Policy Evaluation On The Implementation of RA 11469 and Its Lack of Provision On Mass Testing 1 POS196 C32-2 Policy, Design, Cybernetics, and Evaluation Republic of the Philippines Mindanao State University Fatima, General Santos City College of Social Sciences and Humanities Department of Political Science AY 2020-2021 Policy Evaluation On The Implementation of RA 11469 and Its Lack of Provision On Mass Testing Submitted to: Dr. Anderson V. Villa Submitted by: Deocampo, Churchill II Malic, Sittie Sairah Date submitted: July 4, 2021 Policy Evaluation On The Implementation of RA 11469 and Its Lack of Provision On Mass Testing 2 POS196 C32-2 Policy, Design, Cybernetics, and Evaluation TABLE OF CONTENTS Introduction/rationale...........................................................................................................3 Statement of the Problem.....................................................................................................4 Objectives of the Paper........................................................................................................ 4 Review on Related Literature.............................................................................................. 5 Research Method................................................................................................................. 9 Policy Evaluation............................................................................................................... 11 Policy Recommendation.................................................................................................... 14 References..........................................................................................................................15 Policy Evaluation On The Implementation of RA 11469 and Its Lack of Provision On Mass Testing 3 POS196 C32-2 Policy, Design, Cybernetics, and Evaluation Introduction/rationale The primary purpose of this policy paper is to address the inconsistencies of Republic Act no. 11469, also known as the Bayanihan to Heal as One Act of 2020, particularly the implementation of mass testing. The critical inquiry question of this policy research paper is how do the Philippines implement mass testing in flattening the curve of Covid-19 cases and keep infected individuals from infecting healthy ones? After reading the said law and news articles about the implementation of mass testing in the Philippines, the researchers decided to focus on three distinct areas: the first sub-question will look at how the Republic Act no. 11469 addresses the need for mass testing and if the law adheres to its objectives. Second sub-question is since the law gives the president fiscal powers to allocate funds intended for the pandemic, what is the President's response in implementing mass testing? And lastly, how will mass testing be implemented? By reading news articles on the need to implement mass testing, politicians said myriad of reasons why it is impossible for mass testing to be implemented on different grounds. Even the supreme court junked the petition for mass testing stated that it is unnecessary (CNN Philippines, 2020). Even senator Koko Pimentel noted no provision in the Bayanihan To Heal As One-Act on mass testing (DONA MAGSINO, GMA News, 2020). The main objective of RA 11469, otherwise known as the Bayanihan To Heal as One Act, is the amelioration of Individuals heavily affected by the pandemic and mitigation of the spread of Covid-19 in the country. After reading the said Act, the researchers decided Policy Evaluation On The Implementation of RA 11469 and Its Lack of Provision On Mass Testing 4 POS196 C32-2 Policy, Design, Cybernetics, and Evaluation to analyze the policy implementation of RA 11469 and why it is important to include or emphasize and importance of mass testing in the provisions of the said law. Statement of the problem This study aims to evaluate the Republic Act no. 11469, otherwise known as the Bayanihan to Heal As One Act, for its lack of provisions in mass testing. Objectives of the Paper This paper aimed to determine the following: 1. The effectiveness of RA 11649 towards combating Covid-19 this paper focuses solely on the efficacy of the said law in mitigating covid-19 infection, particularly in quelling the spread of covid-19 cases through medical methods, which is mass testing. 2. Identify the section/s of the said Act that can support the implementation of mass testing. 