Chronic and Incurable Diseases: Providing Comprehensive Care for the Elderly

As our society grapples with the increasing prevalence of chronic and incurable illnesses, the plight of the elderly population demands urgent attention and a comprehensive approach to healthcare. The World Health Organization (WHO) defines a chronic disease as a health condition requiring management over several years, with the potential for serious complications or disability. In Morocco, diabetes, with a staggering prevalence rate of 17.1%, stands as the most widespread chronic disease. However, other conditions, although less common, significantly impact the quality of life for countless citizens.

Chronic and incurable diseases, often associated with modern lifestyles, encompass a wide range of ailments, including cardiovascular diseases, autoimmune disorders, cancer, respiratory issues, diabetes, and HIV/AIDS. These conditions necessitate long-term treatment and management. In 2020, the most prevalent diseases in Morocco were diabetes (17.1%), hypertension (17%), and various forms of cancer (11.5%).

Studies have shown an increased prevalence of chronic diseases among individuals aged 60 and above. According to the High Commission for Planning (HCP), Morocco currently has 4.5 million elderly citizens, with an annual growth rate of 2.8%. By 2050, the HCP estimates that this number could reach ten million, representing an annual increase of 2.9%.

The demographic weight of seniors is expected to rise from the current 12.2% to 23.2% by 2050, a rapid surge attributed to the increasing life expectancy, which has risen from 47 years in the 1960s to 76.9 years today.

A 2015 report by the Economic, Social, and Environmental Council (CESE) revealed that more than half of the elderly population suffers from at least one chronic disease and lacks access to necessary healthcare services.

Confronting this reality, the social, economic, and cultural implications are multifaceted and of common concern. Holders of the RAMED card, a medical assistance program for the elderly or vulnerable, continue to benefit from free hospitalization in public healthcare facilities.

Recently, the Minister of Health and Social Protection, Khaled Ait Taleb, confirmed that former RAMED beneficiaries suffering from chronic or incurable diseases will continue to enjoy free hospitalization. He also highlighted his ministry's awareness of the challenges associated with the transition from RAMED to the AMO Tadamon system, assuring that measures have been taken to ensure continuity of care.

Concurrently, the National Health Insurance Agency (ANAM) announced that medical coverage reached 95% in 2023. However, ANAM has warned about the medical expenses associated with chronic diseases, which account for 50% of the healthcare coverage budget. Remarkably, only 3% of the insured individuals consume nearly half of this budget.

During the 39th edition of the National Medical Congress in December 2023, healthcare professionals recommended a reform of the health policy, including an increase in the national reference tariff and a revision of medical consultation reimbursements, which have remained unchanged since 2006.

As Morocco confronts the challenges posed by chronic and incurable diseases, particularly among the elderly population, a multifaceted approach encompassing healthcare accessibility, policy reforms, and dedicated support systems is imperative. By addressing these pressing issues, we can ensure that our senior citizens receive the comprehensive care they deserve, enabling them to live with dignity and quality of life.