09:57Hindi ho yan ang nakasulat sa bill ninyo, Mr. President.
10:10No, Mr. President, it's a, it will be a different system.
10:13Kung dati the indigent patient and his or her family were on their own to execute a promissory note
10:20kahit wala or kulang-nakulang ang anumang collateral.
10:25Here, there is a promissory note in their name but backed up not by them all,
10:32or by their lonesome.
10:33Pero itong mga social protection and government financial institutions natin.
10:39And without leaving this topic, if the gentle lady wishes to pursue it,
10:43just relating to an earlier question of hers,
10:47in terms of proxy data, yung tinatanong po nila na magkano magiging cost implications,
10:53lalo na sa mga private hospitals,
10:57kung maipasay yung batas na ito.
10:59So, babalikan, sorry, just for clarity lang,
11:01binabalikan nyo yung unang question ko.
11:03Kasi yung question natin ngayon is your response to me.
11:06Yes.
11:06So, which one first?
11:08Oh, sabi ko po, Mr. President,
11:10without leaving this topic,
11:12just para hindi ko malimutan.
11:13So, balikan natin sa numbers.
11:15Yes, I just want to add
11:16yung sagot ko kanina
11:18dun sa isa sa mga naunang tanong ng gentle lady na
11:24to use proxy data,
11:25if private hospitals are claiming
11:287 to 10 billion pesos from PhilHealth,
11:31then at least for purposes of discussion,
11:34we could assume around that amount
11:36yung implication sa kanila
11:38kapag maipasa itong bata.
11:41So, that 7B to 10B
11:43worth of payments due sa kanila
11:48ay ipasasalo natin
11:50sa ganitong bagong sistema.
11:52And then, again, mindful of the...
11:54Can I comment on that one?
11:56Yes, Mr. President.
11:57I'll comment on this now
11:59or inilista ko lang.
12:00It's all right, Mr. President.
12:02So, her honor's theory is
12:04that based on the claim
12:07of private hospitals to PhilHealth,
12:10and her honor said
12:11it is 7 to 10 billion,
12:13yan yung ina-assume
12:15ng ating sponsor
12:16na amount
12:18that is needed
12:19to cover indigent patients?
12:21Yes, Mr. President.
12:22Saan mo nang galing yung figure na yun?
12:23From PhilHealth, Mr. President.
12:25What is the exact
12:30line item for that?
12:32Because I've sponsored
12:34the budget of PhilHealth,
12:36and maraming hinihingi ang PhilHealth.
12:38So, hindi ko kayang tanggapin
12:40na yan necessary lang
12:42pang-indigent,
12:43because the record also shows
12:44napakaraming indigent patients
12:47who don't bother
12:48going to the hospital
12:49because alam nilang
12:50wala silang pangbayad.
12:52So, this is probably the bill
12:54for lower middle class
12:56or middle class patients
12:58who cannot even cover the bill.
12:59Hindi pa yata ito yung sa indigent.
13:01So, we have to be clear
13:02if we are going to mention numbers
13:04that this definitely covers
13:06the sector that we are referring to.
13:09Yun lang naman yung reason
13:10kung bakit nagtatanong ako
13:11ng numbers.
13:12Kasi nakakatakot
13:14magpasa ng batas na ito
13:15at batas ko ito
13:16at gusto ko naman talaga
13:17siyang pagandahin
13:18na hindi tayo clear
13:19sa figures natin,
13:20Mr. President.
13:21Yes, Mr. President.
13:22I'm just pulling up
13:24the disaggregated data
13:26for which we came up
13:27with this proxy data
13:29of a range
13:30of 7 to 10 billion pesos.
13:33And I will be giving that
13:36to the gentlelady
13:36during this interpellation
13:38or this period of amendments.
13:40Additionally, Mr. President,
13:42before returning
13:42to the latest concern
13:43of the gentlelady,
13:45mindful of the apprehensions
13:47and reservations
13:48raised by the good senator
13:49from Taguigan-Pateros
13:51regarding the possible
13:52cost implications
13:53to government,
13:54the sponsor wishes
13:55to place on record
13:56that the provision
13:57is anchored
13:58on the availability
13:59of medical assistance programs
14:01of various government agencies.
14:03as provided
14:04under this bill
14:05na binanggit ko nga,
14:06Mr. President,
14:07as well as, of course,
14:08the continued implementation
14:10of the government's
14:11zero balance
14:11and no balance
14:13billing policies.
14:14And in line with this,
14:15the sponsor is likewise
14:16inclined to accept
14:17the proposed amendment
14:19of the good senator
14:20from Taguigan
14:21when she proposes it,
14:22requiring the Department of Health
14:24to establish
14:25the criteria
14:26for indigency
14:27and the requirements
14:29necessary to qualify
14:30for the said exemption
14:32at a later time,
14:33Mr. President.
14:39So the latest concern
14:41of the gentlelady was...
14:44So her honor
14:45made a statement
14:47that there are other ways
14:49the bill intends
14:50to support
14:51the indigent patient.
14:53And her honor
14:54mentioned
14:55letter A, B, C, D, E.
14:57Sabi nyo,
14:57lima po yun.
14:58Ang sinasabi ko po sa inyo,
15:00kindly educate me
15:02because
15:02yung sinabi nyo,
15:04wala yan sa bill.