3. To come up with a robust alternative policy design that addresses the importance of mass testing. Policy Evaluation On The Implementation of RA 11469 and Its Lack of Provision On Mass Testing 5 POS196 C32-2 Policy, Design, Cybernetics, and Evaluation Review on Related Literature Bayanihan to Heal as One The Bayanihan to Heal as One Act is also identified as Republic Act 11469 that declares a national health emergency due to the Coronavirus outbreak. This is where Congress authorized the President to perform necessary special powers with limits such as time and other certain restrictions. (Tigno, 2020 p.3) Under Section 4 of the Act, it grants thirty (30) special powers of the President which are to adopt and implement these measures to prevent further spread of the coronavirus, following the World Health Organization (WHO) guidelines; Accelerate and simplify testing kit accreditation, as well as PUI and PUM testing by public and private institutions, as well as patient isolation and treatment; Ensure that all local government units (LGUs) obey the regulations and directives of the national government while implementing community quarantine standards in their respective areas. The LGUs can still exercise their autonomy in situations that the national government does not define. The authority will provide emergency cash assistance to 18 million low-income households for two months, ranging from P5,000 to P8,000 per month, based on the region's minimum salary; Give health workers a special risk allowance on top of their regular hazard pay; Direct PhilHealth to bear all medical expenditures incurred by workers exposed to the coronavirus for the length of the emergency. Mandate that public and private health professionals who catch the virus be compensated with P100,000 and that diseased families of health workers resulting from the virus be compensated with P1 million. Take over private medical facilities; To conserve money, discontinue appropriated programs or operations of executive branch agencies, including Policy Evaluation On The Implementation of RA 11469 and Its Lack of Provision On Mass Testing 6 POS196 C32-2 Policy, Design, Cybernetics, and Evaluation government-owned and controlled companies. The savings will subsequently be used to fund support operations and reaction actions to combat COVID-19. Impose safeguards against commodity hoarding and profiteering, such as food, gasoline, medication, and medical supplies; Ensure that the contribution, acceptance, and distribution of health items do not take too long; Compellingly, certain items such as protective laboratory and medical equipment, medical supplies, instruments, testing kits, buildings and venues, and others. As a significant humanitarian organization, collaborate with the Philippine Red Cross. Employ temporary Human Resources for Health (HRH) to complement or replace current workers in hospitals and other institutions. Reduce lending interest rates and reserve requirements for lending institutions to ensure credit availability to the productive sectors of the economy. Reduce grant subsidies for manufacturing or importing critical equipment or supplies, such as medical equipment and supplies. Ensure the availability of essential items by making efforts to avoid supply chain disruption; Demand that firms prioritize and accept contracts for services and materials required to promote the legislation. Regulate and regulate the functioning of private and public land, sea, and air transportation; Regulate traffic on all roads, streets, bridges, et al.; Continue to permit alternate working arrangements for executive branch personnel and workers, as well as other autonomous departments of government and the private sector as needed; Regulate the distribution and use of energy, fuel, and water, and ensure sufficient supply of these; Use unutilized money to combat the coronavirus. During the State of Emergency, all unutilized money will be deemed abandoned. Authorize the allocation of funds to meet the COVID-19 situation, including unutilized or unreleased subsidiaries held by GOCCs. While under community quarantine, move the Policy Evaluation On The Implementation of RA 11469 and Its Lack of Provision On Mass Testing 7 POS196 C32-2 Policy, Design, Cybernetics, and Evaluation deadlines and timelines for submitting and filing paperwork, taxes, fees, and other items. Direct banks and other financial institutions, including GSIS, SSS, and the Pag-IBIG Fund, institute a 30-day grace period for loan and credit card payments. Allow a 30-day grace period on residential rentals throughout the ECQ period without incurring interest, fines, or other fees; Implement an enlarged Pantawid Pamilya Pilipino Program to cover people working in the informal economy (self-employment, construction, etc.) and those who are not already participants of the Pantawid Pamilya Pilipino Program. Lift the 30-percentage-point limit on the amount authorized for the fast reaction fund, and Take additional reasonable and necessary steps to carry out the legislation following the constitution. (Sawadjaan, 2020) Mass Testing Madarang (2020) described how the World Health Organization and the Department of Health used the term "mass testing" to express the need to find Covid-19 individuals to flatten the curve or lower the number of cases to a sustainable rate. It is done with how it aims to find people with Covid-19 who are possibly infected with the Covid-19 virus, either asymptomatic or presymptomatic, for them to be quarantined and also perform rapid findings and testing close contacts for the avoidance of more people to be infected with the virus. (Raffle, 2020; Buitrago-Garcia et al., 2020; Mayers & Baker, 2020) According to Pancevski (2020), Western countries are most