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スペインでの不法移民の健康(健康保険からの排除)
EDITORIAL
Salud sin papeles
Hacer pagar una cuota a los irregulares muestra una concepción mercantil de la Sanidad
El País 9 AGO 2012 - 00:07 CET
EDITORIAL
Paperless Health
Do pay a fee to show a conception irregular merchant Health
The Country 9 AGO 2012 - 00:07 CET
Paperless Health
Do pay a fee to show a conception irregular merchant Health
The Country 9 AGO 2012 - 00:07 CET
The Government has proposed to the regions that immigrants without residence permits, excluded from public health care under a recent decree, may recover a kind of insurance paid about 60 euros a month for people between 18 and 65 and about 155 euros for older. The move has been rejected by medical groups and several autonomies, who fear the dismantling of the current health model, universal and free.
One consequence of this universality has been until now considering health care as a right of the person, not conditioned by more or less transitional situations, such as lack of papers. This is what is now threatened, as part of the adjustments made by the Government. There is no question the need to reduce health care costs, regardless of the current crisis, but the methods used.
Since the middle of the last decade there were doubts about the sustainability of a system whose costs grew rapidly. The magnitude of the reference population also increased by mass immigration from the turn of the century. But proof that it was not just about that is that in the period 2004-05, compared with an increase of 3.2% population coverage, the system costs rose by 22%. There was therefore to cut, but always drew a red line would not give up the universal and free. The exclusion of illegal immigrants is the first step in breaking this principle, and the proposal to alleviate it by paying a fee, an indication of the criteria to be followed. The fact that the amount is higher for those over 65 years reflects a market mentality: pay more, not who else has, but who receive more support (and need).
It is argued that these fees are far below the average cost of care, and that the difference will be covered by the Administration. But that is something that happens in many public services. What is at issue is whether the savings achievable set that justifies discrimination against the weak, unemployed immigrants. Be seen also what happens to undocumented enfermades suffering chronic and can not meet the quota.
Studies over the past decade have shown that immigrants turn to health to a much lesser extent as nationals, and it listed when they work more than offset the cost of care. Many irregular regular workers of today will one day and in the meantime should be entitled to assistance. For humanitarian reasons or for medical ethics: a public health system can not be governed solely by market criteria. For those not eligible for formula will only exclusion and discrimination. And an additional risk to public health: a civilized country can not tolerate pockets of people outside the health inspection.
One consequence of this universality has been until now considering health care as a right of the person, not conditioned by more or less transitional situations, such as lack of papers. This is what is now threatened, as part of the adjustments made by the Government. There is no question the need to reduce health care costs, regardless of the current crisis, but the methods used.
Since the middle of the last decade there were doubts about the sustainability of a system whose costs grew rapidly. The magnitude of the reference population also increased by mass immigration from the turn of the century. But proof that it was not just about that is that in the period 2004-05, compared with an increase of 3.2% population coverage, the system costs rose by 22%. There was therefore to cut, but always drew a red line would not give up the universal and free. The exclusion of illegal immigrants is the first step in breaking this principle, and the proposal to alleviate it by paying a fee, an indication of the criteria to be followed. The fact that the amount is higher for those over 65 years reflects a market mentality: pay more, not who else has, but who receive more support (and need).
It is argued that these fees are far below the average cost of care, and that the difference will be covered by the Administration. But that is something that happens in many public services. What is at issue is whether the savings achievable set that justifies discrimination against the weak, unemployed immigrants. Be seen also what happens to undocumented enfermades suffering chronic and can not meet the quota.
Studies over the past decade have shown that immigrants turn to health to a much lesser extent as nationals, and it listed when they work more than offset the cost of care. Many irregular regular workers of today will one day and in the meantime should be entitled to assistance. For humanitarian reasons or for medical ethics: a public health system can not be governed solely by market criteria. For those not eligible for formula will only exclusion and discrimination. And an additional risk to public health: a civilized country can not tolerate pockets of people outside the health inspection.
EDITORIAL
ペーパーレスの健康
妊娠不規則な商人の健康を表示するために料金を支払うか
2012 AGOカントリー9 - 午後12時07分CET
政府は、最近の法令の下で公的医療から除外居住許可証なしで移民は、18と65の間に人々のために約60ユーロヶ月を支払った保険料のようなものを回復することができる地域に提案している高齢のために約155ユーロ。この動きは、普遍的かつ無料の現在の健康モデルでは、解体を恐れて医療グループといくつかの自治体によって拒否されました。
この普遍性のひとつの帰結は、現在そのような書類の不足など、多かれ少なかれ、過渡的な状況によって調整されていない人の権利としての健康管理を考慮するまでされています。これは、現在政府が行った調整の一環として、脅かされているものです。そこには質問に関係なく、現在の危機の、医療費を削減する必要はありませんが、使用される方法。
過去10年の半ば以降、コスト急速に成長したシステムの持続可能性について疑問がありました。基準人口の大きさはまた世紀の変わり目から大量の移民の増加となりました。しかし、それだけでそのことについてではなかったという証拠は期間2004-05年、3.2％の人口カバー率の増加と比較して、システムコストは22％増ということである。そこにカットすることがあったが、常に赤い線が普遍的かつ自由をあきらめないだろう描いた。不法移民の排除は、この原則を破っての最初のステップは、料金を支払うことによってそれを軽減するための提案、従うべき基準を示すものである。量は65歳以上の方に高いという事実は、市場心理を反映して、他の誰が持っていますが、多くの支持を受けている人（および必要があります）、より多くのではなく支払う。
これは、これらの費用ははるかにケアの平均原価を下回っていると主張されており、違いは、管理によって覆われること。しかし、それは多くの公共サービスで起こるものです。何が問題であることは弱い、失業者の移民に対する差別を正当化するかどうかの貯蓄達成できるセットです。慢性的に苦しん文書化されていないenfermadesに起こるとクォータを満たすことができないものでも見られる。
過去10年間の研究では、移民は国民として非常に低い程度に健康に向けることが示されている、彼らは医療のコストを相殺する以上は作業しているとき、それは記載されている。今日の多くの不規則な正規労働者の一日なり、その間に援助を受ける権利を有するべきである。人道的な理由から、医療倫理のために：公衆衛生システムは、単に市場の基準で管理することはできません。式の対象とならないものを排除と差別のみになります。と公衆衛生への追加的なリスク：文明国は、健康検査外の人々のポケットに耐えることができません。
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