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The Council of Ministers on Monday gave its go-ahead to the Draft Bill of Equity, Universality and Cohesion, which aims, among other matters, to
prevent the establishment of new health co-payments
and that direct public management is the "preferred formula" in the National Health System (SNS).
This was announced at a press conference after the Council of Ministers by the Minister of Health, Carolina Darias, who has described this rule as "very important" because it "improves and expands the rights" of citizens.
As Darias has said, the norm includes the
repeal
"explicitly, expressly and not at all tacit" of
Law 15/1997
of the
popular
government
of José María Aznar, which allowed recourse to formulas for the privatization of public health.
Its repeal was one of the requirements of United We Can
to support the new text.
However, through the
modification of the General Health Law, the new norm continues to allow other privatization formulas
, as long as it is of an "exceptional nature" presenting a report that "guarantees the need to go to them for health and economic reasons. ", the minister explained.
This same Monday, before learning that the repeal of Law 15/1997 is contemplated, the state co-spokesman of Podemos, Pablo Fernández, has reaffirmed his disagreement with this norm because, in his opinion, it maintains "intact" the regulations of the Government of José María Aznar who allowed "privatization".
For this reason, it has advanced that
there will be a "battery of amendments" in the parliamentary process
, in order to reverse the privatizations in the health services.
The approach of the confederal space was to present amendments, when the draft of the Equity Law enters the Lower House, which stipulates the impossibility of applying new indirect management concessions and not renewing the existing ones.
"
It is the opportunity to close the door to the conception of health as a business, as a commercialization
", has shelled the leader of the purple formation, to insist that they want a "profound modification" of the regulations promoted by Aznar. Consequently, he has said that they trust that the PSOE "comes to his senses", "rectifies" and "accepts" these amendments, given that now they are not in accordance with the approach taken by the head of Health.
In response, Darias has indicated that "this is a Law of the entire Government", although he did not specifically clarify whether he has finally had the approval of his partners. "This is a Law of the entire Government of which we are very satisfied. It has been the result of the contribution of the Ministries that make up the Government. It complies with the programmatic agreement: advance with the consolidation of citizenship rights and in a public management because it puts direct management as a favorite ", he defended.
The minister has insisted on her position and has censored the "red lines" of United We Can.
"Talking about red lines when it expands new rights and prevents a return to past times is complicated.
It is committed to direct management of public health services
, which I think is very important," he claimed.
Restrict new copays
With this draft, in addition to prioritizing direct public management in the SNS, the possibility of establishing new copayments is restricted.
The Government had already eliminated the pharmaceutical copayment for preceptors of the minimum vital income, pensioners with low incomes, minors with disabilities and people with income for dependent children
.
Now, the new rule also expands the exemptions from the ortho-prosthetic copayment for all these groups.
The new regulation also modifies Law 16/2012, promoted by the
popular
Ana Mato, which introduced co-payments and also divided the Common Services Portfolio into three
, establishing which services were co-paid and which were not.
"Now we
unify them so that new health copayments cannot be introduced
. With this Law, it is guaranteed that the common Portfolio is recovered in a homogeneous manner throughout the national territory," explained Darias.
On the other hand, it is stated that people born in Spain and residing abroad have public health coverage when they return to our country temporarily, as well as the "homogeneous" application throughout the national territory of the
recovery of universality approved in 2018
.
Various entities and non-governmental organizations (NGOs) have been denouncing since 2018 that, despite the Royal Decree of the Government to restore the universality of health care to all non-residents, there were still cases of exclusion in some autonomous communities.
Darias has recognized that
"there is no homogeneous application" throughout the national territory
, so this Law wants to end these exclusions.
Likewise, the norm formally incorporates patients into the Advisory Committee of the National Health System to "make social participation effective" and that these entities can exercise "institutional participation."
"Active listening and giving input to patient organizations seems very important to us," he stressed.
Specialized care for patients with functional deficits is also being expanded, since
until now only treatments that "improve people's lives" have been financed
.
This situation caused some groups to be left out, such as patients with amyotrophic lateral sclerosis (ALS), since their rehabilitation did not allow them to advance in their disease but rather to "maintain a minimum quality of life".
Finally, it includes the regulatory development of
the Salary Guarantee Fund
and the possibility that the health technology assessment network can be organized into a consortium to participate in European projects.
"We are facing an initiative of great political significance that influences and strengthens the guiding principles of the SNS. It means a great step to continue improving the lives of the people, which is the reason for the existence of this Government," the minister stressed.
Also, in another order of business, the Council of Ministers has approved the distribution of
220 million euros to the autonomous communities for digitization
, through "the improvement in the efficiency of pharmaceutical spending", the renewal of equipment, the " interoperable medical records "and the digitization of intensive care units (ICU).
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