translated from Spanish: Germán Martínez renounces IMSS for tax interference

Germán Martínez presented his resignation to the management of the IMSS after denouncing that Treasury officials have «a pernicious interference» in the operation of the Institute what he said puts at risk the provision of his health services.
«The president of the Government of Mexico proclaimed the end of neoliberalism, but in the IMSS some IRS interferences are of neoliberal essence: saving and more savings, cuts of personnel and more cuts of personnel, and an institutional redesign where it matters more the ‘ Charge ‘ that the ‘ Commission ‘, ‘ said Martinez Cazares in a letter.
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«Saving and overcontroling health spending is inhumane. That control comes to skimp on resources for the poorest Mexicans, he added.
Martínez said that the IMSS requires a transformation, as President Andrés Manuel López Obrador has ordered, but that the axis of this should be the people and not the officials.
Meanwhile, the National Union of Social Security Workers (SNTSS) regretted the resignation of Martínez Cazares, for «during its five and a half months of management we established bridges of understanding that benefited active and retired workers.»
Through a statement, the union leader, Arturo Olivares Cerda, said that the reinforcement of the IMSS «is indispensable in the area of hospital infrastructure, personnel and inputs», because it registers «a significant deficit» in the number of physicians and Nurses you currently work with.
«Social security requires the release of economic resources to efficiently and promptly address the new health guidelines established by the Federal government,» he said.
Olivares recalled that after the earthquakes of September 2017 there are damaged medical and administrative units in Mexico City, Puebla, Morelos and the state of México.
After the resignation, President Andrés Manuel López Obrador said he did not share Martínez’s point of view, and although he regretted his departure from the IMSS said that «fortunately there are very good public servants on the team and we will replace it.»
He denounced that Treasury officials seek to make a «cosmetic remodeling» and reform its regulations «to place administrative officials in the States from the Secretary of the Treasury, and thus annul the delegates that this technical council approved. They seek to name, in the whole country, a kind of «State administrative Delegates», outside this council, so that they, in the facts, administer from the local to the IMSS. »
While that happens, said, there are many workers of the Institute remain uncertain labor, others without contract, some vacancies increase, the backlog in infrastructure is brutal, contracts and services agreements are lagging behind.
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He added that the institute needs a reforma»para to connect it to the universal health system, to the preventive model, and to adapt it to the new Labour reality.»
In the missive, Martínez Cazares explains that the IMSS is an autonomous organism that has resources from the government but also workers and employers. He said that daily the institute redistributes in its services more than one billion pesos.
«Therefore, overcontrol of these resources, which are workers and entrepreneurs, without rationality and without adherence to the norms of the IMSS, can end this dynamic social solidarity of the Institute,» he added.
This is the complete letter sent by Germán Martínez.
Honorable Technical Council of the Mexican Institute of Social Security:
As president of this body of government of the IMSS, I want to make some demonstrations, which I request to the Secretary General are integral in the minutes of the session.
The IMSS is an equalizing body of the social conditions of Mexicans; As an autonomous fiscal body it collects dues to employers and workers, to give social security coverage to millions of Mexicans.
It is an autonomous body, whose management is tripartite; Governmental yes, but also workers and employers; Therefore, it administers its patrimony with special rules, starting with the Social Security Law, to which our Constitution, like any other norm of the Mexican juridical system, gives it the qualification of law of «public utility», in the article 123, A, fraction Xxix.
The IMSS redistributes in its services more than one billion pesos daily. In a month you can spend more than the UNAM in a year. From prenatal care before birth to palliative treatments before dying. Therefore, over-controlling those resources, which are workers and entrepreneurs, without rationality and without adherence to the norms of the IMSS, can end this dynamic social solidarity of the Institute.
I want to say it as clear as I can and should: Some officials of the Hacienda secretariat have a pernicious interference in the IMSS and jeopardize the egalitarian vocation, justice and, specifically, the provision of health services that Social security has.
The President of the Government of Mexico proclaimed the end of neoliberalism, but in the IMSS some IRS interferences are of neoliberal essence: saving and more savings, cuts of personnel and more cuts of personnel, and an institutional redesign where it matters more the «charge «Let the» order «.
