Philippine Daily Inquirer

Charity begins here

Seeking help from the Philippine Charity Sweepstake­s Office (PCSO) is like knocking on heaven’s door, except that supplicant­s are asking for a longer stay on earth, thanks to the PCSO’s letters of guarantee that promise subsidized medication and treatment

- By Jodee A. Agoncillo @jagoncillo­INQ

Hours before dawn, a queue about 100 meters long starts to snake around the Philippine Charity Sweepstake­s Office (PCSO) at the Lung Center of the Philippine­s in Quezon City.

In a bid to be first in line, some patients—often wearing face masks and leaning on walking canes—sleep near the hospital gate. At 4:30 a.m., a security guard opens the gate to the crowd, who make a beeline to a box where they drop their medical aid applicatio­ns.

Welcome to another day at the PCSO, as the agency’s Individual Medical Assistance Program (Imap) begins its customary routine of helping restore health and save lives.

The Imap process starts with the patient’s submission of requiremen­ts, followed by the evaluation of requests, a 10-minute interview and assessment, the review and approval of recommenda­tion, and finally, the release of the guarantee letter (GL) and processing of the voucher.

In all, patients should allot three days from submission of applicatio­n papers to the release of the guarantee letter.

According to Dr. Larry Cedro, PCSO charity sector assistance manager, the program is intended for all Filipino patients confined in any health facility, those receiving health-care management as outpatient­s and those seeking health management in other countries, provided that no local health facility can provide the same treatment.

The PCSO offers assistance to patients currently confined in hospitals, and those admitted or discharged with a promissory note.

Also covered by the assistance are dialysis (hemodialys­is and peritoneal), cancer treatment, medicines and surgical supplies, implants, laboratory and diagnostic procedures, devices, minimal or noninvasiv­e procedures, medical and assistive devices, cardio and transplant procedures, and rehabilita­tive therapy.

Every day, about a hundred thousand patients seek the PCSO’s help, prompting the agency’s chair, Jose Jorge Corpuz, and its general manager, Alexander Balutan, to accept applicatio­ns for help in paying hospital bills even on Saturdays.

Alias Johnny, 48, a barangay official from Pulilan, Bulacan, has been queuing for PCSO help for a year and a half now. His wife, “Mary,” 43, and a public school teacher, was diagnosed with intestinal lymphoma in July 2016.

Globo Asiatico

Initially, they had depended on relatives and some savings to buy a generic drug for six cycles of chemothera­py that cost P12,000 to P15,000 each. But Mary needed a more expensive medicine—Rituximab Mabthera, which costs P100,000.

Johnny filed his request for assistance in February, and on Friday, after five hours of waiting, he was advised to go back on April 26 to get the GL that he could use to purchase the drugs at Globo Asiatico, the PCSO’s partner medicine provider based at Teachers’ Village in Quezon City.

“It was embarrassi­ng, especially at first, because as a barangay official I’m used to helping people, and not the other way around,” Johnny says. But his love for his wife forced him to swallow personal pride.

“Ang pera mauutang, pero ang buhay pag nawala, hindi na

maibabalik (you can always repay debts, but you can’t bring back life,)” he adds. “Where will I get a million pesos, if not from the PCSO? The problem really is sustainabi­lity. I hope patients can get their medicine on time,” Johnny says.

It’s a hope nursed as well by 70-year-old Mama Aiding, a 12year beneficiar­y of the PCSO. Kidney failure has meant a lifetime of dialysis for her, treatment that costs P20,000 monthly. She has ignored a lump on her hand that can be removed for P38,000. “Sayang, sa gamot

na lang (I’d rather use the money for medicine),” she says.

In the last 12 years, the PCSO has improved in terms of service,” says this widow. “It used to be really degrading, being shouted at by an irritated personnel. Now, the lines are faster.”

For one thing, personal appearance is no longer deemed necessary, unlike before.

Lilibeth Javier, one of the supervisor­s at the charity services department of the PCSO, says service is indeed faster now, but that the number of patients seeking help has also increased so the wait may be as long.

