スペインでは、財政赤字削減のための医療費削減で、滞在許可証を持たない不法滞在外国人が、やく750'000人?、健康保険札を失う
Los ‘sin papeles’ flotan entre la desprotección y la caridad sanitaria
El Gobierno retira la tarjeta sanitaria a casi 750.000 inmigrantes desde que aprobó la reforma
Una clínica religiosa en Madrid atiende y reparte medicinas a decenas de indocumentados
Escuela de Periodismo UAM - EL PAÍS Madrid 28 ENE 2014 - 20:29 CET
The 'paperless' float between deprotection and health charity
Government health card removed nearly 750,000 immigrants passed since reform
A religious clinic in Madrid attends and distributes medicine to tens of undocumented
UAM School of Journalism - COUNTRY Madrid 28 ENE 2014 - 20:29 CET
The health card of Joseph N. expired in June 2012. He could not renew it because three months later entered into force government health care reform , which removed the card to foreigners without residence permits . Joseph , a native of Paraguay , for months suffering severe muscle pains in the abdomen and can not afford to go to rehab. Work on the street handing out flyers .
About 150,000 people have lost paperless health card as a result of Law 16 /2012, according to estimates obtained from the draft decree which was seen daily El COUNTRY. Children continue covered - " my daughter have done card until 2021 ," says the Paraguayan - as well as pregnant women. And everyone has access to urgent care , but Joseph the first time she went to the center of Colmenar Viejo sent him back to his house because his problem was not considered serious enough said .
After being treated in the emergency room the second time I went , and receiving no follow-up , visited a private doctor who charged 103 euros for the query - virtually unaffordable to figure him , diagnosed a possible infection and recommended that do some analysis in another private clinic. He finally got an appointment , using the health card of a friend, the doctor who had before losing coverage. His doctor diagnosed a muscle problem and prescribed physical therapy , which can not be paid and would not cover the Social - Security - that pills and painkillers paid out of pocket for about 50 euros .
" The health card for illegal immigrants in the EU was outstanding . When you reduce costs, these measures would more are retiring ."
Maria Neira, Director of Public Health at WHO
The health card for paperless was an "exceptional " measure in the European Union , said Maria Neira, Director of Public Health at the World Health Organization . "It was a very added value of the health system . When you have to cut costs , such measures are retiring . " In Spain there are 5.7 million registered foreigners . According to the Observatory of Immigration of the Ministry of Labor, 926,026 people were without a residence permit to June 2013. Last December the Government published that 748,835 people have stopped recorded in the database of the National Health System since the reform took effect . This figure is not broken down , however , and may include others not to go paperless , as dependent on other people safe .
Ashraf is sitting in the waiting room of the San Antonio Clinic , a charitable clinic in Madrid where 25 volunteer doctors attend to free people without papers . This Moroccan 23 years has come to this center because it wants to take some tests and can not afford to pay for them. At night sleeping on a mattress on the floor in a squat in the center of Madrid, without light or electricity.
The small clinic Tetuan district which was attended by the young Moroccan belongs to the Capuchin Franciscans. There, in addition to health care, free medicines are distributed to "everyone who knocks " in the words of Jesus Rodriguez , manager of the center. No papers or keep asking the patient documentation . They receive about 10 patients a day on average and in the last year have seen continued increasing requests for help .
Trailer of the documentary about people without health insurance card win much , much missed , MdM .
Fernando Saiz consults on Tuesdays at the center. It is one of the 700 physicians over 65 years who won the Madrid forced retirement in May this year. He entered this clinic volunteer Charities " to continue seeing patients ." He has dark hair sprinkled with gray hair, but nothing indicates its age. Until now worked at the Clinical hospital. With a hint of indignation explains that his volunteer work is rewarding and necessary, but that it serves patients derived from " a problem that has created the state and is the state that has to solve. "
Free health care centers in Spain
■ Barcelona : Health and Family Services to fellow countryman Care and basic orientation , by appointment. From 9.00 to 13.00 . Address: Via Laietana , 40, 1 º 2 ª B - Barcelona . Urquinaona Metro ( Line 1 ) and Jaume I ( Line 4) . Tel : 93 268 36 00
■ Bilbao: Munduko Medikuak ( MDM ) . By appointment , primary care medical consultation . Mondays and Thursdays from 17.30 to 19.30 . Other services: nursing , HIV rapid test , social work , analytical . Address: Bailen 1 under - 48003 - Bilbao . Tel / Fax: 944790322■ Madrid : Medical Clinic of San Antonio. Primary care physicians , podiatrists , optical , ultrasound machine and pharmacy. Monday to Friday, Monday to Friday , 9:00 to 12:00 and 17:00 to 19:00. Address: C \ Jaen, 3-28020 - Madrid. Alvarado Metro ( line 1). Tel : 91 553 88 96 Email: dispensariosanantonio@gmail.com
■ Madrid : Kennel Masarnau Santiago . Primary care. Mondays and Thursdays from 11:00 to 13:00 . Address: Seraph of Assisi , 7-A . Batan Metro (Line 10). Tel: 91 470 13 50
■ Madrid : Sandoval Health Centre . Testing for HIV and other sexually transmitted diseases . Treatment STD (not HIV ) . Monday to Friday 8:45 to 12:00. Address: C / Sandoval , 7 - 28010 - Madrid. Tel : 914 452 328
The Minister of Health , Social Affairs and Equality Ana Mato openly stated last year that the health of the undocumented would deal charities . "I would invite him to pass consultation with me ." Saiz not only serves people without papers : many patients come only for the free medicines . " Three Tuesdays ago a gentleman came they did in May in kidney transplantation [ Hospital ] La Paz. There are monitoring him , but he does not have a penny to the medication. "Without that medication transplantation would be useless explains . " Without treatment we have two options: either let him die , or go to a dialysis program , which is as it was before . In any case, it will be wasted donated a kidney . "
MDM shares this view : "We believe that this is the work of the administration , we have to do it ourselves ," says Ricardo Angora, veteran medical association . Instead of providing health care, this NGO mounted volunteer groups to accompany immigrants to health centers to claim that they attend .
Most doctors do deaf ears of the new rules . " Professional ethics requires that we must attend to anyone who is sick. I do not think there is any professional who refuses "says Ricardo Angora . It also aims to dispel the myth that immigrants from poor countries come to medical attention. Most undocumented immigrants are young and healthy , and lack of health insurance card mainly affects a minority of chronically ill, explains .
The clinic distributes " you have to those in need ," says his manager. Although its main cargo of drugs comes from the annual collection of the NGO Bank Pharmacist accept private donations even if the boxes are begun . When asked if it is legal to administer donated drugs individual - but who does is physician - answers: " It is clear that they have to dispensing pharmacies are ... this just how it works should not exist , just that you should not medicate " . The Ministry of Health is not aware of any association to distribute medicines resale in Madrid.
A lawyer for the Spanish Association of Pharmaceutical Law believes that " it is irresponsible started distributing drugs because they are playing with the health of the patient, and is not established legal channels ." However, according to Rodriguez , the clinic has been doing this since it opened in the 40s . has always been people who could not afford the mediation and the administration has never put them problems. " a lot of patients are sent by the social Samur " , the (free ) municipal social and health emergencies of Madrid.
The doctor, after seeing Ashraf , refers you to take blood tests in another private clinic belonging to a religious order. You will not pay anything, but if you get bad news in the diagnosis, do not know if you can get the treatment .
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