15:06Ang naka-enumerate
15:07dyan na limang items
15:08are
15:11it says
15:12the promissory note
15:13will be secured
15:14by any of the following.
15:15So may promissory note pa rin.
15:17So her honor
15:18is simply addressing
15:19dalawa po sitwasyon natin.
15:21Sino ang kailangan
15:22magbigay ng promissory note
15:23at based dun sa
15:24dito sa amendment nyo,
15:26the indigents will no longer
15:28be required
15:30to execute a promissory note.
15:32Tapos dinagdag nyo,
15:33pero ito yung mga
15:34pwede nilang gawin.
15:34Wala nga ho yun.
15:36Yung sinabi nyo,
15:36wala sa bill nyo.
15:38Ang nasa bill
15:39ay yung mga limang items
15:41that
15:41are used to secure
15:43a promissory note.
15:44So that
15:44covers the people
15:46who need to pay
15:47a promissory note.
15:48So
15:49her honor has to clarify this
15:51because it's not
15:52what she's saying
15:53is not in the bill.
15:54Actually, Mr. President,
15:56it is in the bill.
15:57In fact,
15:58in answering this question,
15:59nag-take off po ako dun sa
16:01page 3,
16:03line 17,
16:05section 2
16:05na kinwote
16:07ng gentlelady
16:08from Tagigan,
16:09Pateros.
16:10And kaya
16:12tinalakay ko po yun
16:13na in lieu of
16:15the current
16:15promissory note system,
16:17it's still called
16:19the promissory note here,
16:20pero
16:20hindi na po
16:22yung solong mga
16:23collateral
16:24o ano pa mang
16:25MIGA resources
16:27na meron yung
16:27indigent patient
16:28or family
16:29ang magsisecure niyan.
16:31Ang magba-backup na po nun
16:32ay yung mga
16:34social protection agencies
16:35at saka
16:36government financial institutions
16:38natin
16:38tulad ng
16:39SSS,
16:41GSIS,
16:42PCSO,
16:44DSWD,
16:45DOH.
16:45So in effect,
16:46the promissory note,
16:48if I may just
16:48complete this last sentence,
16:50the promissory note
16:51will no longer be
16:52issued
16:54by their loans
16:55sa mga po
16:56ng indigent patient
16:57and family
16:57then bahala na sila
16:59sa buhay nila
16:59kung paano i-honor.
17:01In a way,
17:01it will be
17:03for the benefit
17:04of the hospital
17:04na merong,
17:05hindi yung mahirap na iyon,
17:07pero may government
17:08institutions
17:09na
17:10nagsisiguro sa kanila
17:11na you will
17:11be paid,
17:13Mr. President.
17:25Should we suspend?
17:26Because
17:27what her honor is saying
17:28is not written in the bill.
17:29So
17:30I don't know if
17:30her honor would like
17:32me to approach
17:33and try to explain
17:34because
17:34I understand
17:35what her honor
17:36is trying to say.
17:37What I'm saying is
17:37it's not written in the bill.
17:39Mr. President,
17:40we may suspend.
17:42We may suspend,
17:43Mr. President,
17:44but it is actually
17:45written in the bill
17:46and I was
17:46putting the gentle leading
17:48when I responded
17:49to the question.
17:51Then read it
17:51into the record
17:52because
17:52yung binanggit
17:53nyong limang items,
17:54nandyan nakasulat yan.
17:57But
17:58line
17:5927,
18:00section 2,
18:01line 27
18:02says,
18:03the promissory note
18:04shall be secured
18:05by any
18:06or a combination
18:07of the following.
18:08Yun nga
18:08kung binanggit nyo,
18:09nandyan yan.
18:10But it says
18:11a promissory note
18:12will be secured.
18:13My question was,
18:15paano mabubuhay
18:16ang mga ospital
18:18kung wala
18:19ng promissory note?
18:20Hindi nyo pwedeng
18:21ibato ito
18:21kasi ito
18:22sabi,
18:22the promissory note
18:24will be secured
18:24by the following.
18:26Perhaps
18:27her honor
18:27would like to
18:29make an amendment
18:30that says that
18:31in lieu of
18:32the promissory note,
18:33kasi yun ho
18:33ang sinasabi ninyo.
18:35Ang sinasabi ko,
18:36hindi nga ho nakasulat.
18:37So would you like
18:38to propose?
18:38Because we are happy
18:39to study and support.
18:41But hindi nga ho
18:42nakasulat yun.
18:43Yun lang naman
18:44ang puntos ko.
18:45Hindi pwede kasi
18:46yung intention natin
18:47hindi klaro sa batas.
18:49Well,
18:49that's why I'm glad,
18:51Mr. President,
18:51that we are in
18:52the period of amendments
18:53because
18:54this representation
18:55is very open
18:57to propose amendments
18:59including
19:00subject to style
19:01to not just improve
19:03the content of the bill
19:04pero klaruhin
19:06ng crystal clear
19:07kung ano po
19:08yung intent niya.
19:09So no problem
19:10with that,
19:10Mr. President.
19:11Yes,
19:11and that is what
19:12I'm doing.
19:13By using
19:15the period of amendment
19:16to make the
19:17interpellations,
19:18I am making it known
19:20to the sponsor
19:20that what she is saying
19:22is not in the bill.
