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スペインの医療費削減で、不法滞在者の健康保険制度からの排除は、約15万0000人の不法移民が影響を受け、2億4000万0000から5億0000'0000ユーロの財政赤字の節減に
el ajuste en sanidad
Sanidad dejará sin tarjeta a 150.000 inmigrantes en un plazo de dos años
El ahorro será de 240 millones en un colectivo que gasta menos que los españoles
setting in health
Health card will leave immigrants to 150,000 within two years
The savings will be 240 million in a group that spends less than the Spanish
The consequences of denying health care to illegal immigrant
Emilio de Benito / Charo Nogueira Madrid 23 ABR 2012 - 22:01 CET
Health card will leave immigrants to 150,000 within two years
The savings will be 240 million in a group that spends less than the Spanish
The consequences of denying health care to illegal immigrant
Emilio de Benito / Charo Nogueira Madrid 23 ABR 2012 - 22:01 CET
The measures announced by the Government will take your medical card to some 150,000 illegal aliens within a maximum of two years, as calculated by this newspaper. This would save approximately 240 million instead of the 500 originally planned by the government, if we take as basis the average cost of a Spanish citizen in health services.
According to a draft decree to which this newspaper has had access, the residence is not the only condition to access the card that gives access to primary queries. There will be insured. And that, in general, involves signing up for Social Security.
The Government required to be discharged from the Social Security
Because foreigners must renew every two years this documentation, simply tighten the requirements to be left out, no need to take other more drastic measures, as identified above and cancel your card.
The calculation of the number affected by the measure is based on data matching between the census and the Central Register of Foreigners. The first, which is so far provided access to health card includes 459,946 people more than the second. But of them, most (306,477) are residents of the EU, which are not required to register with, as confirmed by government sources. Eliminated these from the list of illegal aliens, 153,469 people currently meet the conditions for health card.
The next step is to calculate what these people spend. If they apply the 1,600 euros per person each year costing the Spanish in health, out of 240 million euros. At most.
more informationThe government restricts access to health care to illegal immigrantsHealth raises the co-lowering drug consumptionThe government estimates that the new copay will provide only 165 million
And it should be noted that "at most", since the calculation has been made taking the most favorable to the Government's argument. As one expert who has spent 25 years working to pay attention to immigrants and wants to remain anonymous, in that figure includes children (approximately 15%), and assume that these will not be affected by the measure. Nor will unattended women who become pregnant.
The other major generalization of this calculation is that it has been assumed that the average cost of an alien is equal to that of Spanish. And all the studies indicate that this is not so. "There is frequent use of immigrants or misuse," says Josep Basra, president of the Spanish Society of Family and Community Medicine (Semfyc).
One of the latest work in this sense is what has made Angel Alberquilla 2009 data, technical Public Health of the Community of Madrid. The study focused on the area 11 of the capital, covering an area of nearly 900,000 people where 20% are immigrants, is devastating. All items studied: drug use, office visits and hospitalizations indicate that foreigners consume less.
For example, drugs consumption, the average is 381 euros per person per year. But the proportion between locals and foreigners is almost one to five: 96.5 euros to 446.4 euros immigrants and for nationals.
Foreigners use less drugs and visitfewer doctor
Something similar happens with the "burden of disease", a variable that measures the overall attendance to the health system and the number of episodes per patient, the Spanish have a mean of 7.65, and foreigners of 5.05.
Hospital discharges per 100 inhabitants is on the same line (8 for the Spanish, 5.8 for foreigners). But is that even in those admitted, foreigners spend less: 4,710.41 euros of those from poor countries by 6759.94 of the Spanish.
Even using more emergencies: the number of visits to this service corresponds to 40.6% of immigrants compared with 44.6% of the national (that does not mean you go to 40%, because one is more than once a year).
There is one case where there is a proportionately more foreign Spanish: in maternity units.
For the expert above, the explanation of this data is "obvious, but must be repeated" immigrants are generally younger, the strengths of each house, which are migrating to send aid to their families in countries of origin.
