Overview
- The strike, which began Wednesday, restricts PAMI care to medical emergencies, maintains prescriptions for common chronic conditions and suspends electronic medical orders for three days.
- APPAMIA launched the measure in protest of Resolution 1107/2026, which replaced fee-for-service items with a fixed per-capita payment and removed a separate in‑office consultation fee.
- The union says the change sharply reduced provider income and presented calculations showing monthly receipts falling from roughly 2.1 million pesos to about 1.4 million pesos for some practices.
- Negotiations collapsed after PAMI offered a reported 300-peso increase in the per-capita rate, an offer APPAMIA rejected, and the union formally notified PAMI and the Ministry of Capital Humano while warning it may escalate action.
- The pause in routine appointments and referrals leaves many retirees without scheduled care this week, and providers warn the payment scheme could force practitioners to subsidize clinics or abandon PAMI work, putting longer-term access at risk.