19:23So I believe
19:24if yun po
19:24ang intention
19:25ng sponsor,
19:26then kayo po
19:27ang isulat nyo po yun
19:28kasi kayo ang nagsabing
19:29yun yung gusto
19:30nyong gawin eh.
19:30Di kayo po
19:31ang magsulat nun
19:32and we will be happy
19:33to review it
19:34kasi hindi ko po
19:35amendment yun.
19:36Ako yung nagtatanong
19:37kung ano
19:37ang gagawin
19:38ng ospital
19:39kung wala siyang
19:40promissory note.
19:41So sabi nyo ito.
19:42So tinatanong ko
19:43saan nakasulat yun.
19:45No problem,
19:46Mr. President.
19:47We can improve this
19:49in this very period
19:50of amendments.
19:52Tapos balikan ho natin
19:53yung expenses.
19:56I can suspend
19:57and her honor
19:58can look at her numbers
19:59because I will also
20:01be presenting numbers.
20:03Her honor also mentioned
20:0450K to 1 million
20:06per patient.
20:07So does her honor
20:08intend to,
20:09kasi yun yung unang
20:09binanggit nyo.
20:10So does her honor
20:11intend to come up
20:12with a number
20:13based on
20:13those
20:16that range
20:17of expense
20:19that her honor
20:20mentioned.
20:21Kasi kailangan nga
20:22natin ng number
20:22because we have to
20:23find out
20:24where will we get
20:24this amount
20:25to support naman
20:26these private hospitals.
20:28Otherwise,
20:29this is a disaster
20:31because
20:31ang mangyayari,
20:33pipila lang sila
20:34sa Malacanang,
20:36magmamakaawa sila
20:37na huwag ipasa to.
20:37Sayang naman
20:38yung effort natin
20:39dahil we all have
20:40the same intention.
20:41Pagandahin yung
20:42health system natin.
20:43Huwag ma-detain
20:44ang mga tao,
20:45masuportahan
20:46ang mga indigents,
20:47but we have to
20:47know our numbers
20:48before we make
20:50these kind of
20:51amendments.
20:51And one more
20:52on that section
20:53so maybe we can
20:54take a break
20:55so we can work
20:56on this section.
20:56Before we go on
20:57to the one more
20:58point of the
20:59gentlelady,
20:59Mr. President,
21:00definitely this is
21:01not going to turn
21:02out to be a disaster.
21:04The whole point
21:05of the bill,
21:06as the gentlelady
21:07herself has said,
21:08is to amend
21:09and update
21:10the original
21:12law.
21:13And that is
21:16why we are
21:16in the period
21:17of amendment
21:17to further
21:18improve it,
21:19Mr. President.
21:19The only reason
21:20I use the word
21:21disaster,
21:21Mr. President,
21:22because time
21:23and again,
21:24the small
21:25private hospitals
21:27have
21:29practically bent,
21:31kneeled down
21:32in front of us,
21:33begging us
21:34for support.
21:35So pag pinasa
21:36natin to,
21:37hindi dahil sa,
21:38hindi natin
21:39kinonsider yung
21:40burden sa kanila,
21:41then disaster yun
21:42para sa kanila.
21:43Kung disaster yun
21:43para sa kanila,
21:45disaster yun
21:45sa healthcare system
21:46natin because
21:47we are partners.
21:49Yun lang naman
21:49lang sa akin,
21:50we are partners,
21:51public and private.
21:52May mga lugar,
21:53and again,
21:54the Senate President
21:55is listening intently,
21:57thank you,
21:57because alam na,
21:58alam nyo din to,
21:59there are areas
22:00where there are
22:01no public hospitals.
22:02So,
22:03private hospital
22:04yung inaasahan mo doon.
22:06Tapos,
22:07kung yung mga
22:07indigent patients,
22:08sabi natin,
22:09magpapasa tayo,
22:10wala ng promissory note,
22:11at again,
22:12forgive me
22:13kung hindi ko lang
22:14naiintindihan,
22:15kaya nga sabi ko,
22:16please feel free
22:16to point it out
22:17and educate me
22:18kung saan dyan nakalagay
22:19ano ba yung
22:20in lieu of the
22:21promissory note
22:22na matatanggap
22:24ng hospital.
22:25Kasi,
22:26kung wala,
22:27mababaon sila sa utang,
22:29magsasara sila.
22:30And that threat
22:31has happened
22:31many times.
22:32Alam ni Senate
22:33President yan,
22:34ilang beses yan,
22:35hindi lang nag-threaten.
22:37Some of them
22:37really closed.
22:38During the pandemic,
22:39they closed
22:40because PhilHealth
22:41was not fast enough
22:43to reimburse them
22:46for the expenses
22:48that they incurred
22:49during the time.
22:50Marami hong nagsara.
22:51So,
22:51I'm just
22:52banking on experience
22:53to ensure
22:54that what we pass
22:55is a responsible
22:58response to this issue.
22:59So,
23:00before I leave
23:00Section 2,
23:01ang idadagdag ko is,
23:02did her honor
23:04take up
23:04during the hearings
23:08this possible amendment
23:10na lahat ng
23:11indigent patients
23:12e wala ng
23:13promissory note?
23:14Na-take up
23:14ko ba yan
23:15sa hearing
23:15so that you
23:16would be able
23:16to hear
23:17the concerns
23:18of the different
23:18sectors,
23:19including
23:20the small
23:21private hospitals,
23:22the small
23:23clinic owners,
23:24yung mga
23:24lying in clinic.