Perhaps the most extreme case of this is that of the Sahara. Freijo Antonio Diaz, president of the Karibu NGOs specializing in this population, tells it takes on average three years to reach Spain. "They have to cross the desert and the sea. Grow healthier, "says Diaz de Freijo. Of course, many, when they arrive, go straight to the hospital. But because they have exhausted their strength by the way, in the skiff.
In any case, Diaz de Freijo insists that "not to be confused with immigration medical tourism." The study reports data to prove it. They are foreigners who come from rich countries, many of them retirees, those closest to consumption of the Spanish.
According to a draft decree to which this newspaper has had access, the residence is not the only condition to access the card that gives access to primary queries. There will be insured. And that, in general, involves signing up for Social Security.
The Government required to be discharged from the Social Security
Because foreigners must renew every two years this documentation, simply tighten the requirements to be left out, no need to take other more drastic measures, as identified above and cancel your card.
The calculation of the number affected by the measure is based on data matching between the census and the Central Register of Foreigners. The first, which is so far provided access to health card includes 459,946 people more than the second. But of them, most (306,477) are residents of the EU, which are not required to register with, as confirmed by government sources. Eliminated these from the list of illegal aliens, 153,469 people currently meet the conditions for health card.
The next step is to calculate what these people spend. If they apply the 1,600 euros per person each year costing the Spanish in health, out of 240 million euros. At most.
more informationThe government restricts access to health care to illegal immigrantsHealth raises the co-lowering drug consumptionThe government estimates that the new copay will provide only 165 million
And it should be noted that "at most", since the calculation has been made taking the most favorable to the Government's argument. As one expert who has spent 25 years working to pay attention to immigrants and wants to remain anonymous, in that figure includes children (approximately 15%), and assume that these will not be affected by the measure. Nor will unattended women who become pregnant.
The other major generalization of this calculation is that it has been assumed that the average cost of an alien is equal to that of Spanish. And all the studies indicate that this is not so. "There is frequent use of immigrants or misuse," says Josep Basra, president of the Spanish Society of Family and Community Medicine (Semfyc).
One of the latest work in this sense is what has made Angel Alberquilla 2009 data, technical Public Health of the Community of Madrid. The study focused on the area 11 of the capital, covering an area of nearly 900,000 people where 20% are immigrants, is devastating. All items studied: drug use, office visits and hospitalizations indicate that foreigners consume less.
For example, drugs consumption, the average is 381 euros per person per year. But the proportion between locals and foreigners is almost one to five: 96.5 euros to 446.4 euros immigrants and for nationals.
Foreigners use less drugs and visitfewer doctor
Something similar happens with the "burden of disease", a variable that measures the overall attendance to the health system and the number of episodes per patient, the Spanish have a mean of 7.65, and foreigners of 5.05.
Hospital discharges per 100 inhabitants is on the same line (8 for the Spanish, 5.8 for foreigners). But is that even in those admitted, foreigners spend less: 4,710.41 euros of those from poor countries by 6759.94 of the Spanish.
Even using more emergencies: the number of visits to this service corresponds to 40.6% of immigrants compared with 44.6% of the national (that does not mean you go to 40%, because one is more than once a year).
There is one case where there is a proportionately more foreign Spanish: in maternity units.
For the expert above, the explanation of this data is "obvious, but must be repeated" immigrants are generally younger, the strengths of each house, which are migrating to send aid to their families in countries of origin.
Perhaps the most extreme case of this is that of the Sahara. Freijo Antonio Diaz, president of the Karibu NGOs specializing in this population, tells it takes on average three years to reach Spain. "They have to cross the desert and the sea. Grow healthier, "says Diaz de Freijo. Of course, many, when they arrive, go straight to the hospital. But because they have exhausted their strength by the way, in the skiff.
In any case, Diaz de Freijo insists that "not to be confused with immigration medical tourism." The study reports data to prove it. They are foreigners who come from rich countries, many of them retirees, those closest to consumption of the Spanish.
スペインの医療費削減で、不法滞在者の健康保険制度からの排除は、約15万0000人の不法移民が影響を受け、2億4000万0000から5億0000'0000ユーロの財政赤字の節減に
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