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スペインの財政赤字削減策の医療費削減で、身体障難者の補助器具の支払い分担が増加
Freno a las sillas de ruedas
La reforma sanitaria establece el copago para las personas que usan prótesis
Los afectados aseguran que esto será un hachazo para su integración social y laboral
El ahorro se pagará en gastos sociales, advierten
Brakes on wheelchairs
Health reform set the copay for people who wear dentures
The victims claim that this is a hack for social integration and employment
The savings will be paid in social spending, warn
Carmen Moran Madrid 26 ABR 2012 - 21:16 CET
Health reform set the copay for people who wear dentures
The victims claim that this is a hack for social integration and employment
The savings will be paid in social spending, warn
Carmen Moran Madrid 26 ABR 2012 - 21:16 CET
The projected savings for the Government's decree to health benefits such as prostheses -700 000 000-may be low compared to the blow, they say, suffer a collective, people with disabilities, and used to losing. The heads of the organizations that represent them say the loss of purchasing power involved for reform they will give a fatal shot to the still precarious integration of these people: social integration and the labor market. Some people say that for the most vulnerable, a new economic suffocation in these circumstances might return to confinement in their homes to those who had already ventured out into the street with his wheelchair, take a bus, buy bread .. .
The decree directly affects the physically disabled who need external prostheses, wheelchairs, artificial legs, corsets, 'by establishing a copayment equal to the drug. Existence since the mid nineties a national catalog that defines the price of these devices and the renewal period covered by public health. The date is the first problem: only eight communities have advanced to some extent in the renewal of that catalog to include products and only three, Andalusia, Catalonia and Galicia funded at 100% what it costs everything.
The disabledyounger demanding aesthetic prosthesis
So Spain is divided into two. On the one hand the communities who follow the original catalog, forcing the disabled to advance what it costs you the product and then the Administration reimburses the price listed in the catalog. As a very old these citizens, in practice, and pay part of their dentures, to the actual market cost. In the rest of the community (with some differences) the system is somewhat less expensive, since it is the orthopedic office which is responsible for this advance payment and to bill the Administration.
As for drugs, a period of two months to make the copayment, in this case the schedule will be half a year because it is pending, said the Ministry of Health, the renewal of that catalog. This is yet another promise that the equipment includes heavy outdated and are replaced by more modern and therefore current price.
While this happens, we know that income is not very high, above 1,600 euros per month, will face half the product you buy. And less than 22,000 euros per year (the limit for the income tax) 40% of pensioners, 10%. "But you can not compare the cost of a pill box, usually with a wheelchair," says Rosa Fernandez, technical secretary of the Spanish Federation of Orthotists and Prosthetists (FEDOP).
An approach to the old catalog
■ steel wheelchair adapted. Renewal every 24 months. $ 300.
■ Wheelchair for Cerebral Palsy and seat adapted with accessories. 36 months. 2,500 euros.
■ Chenau Corset. 6 months. 1,200 euros.
■ Run Bracing for paraplegic patients, as. 36 months. 3,500 euros.
■ Orthosis standing up for hemiplegias. 24 months. 400 euros.
■ Templates as a pair: 6 months. 75-150 euros.
■ SWOT Orthosis up for children. 6 months. 400 euros.
■ Prosthesis for amputation at the thigh, as. 36 months. 3,800 euros.
■ Prosthetics myoelectric hand, as. 36 months 12,000 euros.
■ external breast prosthesis adapted. 24 months. 200 euros.
■ Clothing for lifedemas acupressure, as. 6 months. $ 300.
■ antiescaras cushions. 6 months. 70-320 euros.
People with any type of disability that is not much active states. Of 1.48 milion working age are 526,000, according to the latest survey by the INE. The unemployed are more affected than the general population. However, this decree only applies to the physically disabled (although the medicamentazo weighs upon them all).