23:26Maliit lang ang
23:26singil niya na
23:27pag nanganak ha.
23:29I'll try to pull
23:29out that number.
23:30It's not a huge
23:31amount because
23:31it's just a
23:32lying-in clinic
23:33overnight,
23:34pag nanganak.
23:35So,
23:35pag indigent,
23:38the amendment
23:39now is
23:40lahat ng
23:40indigent patients
23:41wala nang
23:42babayaran.
23:43Wala nang
23:43promissory note.
23:44Sorry,
23:44to be clear,
23:45wala nang
23:45promissory note.
23:46So,
23:47was this taken
23:48up during the
23:48hearing so that
23:49marinig natin
23:50yung side nila?
23:52No,
23:53Mr.
23:53President,
23:53it wasn't taken
23:54up to have
23:57no
23:58promissory notes.
23:59The change,
24:00Mr.
24:00President,
24:01was that,
24:02as I mentioned
24:02earlier,
24:03hindi na po
24:04mag-isang
24:05mag-i-issue
24:06ng promissory note
24:07ang mahirap
24:08kahit sa
24:09pilitang
24:10magkakabit siya
24:11ng kakarampot
24:12na nga na
24:12pagmamayari niya
24:13bilang diumanong
24:14collateral.
24:16Ang magbaback-up
24:17na po
24:18ng promissory note
24:19which is now
24:19more a document
24:20for the
24:21benefit of the
24:22hospital ay
24:23ito nga pong
24:24mga social
24:25protection at
24:26saka government
24:27financial
24:29institutions na
24:30binanggit ko
24:31po kanina.
24:32So,
24:33two things
24:35I want to
24:35establish.
24:36Number one,
24:36hindi nyo nga
24:36na-take-up yan
24:37pero ang impact
24:38nito napakalaki
24:39sa private
24:40hospitals.
24:41Wala silang
24:41chance na
24:42marinig ang
24:43side nila
24:43kasi hindi
24:44yan na-take-up
24:45during the
24:45hearing.
24:46Ang sakin
24:46naman po,
24:47I understand,
24:48may liberty
24:49naman po tayo
24:50mga
24:51parliamentarians
24:52na ma-take-up
24:52sa floor
24:53ang mga
24:53iba-ibang
24:54amendment.
24:54Naintindihan
24:55po naman
24:55po yun.
24:56Pero pag
24:56napakabigat
24:57nung impact,
24:58it's either
24:59na-take-up
24:59yan sa
24:59hearing
25:00or bibigyan
25:00natin
25:01sila
25:01ng time
25:02na mabigay
25:03din nila
25:03yung
25:03position
25:04nila
25:04dito
25:04kasi
25:05sobrang
25:05laki
25:05talaga
25:06ng
25:06impact
25:06sa
25:06kanila.
25:07Please give me
25:08the number
25:08of private
25:10hospitals.
25:12There are
25:14864
25:14private
25:15hospitals
25:15spread out
25:16all over
25:17the country.
25:18And like I said,
25:19there are
25:19certain areas
25:20where there
25:21are no
25:22public
25:23hospitals.
25:23So ang tatakbuhan
25:24lang ng tao,
25:25private
25:25hospitals.
25:27So kung hindi
25:27sila narinig
25:28sa hearing,
25:28sana man lang
25:29marinig din
25:30natin yung
25:30position nila
25:31on this
25:32issue.
25:32And before,
25:33as I said,
25:34I leave
25:34section 2.
25:36If the gentle
25:37lady would
25:37allow,
25:38before we move
25:38to another
25:39point.
25:39No, I'm not
25:39leaving yet.
25:40I have another
25:40point on
25:41section 2.
25:41If I may just
25:42respond to this
25:42latest point.
25:43I did not
25:44say po na
25:46hindi
25:46inimbita
25:47ang mga
25:47private
25:49hospitals.
25:49We did
25:50invite them
25:51to the
25:51hearing.
25:52And as far
25:53as we can
25:53remember,
25:54they had
25:54no opposition
25:56to changing
25:57the
25:59promissory
25:59note
26:00system
26:00and
26:03in large
26:04part
26:04changing it
26:05by backing
26:05it up
26:06hindi sa
26:07collateral
26:07ng mga
26:08mahihirap
26:09na
26:09kundi
26:09yung
26:10guarantee
26:11at
26:11financial
26:12capacity
26:13ng mga
26:14government
26:14financial
26:14institutions
26:15at
26:16social
26:17protection
26:17agencies.
26:18Ang
26:18sinabi ko
26:19pong
26:19hindi
26:20ay
26:20hindi
26:21natalakay
26:22ang isang
26:23no
26:24promissory
26:25note
26:25system.
26:26But
26:26did we
26:26invite the
26:27private
26:27hospitals?
26:28We did
26:28po,
26:29Mr.
26:29President.
26:29Yes,
26:30thank you
26:30for
26:30clarifying
26:30that.
26:31Maganda
26:32namang
26:32clarification
26:32yun
26:33kasi
26:33magandang
26:34napapakita
26:34naman
26:35natin
26:35na
26:35na
26:35na
26:35na
26:35na
26:35na
26:36na
26:37na
26:38na
26:41no
26:46promissory
26:47note
26:47sa
26:47indigent
26:48patients
26:48sabi
26:49ng ating
26:50sponsor
26:50hindi
26:50natalakay.
