These budget changes were accompanied by a structural change was introduced, so unusual, not after

Authors: Helena-Legido Quigley, Professor Laura Otero, associate professor, Daniel La Parra, Professor Carlos Alvarez Dardet, professor of public health, Jose M Martin-Moreno, professor of preventive medicine and public health, Martin McKee, Professor of European public health
In the face of austerity, a series of "reforms" could be disconnected, without corrective action, leading to the effective dismantling of much of the Spanish health system, with potentially harmful effects on health. Helena Legido-Quigley and his colleagues explain
The financial crisis has hit Spain hard. At first, due to its low public debt, Spain seemed safe, but was forced to bail out its banks when the housing boom had been feeding finally collapsed. 1 In the first quarter of 2013, 27% of the workforce was unemployed, including two over 57% of the under 25s. Poverty has increased. Twenty percent of the Spanish population lived below the poverty line in 2012, with less than 7,354 ( 5.980, $ 9,599) a year. 3
In June 2012, the Spanish government negotiated intervention of 100 billion to the European Stability Mechanism (ESM) to support banks. In 2012, the general government deficit reached 8.1% of GDP to 4 order of 5.3%, and the debt rose from 26.7% of GDP in 2007 to 93.8% in in 2012. 5
Public expenditure on health is low. Although, in 2010, Spain spent 9.6% of GDP on health, 26% of this was from private sources (private insurance 6% and the remaining 20% paid by the people) and 74% was public, with the latter equivalent to 7.0% of GDP, compared to an average of 7.6% in the EU. 6 However, the Spanish health system is viewed positively by the public. In a national survey in 2011 73.1% of people said that the 7800 Spanish system is working very well either.

7 dissatisfaction (attributed to low wages), the problems of recruitment and limited access to certain areas were issues before the crisis. However, the Spanish system behaved better than in neighboring countries. 8
The Ministry of Health is responsible for the operation equitable national system, pharmaceutical legislation, border health issues, international relations and health. All other matters are delegated to the 17 regions that manage 90% of the funding of public health. 9 Following budget deficits in some regions in 2012, the central government established a regional liquidity fund 18 billion to ensure its financial sustainability, with 10 other 23 billion in 2013.
The budget for social services and health was reduced by 13.65% in 2012, with disproportionate cuts to vocational training (75%) and public health and quality programs (45%). 11 12 These cuts coincided with the increased demand on the health system, partly as a reflection of the relationship between unemployment and poor mental health, but also to a reduction of 600 million in funds dependence that supports the elderly and disabled. 11th
These budget changes were accompanied by a structural change was introduced, so unusual, not after a parliamentary debate, but by a royal decree. 13 of the Royal Decree (Royal texas dshs jobs Decree) 16/2012 came into force in September 2012, excluding undocumented migrants all but basic emergency care, prenatal and pediatric texas dshs jobs care, just as the principle of free services at the point of delivery for all.
There have been changes in drug copayments. Pensioners now have to pay for: people with higher incomes pay 10% of the cost of drugs and other pay between 8 and 60 per month depending on your pension. Those in employment will pay up to 60% on prescription drugs, depending on their income, with those earning less than 18,000 a year paying 40% of the cost of drugs. Co-payments have been extended to the prosthesis, diet products

and non-urgent ambulances TRIPS disabled pay 5 for travel by ambulance. texas dshs jobs 14th
Buying medicines will be centralized. texas dshs jobs 11 A national task force is reviewing the list of goods and services offered reimbursed regions and is expected to recommend further cuts. 15th
Finally, the national government has anounced other cutting 3134m in 2013, including an additional 16 1108m to be released from the bottom of the dependence of the elderly and disabled, which