July 5, 2020

A report denounces that the universality of health care is "deadlocked"

A report denounces that the universality of health care is "deadlocked"

The Network of Complaints and Resistance to the Royal Decree of Health Reform of 2012 (Reder) has analyzed the situation of Health after the reform undertaken by the Government and denounces that, despite the modification, the universality in health care is today in day "in neutral".

This is stated in the report "Do not leave anyone behind", prepared by Reder, which brings together more than 300 social and professional organizations such as the Spanish Society of Family and Community Medicine (semFYC), Doctors of the World, the Spanish Society of Public Health and Health Administration (SESPAS) or the Federation of Associations in Defense of Public Health (FDASP), among others.

In him, these organizations demand to the Executive the adoption of a regulation that harmonize the application of the royal decree 7/2018 in all the territory, guaranteeing the access to the health care in equality of conditions to all the people independently of his autonomous community of residence .

This is required after verifying that almost three months after its approval and more than a month after its convalidation before Congress, the royal decree "remains unimplemented" and "the ambiguity of some of its precepts is giving rise to some autonomies are imposing restrictive interpretations ".

Reder warns in his report of the existence of "significant gaps", since the new law does not homogenize the procedure or requirements to obtain the health card and does not ensure assistance to minors, pregnant women and other groups especially vulnerable, or emergency care.

"The universality of health care promulgated by the Government is currently at a standstill," says Reder, noting that in some communities there have even been some setbacks.

Specifically, the organizations speak of Madrid and Murcia as two of the Autonomous Communities in which more difficulties to get attention have been recorded in the last quarter and the case of Galicia, where although the requirement of 6 to 3 months' registration has been lowered , "all kinds of barriers continue to be applied to migrants who do not have the proper documentation, even if they are referred to private healthcare."

Thus, although the report assesses the approval of Royal Decree 7/2018, it regrets that the new law does not harmonize the procedure nor the requirements to obtain the health card and demands the approval of a regulation that develops it.

He believes that the delay in doing so is causing the existence of 17 different health coverage, one for each autonomous community and the barrier of enumeration, since most of the Autonomous Communities require 3 months of registration to access the public health system, when that requirement It does not figure in the law.

Reder also denounces that the law does not specify that the most vulnerable groups – such as pregnant women, children under 18, victims of trafficking, asylum seekers and people requiring emergency care – must receive care in all circumstances.

It also warns that the administrative requirements that are required to access the public health system are often impossible to comply with and that some people are even asked to return to their countries of origin to obtain that documentation.

In addition, remember that regrouped ascendants – mothers and fathers of regularized migrants who have arrived in Spain through a legal process – still do not receive the health card.

"The Government can not postpone further the adoption of the regulation that harmonizes the application of the RDL throughout the territory, guaranteeing access to health care on equal terms to all people regardless of their administrative situation or their autonomous community of residence", concludes the report.


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