スペイン政府は、緊急でない救急車の利用や、羲歯、義足、義手、車椅子、松葉杖、治療食などの一部自己負担を導入。
Sanidad impone el pago de ambulancias pero baja los topes para los crónicos
Los enfermos tratados a largo plazo pagarán un máximo de 60 euros al año.
Las prótesis costarán a los pacientes hasta 20 euros y las muletas, 40
María R. Sahuquillo Madrid 21 DIC 2012 - 10:12 CET
Health requires payment of ambulances but low caps for chronic
Patients treated long term will pay up to 60 euros per year.
Dentures cost to patients up to 20 euros and crutches, 40
Mary R. Sahuquillo Madrid 21 DIC 2012 - 10:12 CET
The Government takes a further step in its reform model dimensions to yield free universal public health. The Health Ministry yesterday agreed with communities to greenlight the copayment for ambulances for non-emergency transport, prostheses, such as wheelchairs or crutches and dietoterápicos products, only food possible for many patients.
Following criticism from patient groups and some regions-some People's Party, as Castilla y León and Murcia, Ana Mato department finally agreed to reduce the contribution to the chronically ill who require treatment for more than six months. They will pay a maximum of six to 60 euros per year, depending on their income, instead of 5 euros per way that makes the new regulation.
Health also proposed to limit to five communities studied diseases in tests narrow heel and requirements of people who undergo fertility treatments, as first lines of the core portfolio of services that the Government intended to establish. Complicated lines autonomies analyzed for two months.
Echániz measures defined as "social justice based on income '
For what they have until June is to launch the new copayments. The contribution by prostheses, dietoterápicos and nonemergency ambulance were already covered by the decree of April with the Executive Mariano Rajoy dedicated health care reform, increasing the co-payment and excluding pharmaceutical standard of care to legal migrants irregular. Today, however, were black on white quantities. Patients pay for their prostheses a maximum of 20 euros, headphone, wheelchairs or templates, and 40 euros for other products such as crutches. In addition, the chronically ill have to go by ambulance to be treated must pay five euros per transfer, 10% of the 50 that according Healthcare costs. If this displacement is round, will cost about 10 euros.
The controversial measure has drawn criticism from experts and patient organizations, warning of the risk that some patients can not afford the transfer-exempt only those that do not affect the income pharmaceutical copayment. Health and communities have studied a proposal Renal Association Alcer for those chronic patients who require treatment for more than six months to pay up to 60 euros per year, depending on their income, something that some autonomous Health and define as "symbolic" -. The measure, however, does not satisfy the autonomy of the opposition, who have demanded the withdrawal of these copayments. "The government does not have a clear model of what it intends to do with the non-emergency transport. And in this and everything seems to have discovered the copayment as the only solution, a move that hurts the most vulnerable citizens and sick ", criticized the Spaniard director, Faustino Blanco.
Autonomy socialists criticize the "roll" applied by the PP
An argument also brought up the Andalusian Health Minister, María Jesús Montero: "A patient with esophageal cancer, for example, may be required to pay about 50 euros a month between transport and dietoterápicos". Something "intolerable," he said.
Patients who need to feed on these products must pay 10% of the containers with a maximum of one euro per product. And the copayment will also affect hospital prescription preparations.
Health, however, not seen at all unfair measurements. Neither the Minister of Castilla-La Mancha and the PP Health spokesman Jose Ignacio Echaniz - "social justice in terms of income", the defined-understood to be counterproductive because of the system to expel people who need treatment. "They are needed. What irresponsible not to do right now is reform, "he said after the meeting with the Minister Mato.
This also spoke of the urgent need for reform, and announced that his department is now looking for new co-payment limits, including the pharmacist on the step going from 18,000 to 100,000 euros, a step too broad, according to many.
スペイン政府は、緊急でない救急車の利用や、羲歯、義足、義手、車椅子、松葉杖、治療食などの一部自己負担を導入。
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