While hundreds of thousands of patients sit expectantly looking at the calendar, hoping for a consultation, diagnostic test, or surgery that doesn’t work, The Ministry of Health has decided that the problem affecting citizens is different.
They are not lists of hopes or fallacies of specialists. It raised a curtain of dampness against the private sector in the nation’s health system.
The Council of Ministers approved anteproyecto called Ley de Gestión Pública and Integridad del Sistema Nacional de Salud. A rule that limits forms of cooperation between the public and private sectors and limits the ability of autonomous communities to return to models of indirect governance.
All this with a confrontational tone that presents criminal cases only in this industry he lent his help when asked.
But lists of hopes are not reduced to ideological statements and dogmatic laws.
Spain is facing a structural failure of its healthcare systemespecially in the midst of a pandemic. Patients who wait months for the prosthesis to fall off, while the pain is the content of sleep. Diagnostic tests that are more than clinically recommended. External consultations with retrasos do not combine with effective preventive medicine. It is not a specific phenomenon. It’s a trend persistent.
Faced with this reality, the Minister has not presented a comprehensive plan with medium-term goals, concrete funding and a verifiable timetable for reducing depression. There is no enhanced Ley de Garantías. There is no nationally coordinated choque relief program. There is no legislative strategy to harmonize clinical priority criteria across communities. What you have is an attack against management tools that have proven their worth in easing the burden on the public system. And always at the request of the administration.
“Ante-project is part of a false ideological premise: that public administration is by definition more integral and efficient”
The question is inevitable: why is this now? From the Spanish Private Health Authority (ASPE) we ensure that the legal text presented as the “criminalization” of the industry. Anteprojekt is part of a false ideological premise: that public administration is inherently more integral and efficient.
Alternative patterns are envisioned in this vision In the decentralized model, they are presented as a fine for the state treasury. This simplification turns the debate about lasting effectiveness into an ideological confrontation. But lists of hope do not distinguish between legal models. Distinguish between resolution or greater blocking.
Spanish hygiene is decentralized. Autonomous communities manage resources, infrastructure and plants. Some were repetitive historically to concerts, concessions or assistance cooperation. Others, no. The debate about which model works best should be based on comparable results, quality measures, adjusted average times to completion, and process costs.
However, the law is not based on an independent assessment that shows that all forms of cooperation are ineffective or unfair. Born out of political conviction and based on the above information conclusions and international articles that determine that private health care deserves, something that the Complutense University was asked to enter into a complete trans-European form of analysis of 500 professional articles on public-private cooperation, among them those that are disturbing and repeated things that challenge the minister. And while you legislate against the model, the demoras keeps growing.
The system requires more late surgeries, more trained radiologists, more specialized nurses, more flexible derivative circuits, greater digital interoperability and better evaluation of clinical products. Precise data-driven management and incentives aligned with healthy outcomes. There is no conflict to reduce operational flexibility.
Standard it challenges autonomous jurisdictions and curtails decades-old legislation. More than legal debate, it limits the community’s ability to decide how to organize its offer of help.
In a country with a different demographic reality – frequent in some regions, presence of tourists in others, scattered in the countryside -, Flexibility is an operational imperative.
The minister built on the idea that private healthcare represents a systemic risk. no embargo, The tangible result is now a progressive collapse of reaction times.
Criminalize the entire sector it can generate political income in certain ideological contextsbut don’t go to the operating room, don’t go to an MRI, or go to an oncology consultation.
Debate health care requires recognition that the national health system is one of the pillars of health status, but we must also admit that there are structural tensions: population poverty, increasing chronicity, expensive technological innovation, lack of experts and limited funding.
In front of this scenario, closing the door to evaluate the results seems inappropriate.
Health policy requires pragmatismextensive knowledge and independent evaluation of results. A serious, sustainable and funded national plan to reduce hope lists with public targets and regular reporting should be a priority. Legislation against the model without the simultaneous presentation of a robust strategy against demoras conveys an ambiguous priority.
*** Herminia Rodríguez, President of ASPE
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