The Council
of Ministers
gave the green light
yesterday
to
the
draft Law
of
Equity,
Universality and
Cohesion
in access to
public health,
preventing
establish new
co-payments and
consider the ”
direct management
” as the
priority basis
for the provision
of services,
and
It does not eliminate
the
public-private
collaborations
why
not have the
support of
United
we can
,
Government
partners
.

Beyond
the noise
generated
controversy
with its partners in
government
, regulatory reform
is presented
ambitious
.
The
presentation by
Health
draft legislation
which takes
its title
the words
equity, universality
and
invites
cohesion
to think that their
ultimate goal
is
to guarantee the
equality of citizens
to benefits
portfolio
of services throughout
the territory
.

In other words
:
it could be the
legal
basis for
the autonomous communities
, despite being
responsible for
skills
in health,
have to
combine
services and
offer
homogeneous
health care
.
The
law aims
, said
Darias
, measures
to
strengthen
equity
, cohesion
and universality
in the
Public Health System
and minimize
inequalities.
”
What it does is
strengthen
and focus on
direct management
in providing
services
,” said the
Minister of Health
on a
draft that
said
,
require
argue and
justify why
we resort to
“other
forms of management
” in the case
that the services
do not lend themselves
directly
in public schools
.

The Ministry of Carolina Darias has put on the table a regulatory reform that touches all the ‘backbone’ of the Spanish health system. An ambitious project, since the rules changed this Draft Law are two laws, a royal decree-law and three royal decrees, and repealing a law. “This new rule amending or repealing previous legislation aims to ensure uniformity in the effectiveness of the right to health protection and extend the rights of the population”, said the Ministry of Health. Specifically, they are: Law 14/1986 of 25 April, General Health; Law 16/2003 of 28 May, cohesion and quality of the National Health System; Royal Decree Law 16/2012, of 20 April, on urgent measures to ensure the sustainability of the national health system and improve the quality and safety of its services; Royal Decree 8/2008 of 11 January, which regulates the provision because of the need for Spanish residents abroad and returnees; Royal Decree 1506/2012 of 2 November, the supplementary common portfolio of orthoprosthetic provision of the national health system is regulated and set the bases for the establishment of maximum amounts of funding orthoprosthetic provision; Royal Decree 931/2017 of 27 October, the Memory Analysis Regulatory Impact is regulated. Also, it is repealing Law 15/1997 of 25 April on enabling new forms of management of the National Health System.

Portfolio
Darias
merely
to comply
with
the
landmark
reform
3
Component
18
Plan
Recovery,
Transformation and
Resiliency
,
whose
general objectives
are to establish
measures to
strengthen
equity
, cohesion and
universal
in the National
Health System (
SNS
)
.
In it,
it is clear that
the intention
is to establish
a portfolio of
common
services to
all regions
.
“It
will strengthen
cohesion
in the whole of
the system and
reduce
inequalities
in health care
,
especially in the treatment
of
rare diseases and
highly complex ‘
reads the
plan.
One way to
establish
common
and minimum
to health care
across the country
bases,
even if it is
transferred in
the 17 autonomous
communities.

In addition, it also stresses that coordination and multilevel governance should be “strengthened and developing in the management of the National Health System and enhancing territorial cohesion.
(…) Actively promote strategies to achieve gender equity in health, eliminating unjust and avoidable health inequalities.
(…) Reforms will also improve health services in rural areas and low demographic density, reducing the territorial gap. ”

Will it be forced by law that all autonomies offer and finance the same benefits?
Can those that do not reach certain minimums set by regulations be criminalized?
How far would this rival this with the competitions that communities currently have?
They are part of the small letter that could be detached from the norm.

Elvira Velasco Morillo, spokesman for the Popular Party Group (GPP) in the Health and Consultation Commission at the Congress of Deputies, values the approval of the preliminary draft law of measures for equity, universality and cohesion of the SNS.
“A project that has not been presented to the main opposition group and that the minister in the first appearance of it, in March, announced that it would be the draft in the second quarter of this year and has been approved in the last”.

From the
GPP
question the
ability
of
the Government
to carry out
a law
that takes into account
the real needs of
the Spaniards in the
field of health
and solve
the problems of
structure having
healing.
“With regard to
what the capacity
of
the government
has shown us
a
nefarious
management
COVID
or what has been
the importance of
health in the
PGE
2021
or
2022.
With a
reconstruction funds
in
health
reach
just over
2
%
.
a law
comes
away from the
cogobernanza
CCAA
,
professionals, patients
and even a
gap
between
PSOE
and
we
appreciate
”
.

Since the PP affirm that if this initiative thrives “we will present all the amendments that are necessary to address and respond to the real needs of health.”
“Our attitude will be the same as we have maintained with the PGE. This is one more sample of this government that moves away from seeking a covenant for health in our country like the one we have offered from the PP,” the Popular Spokesman concludes.

Carlos Rus, president of the alliance of Spanish Private Health (ASPE), in statements to this newspaper point, in relation to the maintenance of public-private collaboration, which should not be forgotten that this collaboration sits on a basis.
“In the field of health, there is freedom of choice by citizens and management is responsible for the Autonomous Communities.
This is something that can not be limited by a political ideology that should not be like this, “says Rus.
In addition, he affirms that it is a debate “that is not on the street”, but is merely political.
“The citizen does not enter the detail of the health management model that each region uses, what he wants is to have optimal attention and good medicine.”

From the field of health economy, Guillem López Casaovas, director of the research center in Economics and Health of Pompeu Fabra University, launches a reflection of this normative preliminary draft: “Universalism and free bar are not synonymous with equity.
The exclusion of collectives without means or effective benefits, if it is inequity.
I grown many chiaroscuros to be empirically solved: do not blind the complementary funding, since not all co-payments are always unfair or taxation increases are a guarantee of justice.
And not all alternative forms to direct management are privatizations of public provision.
In summary: In the normative of universalism, it would not pose battle;
In management forms, if they closed, yes;
Since in this field the evidence and the evaluation of the empirical must primate over the ideological. ”

The Institute for the Development and Integration of Health (IDIS Foundation), an entity constituted by the majority of the private ownership companies in Spain, has valued that collaboration with the private sector is maintained since it is the “almost 40%
of the country’s health resources ».