However, it is young people who were, after many years of stigma, removing the head. Further training was throwing them into the labor market. "No, it seems that we must turn to begging," says angry Javier Font, president of CERMI in Madrid. CERMI is the great platform that brings together associations, many and varied, disability in Spain. Font belongs to the national executive. And still, angry: "They're dismantling the welfare state, but they should know that they stop spending on the one hand it will spend on the other, it is demonstrated that the lower health care costs, increased social spending. Some of those affected will raise their pensions back home and be eligible for payments to those entitled in the social area, after leaving the job. " The group says, is low income, although that can add up (always with the variety that usually Spain) a salary to their disability pensions. "This will complicate the income, the gains in the workplace, but also not forget, the quality of life conquered." To illustrate the latter a single example, which lends name, which is not always easy, that stigma, Stella Cherry: "I have 36 years, a husband who just got out of the strike and two children. I was born with a femur shorter than the other and my leg is stuck in the ortho-prostheses. There prosthesis cheaper, but mine costs 7,000 euros, only because they are 3,000 feet can get into a flat shoe and a heel. Take a look at the windows ... ". The foot more expensive than financing the catalog is 300 euros and she is 36 years old: he wants sandals, heels ... "Take a look at the windows."
The rest of his story is the paperwork for reimbursement of the purchase, forms, views, resources, a working woman with two children.
To all this we must add that you do not buy a wheelchair forever, much less a prosthetic leg, let alone if it is small and there you go adapting to growth ... "And you have to do tests and more tests until everything fits perfectly, and I assure you it is nice ... Instead of getting better are getting worse, with those old appliances catalog and regardless of actual life. And now, over, end up charging us more. I demand, is my health, not just aesthetics, "Estela Cherry ditch.
Sufferers complain of back catalog of services
Right. Is by no means ruled out that the savings get lost by new spending on health, because these people, as soon as they leave your care or do not have the most modern equipment, see your health resentful.
"The ortho-prostheses in the arm that I have now is better, but before weighed a lot, always had back problems, I have yet, I go to physio and often repays me. What is my birth, I could not live without it, do not conceive it, would not leave home if I can not afford ... "says Cristina, another female worker, 29. But you are lucky, he adds, that his mother anticipates him money when he has to renew the prosthesis. The family, again, as always, holding well in this crisis. The false arm carries a glove, that newspaper ink and dye soiled clothing more frequently than the catalog can renew economic advantages. And Cristina charges about 1,200 euros per month. Throw again out the window.
Beauty and health, which sometimes merge into one: not the same drag a lattice of iron than a piece of carbon fiber. Nevertheless, the ortho-prostheses are not the lion's share in this matter. Sold, say in the sector, about 400 legs a year and 150 arms in Spain. "This does not ruin a country," says Rosa Fernandez, FEDOP.
Christine is an arm prosthesis, Estela, in the leg. / LUIS SEVILLANO
Wheelchairs, are also very expensive, are, however, the thousands. In one sitting each day Carme Riu, the president of the Catalan association of women with physical gifts are not standard rhythms. Wheelchairs are perhaps the most thorny issue. They are expensive, yes, but also those who use them need more delicate care. "I had polio seven years, but I walked up to the 55. Now I have 60 and arms worn. Those of us in wheelchairs we need to get up, even one hour a day, because if not, we live less, our bodies need us to stand. I do, with two bitutores in the legs, with special boots, and some people need a lift. And corsets. If we do not have all this, we will live unless it's that simple, "says shelled after a series of prices of several zeros each.
Riu ensures that meet these requirements will be paid on dialysis health, for example, the transport is also included in the new co drawer ... "I trust, and do not know why, they auctioned off all of this with a little discretion, to think that there are people behind all that supposed savings. They need those things because if not, will die and that will be, "he says harshly and without mincing words, as usual," a murder-induced welfare state. "
The apparatusOrthotics are expensive and need to be renewed
Wheelchairs are expensive, they said, and in the thousands. Only in Andalusia, as the sector approaches are spent around 20 million euros for this purpose, about nine in Galicia, these communities are fully funded. But they feel very different people, surely, can be organized by severity level or income. The ministry ensures that all that detail to be seen. That there may be exceptions when you tune the fat letter. But the victims say that where they did not pay now start paying the minimum arising from the decree, and where it might apply copayment will remain as they are. Because communities only have room for improvement in the limits of government. In any case, the decree and warns that any attempts to alleviate the economic burden of these users will make their own pocket. Perhaps to preserve a possible debt orthopedic companies, such as that has contracted with pharmaceutical companies.