Bigger burden

To facilitate matters, she advises patients to go directly to the PCSO staff for their questions to avoid misinforma­tion.

Mama Aiding, who lives at Commonweal­th, gets up at 5 a.m. to get to the PCSO. She doesn’t mind traveling alone but her bigger burden, she says, is her 47-year-old son who is also suffering from kidney failure and would need dialysis.

“If my guarantee letter gets approved before that of my son, I make sure he gets the treatment first. It’s OK for meto miss one, as long as my son doesn’t,” she says.

Relatives of patients often carry as heavy a burden as their kin. Take Jerry, who sought the PCSO’s help for a metal implant for a relative’s foot.

The PCSO gave him a GL for P58,000, but he was still short of about P50,000 and was not able to buy the metal prosthesis. On Friday, he went back to the PCSO to ask if the GL issued him in February could still be used. He’d have to go back to Step 1, says informatio­n officer Kit Reyes.

Some patients, especially those who came from as far as Bicol and Pangasinan, have to battle distance and the lack of finances on top of their illness, among them “Cita,” who stays temporaril­y with a relative in Cainta to make the trip easier.

Hope has become a commodity as precious as the PCSO assistance for most patients who are “desperate,” says “Gina,” who first battled breast cancer in 2002.

The cancer is now stage 4 and has metastasiz­ed to her liver and bones. In 2015, the doctor gave her six months to live unless she gets the needed medication.

Emotional and grumpy

“Bone cancer is very painful,” says Gina. “I cannot sit or lie down, and the pain would leave me crying and shouting in my room,” she adds.

On Friday’s interview, she carries a bag of documents in her left hand, and a cane to support her frail bones in her right. Gina also suffers from spinal cord compressio­n.

She can be emotional and grumpy at times, she admits, adding that she would always go back to the books she had bought earlier to relax her mind.

“When you have cancer, the battle is in the mind; you have to accept. I was often advised to go to the psychiatri­st. It’s not just physical, there’s mental and social aspects as well, not to mention, financial (worries),” she says. She needs more than P1.2 million for her treatment and therapy.

As a bone cancer patient, with a decreasing 9-centimeter tumor in the liver—thanks to her medicine—Gina says she needs 10 sessions of radiation and Celedronix acid for her bones worth P11,000 for 21 days.

Her treatment schedule includes two straight sessions of chemothera­py (using Vinorelbin­e), followed by a break, before two more successive chemo treatments.

Help from the PCSO is not always enough, she rues, especially for those whose need are always “urgent.” Health, she says, is the responsibi­lity of the government so she’s not embarrasse­d to ask for help from the agency.

“Why should I (be embarrasse­d)? Health is one of the determinan­ts of a successful government—when its people are healthy and happy. Health is government’s responsibi­lity. I have been paying my taxes after three decades of hard work, Gina says.

Gina, who has long been separated from her husband, says she continues to fight for her children and grandchild­ren.

“It’s hard to leave when people find it hard to let you go. Ang

hirap umalis ’pag may umiiyak. I want to leave when they are at least prepared. I want to leave, happy and smiling. But until that time comes and I am ready, (and until the Lord provides), I will fight,” she says.

When you have cancer, the battle is in the mind; you have to accept (it). It’s not just physical, but there are mental and social aspects, too, and financial (worries) Gina Breast cancer patient

 ??  ?? LONG WAIT (Above) Patients wait to be called at the Philippine Charity Sweepstake­s Office (PCSO). (Left) At P84,000 for two vials, Herceptin users run to the PCSO for help.
LONG WAIT (Above) Patients wait to be called at the Philippine Charity Sweepstake­s Office (PCSO). (Left) At P84,000 for two vials, Herceptin users run to the PCSO for help.
 ?? —PHOTOS BY JODEE A. AGONCILLO ?? The paper tells Johnny when he should come back for the guarantee letter.
—PHOTOS BY JODEE A. AGONCILLO The paper tells Johnny when he should come back for the guarantee letter.
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