Tuesday, February 22, 2011

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struggle to get Congress to reject any formula for the setting up health copayment

The non-legislative proposal put forward by the parliamentary speaker UI was supported by all groups except the abstention of CiU and PNV.

President of the Committee on Health, Social Policy and Consumer Affairs and Parliamentary Speaker IU, Gaspar Llamazares, has achieved today that Congress, through the vote in the committee, showing their opposition to "the introduction of any copayment formula by users of the National Health System (NHS). "

approved The initiative came in the original terms presented in the motion recorded by Llamazares law and supported by all parliamentary groups except the CiU and PNV, which abstained. In early 2009 Izquierda Unida and pushed through a proposal in similar terms, although the parliamentary speaker has now resubmitted following the repeated statements of senior government officials including his socialist-Secretary of State for Finance, Carlos OcaƱa- advocating the possibility of using this formula for the state raise more money.

Llamazares During his speech denounced "Copayment solution has become a fetish when trying to address the problems of financing the NHS. "

UI MP flatly rejected the deployment of this system in the English health model because "first, as seen already in practice in other countries, this method is inefficient economically, to spend more on bureaucratic procedures that the revenue obtained with it. " Thus either rejected or put in place and shuffled variants in other countries to implement this formula, called a ticket moderator or payment of one euro per visit.

"Besides," he said, "we reject it because from the health point of view is somewhat contradictory and regressive to the public nature of the NHS. Produces inequities and imbalances the protection of the weakest people, older and with fewer resources. Its implementation would affect the system free and accessible. "

Gaspar Llamazares reported that "the term 'co-payment' is misleading, because in reality we should speak of 'payback', as citizens and fund the NHS through their taxes." This is one of the reasons why he advocated the "need to regain the position of House against the measure.

dismounted theories that there is "a frequent use of patients in primary care services. This is not true, if we remove the first consultation and bureaucratic consultations in Spain have a similar attendance to the EU. Furthermore, although it is not, would have some logic that there was a greater use of primary health given that we are the penultimate country in Europe to frequent hospital care. "

They then attached the full text of the initiative developed by Gaspar Llamazares approved today by the affirmative vote of all groups except for abstentions of CiU and PNV.

THE BUREAU OF THE CHAMBER OF DEPUTIES

In the Policy Committee for the Rationalization of health expenditure, created under the Pact for Health, there have been proposals for months and shared some thoughts on various Communities autonomous in relation to various figures of "Copayment" by health system users.

himself Medical Association (WTO) considers that the scientific evidence of co-payment is more than doubtful.

Within the above figures would be included COPAYMENT HEALTH from the "euro per visit" France, the "ticket moderator" of Germany or the "shadow bill" of Belgium as an advance payment.

Apparently these figures copayment would be valued by the Ministry of Economy and some autonomous communities without involving the Ministry of Health, Social Policy and Equality.

The introduction of co-payment would adversely affect the free, universal and public nature of our National Health System.

Therefore, we present the following

PROPOSITION OF LAW NO

1. "The House of Representatives reaffirms its rejection of the introduction of formulas COPAYMENT (euro, ticket, etc..) By users of the NHS, to understand which would seriously affect the basic principles of the constitutional right to health as accessibility , universality and free comprehensive health care without, in turn, significant advances in the organization of demand, much less in the financing of National Health System.

2. The House of Representatives considers that there is scope based on the expansion of public budgets and improved management efficiency, as well as policy public health for the sustainability of the NHS, as part of a Pact for Health which players are the Autonomous Communities, the Ministry of Health, together with political parties and social partners.

3. The House of Representatives urges the Government to take appropriate measures in accordance with the Autonomous Communities within the framework of its powers. "

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