スペインのマドリッド自治州政府は、財政赤字削減のために、さらに公共事業(病院など)の私営化を促進
recortes autonómicos
Madrid privatiza aún más la sanidad
Ignacio González impone el euro por receta, impulsa la conversión en sociedades privadas de centros de salud y ofrece a empresas la gestión de grandes hospitales
Las cifras de la Comunidad de Madrid
Madrid sigue los pasos de Cataluña e implanta el euro por receta
Cataluña y el euro por receta: cuatro meses de copago sanitario
José Marcos / Pilar Álvarez / Elena G. Sevillano Madrid 31 OCT 2012 - 22:30 CET
autonomic cuts
Madrid further privatized health
Ignacio Gonzalez prescription imposes the euro, driving the corporatisation of private health centers and offers companies the management of large hospitals
The figures of the Community of Madrid
Madrid follows in the footsteps of Catalonia and implements the euro prescription
Catalonia and the euro prescription: health copayment four months
José Marcos / Pilar Alvarez / Elena G. Sevillano Madrid 31 OCT 2012 - 22:30 CET
The Community of Madrid, ideological and voting stronghold People's Party, yesterday gave a giant step in its commitment to a privatized model of Health. The intention of the new regional president, Ignacio Gonzalez, is that six of the hospitals open in 2008 are fully managed by private companies. It also opens the door to outsource 10% of the 400 health centers in the region. Gonzalez cited the Catalan system managed by cooperatives outpatient medical model, he said, "is working very well."
Back in the wake of the Catalan Generalitat, governed by CiU, the Madrid implanted euro per prescription. Madrid also have to pay the retirees. Gonzalez said that the measure does not respond to "a tax collection effort but is rather a deterrent." Madrileños said, accumulate "45 million drugs in their homes." According to the calculations of the Community, as "only "83 million would be raised. The regional government set a maximum of 72 euros per year and leave out drugs worth less than 1.67 euros. The only groups exempted will be affected by specific diseases such as toxic shock syndrome, those who perceive social insertion income, unemployed without benefits, people who collect non-contributory pensions and patients treated for accidents at work.
"The healing will remain universal, free and high quality," Gonzalez insisted in presenting budgets he called "the most difficult in nine years." Madrid will have 17,048,000 euros after an "adjustment" of 2,700 million , as stated by the Minister of Economy and Finance, Enrique Ossorio, adding to the 3,200 that Esperanza Aguirre has been mowing since 2008. Reducing spending will end, according to the provisions of the Community, of 1,424 million.
moreThe figures of the Community of MadridMadrid follows in the footsteps of Catalonia and implements the euro prescriptionCatalonia and the euro recipe: four months copayThe president criticized the deteriorating medical assistance
The difficulty of reconciling the accounts sudoku for next year did not change over regional government, which rejected the idea of raising certain taxes or even recover some, like Heritage. "We have stayed true to our liberal discourse, we have been consistent," summarized a senior. And that the Finance Minister Cristobal Montoro, he even suggested. "Our policy has not succeeded in raising taxes than 21,500 million years to stay in the pockets of citizens," said Gonzalez, very limited scope for reducing the deficit target of 1.5% this year to 0, 7% next year, equivalent to 1,700 million, and another billion funding system that the Community has been calling on the Government of Mariano Rajoy no luck since last July.
Ignacio Gonzalez's refusal to tax the income of 3% of the population, as we have been demanding block the opposition parties, confirms the "continuous line" with the ideals with which Esperanza Aguirre became, in his nine years as president , to Madrid in the flagship of the liberal policies of the Popular Party, serving as a model for other regions of Spain ruled by the right. Gonzalez took a step yesterday with this new commitment towards privatization of regional health. Thus, confirmed that he was serious when he said in his inauguration just over a month, its Executive to maintain the path that transformed Aguirre Madrid in the laboratory of ideas and field tests of the liberal wing of the Partido Popular. Although the former president was itself repeatedly against health copayment and criticized the Government for the euro per prescription.
Manage workers propose that 10% of outpatient
The Madrid government announced that the management of six newly built hospital will be run by private companies is confirmation that Aguirre model began in 2003. "We will outsource health activity in six hospitals with the same level of quality," Gonzalez said yesterday, insisting that "nobody is going to have to pay for the benefits of Health Service of Madrid." The six centers are hospitals concerned Infanta Leonor (Vallecas), Infanta Sofia (San Sebastian de los Reyes), Infanta Cristina (Parla), Hospital del Henares, the Southeast and the Tagus. These health centers were already semi and management in 2010 was to increase the annual fees paid to the Directors of two million euros.
As role models, Gonzalez cited Valdemoro hospitals, Móstoles (the concessionaire of the two is Capio) and Torrejón (Ribera Salud). Valdemoro model, called the Community as the new system is known as model heir Alzira (Valencia). Valdemoro, which opened in 2007, imports accounted for Madrid than the Valencian town made in 1999 to open the first public health care center run by a company specializing in administrative concession. The same formula used for toll roads.
The Madrid region is the testing ground of the liberal wing of the PP
The budget allocated to health Madrid in 2013 is 7,108,000, representing 45% of total expenditure (17,048, 7.7% less than in 2012), and represents a 4.9% decrease in the amount spent to the health portfolio, which directs Javier Fernández-Lasquetty since March 2010. Previously he was for several years Secretary General of the Foundation for Analysis and Social Studies (FAES). "It is obvious ideological component over the Popular Party is implementing with the excuse of the crisis", denounced the Socialist deputy Antonio Carmona autonomous.
In addition to this new privatization of six of the 33 hospitals of the Community, there will be another that will affect the entire network of the region. The "non-health services" as kitchens, laundries, warehouses or maintenance, follow the same path. Gonzalez also talked about the centralization of routine analytical laboratories, "to take advantage of economies of scale." Within the pharmaceutical expenditure, the Community will continue with the central purchasing of medical devices already raised in amending budgets last July. In this sense, Gonzalez said that since the new measures apply savings since last summer, "the rational use of medicines has reduced spending by 26% per month."
Although health was the worst of budgets to defined Gonzalez of "supportive, responsible and adapted to reality", was not only affected by the cuts. The budget for the six public universities fell by 16% and will remain at 840 million. The rectors have seven million investment, less than half the budget passed.
In Education not recover the 28 million cut in scholarships and grants dining books. Scholarships dining, as Gonzalez walked, will be "absolute necessity for families," those with minimum income.
The snip in transport, once the crown jewel of which was already in the portfolio brunt of budget cuts in July, is 21%. Yes, there will be no alternative to the toll rate of regional highways, dropped last week by their own internal differences in the PP caused by technical difficulties to implement and punishment at the polls than anticipated at the Executive.
Grants to other institutions also lower, 54%, in all areas: business, labor, cultural, sports ... "I do not have priority over the maintenance of essential services," settled Gonzalez. Aguirre's heir could not be more blunt: "We will incorporate in the Budget Law may not be given any assistance to political parties, trade unions and business organizations."
The figures of the Community of Madrid
- The regional budget of the Community of Madrid is reduced by 7.7% in 2013, according to official estimates, from 18,473,000 to 17,048.
- The Madrid regional government approved a budget of less than that finally spent (from 17,048 to 18,473 in 2012). The reason was that it was waiting for the Ministry of Finance approved the government accounts and transfers.
- The departure of Health amounted to 7.108 million, down 4.9% from the previous year.
- Education, Youth and Sports is reduced by 9.3% to 4.226 million. The university loses 18% of budget (840 million) and recover the 28 million cut to grants and dining books in July.
- Social Affairs is cut by 8.9% to 1.249 million.
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