likely to have mass testing towards combating the virus, such as the United Kingdom has acquired 2.5 million kits that have been purchased for a mass-testing campaign to test 25,000 people per day by the end of April. Officials in Sweden and Austria have stated that they are Policy Evaluation On The Implementation of RA 11469 and Its Lack of Provision On Mass Testing 8 POS196 C32-2 Policy, Design, Cybernetics, and Evaluation increasing capacity to up to 15,000 tests per day. To scale up tests, Swedish and German healthcare authorities are considering using veterinary laboratories. Meanwhile, South Korea, Singapore and Taiwan are the only Asian countries that have pursued mass testing. It is reported from the Organization for Economic Co-operation and Development (OECD) that countries Iceland, Luxembourg and Estonia are the countries that have the most number of population being mass tested (Broom, 2020). Having the initiative of flattening the curve, Filipino citizens wished to do the same as mass testing has shown their effectiveness on flattening the curve, which leads to the petition with a writ of mandamus requesting that the government conduct testing on all suspected cases, contacts of probable and confirmed cases, frontline healthcare workers, and high-risk communities. However, the Supreme Court rejected the said petition as there is no authority to issue such a writ no matter how extreme the emergency is. (CNN Philippines Staff, 2020) Flattening the Curve The term flattening the curve is applied to the estimated number of people who will contract the coronavirus over time. (AdventHealth, 2020) Therefore, the faster the infection curve rises, the more quickly the local health care system becomes overburdened and unable to treat people leading to run out of the basic supplies that are essential towards their response to the outbreak. On the other hand, a flatter curve predicts that the same number of individuals will become sick eventually, but over a longer period, because a lower infection rate correlates to a less pressured healthcare system. (Specktor,2020) Policy Evaluation On The Implementation of RA 11469 and Its Lack of Provision On Mass Testing 9 POS196 C32-2 Policy, Design, Cybernetics, and Evaluation Countries that have flattened the curve include Canada with their early response of conducting tests and contact tracing and a unique health system, followed by Georgia. They also took early preventive measures and conducted preventive tests. Iceland was known for having to test more people per capita. In Asian countries, Taiwan had their immediate action on combating the coronavirus as it is 100 miles near the prime spot of the virus, which is Wuhan and with South Korea with their mass testing and applies isolation and a widespread contact racing. (Wilson, 2020) Research method The researchers use the Eightfold Path method by Eugene Bardach in evaluating the Republic Act No. 11469. It is a step-by-step process of evaluating a policy. Defining the problem, assembling evidence, constructing alternatives, criteria selection, project and outcome, confront the trade-offs, decide, and tell the story. The researchers employed FGD or Focus Group Discussion in decimating tasks and gathering data. Policy Evaluation On The Implementation of RA 11469 and Its Lack of Provision On Mass Testing POS196 C32-2 Policy, Design, Cybernetics, and Evaluation THE IMPLEMENTATION OF RA 11469 AND ITS LACK OF PROVISION ON MASS TESTING The Implementation of RA 11469 and Its Lack of Provision On Mass Testing Research Instrument Focus Group Discussion Eightfold Path COME UP WITH AN ALTERNATIVE POLICY Figure 1. Research design 10 Policy Evaluation On The Implementation of RA 11469 and Its Lack of Provision On Mass Testing 11 POS196 C32-2 Policy, Design, Cybernetics, and Evaluation Policy evaluation Using the Eightfold Path method, the researchers began their assessment on RA 11469, otherwise known as the Bayanihan to Heal As One-Act. The problem that the researchers would like to address is the ever-increasing cases of covid-19 in the Philippines. As of July three, 2021, there are 1,418,337 confirmed cases of covid-19, and the recorded deaths are a whopping 24,797 (World Health Organization, n.d.). Due to this, the government needs to identify infected persons infected of covid-19 to put them under quarantine and spare the health ones, thus called mass testing. Under the Republic Act No. 11469 section 3 (a) that there is a need to mitigate, if not contain, the transmission of covid-19. Regardless of this provision stipulated under the law, the government implemented no policy about mess testing, which is the best method in limiting the spread of the virus. Thus there is a need to clarify what are the ways in mitigating the transmission of covid-19. After the issue has been identified, the next course of action is to assemble the pieces of evidence needed for policy evaluation. Before presenting evidence and data gathering, it is advised to ponder the outcome of the policy alternative that was implemented. Since there is an urgent need for mass testing due