Of course, the IMSS must be transformed, as ordered by the president. The president is not disobeyed at the IMSS. I just think that the axis of their reform should be the people who are attending the IMSS, and not the officials working in the IMSS.
Great LEGAL reform is required, not a small REGULATORY reform. The fourth transformation is not bureaucratic changes, but cultural revolution.
We need a reform of the IMSS to connect it to the universal health system and the preventive model, where the social determinants of health are attacked. A reform of the IMSS to adapt it to the new working reality, and to the new National Institute of Health for the welfare, where for free the Mexicans are treated on equal conditions.
For their part, some finance officials try a cosmetic remodeling of the IMSS, where for example, it is intended to reform the regulation to place administrative officials in the States from the Secretary of the Treasury, and thus annul the delegates who This technical council approved. They seek to name, in the whole country, a kind of «State administrative Delegates», outside this council, so that they, in the facts, administer from the local to the IMSS.
While discussing the remodeling of the IMSS, many workers remain uncertain work, others without contract, some vacancies increase, the lag in infrastructure is brutal,-in 2019 is practically in 0% the progress of works and payment to suppliers, the Contracts and service agreements are lagging behind, and some are about to be overcome without horizons of legality and efficiency, purchases of equipment stops, claims and litigation increase; And while the supply of medicines is guaranteed, it is precarious and in some places it hangs in a thread. These omissions have been given notice to the corresponding authorities, because this technical council and the Director General will be responsible – says article 276 of the Social Security Act – that the Institute complies with the approval of the Congress of the Union.
Anyone who asome to the debate on health in Europe or see what the previous federal government did, will verify that conservative, neoliberal officials control spending on public health services, while progressive governments inspired by Justice, they seek to expand coverage and quality by injecting more budget.
This control of spending has two fatal consequences: a direct one for the IMSS: waiting halls full of sore people and ill-treatment or delay in patient care; and a second indirect effect even worse: the strengthening of private health services, which will cause more «pocket spending» of families when their loved ones have a condition.
Saving and overcontroling health spending is inhumane. That control comes to skimp on resources for the poorest Mexicans.
The IMSS-WELFARE granted, as ordered by President López Obrador, medicines and free consultations to people without social security, in real figures, today, has fewer resources than the last year of the previous government, because they owe more than a billion Pesos, of the so-called «health component», which corresponded to the disappeared Programa Prospera. Wonder. Have the finance officials managed to help the most disadvantaged people who attend the IMSS?
I also accuse that the Treasury officials do not want to dialogue with the IMSS, they want to impose. These are examples of some attempts:
1.-To comply with the instructions of austerity and discipline of expenditure, ordered by the president, subscribed and delivered on December 14, 2018, the trade No. 09 52 170500/124, requesting specific criteria of budgetary control under the framework Applicable legal of the IMSS. The writing was never answered.
2.-To authorize the hiring of personnel with those who operate for fiscal year 2019, and to participate in the redesign of the organizational structure, I directed another trade, No. 09 52 170500/079 dated 29 March 2019, which was never answered.
3.-In addition, the IMSS delivered, via e-mail, to Hacienda, on February 7th, objectives, strategies, indicators and punctual action lines to include them in the national development Plan 2019-2024, that the Treasury officials simply Omitted.

4.-Finally, as I mentioned in the last session of this technical Council, I had an appointment on 2 May last to resolve, in short, the situation of the IMSS, and I was cancelled last minute, without explanation.
Finance officials should know that the Government and administration of the IMSS Deb(e) be given legal certainty; It is real the risk of increasing litigation and causing substantial property damage, for making decisions outside the Social Security Act or with officials without authority.
In addition, the public servants of the IMSS, can only take responsibility for the decisions that are taken in the IMSS. No one, in his right mind, will take charge since the IMSS, of instructions or resolutions failed only in the Secretary of the Treasury.
On the other hand, if the Treasury believes that the savings in the IMSS can divert them to other purposes, it is necessary to remind him that «the Institute will not be obliged to concentrate in the Treasury of the Federation its income», according to article 277 C of the Social Security Act .
