United We Can threatens to knock down the Equity Law on its way through the Congress of Deputies. The minority partner of the coalition has informed the Socialist Party that it will join the opposition groups if they do not reach a “prior agreement” before Thursday to modify the text approved by the Ministry of Health. On the table he has already placed a battery of 11 amendments with which it intends to put more “limits” for the activation of health concerts both in duration and in the number of contracted personnel.
one of the great news of your proposalis the introduction of a veto to awards, concerts or collaborations in those private entities that “employ health personnel who are simultaneously providing services for the public sector of direct management”, according to the text to which it has accessed Medical Writing. This reality would affect the professionals who combine both functions.
The proposal, signed by Paul Echenique Y Rose Medellhas included this new condition as a mechanism to avoid the “fraudulent patient referral from the private to the public sphere” as a result of a “lack of investment in material means and human resources” among the companies that obtain contracts with the administration.
United We Can has also set down in writing one of the criteria for granting awards on which it had been working for months: the maximum duration will be twelve months and will only be approved under circumstances of “urgent need”. “The outsourcing of services must be adjusted to the time strictly necessary to resolve the reasons that justify it, and may not be longer than one year,” reads the regulatory proposal.
The United We Can amendments are intended to avoid granting concerts with a “vocation of permanence” in hospitals, Primary Care centers or outpatient clinics. “It must be understood that any health service must be considered structural and its provision must be made by means of the public health services”, they have added in their justification of reasons.
New public and private patient ratios
Another of the key points that will affect the management of private sector companies is that if one of the United We Can amendments is accepted, from now on they will have to stick to the same level of ratios per patient that the public if they want to access a concert. “It is necessary that the coordination and planning of the provision of public health care incorporate criteria of equitable distribution of workload between the own centers and the private centers”, they have added.
The text has pointed out in this sense that Primary Care must establish a maximum quota of one professional for each 1,500 adults and 1,000 children with a margin of maneuver of 10 percent for each basic unit. While the delay to be attended may not exceed the 48 hours from the appointment request.
At the same time, the purple formation has also requested that the autonomous communities be allowed to carry out “deprivatization processes” to reverse the indirect management of health services. While it has urged the administration to publish in an “accessible and understandable” way the information related to the concerts, including its modality and the established time.
The changes of United We Can in the health universality
Beyond the concerts with private health, the battery of amendments of United We Can has also included changes in other aspects of the law promoted by Carolina Darias to reinforce the character of universality of health, such as the inclusion of all minors, pregnant women, stateless or people with chronic diseases within the list of citizens entitled to health protection in Spain.
The purple formation has also requested its partner in the coalition government to provide health care to Spaniards who have returned to the country without presenting any type of prior request on the reasons for your trip. Or that it incorporates into the articles of the text references to the right to euthanasia or the free interruption of pregnancy.
72-hour ultimatum to save the Equity Law
With all these ingredients on the table, United We Can has informed the PSOE that it has until Thursday to try to reach an agreement on the Equity Law that shields the “real and not just rhetorical limits to privatization.” “They have been sent to the PSOE so that they can study them and they have informed the coalition partner that your vote against the amendments to the totality that are voted on this Thursday in Congress is not guaranteed if some type of prior agreement is not reached, ”they have pointed out.
The minority partner pursues with all its reforms to put an end to the regulatory framework established by the Government of Jose Maria Aznar in 1997 and which represented a “genuine disaster for public health”. “If we do not have a real guarantee that the path of privatization will be reversed, we cannot support this law”, announced the spokeswoman for the Health Commission, Rose Medell.
If there is no agreement in the coalition in the coming days, the purple formation could join the opposition bloc to the regulations. Bearing in mind that formations such as Citizens, Vox, Junts or PDeCAT have already requested the return of the text, the socialist group would be forced to request the support of the Popular Party to add sufficient support.
Although it may contain statements, data or notes from health institutions or professionals, the information contained in Medical Writing is edited and prepared by journalists. We recommend the reader that any questions related to health be consulted with a health professional.
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