In the field of orthopedics believe that it is worth to reorganize a bit the multifarious panorama offered by the community and, as those affected, saying that you must update the catalog, including technical improvements in products and adjust prices, far from what the Administration now pays for them. But they also warn that bear no debt. Meanwhile, a study conducted in Barcelona five years ago stood at 27,000 per year plus I needed a disabled person to make a living standard compared to the general population. "Too many, we just need enzymes cut what we already have," says Carme Riu.
The decree directly affects the physically disabled who need external prostheses, wheelchairs, artificial legs, corsets, 'by establishing a copayment equal to the drug. Existence since the mid nineties a national catalog that defines the price of these devices and the renewal period covered by public health. The date is the first problem: only eight communities have advanced to some extent in the renewal of that catalog to include products and only three, Andalusia, Catalonia and Galicia funded at 100% what it costs everything.
The disabledyounger demanding aesthetic prosthesis
So Spain is divided into two. On the one hand the communities who follow the original catalog, forcing the disabled to advance what it costs you the product and then the Administration reimburses the price listed in the catalog. As a very old these citizens, in practice, and pay part of their dentures, to the actual market cost. In the rest of the community (with some differences) the system is somewhat less expensive, since it is the orthopedic office which is responsible for this advance payment and to bill the Administration.
As for drugs, a period of two months to make the copayment, in this case the schedule will be half a year because it is pending, said the Ministry of Health, the renewal of that catalog. This is yet another promise that the equipment includes heavy outdated and are replaced by more modern and therefore current price.
While this happens, we know that income is not very high, above 1,600 euros per month, will face half the product you buy. And less than 22,000 euros per year (the limit for the income tax) 40% of pensioners, 10%. "But you can not compare the cost of a pill box, usually with a wheelchair," says Rosa Fernandez, technical secretary of the Spanish Federation of Orthotists and Prosthetists (FEDOP).
An approach to the old catalog
■ steel wheelchair adapted. Renewal every 24 months. $ 300.
■ Wheelchair for Cerebral Palsy and seat adapted with accessories. 36 months. 2,500 euros.
■ Chenau Corset. 6 months. 1,200 euros.
■ Run Bracing for paraplegic patients, as. 36 months. 3,500 euros.
■ Orthosis standing up for hemiplegias. 24 months. 400 euros.
■ Templates as a pair: 6 months. 75-150 euros.
■ SWOT Orthosis up for children. 6 months. 400 euros.
■ Prosthesis for amputation at the thigh, as. 36 months. 3,800 euros.
■ Prosthetics myoelectric hand, as. 36 months 12,000 euros.
■ external breast prosthesis adapted. 24 months. 200 euros.
■ Clothing for lifedemas acupressure, as. 6 months. $ 300.
■ antiescaras cushions. 6 months. 70-320 euros.
People with any type of disability that is not much active states. Of 1.48 milion working age are 526,000, according to the latest survey by the INE. The unemployed are more affected than the general population. However, this decree only applies to the physically disabled (although the medicamentazo weighs upon them all).
However, it is young people who were, after many years of stigma, removing the head. Further training was throwing them into the labor market. "No, it seems that we must turn to begging," says angry Javier Font, president of CERMI in Madrid. CERMI is the great platform that brings together associations, many and varied, disability in Spain. Font belongs to the national executive. And still, angry: "They're dismantling the welfare state, but they should know that they stop spending on the one hand it will spend on the other, it is demonstrated that the lower health care costs, increased social spending. Some of those affected will raise their pensions back home and be eligible for payments to those entitled in the social area, after leaving the job. " The group says, is low income, although that can add up (always with the variety that usually Spain) a salary to their disability pensions. "This will complicate the income, the gains in the workplace, but also not forget, the quality of life conquered." To illustrate the latter a single example, which lends name, which is not always easy, that stigma, Stella Cherry: "I have 36 years, a husband who just got out of the strike and two children. I was born with a femur shorter than the other and my leg is stuck in the ortho-prostheses. There prosthesis cheaper, but mine costs 7,000 euros, only because they are 3,000 feet can get into a flat shoe and a heel. Take a look at the windows ... ". The foot more expensive than financing the catalog is 300 euros and she is 36 years old: he wants sandals, heels ... "Take a look at the windows."