26:51How
26:51about
26:52yung
26:52no
26:52promissory
26:53note
26:53to
26:54senior
26:54indigent
26:55patients
26:56natalakay
26:56yata
26:56yun?
26:57Tama
26:57ho
26:57ba
26:57ako?
27:00Yes,
27:01Mr.
27:01President.
27:02Tinalakay
27:02po para
27:03sa
27:03senior
27:03citizens.
27:04So,
27:04pagkakaintindi
27:04po
27:05natin
27:05and
27:05again,
27:06correct me
27:06if my
27:06understanding
27:07is wrong,
27:09ang
27:09nabring
27:10up
27:10at
27:10ang
27:11alam
27:11ng
27:11mga
27:12nag-attend
27:13ng
27:13hearing
27:13is
27:14that
27:14ikoconsider
27:15yung
27:15no
27:15promissory
27:16note
27:16sa
27:17senior
27:18indigent
27:19patient.
27:19Kaya
27:19lang,
27:20pagdating
27:20na sa
27:20committee
27:21report,
27:21naging
27:21indigent
27:22patients
27:22lahat
27:23na.
27:23Kaya
27:24nga
27:24pati
27:24yung
27:24example
27:25ko
27:25na
27:25maternity
27:26lying
27:26in
27:26clinic,
27:27kasama
27:27na
27:27rin
27:27po
27:28dyan.
27:28When I
27:30said
27:30800
27:31plus
27:31hospitals,
27:37yung
27:38sinabi
27:38kong
27:39864
27:41establishments,
27:41mga
27:41hospital
27:42po
27:42yun,
27:42hindi
27:42pa
27:43kasama
27:43dyan
27:43yung
27:43lying
27:44in,
27:44baka
27:44mas
27:45marami
27:46pa.
27:46So,
27:46that's
27:47why
27:47I'm
27:47just
27:47asking,
27:48do
27:48we
27:48know?
27:48And
27:48I'm
27:49not
27:49a
27:49stickler
27:49for
27:50kailangan
27:50na
27:50take
27:51up
27:51yan
27:51sa
27:51hearing,
27:52pero
27:52ang
27:52sakin,
27:52I
27:52kaya
27:53mas
27:53tickler
27:53for
27:53narinig
27:54ba
27:54natin
27:55yung
27:55concerns
27:55nila
27:56at
27:56yung
27:56side
27:56nila?
27:57If
27:57merong
27:57mag-a-advocate
27:58for
27:59them
28:00here,
28:01that's
28:01okay.
28:01If
28:01the
28:03sponsor
28:04has
28:04information
28:05that
28:05can
28:05assure
28:06us
28:06that
28:06protected
28:07din
28:07naman
28:07yung
28:08interest
28:08nila
28:08that
28:08hindi
28:09naman
28:09sila
28:09mababankrap,
28:10open
28:10naman
28:11din
28:11po
28:11tayo
28:11doon.
28:12That's
28:12the
28:12only
28:12reason
28:13I
28:13bring
28:13it
28:13up,
28:13Mr.
28:14President.
28:15Yes,
28:15Mr.
28:16President,
28:16I do
28:17appreciate
28:17that.
28:18And
28:18kaya
28:19nga
28:19po,
28:20the
28:20bill,
28:21gusto
28:21niyang
28:21i-bring
28:22in yung
28:23financial
28:23power
28:24at
28:24stability
28:25ng
28:25mga
28:25government
28:26financial
28:27institutions
28:27natin,
28:28including
28:28nga
28:28po the
28:29pension
28:30institutions
28:30and the
28:31social
28:31protection
28:33departments.
28:34Additionally,
28:35Mr.
28:35President,
28:36looking at
28:37page 4,
28:38lines 14
28:39to 17,
28:40yun po yung
28:40letter E
28:40dito po
28:41sa section
28:422
28:42natin,
28:43assumed
28:43po doon
28:44yung coverage
28:45for the
28:46indigent
28:46and the
28:47financially
28:47incapacitated.
28:49Kasi nga po
28:50nakalagay dito,
28:51in lieu of a
28:52promissory
28:52note,
28:53a guarantee
28:54or a
28:54reference
28:55letter
28:56from
28:56DOH
28:57or DSWD
28:58ang mag-a-assume.
28:59So,
29:00as the
29:00gentle lady
29:01and I
29:01were starting
29:02to discuss
29:02earlier,
29:03we can,
29:04in this
29:04period of
29:05amendments,
29:05clarify the
29:06wordings
29:07to assume
29:08that
29:08promissory
29:09equals
29:10guarantee.
29:10So,
29:11a
29:11promissory
29:12note
29:12is a
29:13guarantee
29:14note
29:14of
29:14these
29:15agencies
29:16and
29:16institutions
29:17of
29:17government.
29:18So,
29:19sa ngayon,
29:20no promissory
29:21note
29:21for senior
29:21citizens,
29:22but this
29:23representation
29:24is anticipating
29:25or it
29:26has an
29:27amendment
29:27from the
29:27Senate
29:28President
29:28na ang
29:29mako
29:29cover
29:30all
29:30indigent
29:31patients.
29:32And I'm
29:33very willing
29:33to,
29:34I support
29:35that.
