ALVIN B. CABALLES, MD, MDE, MPP
CURRICULUM VITAE
PERSONAL DATA
Name: Caballes, Alvin Bernardo
Position: Associate Professor, College of Medicine, University of the Philippines
Cell No.: 09217148829
Office: Social Medicine Unit, U.P. College of Medicine, P. Gil St., Manila (4006658); Rm. 519 Medical Arts Building, St. Luke’s Medical Center (7231021)
Email: abchealth@ymail.com, abcmd@alumni.princeton.edu
ACADEMIC/TRAINING RECORD
College: University of the Philippines, Diliman (B.S. Biology, 1981, cum laude)
Medical School: College of Medicine, University of the Philippines (graduated 1985, 11th in class; Class President, 1985; Class Award in Leadership, 1985)
Post-Graduate Training:
Internship: Philippine General Hospital (1986-87; Medical Student Council Representative; Outstanding Intern in Pediatrics)
Residency: Pediatric Surgery, Department of Surgery, Philippine General Hospital (1987-92; Chief Resident, Department of Surgery, 1991)
Masteral: Development Economics (University of the Philippines, 2002)
Public Policy, with Certificate in Health Policy (Princeton University, 2008)
Fellowship/Others: Transplantation, University of Miami; 1995; GB Ong Fellow, University of Hong Kong, 2003
CERTIFICATION
Physician’s Licensure Examination - passed, 1986
U.S. Medical Licensure Examinations I & II - passed, 1994
Diplomate Examinations, Philippine Society of Pediatric Surgeons - passed, 1993
OTHER PROFESSIONAL CITATIONS
Fellow, Philippine Society of Pediatric Surgeons, 1996
Fellow, Philippine College of Surgeons, 1997
Eusebio Paulino Professorial Chair, UPCM, 2007
OTHER POSITIONS
Chief, Social Medicine Unit, UP College of Medicine, 2004 – present
Program Administrator, Joint UPM-UPD Bioethics Graduate Program, 2004 – present
Faculty, Department of Surgery, Philippine General Hospital, 1994 – present
Head, Division of Surgery, Philippine Children’s Medical Center, 2005 – 2007
Head, Endoscopy Unit, Philippine Children’s Medical Center, 2004 – 2007
Board Member, Philippine Board of Pediatric Surgery, 1999 – 2002
Chair, Nutrition Support Team, Philippine General Hospital, 2000 – 2003
Editor in Chief, PCS Newsletter, 2005 – 2006
Associate Editor, Philippine Journal of Surgical Specialties, 2005 – 2007
5. Average Family Hospitalization Expenses*** P 5,874 Poverty Threshold**** P 4,835 Percentage of Families Below Threshold**** 27.5 % *** FIES, 2000 **** NSCB, 2000
11. ALVIN B. CABALLES, MD HEALTH FINANCING SUMMIT UP Diliman 14 April 2010 So why not just pay out-of-pocket? REMEMBER? Health services (and supplies) can be expensive (relative or absolute terms) Services needs to be paid, or else these will be under-provided Catastrophic health expenditures can lead to (further) financial ruin (& even worse health) Sourcing Strategies Scenarios Synergies
12. ALVIN B. CABALLES, MD HEALTH FINANCING SUMMIT UP Diliman 14 April 2010 More on “Catastrophic Health Expenditures” Sourcing Strategies Scenarios Synergies
13. ALVIN B. CABALLES, MD HEALTH FINANCING SUMMIT UP Diliman 14 April 2010 More on “Catastrophic Health Expenditures” Sourcing Strategies Scenarios Synergies
14. ALVIN B. CABALLES, MD HEALTH FINANCING SUMMIT UP Diliman 14 April 2010 More on “Catastrophic Health Expenditures” Sourcing Strategies Scenarios Synergies
15. ALVIN B. CABALLES, MD HEALTH FINANCING SUMMIT UP Diliman 14 April 2010 Pooling Risks: Health & Financial Sourcing Strategies Scenarios Synergies
16.
17.
18.
19. Once Again… ALVIN B. CABALLES, MD HEALTH FINANCING SUMMIT UP Diliman 14 April 2010 Sourcing Strategies Scenarios Synergies Pooling Options Private/Indemnity SHI Premiums Reflects Risk/Expected Loss Based on Ability to Pay Risk Spreading Group or Community Population/ ?Generations Insurer Commercial firms Public firms Government Subsidy May be indirect (tax incentive) Often highly subsidized
20. ALVIN B. CABALLES, MD HEALTH FINANCING SUMMIT UP Diliman 14 April 2010 Sourcing Strategies Scenarios Synergies Insurance Concerns Information Assymetry Moral Hazard Adverse Selection
21.
22. Philippine Trends: Total ALVIN B. CABALLES, MD HEALTH FINANCING SUMMIT UP Diliman 14 April 2010 Sourcing Strategies Scenarios Synergies
23. Philippine Trends: Main Sources ALVIN B. CABALLES, MD HEALTH FINANCING SUMMIT UP Diliman 14 April 2010 Sourcing Strategies Scenarios Synergies
24. Philippine Trends: Health Insurance ALVIN B. CABALLES, MD HEALTH FINANCING SUMMIT UP Diliman 14 April 2010 Sourcing Strategies Scenarios Synergies NDHS, 2008
25. Philippine Trends: PHIC ALVIN B. CABALLES, MD HEALTH FINANCING SUMMIT UP Diliman 14 April 2010 Sourcing Strategies Scenarios Synergies
27. Demographic Transition: Double Burden ALVIN B. CABALLES, MD HEALTH FINANCING SUMMIT UP Diliman 14 April 2010 Sourcing Strategies Scenarios Synergies Preston, 1975
28. Demographic Transition: Financing Effects ALVIN B. CABALLES, MD HEALTH FINANCING SUMMIT UP Diliman 14 April 2010 Sourcing Strategies Scenarios Synergies
29. ALVIN B. CABALLES, MD HEALTH FINANCING SUMMIT UP Diliman 14 April 2010 Sourcing Strategies Scenarios Synergies
30. Economic Growth & Health Financing Sustainability ALVIN B. CABALLES, MD HEALTH FINANCING SUMMIT UP Diliman 14 April 2010 Sourcing Strategies Scenarios Synergies
31. ALVIN B. CABALLES, MD HEALTH FINANCING SUMMIT UP Diliman 14 April 2010 TAKE HOME MESSAGES: Adequate financing is necessary not only to remedy poor health, but also to safeguard against (further) impoverishment Efficient pooling mechanisms are necessary to ensure the accessibility of essential health services especially for the poor, as well as to prevent financial ruin Adequate financing is necessary for the provision of health services, but this alone is not sufficient for ensuring the adequacy and efficiency of provision Health is not a stand alone concern
