Brazilian doctors’ remuneration for caesarean section reduced by three times

In order to curb rising incidences of intentional caesarean section, the Federal Court of Brazil has ruled that insurance companies have to lessen the fees for caesarean section, because giving birth surgically has become a very common practice in the country. Caesarean section accounts for 84% of all births in private clinics. The World Health Organization (WHO) data suggests that the number of births by conducting caesarean section should not be over 15% of the total number of births. Doctors will now be paid three times greater remuneration for a normal birth than a birth by Caesarean section. The health surveillance body, ANS, has to develop rules and regulations for insurance operators within 60 days to reduce the number of Caesarean sections in the private sector, failing which ANS would be liable for a fine of BRL 10,000 per day. Private clinics and doctors will now have to collect and submit data about the ratio on caesarean sections and vaginal delivery in their practice regularly.





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