29:36So,
29:36the
29:37amendment
29:37po yung
29:38covering
29:38all
29:38indigent,
29:40I would
29:41accept.
29:41And that
29:42is also
29:42why,
29:43Mr.
29:43President,
29:45we are
29:45accepting,
29:46again,
29:46to reiterate,
29:47we are
29:47accepting the
29:49proposed
29:49amendment
29:50of the
29:50gentle
29:50lady for
29:51DOH to
29:52put
29:52eligibility
29:53criteria
29:54in
29:55recognition
29:56of her
29:56concern.
29:57And in
29:57fact,
29:58I already
29:58accepted that,
29:59Mr.
29:59President,
30:00last month
30:01for the
30:01record.
30:02And for
30:03the record,
30:03I have
30:04no issue
30:04covering
30:05indigent
30:06patients.
30:06I am
30:07just
30:07asking
30:07for
30:08the
30:08financial
30:10data
30:10so that
30:11we are
30:12assured
30:12that
30:13when we
30:13go into
30:15the
30:15budget
30:16debates,
30:17we will
30:18have the
30:18full
30:18support
30:19of all
30:19our
30:19colleagues
30:20to
30:20support
30:21this
30:21amount
30:22because
30:22private
30:24hospitals.
30:25And again,
30:26I am
30:26very willing
30:27to hear
30:27the numbers
30:28to ensure
30:29that
30:29they are
30:29not bankrupt
30:30because
30:30that is
30:30our objective
30:32to ensure
30:34that we
30:34have a
30:34healthy,
30:35healthy
30:36health
30:37ecosystem
30:38na buhay
30:39ang ating
30:40private
30:41health
30:42institutions
30:43at
30:43nandyan
30:44yung mga
30:45support
30:45na kailangan
30:46nila
30:46kasi
30:46bago
30:47nga
30:47itong
30:47factor
30:47na
30:48dinadagdag
30:48natin.
30:49It's
30:50new.
30:50It's
30:51new.
30:51It does
30:52not exist
30:53now.
30:55Indigent
30:56patients
30:56are required
30:57to provide
30:58a promissory
30:59note
30:59which means
31:00they have
31:00the legal
31:01obligation
31:01to be
31:01clear
31:02sa mga
31:02nakikinig
31:03they have
31:04the legal
31:04obligation
31:06to cover
31:07that amount.
31:08That is
31:08the meaning
31:09of a
31:09promissory
31:09note.
31:10You have
31:11a legal
31:11backing
31:12to cover
31:12that amount.
31:13So,
31:13I understand
31:14what her
31:15honor is
31:15saying
31:16that she
31:17has
31:17these
31:18government
31:18agencies
31:19that will
31:19provide
31:20and her
31:20honor
31:20even
31:21mentioned
31:22letter
31:22E
31:23on the
31:24next
31:24page.
31:25Wala
31:25hong
31:25problema
31:26yon
31:26pero
31:26I will
31:27just
31:27end
31:27this
31:28point
31:28Mr.
31:28President
31:29and ask
31:29her
31:29honor
31:30to read
31:30line
31:3127
31:32which is
31:32on page
31:333.
31:35line
31:3527
31:36lang
31:36po
31:36hanggang
31:3630
31:37kasi
31:37marami
31:37namang
31:38nakabura
31:38doon
31:38eh.
31:39Let's
31:39put it
31:40on
31:40record.
31:42The
31:43gentle
31:43lady
31:43would
31:43like
31:44me
31:44to
31:44read
31:44it.
31:45So,
31:45page
31:463
31:46lines
31:4627
31:47to
31:4730
31:48the
31:49promissory
31:49note
31:50shall
31:50be
31:50secured
31:51by
31:51any
31:52or
31:52a
31:52combination
31:53of
31:53the
31:53following.
31:54And
31:54is
31:55my
31:56understanding
31:56correct
31:57that
31:57the
31:57following
31:58that
31:58that
31:58that
31:58that
31:59that
31:59that
31:59that
32:01shall
32:06be
32:07secured.
32:08So,
32:09we are
32:09talking
32:09about
32:10a
32:10situation
32:11where
32:11there
32:11is
32:12a
32:12promissory
32:13note
32:13involved.
32:14And
32:14what I
32:15have
32:15been
32:15trying
32:15to
32:15say,
32:16your
32:16honor,
32:16is
32:17for the
32:18indigent
32:18patient,
32:19it is
32:19your
32:19amendment
32:21that
32:21says
32:21that
32:23line
32:2317,
32:24would
32:24her
32:24honor
32:24like
32:25to
32:25read?
32:25I
32:25can
32:26read it,
32:26she
32:26can
32:26read it,
32:27but that
32:27is
32:27your
32:27amendment,
32:28your
32:28honor.
32:29Yes,
32:30Mr.
32:30President,
32:30provided
32:31that
32:31no
32:32promissory
32:32note
32:33shall
32:33be
32:33required
32:33of
32:34indigent
32:38services,
32:39office
32:39of
32:40the
32:41hospital,
32:42medical
32:42clinic,
32:43or
32:43any
32:43similar
32:44facility
32:44to
32:45the
32:45Department
32:45of
32:45Social
32:46Welfare
32:46and
32:46Development.
32:47And
32:47just to
32:47reiterate,
32:48Mr.
32:48President,
32:49earlier,
32:50we can
32:51clarify
32:51wordings
32:52to
32:52assume
32:52promissory
32:53equals
32:54guarantee.
