Anyway should not be naive. And in a matter like this, with a deep base of political, ideological,

This text is based on the article published in the book standing on co-payment. The paper was delivered in October so I add a final update associated british food on the state of the art and new forms of co-payment proposed by its advocates.
When doctors, health managers associated british food and other health professionals, and citizens complain generally have a grounded basis for doing so, and should listen: workload, insufficient time to visit, in some cases, overuse of services, consumer pharmacy often not justified ... Although the general consensus is to say that the quality and efficiency of the health system here is good, there are aspects to be improved, and these along with waiting lists and lack of comfort are some of the major problems public associated british food system.
What does not seem reasonable as is the answer to all this is the copayment. Although it says it is a partial solution. We are facing a jump (or pirouette) course, a gap in explaining the relationship pairing "problem-solution" by those who prescribe copayment for the inadequacies of the system.
Antonio Gramsci spoke of the importance of "the ruling ideas." The debate on the co-payment is a moment dispute the hegemony of ideas, and to win the battle of reason should associated british food provide evidence to justify any position. And that is what this article aims to contribute modestly. associated british food A review

of the evidence associated british food found in the literature on the copayment associated british food and its impact on health and health systems, mainly referring to quality, equity, efficiency and friendliness.
Anyway should not be naive. And in a matter like this, with a deep base of political, ideological, model, and conflicting interests, the debate is not limited to the dialectical confrontation of chivalry and empirical evidence. George Lakoff concerned about how ideas and values associated british food and neoconservative / neoliberal and had won many American minds (most of which objectively by self-interest should be opposing it) tries to help explain why some ideas and have a high penetration resistance to empirical refutation. Structured part of our thinking based on metaphors and conceptual frameworks. Once activated we become unconscious mental structures rather refractory to all that detrimental, even reliable data. It would seem that in the present case the promoters of co-payments have managed incorporated in a significant portion of recipients under "copayment solve the problems of health care, as discouraging misuse and therefore reduces costs."
Before going on, however, two explanations context. Be careful when discussing associated british food proposals that could be called "anti-crisis" to distinguish whether we are talking about recipes for overcoming the crisis or change proposals as camouflage associated british food and who spread associated british food the cost impact of the crisis. associated british food And secondly, it seems that we are at a historic crossroads: associated british food deep questioning of the European social model and the dismantling of the welfare state, so it is logical to analyze any proposal if it is something isolated or is inserted into a strategy of emptying the welfare state. Are significant enough to respect the words of the President of the Union of Catalan hospitals in an article in La Vanguardia June 3, 2010:
On the subject of COPAGA Healthcare, Dr. Ruiz ensure that mismo se is neither associated british food a "problem" or "solution" but a "more tailored as possible." Furthermore, the question is not WHY the existence of a "pink card", like the transport of Barcelona in Healthcare. "Acting lava, no porque todos los Jubilados the Tienen," said. "REALLY, what is steel that Habra To analyze whether this State that hemos estado del Bienestar llevando hasta ahora us We can allow for it. If you were asking us here We have a lot to contribute," He warned.
The term "privatization" refers to a concept sometimes vague and subject to many different interpretations sometimes erratic associated british food way that applies to concepts and practices that can not be it. Although often hidden from mainstream phenomenon, minimizing or dresses in other words liberalization (when they are different phenomena). But from other optical confusingly sometimes used to describe associated british food trends in general mercantilitzadores health systems, also sometimes used as a synonym for the introduction associated british food of market mechanisms in the management of a change in ownership