The rest of his story is the paperwork for reimbursement of the purchase, forms, views, resources, a working woman with two children.
To all this we must add that you do not buy a wheelchair forever, much less a prosthetic leg, let alone if it is small and there you go adapting to growth ... "And you have to do tests and more tests until everything fits perfectly, and I assure you it is nice ... Instead of getting better are getting worse, with those old appliances catalog and regardless of actual life. And now, over, end up charging us more. I demand, is my health, not just aesthetics, "Estela Cherry ditch.
Sufferers complain of back catalog of services
Right. Is by no means ruled out that the savings get lost by new spending on health, because these people, as soon as they leave your care or do not have the most modern equipment, see your health resentful.
"The ortho-prostheses in the arm that I have now is better, but before weighed a lot, always had back problems, I have yet, I go to physio and often repays me. What is my birth, I could not live without it, do not conceive it, would not leave home if I can not afford ... "says Cristina, another female worker, 29. But you are lucky, he adds, that his mother anticipates him money when he has to renew the prosthesis. The family, again, as always, holding well in this crisis. The false arm carries a glove, that newspaper ink and dye soiled clothing more frequently than the catalog can renew economic advantages. And Cristina charges about 1,200 euros per month. Throw again out the window.
Beauty and health, which sometimes merge into one: not the same drag a lattice of iron than a piece of carbon fiber. Nevertheless, the ortho-prostheses are not the lion's share in this matter. Sold, say in the sector, about 400 legs a year and 150 arms in Spain. "This does not ruin a country," says Rosa Fernandez, FEDOP.
Christine is an arm prosthesis, Estela, in the leg. / LUIS SEVILLANO
Wheelchairs, are also very expensive, are, however, the thousands. In one sitting each day Carme Riu, the president of the Catalan association of women with physical gifts are not standard rhythms. Wheelchairs are perhaps the most thorny issue. They are expensive, yes, but also those who use them need more delicate care. "I had polio seven years, but I walked up to the 55. Now I have 60 and arms worn. Those of us in wheelchairs we need to get up, even one hour a day, because if not, we live less, our bodies need us to stand. I do, with two bitutores in the legs, with special boots, and some people need a lift. And corsets. If we do not have all this, we will live unless it's that simple, "says shelled after a series of prices of several zeros each.
Riu ensures that meet these requirements will be paid on dialysis health, for example, the transport is also included in the new co drawer ... "I trust, and do not know why, they auctioned off all of this with a little discretion, to think that there are people behind all that supposed savings. They need those things because if not, will die and that will be, "he says harshly and without mincing words, as usual," a murder-induced welfare state. "
The apparatusOrthotics are expensive and need to be renewed
Wheelchairs are expensive, they said, and in the thousands. Only in Andalusia, as the sector approaches are spent around 20 million euros for this purpose, about nine in Galicia, these communities are fully funded. But they feel very different people, surely, can be organized by severity level or income. The ministry ensures that all that detail to be seen. That there may be exceptions when you tune the fat letter. But the victims say that where they did not pay now start paying the minimum arising from the decree, and where it might apply copayment will remain as they are. Because communities only have room for improvement in the limits of government. In any case, the decree and warns that any attempts to alleviate the economic burden of these users will make their own pocket. Perhaps to preserve a possible debt orthopedic companies, such as that has contracted with pharmaceutical companies.
In the field of orthopedics believe that it is worth to reorganize a bit the multifarious panorama offered by the community and, as those affected, saying that you must update the catalog, including technical improvements in products and adjust prices, far from what the Administration now pays for them. But they also warn that bear no debt. Meanwhile, a study conducted in Barcelona five years ago stood at 27,000 per year plus I needed a disabled person to make a living standard compared to the general population. "Too many, we just need enzymes cut what we already have," says Carme Riu.
スペインの財政赤字削減策の医療費削減で、身体障難者の補助器具の支払い分担が増加
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