32:55So,
32:55it could
32:56be a
32:56guarantee
32:56note.
33:08So,
33:09wala
33:09rin
33:09naman
33:10pong
33:10changes
33:10sa
33:12budget
33:14allocation
33:14dahil
33:15nasa
33:16loob
33:16naman
33:16ang
33:16DOH
33:17at
33:17DSWD
33:18budgets
33:18yung
33:19MAIFIP
33:20at
33:20AICS
33:22respectively
33:22nila.
33:23Yun po
33:23yung intent
33:23din sa
33:24bill
33:24na to.
33:25Mr.
33:25President,
33:26your
33:26honor
33:26just
33:27read
33:27line
33:2717,
33:28no
33:28promissory
33:29note
33:29shall
33:29be
33:30required
33:30of
33:30indigent
33:30patients.
33:31So,
33:32paano
33:32sila
33:32mag-a-avail
33:33nung
33:33nasa
33:33line
33:3327
33:34nga
33:34na
33:34pinasa
33:35nyo?
33:35E yun
33:36nga yung
33:36provision
33:36that
33:37requires
33:37a
33:37promissory
33:38note.
33:38It
33:39simply
33:39elaborates
33:40what
33:41security
33:42is
33:43allowed.
33:43Yun lang
33:44ang
33:44pinapoint
33:44out
33:45natin.
33:45Kasi
33:45her
33:46honor
33:47keeps
33:47on
33:47pointing
33:48to
33:49the
33:49alternatives
33:50to
33:51a
33:51promissory
33:51note.
33:52Wala
33:52nga
33:52kung
33:52nakasulat
33:53sa
33:53batas
33:53nyo
33:53na
33:53ganon
33:54because
33:54section
33:5527
33:56which
33:56you
33:57just
33:57read,
33:57her
33:57honor
33:58just
33:58read
33:58into
33:58the
33:58record
33:59refers
34:00to
34:00the
34:00security
34:01of
34:01a
34:01promissory
34:02note.
34:03So you
34:04might
34:04require
34:04another
34:05provision
34:06your
34:06honor.
34:07I am
34:07just
34:07trying to
34:08put
34:08into
34:08words
34:08your
34:09intentions
34:10kasi
34:10kayo
34:10kung
34:11may
34:11intention
34:11na
34:11ito.
34:12Although
34:13Mr.
34:13President
34:13as I
34:14already
34:14mentioned
34:15earlier,
34:16in terms
34:17of
34:18wording,
34:19language
34:19ng
34:20bill,
34:21pwede
34:21na
34:21nga
34:21pong
34:22palitan
34:23yung
34:23promissory
34:24note
34:25with
34:25guarantee
34:26note
34:26just
34:27to
34:27indicate
34:28nga
34:28na
34:29hindi
34:29na
34:29po
34:29ito
34:29yung
34:30kasalukuyan,
34:31hindi
34:31nga
34:31dating
34:32kasalukuy
34:33ang
34:33sistema
34:33na
34:34sapilit
34:34ang
34:35pinapapirma
34:36yung
34:36mahirap
34:36na
34:37pasyente
34:37o
34:37pamilya
34:38niya
34:38ng
34:38promissory
34:39note
34:40kahit
34:40halos
34:41wala
34:41siyang
34:41maidikit
34:42na
34:43collateral
34:43dyan.
34:44So if
34:45it
34:45makes
34:45it
34:45clearer,
34:46change
34:46promissory
34:47note
34:48to
34:48guarantee
34:48note
34:49and
34:49of
34:49course
34:49kung
34:50saan
34:50sa bill
34:50nag-a-appear
34:51yung
34:51salitang
34:52promissory,
34:52papalitan
34:53din
34:53ng
34:54salitang
34:54guarantee
34:55note.
34:56Ang
34:56importanteng
34:57pagbabago
34:58Mr.
34:58President
35:02backing
35:02nitong
35:03mga
35:04pension
35:05systems
35:06at
35:06nitong
35:06mga
35:07government
35:07agencies
35:08nitong
35:09mga
35:09government
35:09financial
35:10institutions
35:11na ito
35:12yung
35:12magsaspare
35:13dun sa
35:14mahirap
35:14na pasyente
35:15at
35:15pamilya
35:16niya
35:16na
35:16sapilit
35:17ang
35:17magpirma
35:18ng
35:18promissory
35:19note
35:19ito
35:20rin
35:20yung
35:20assurance
35:21sa
35:21hospital
35:22pati
35:22yung
35:22mga
35:23private
35:23hospitals
35:24na
35:25definitely
35:26mababayaran
35:27sila.
35:27Kung
35:27tama
35:28po
35:28yung
35:30estimation
35:31po
35:31namin
35:31na
35:317 to
35:3210
35:32billion
35:33pesos
35:33ang
35:34financial
35:34implication
35:35particularly
35:36sa mga
35:36private
35:37hospitals
35:37certainly
35:38pag
35:38sinuman
35:39natin
35:39yung
35:39financial
35:40might
35:40nitong
35:41nakalista
35:42sa
35:42limang
35:43letters
35:43dito
35:43kakayanin
35:45po
35:45nilang
35:45garansyahan
35:46yan
35:46and
35:46yan
35:47ang
35:47assurance
35:47na
35:48mababayaran
35:48ang
35:49mga
35:49hospital
35:49sa
35:50mga
35:50servisyong
35:51ibinibigay
35:52nila
35:52sa
35:52mga
35:52indigents
36:21Mr.
