スペインの財政赤字削減政策での医療費削減で、不法移民の公共医療保険からの排除で、不法移民の慢性病患者は診療を受け付けると発表
La reforma sanitaria del PP
Mato asegura que los enfermos crónicos sin papeles serán atendidos
La ministra de Sanidad insiste en que se les facturará el servicio
Anuncia una modificación en el "sistema retributivo" de los profesionales
Emilio de Benito Madrid 29 AGO 2012 - 14:12 CET
Health reform PP
Mato says the chronically ill will be cared paperless
Health Minister insists that the service will be billed
Announces a change in the "compensation system" of professionals
Emilio de Benito Madrid 29 AGO 2012 - 14:12 CET
Three days before the entry into force the withdrawal of the medical card to undocumented immigrants, the Health Minister Ana Mato, has given another twist to his proposal. In a meeting with nine regional directors convened in Valladolid, which have been eight of PP and Catalan, repeated the outlines of his proposal. Only attend to the "insured" (Spanish or foreign health card) and, of those who are outside, emergencies, pregnant women and children.
"Health care will continue to be provided in the NHS for all who need it, but that is not the right holder, ie you do not have a health card, be paid such assistance as foreseen in General Health Act of 1986, "Mato said. With these words seems to suggest that what happened so far was an irregularity, ignoring the fact that it was a PP government which ruled that illegal immigrants were entitled to a medical card if empadronaban. Nor did it explain how they would get to pay thousands of euros treatments (dialysis, anticancer, antiviral) to poor people or countries with which there is no agreement.
moreMadrid will charge the 'paperless' chronic infectious diseasesHealth says it will serve undocumented and charged to their countriesThe illegal immigrants have health card until August 31
In his speech, the minister said only that ensured "the monitoring of chronic care for uninsured foreigners or legal residence." This is already a step away from what initially established, and is an implicit recognition that the first option, refer these people to NGOs, was unworkable. In fact, some communities even suspected of opposing what the ministry says, such as Madrid, had already pointed in this direction.
The minister said that "health services autonomous communities established their procedures so as to provide health care to those who need it without thereby generated any rights, which could lead to abuses and threatening the sustainability of the system. " This reinforces the idea that the uninsured are a category, because as they have listed or have the right, and the rest, no.
Mato also used to brag about the savings that the introduction of payment has led to the public purse. "These days we have known pharmaceutical expenditure data for the month of July. For the first time there has been a decrease of 23.93% over the same month last year, setting the sharpest decline in pharmaceutical expenditure. This figure translates into direct savings to the Spanish of 221 million euros. Decrease in the number of prescriptions billed and the average cost per prescription. "Said Minister counselors. What I did was mention that in June, the month before the measure came into force, there was an increase of over 10% in the number of prescriptions and 3.18% of spending. If you take the whole of June and July the decrease is significant, but much smaller: from 10.18% in spending. Of course this was already being negative since 2010, when the previous PSOE government decreed the latest price cuts and laid the foundation for the system that always dispense the cheapest, then the PP toughened by stating that the review of that lower price out monthly. For example, in January of this year was spent 7.68% less than in 2011.
This paper estimates the actual reduction in the number of prescriptions for the copayment is 7.4%
This newspaper has done a simulation of how this difference was evolving, and has extrapolated that in June and July, without having done anything, the spending cuts would have been on average 4.4%. So the real impact of the measure of a government's additional reduction of about 6% in spending. The figure is consistent with the result of a similar calculation made with the number of prescriptions. These were rising linearly in June and July since 2003. Extrapolating the data, the net decrease in these two months would have been 7.4%. This indicates the number of prescriptions for fear of copayment, users have stopped asking (or dispensing doctors).
Without specifying anything, Mato also pointed to another source of potential savings: health professionals. these account for 40% of spending, compared with 15% of the drugs. "We want to discuss in depth the role of our professionals," he said. "We want to reflect on how to improve their autonomy and accountability in the management of services, and possible compensation models."
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