Neglecting the tax collection and the due and just incorporation of workers into Social security is suicidal for the IMSS. I insist that the greatest corruption of Social security, in addition to being a special offense established in our law, is the simulation of the Declaration of underestimated contributions that steal the fruit of the daily effort of the workers, because with these quotas fictitiously Low, workers lose retirement, widowhood pension, better housing credits and social protection coverage, and some employers unethically accumulate those resources.   
Of course, the quality and efficacy of many IMSS services leave much to be desired, and that the Mexican Social Security Institute has challenges, challenges, misguidance and enormous corruption.
But the IMSS is the only institute worldwide that provides unlimited medical services without their benefits impact on wages. In order to maintain this level of expenditure, this efficient and fair tax work must be supported by all administrative measures, the necessary personnel of time to make notifications, certifications, calculations and collection. Eventual workers have been dismissed, with the provisions of the Treasury, when many of them may be included in the youth Priority program building the future.
A real reform of the IMSS should ensure that workers who suffer from labor rotation or the so-called «outsourcing» and prevent social helplessness, when thousands of them are expelled from the labor market, because when they return (the fortunate to return to Enjoy a job) your health care is more difficult, and the cost to the IMSS is more burdensome in economic terms.
I do not see the initiatives of the Treasury bureaucracy to give permanent social security to all farm laborers, food departers or drivers, or construction workers, as we did with the householders, the reason and pride of the IMSS Obrador.
The IMSS currently builds an agreement with the office of Marcelo Ebrard, for the assurance in dollars by family members who reside in the United States of their relatives living in Mexico, and we look with the UNAM, specifically with its Rector and its director of the Faculty of Medicine, an agreement to promote sport, the change of lifestyle and to insert new apprentices from our highest house of studies into the working world.
To help in the enormous moral task of separating the affairs of the Government from the personal business, as the fourth transformation of the Fatherland wants, can do it the IMSS, as long as they do not put obstacles, barriers and external distrust.
The president has said that a society that only seeks «growth» and consumes consumption, is neither fair nor will it be at peace; That’s why I support, admire and dream of the success of building a Mexico with «development» that equals us all, and that calls for a preference for the poorest, demands not to dismiss anyone.
That orientation of the Obrador government of Mexico requires intelligence, otherwise they can win again those who believe in the cruel hand of the free market. Inefficiency as well as corruption, play on the side of those who built the Society of Mexican privileges that the president seeks and wants to disappear.
I don’t take care of my personal future, nor do I accommodations in government chairs. I don’t defend pharmaceuticals, suppliers or builders. The reason for this dispute with some finance officials is not the purchase of medicines, is to strengthen and respect the IMSS.
I’ve always tried to lead my life by convictions. I’m no Lambiscón, no barber.
I believe and defend the President of Mexico, Andrés Manuel López Obrador, because he is not the manager of those who believe they own the country. It’s no one’s vase, as it says. I will follow his example: I will not be a vase in the IMSS of decisions taken outside the IMSS.

Govern Social security, address its difficult challenges, tame ambitions and businesses, collect quotas, win judgments, make employees work, and eradicate the accursed corruption that afflicts it, requires a strong General manager, backed by all, no doubt, nor Hesitations.
Members of the Technical Council of the IMSS, with absolute peace and in the spirit of building and not to destroy, you know that could veto the decisions of the Council, as authorized by article 269 of the Law of the IMSS, but children who suffer from cancer and await their treatment , those who live in waiting for insulin, the populations of sexual diversity that claim antiretrovirals, and the millions of patients who are cared for in our clinics and hospitals, do not deserve a minute of rebatingas of power.
The President of Mexico needs our support, not our quarrels.
I am aware of the limits and limits, I can be mistaken, but I am decent and I have public shame, and with serenity of mind, I present, at this moment, my resignation to the position of Director General of the Mexican Institute of Social Security.
Wait, you, in terms of article 267 of the IMSS law, the decision of the President of the Republic.
I thank you all for your attention.
Good morning.
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Original source in Spanish

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