The Council of Ministers gave the green light yesterday to the draft Law of Equity, Universality and Cohesion in access to public health, preventing establish new co-payments and consider the " direct management " as the priority basis for the provision of services, and It does not eliminate the public-private collaborations why not have the support of United we can , Government partners .
Beyond the noise generated controversy with its partners in government , regulatory reform is presented ambitious . The presentation by Health draft legislation which takes its title the words equity, universality and invites cohesion to think that their ultimate goal is to guarantee the equality of citizens to benefits portfolio of services throughout the territory .
In other words : it could be the legal basis for the autonomous communities , despite being responsible for skills in health, have to combine services and offer homogeneous health care . The law aims , said Darias , measures to strengthen equity , cohesion and universality in the Public Health System and minimize inequalities. " What it does is strengthen and focus on direct management in providing services ," said the Minister of Health on a draft that said , require argue and justify why we resort to "other forms of management " in the case that the services do not lend themselves directly in public schools .
The Ministry of Carolina Darias has put on the table a regulatory reform that touches all the 'backbone' of the Spanish health system. An ambitious project, since the rules changed this Draft Law are two laws, a royal decree-law and three royal decrees, and repealing a law. "This new rule amending or repealing previous legislation aims to ensure uniformity in the effectiveness of the right to health protection and extend the rights of the population", said the Ministry of Health. Specifically, they are: Law 14/1986 of 25 April, General Health; Law 16/2003 of 28 May, cohesion and quality of the National Health System; Royal Decree Law 16/2012, of 20 April, on urgent measures to ensure the sustainability of the national health system and improve the quality and safety of its services; Royal Decree 8/2008 of 11 January, which regulates the provision because of the need for Spanish residents abroad and returnees; Royal Decree 1506/2012 of 2 November, the supplementary common portfolio of orthoprosthetic provision of the national health system is regulated and set the bases for the establishment of maximum amounts of funding orthoprosthetic provision; Royal Decree 931/2017 of 27 October, the Memory Analysis Regulatory Impact is regulated. Also, it is repealing Law 15/1997 of 25 April on enabling new forms of management of the National Health System.
Portfolio Darias merely to comply with the landmark reform 3 Component 18 Plan Recovery, Transformation and Resiliency , whose general objectives are to establish measures to strengthen equity , cohesion and universal in the National Health System ( SNS ) . In it, it is clear that the intention is to establish a portfolio of common services to all regions . "It will strengthen cohesion in the whole of the system and reduce inequalities in health care , especially in the treatment of rare diseases and highly complex ' reads the plan. One way to establish common and minimum to health care across the country bases, even if it is transferred in the 17 autonomous communities.
In addition, it also stresses that coordination and multilevel governance should be "strengthened and developing in the management of the National Health System and enhancing territorial cohesion. (...) Actively promote strategies to achieve gender equity in health, eliminating unjust and avoidable health inequalities. (...) Reforms will also improve health services in rural areas and low demographic density, reducing the territorial gap. "
Will it be forced by law that all autonomies offer and finance the same benefits? Can those that do not reach certain minimums set by regulations be criminalized? How far would this rival this with the competitions that communities currently have? They are part of the small letter that could be detached from the norm.
Elvira Velasco Morillo, spokesman for the Popular Party Group (GPP) in the Health and Consultation Commission at the Congress of Deputies, values the approval of the preliminary draft law of measures for equity, universality and cohesion of the SNS. "A project that has not been presented to the main opposition group and that the minister in the first appearance of it, in March, announced that it would be the draft in the second quarter of this year and has been approved in the last".
From the GPP question the ability of the Government to carry out a law that takes into account the real needs of the Spaniards in the field of health and solve the problems of structure having healing. "With regard to what the capacity of the government has shown us a nefarious management COVID or what has been the importance of health in the PGE 2021 or 2022. With a reconstruction funds in health reach just over 2 % . a law comes away from the cogobernanza CCAA , professionals, patients and even a gap between PSOE and we appreciate " .
Since the PP affirm that if this initiative thrives "we will present all the amendments that are necessary to address and respond to the real needs of health." "Our attitude will be the same as we have maintained with the PGE. This is one more sample of this government that moves away from seeking a covenant for health in our country like the one we have offered from the PP," the Popular Spokesman concludes.
Carlos Rus, president of the alliance of Spanish Private Health (ASPE), in statements to this newspaper point, in relation to the maintenance of public-private collaboration, which should not be forgotten that this collaboration sits on a basis. "In the field of health, there is freedom of choice by citizens and management is responsible for the Autonomous Communities. This is something that can not be limited by a political ideology that should not be like this, "says Rus. In addition, he affirms that it is a debate "that is not on the street", but is merely political. "The citizen does not enter the detail of the health management model that each region uses, what he wants is to have optimal attention and good medicine."
From the field of health economy, Guillem López Casaovas, director of the research center in Economics and Health of Pompeu Fabra University, launches a reflection of this normative preliminary draft: "Universalism and free bar are not synonymous with equity. The exclusion of collectives without means or effective benefits, if it is inequity. I grown many chiaroscuros to be empirically solved: do not blind the complementary funding, since not all co-payments are always unfair or taxation increases are a guarantee of justice. And not all alternative forms to direct management are privatizations of public provision. In summary: In the normative of universalism, it would not pose battle; In management forms, if they closed, yes; Since in this field the evidence and the evaluation of the empirical must primate over the ideological. "
The Institute for the Development and Integration of Health (IDIS Foundation), an entity constituted by the majority of the private ownership companies in Spain, has valued that collaboration with the private sector is maintained since it is the "almost 40% of the country's health resources ».
Date Of Update: 08 November 2021, 21:40