to increasing cases of covid-19, and since the main goal of the government is to flatten the curve of covid-19 instances, the prospect of implementing mass testing is not far-fetched or beyond ordinary. What will be the outcome of the RA 11469 if mass testing will be given much importance? There will be no damaging effect on the law, where, in fact, it complements and strengthens the law for it does not violate or go against its provisions. Segregating the infected from healthy ones is the sine qua non of mitigating the spread of covid-19 infection. Due to the lack of Policy Evaluation On The Implementation of RA 11469 and Its Lack of Provision On Mass Testing 12 POS196 C32-2 Policy, Design, Cybernetics, and Evaluation conditions about mass testing in RA 11469 creates confusion that might overlook its importance. One example is the supreme court's decision to junking the petition for mass testing, stating that the petitioners lack proof for such an Act (CNN Philippines, 2020). Advocates for mass testing said that mass testing is a must in battling the pandemic. They cited how South Korea utilizes online tracking and tents for mass testing and drive-thru mass testing in curving the curve of their covid-19 cases (Dace & Dace, 2020). Mass testing advocates such as Iloilo Representative Janette Garin stated that mass testing is a must, both identifying symptomatic and asymptomatic cases (CNN Philippines, 2020a). And lastly, government officials have also seen the lack of provisions of RA 11469, otherwise known as the Bayanihan to Heal As One Act's lack of provisions in mass testing, thus creates more ambiguity as the government stated that mass testing is solely in the hands of the private sector, admitting that the government is incapable of implementing mass testing (Esguerra, 2020). R.A 11469, however, stated in section 4 (k) (1) that procurement of testing kits and such other relevant supplies or equipment may be determined by the DOH and other relevant government agencies. Following the collection of evidence required for policy evaluation, the researchers immediately developed policy alternatives that will play a critical part in the final policy decision. The first list is to apply existing proposals for mass testing by medical groups or government agencies. The number one problem of the RA 11469 is its lack of provisions in mass testing, which is vital for flattening. Thus layering is the best policy alternative since the law lacks provisions needed for mass testing. The second alternative is to come up with a law that is intended only for mass testing. Since there is an emerging need to regulate the increasing cases of covid-19 as far as the RA 11469 and mass testing is Policy Evaluation On The Implementation of RA 11469 and Its Lack of Provision On Mass Testing 13 POS196 C32-2 Policy, Design, Cybernetics, and Evaluation concerned, these two address the need to mitigate the spread of covid-19. Hence both policy alternatives must be merged into one. The researchers used the efficiency analysis as their evaluative criteria and legality criteria to select the criteria phase. The efficiency analysis assesses the morals of whether the policy alternative is worth it in the political realm, and the legality criteria imply the cohesion of the policy alternatives on the statutes, existing law, and the constitution (Bardach, 2012). before the researchers begin the evaluative criteria, they have presented questions: (1) Is the proposed policy alternative morally right? And (2) Does the policy alternative improve the welfare of the people? The alternative policy is morally right for it addresses well being of the people and the collective good of the community. And the policy alternative improves the welfare of the people since it mitigates the spread of covid-19 that threatens people's lives. On projecting the outcomes, it assesses the robustness and effectiveness of the policy alternative base on its outcomes. Since the covid-19 pandemic is both a health and economic crisis, the policy alternatives must not go against on economy and favour health. There should be a balance. The researchers foresaw this overlapping crisis that would be detrimental to the outcome of the policy alternative. In this case, the RA 11469 had already given the fiscal amelioration for covid-19, most specifically on section 4 (k) (1). Also, under the said law, the President has been vested a fiscal power to control funds for covid-19 related programs. On health, the policy alternative, particularly the implementation of mass testing, will help immensely lessen the number of infected people. The policy alternative will also implement mandatory mass testing on areas or Policy Evaluation On The Implementation of RA 11469 and Its Lack of Provision On Mass Testing 14 POS196 C32-2 Policy, Design, Cybernetics, and Evaluation cities with astronomical cases of covid-19 to identify those infected and put them under quarantine. Policy Recommendation The Philippines is one of the countries in Southeast Asia with astronomical cases of covid-19, and there is indeed a need for mass