36:245
36:25different
36:25guarantees
36:26so
36:27in other words
36:28I think
36:29that's the way
36:29it's
36:29structure
36:30but that
36:30is
36:30correct
36:31so
36:31I think
36:32ang
36:33suggestion
36:33ko
36:33is to
36:34make
36:34it
36:34very
36:35clear
36:35that
36:35for
36:35indigent
36:37it's
36:38government
36:38that
36:39will
36:39assure
36:39the
36:39payment
36:40to
36:40the
36:40hospital
36:41so
36:41that
36:41operations
36:42nila
36:43I see
36:44the point
36:44of
36:44center
36:45piya
36:45hindi
36:46maahamper
36:47yung
36:47operations
36:48nila
36:48I think
36:49that
36:49should
36:49be
36:49stated
36:50clear
36:50in the
36:51bill
36:51para
36:51kung ako
36:52man
36:52si
36:53hospital
36:54walang
36:55promissory
36:55note
36:56si
36:56government
36:56will
36:57step
36:57in
36:57and
36:57pay
36:58for
36:58my
36:59arrears
37:00Yes
37:00Mr.
37:01President
37:01and will
37:01do
37:02to make
37:02it
37:02clearer
37:03pero
37:04salamat
37:04din
37:04sa
37:05pagbanggit
37:05kahit
37:05non-indigent
37:06halimbawa
37:07yung
37:07middle
37:08class
37:08minsan
37:09kahit
37:10middle
37:10class
37:11ay
37:11maaring
37:12kapusin
37:13so
37:13this
37:14could
37:14be
37:15a range
37:16of
37:17financial
37:18buffer
37:19para sa
37:20mga
37:20pasyente
37:21yung
37:22mga
37:22indigent
37:22talaga
37:23at least
37:23masasandigan
37:24nila
37:24itong
37:25mga
37:25institusyon
37:26and
37:26yung
37:26non-indigent
37:27if
37:28necessary
37:29at kung
37:30magka-quality
37:30ka sa
37:31mga
37:31criteria
37:31maaring
37:32mag-avail
37:33of din
37:34kahit
37:34partially
37:34pero
37:35syempre
37:35alam
37:36naman
37:36po
37:36natin
37:37ang
37:37pinakamadalas
37:38na
37:38detain
37:38dahil
37:39may
37:39bill
37:40or
37:40may
37:40balance
37:41pa
37:41sa
37:41bill
37:41ay
37:42yung
37:42mga
37:42mahihirap
37:43so
37:43sila
37:43po
37:44yung
37:44pinaka
37:44aasahan
37:45sana
37:46natin
37:46dito
37:46sa
37:46limang
37:47nakalista
37:47i
37:47yeah
37:48i
37:48suggest
37:48for
37:49the
37:49indigent
37:50good
37:50sponsor
37:51malista
37:52natin
37:52yung
37:53DSWD
37:54DUH
37:55Field
37:56Health
37:56even
37:57PCSO
37:57yung mga
37:59government
38:00institutions
38:01who provide assistance
38:03so that kung ako yung hospital
38:05alam ko assured din ako
38:07na mababayaran din ako
38:08I think Senator Pia
38:11is correct in saying
38:13pag maliit ka wala ka nang
38:15you rely on your cash flow
38:16pag mawawala yung cash flow na yun
38:18mahirapan sila to continue
38:21their operation and we'll provide
38:23some suggestions to that effect
38:25Salamat Mr. President
38:26So ngayon pa lang I could see
38:28two possible conditions na isasama
38:31natin or criteria
38:32kapag indigent patients
38:34no promissory note
38:36and for other patients maaring may
38:38promissory note pero backed up
38:40pa rin by the five securities
38:42bilang garanti sa
38:44hospital and I thank the good Senate President
38:46for those additional
38:48for that additional guidance
38:49Mr. President we could suspend
38:52for the moment so that
38:54we can fix the provision with
38:56the staffs both of the good
38:58gentlewoman and the Senate President
39:05thank you
39:06thank you for that thank you for the clarification
39:08Mr. Senate President because that's exactly
39:10what I was trying to say
39:11I was just pointing that out that it is not clear
39:14where that money will come from and what we have
39:16not established is what is that amount
39:17because I am prepared later on when we resume
39:20to show that the amount
39:22I have is much more than I think her
39:24owner said 7 to 10 billion
39:25if I'm not mistaken
39:275 to 7 billion
39:275 to 7 the numbers I have are much bigger
39:30I just want to study it a little bit more
39:31because it's not my goal to
39:33to prolong this I also want to pass this
39:35but I want to be responsible about this
39:37otherwise I will have to make a reservation
39:39in the passage of this measure
39:40because when the budget time comes
39:43or even before that comes
39:45mark my word
39:46pipila ang ating mga private hospitals
39:49to object to the passing of this
39:52and we don't want that
39:53we want them to know that it's a Senate
39:54that listens to the people
39:55and passes responsible bills
39:57thank you Mr. President
39:58for your clarification
39:59I'll just correct my last note Mr. President
40:027 nga po
40:037 to 10 billion pesos
40:04my numbers are much higher Mr. President
40:06session suspended
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