スペイン政府は2年以内に欧州連合以外の不法移民滞在者外国人の150'000人の健康保険札を無効にし、240'000'000ユーロの財政節約削減に
el ajuste en sanidad
Sanidad dejará sin tarjeta a 150.000 inmigrantes no comunitarios en dos años
El ahorro será de 240 millones en un colectivo que gasta menos que los españoles
Las consecuencias de negar la sanidad al inmigrante irregular
Emilio de Benito / Charo Nogueira Madrid 23 ABR 2012 - 22:01 CET
setting in health
Health will no card to 150,000 non-EU immigrants in 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 leave no health card around 150,000 non-EU foreigners in irregular situation within a maximum period of two years, as calculated by this newspaper. This would save about 240 million , instead of the 500 originally planned by the government, if we take as a basis the average expenditure of a Spanish citizen in health services.
According to a draft decree seen by this newspaper , the residence is not the only condition to access the card that gives access to primary queries . There will be insured. And this, in general, involves signing up for Social Security.
The Government required to be discharged from the Social Security
As foreigners have to renew every two years this documentation , simply tighten the requirements for them out without having to take other more drastic measures such as identify and cancel your card before .
The calculation of the number of people affected by the measure is based on data matching between the pattern and the Central Register of Foreigners . The first, which is what until now gave access to health card, includes 459,946 people more than the second . But of these, the majority ( 306,477 ) are residents of the EU, so they have no obligation to register in the register , as confirmed by government sources. Deleted from the list of these illegal immigrants , 153,469 people currently qualify to have 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 on health , at 240 million euros. As much .
moreThe government restricts access to health care for undocumented migrantsHealth copay up to lower drug consumptionThe government estimates that the new copayment provide only 165 million
And it should be noted that " as much " as the calculation is made taking the view most favorable to the government conditions. As an expert who spent 25 years working to pay attention to immigrants and wants to remain anonymous, says that figure they are including children ( approximately 15% ) , and assume that these will not be affected by the measure. Nor shall unattended women who become pregnant .
The other big generalization of this calculation is that it is assumed that the average cost of a foreigner is equal to a Spanish . And all studies indicate that this is not so . "There is frequent attendance of immigrants or misuse ," says Josep Basora , president of the Spanish Society of Family and Community Medicine ( Semfyc ) .
One of the latest work in this regard is the fact that data has 2009 Angel Alberquilla technician Public Health of the Community of Madrid. The study focused on area 11 of the capital , covering an area of about 900,000 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 natives and foreigners is almost one to five : 96.5 euros for immigrants and 446.4 euros 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 Spaniards have a mean of 7.65 , 5.05 and foreigners .
Hospital discharges per 100 inhabitants is on the same line (8 for the Spaniards , 5.8 for foreigners ) . But is that even in those admitted , foreigners spend less : 4710.41 euros of those from poor countries by 6759.94 of the Spaniards.
Even using more emergencies : the number of visits to this service corresponds to 40.6% of the immigrant population compared with 44.6 % of the country ( that does not mean you go 40% because someone goes over once a year ) .
There is only one case in which it is true that there are proportionately more foreign than Spanish : in maternity units .
For the aforementioned expert, the explanation of these data is "obvious , but must be repeated " immigrants are generally younger, stronger every house , who are migrating to send aid to their families in countries of origin.
Perhaps the most extreme case of this is the Sub-Saharan . Freijo Antonio Diaz , president of the Karibu NGOs specializing in this city , tells it takes on average three years to reach Spain . " They have to cross the desert and the sea. They get healthier , "says Diaz Freijo . Yes, many, when they arrive, go straight to hospital. But because they have exhausted their forces along the way, in the patera .
In any case, Freijo Diaz insists that " not to be confused with immigration health tourism " . The data in the reports studied demonstrated . They are foreigners who come from rich countries , many of them retirees , those with a more approximate to the Spanish consumer .
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