testing. Countries like South Korea had managed to control the spread of covid-19 due to their robust mass testing methods. The Philippines must also do the same to mitigate the spread of covid-19. The RA 11469 in itself is a good policy for addressing both the economic and health crisis brought by the pandemic. However, the lack of provisions on mass testing makes the law less effective, for one of its objectives is to mitigate if not quell the spread of covid-19. The following are recommendations focus on giving mass testing much importance as it is seen to be one of the effective ways of repelling covid-19 infection: First and foremost, amend the RA 11469 and include provisions for mass testing and the fiscal allocations, sanctions, etc. Implement mass testing policies and define the government institutions or agencies responsible for carrying out the procedure according to the RA 11469. The government must prioritize the implementation of mass testing regardless of how dire or how manageable the country's situation is in dealing with the pandemic. 15 Policy Evaluation On The Implementation of RA 11469 and Its Lack of Provision On Mass Testing POS196 C32-2 Policy, Design, Cybernetics, and Evaluation References AdventHealth. (2020). COVID-19: What Does It Really Mean to Flatten the Curve? https://www.adventhealth.com/blog/covid-19-what-does-it-really-mean-flatten-curve Bardach, E. (2012). A Practical Guide for Policy Analysis: The Eightfold Path to More Effective Problem Solving 4E. SAGE Publications. Broom, D. (2020). Which OECD countries are doing the most coronavirus testing? World Economic Forum. https://www.weforum.org/agenda/2020/04/these-are-the-oecd-countries-testing-most-f or-covid-19/ CNN Philippines. (2020a, May 25). “We don’t know where we are in the curve,” says mass testing advocate. CNN. https://cnnphilippines.com/news/2020/5/25/Mass-testing-advocate-says-Philippines-COV ID-19-curve-still-uncertain.html?fbclid=IwAR38l22GaA5Fgm4f7Qsymm0L-MQOUqujc rCxwBz_fWO-Njp48ONesBFz4zo CNN Philippines. (2020b, September 16). Supreme Court junks petition on free mass testing for COVID-19. Cnn. https://cnnphilippines.com/news/2020/9/16/supreme-court-mass-testing-petition-junked.h tml CNN Philippines Staff. (2020). Supreme Court junks petition on free mass testing for COVID-19. CNN. https://cnnphilippines.com/news/2020/9/16/supreme-court-mass-testing-petition-junke d.html Policy Evaluation On The Implementation of RA 11469 and Its Lack of Provision On Mass Testing 16 POS196 C32-2 Policy, Design, Cybernetics, and Evaluation Dace, H., & Dace, H. (2020, April 4). Mass Community Testing Is Crucial to the Covid-19 Response: Here’s How We Get There. Institute for Global Change. https://institute.global/policy/mass-community-testing-crucial-covid-19-response-heres-h ow-we-get-there DONA MAGSINO,GMA News. (2020, May 19). No provision for mandatory mass testing in Bayanihan law, says Koko Pimentel | News |. GMA News Online. https://www.gmanetwork.com/news/news/nation/738912/no-provision-for-mandatory-ma ss-testing-in-bayanihan-law-says-koko-pimentel/story/ Esguerra, D. J. (2020, May 19). Gov’t says it’s up to private sector to conduct mass tests for COVID-19 | Inquirer News. INQUIRER.Net. https://newsinfo.inquirer.net/1276892/amid-limited-covid-19-testing-capacity-govt-to-letprivate-sector-conduct-mass-testing#ixzz6MoxK40H4 Madarang, R. C. S. (2020). Expanded targeted testing vs mass testing: Is there a difference between the two? Interaksyon.Philstar. https://interaksyon.philstar.com/politics-issues/2020/05/20/168952/expanded-targetedtesting-vs-mass-testing-is-there-a-difference-between-the-two/ Pancevski, B. (2020). Some Nations Look to Mass Testing for Faster Way Out of Coronavirus Crisis. WSJ. https://www.wsj.com/articles/some-nations-look-to-mass-testing-for-faster-way-out-of -coronavirus-crisis-11585758518 Raffle, A. E., Pollock, A. M., & Harding-Edgar, L. (2020). Covid-19 mass testing programmes. BMJ, m3262. https://doi.org/10.1136/bmj.m3262 17 Policy Evaluation On The Implementation of RA 11469 and Its Lack of Provision On Mass Testing POS196 C32-2 Policy, Design, Cybernetics, and Evaluation Sawadjaan, A. (2020). Simplifying the Bayanihan to Heal as One Act. BusinessWorld. https://www.bworldonline.com/simplifying-the-bayanihan-to-heal-as-one-act/ Specktor, B. (2020). Coronavirus: What is “flattening the curve,” and will it work? Livescience.Com. https://www.livescience.com/coronavirus-flatten-the-curve.html Tigno, J. (2020). A Primer on Bayanihan to Heal as One Act of 2020 – Department of Political Science | University of the Philippines Diliman. University of the Philippines Diliman - Department of Political Science. https://polisci.upd.edu.ph/resources/bayanihan-primer/ Wilson, A. (2020). Success Stories: The Countries That Are Flattening the Coronavirus Curve. Foreign Policy. https://foreignpolicy.com/2020/04/02/countries-succeeding-flattening-curve-coronavir us-testing-quarantine/ World Health Organization. (n.d.). Philippines: WHO Coronavirus Disease (COVID-19) Dashboard With Vaccination Data. 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