Health will offer 786 new places to train specialists next year, of which about 450 will be for doctors (the MIR) and another 300 for nursing (which has a similar accreditation system called EIR), according to the Minister of Health, María Luisa Carcedo, at the end of the Interterritorial Council meeting held today. This means a rise of 6.6% over the 6,797 places offered this year, "which will preferably be for Family and Community Medicine", which are the specialists who attend primary school, according to the minister.
With this effort to "identify all the training capacity of the national health system" it is intended to alleviate the deficit of doctors, who currently it is about 4,000 physicians, according to the study Estimation of the supply and demand of medical specialists. Spain 2018-2030 that the ministry presented a month ago. According to this work, currently 20.5% of public health doctors are 60 years old or older, which is about 28,500. That means that they will retire in the next five years (almost 6,000 per year if the distribution was linear throughout the period). Practically the same specialists who will complete the MIR those years.
Carcedo has ruled out the feasibility of organizing an extra MIR, as suggested by the new Andalusian councilor (Jesús Aguirre, PP). The minister explained that it is not a question of organizing a special examination, but then, those who approve it, would have to enter the residency process, for which hospitals or health centers should have free teaching units, and that their incorporation after the deadline would be as if an extra group of children entered a school in the first place in December, when the ordinary course is already underway.
In addition, the minister has announced the imminent integration into the system of interoperability of health cards in Madrid, for the part that corresponds to the recipes (is the only community whose inhabitants can not get drugs in another with the electronic prescription) and Catalonia , that will be able to access and offer the basic data of the clinical histories of its inhabitants. This will end the costly integration of digital health systems that began in 2002, which the minister has said will help cohesion.
Other topics discussed in the council with the following.
Assisted Fertilization of single women or couples of women. The council approved that these women have access to assisted reproduction in public health. This possibility was withdrawn in 2012. It was when it was established that only women were entitled when they had a medical problem. And, as the then Minister Ana Mato (PP) said in 2013, the lack of a male was not. All the communities present (missing Catalonia and La Rioja) voted in favor of Castilla y León (PP) and Andalucía (PP and Ciudadanos with the support of Vox), which abstained. This position may indicate that the ministerial order, which still has a long process ahead, according to health sources, because it affects the portfolio of services will not succeed after the elections, if the Andalusian tripartite model comes to power in Spain.
Thalidomide The minister informed the councilors of the royal decree to compensate those affected by thalidomide. This is pending the opinion of the State Council, and states that they can receive aid born between 1950 and 1985 with malformations compatible with those described as a result of this drug, although its use was only legal between 1960 and 1965. According to Health 528 applications have been received, of which 458 have been evaluated. Yes, Carcedo indicated that, contrary to what the affected people ask, the possible aid will not be exempt from taxation.
Antibiotics The council has approved the second plan against resistance by antibiotics (2019-2021), which tries to fight against this problem that the World Health Organization considers "one of the greatest threats to global health, food security and development. It threatens." As a novelty will be the detection in primary centers and homes for the elderly, said the minister, who stressed that between 2016 and 2017 consumption of these drugs fell by 4.34%, the first decline since 2012.
Financing. Several councilors, such as the Galician, Jesús Vázquez Almuíña, have asked for a special advice on financing. The last financial threat to the system are personalized therapies CAR-T, which consist in modifying the T lymphocytes of people with some types of hematological cancer so that they are recognized by the immune system and eliminate them. As the process has to be carried out one at a time, it is very expensive. But Carcedo recalled that health financing is included in the regional financing decided by the Fiscal and Financial Policy Council, and asked the communities to be responsible for, for example, not skipping the vaccination calendar (Canary Islands and Castilla y León have announced funding of vaccines against several strains of meningococcus).