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The parties analyze a political course with ‘lights and shadows’

Salud mental y valor público del SNS,

Above: Ana Prieto, Rosa Medel and Elvira Velasco. Below: Josune Gorospe, Guillermo Díaz and José Manuel Marín.

The holding of the debate on the State of the Nation in the Congress of Deputies it put the finishing touch to a course marked, once again, by a political fragmentation that crossed the walls of the Chamber and reached Moncloa itself. This distancing between parties has stressed the health-related debates, although its protagonists also appreciate ‘green shoots’ in parliamentary activity in recent months. A long series of successes and failures that the main health representatives of the political formations have analyzed to Medical Writing.

The most inveterate of the debates that have been held this year in Congress revolved around the very nature of Spanish healthcare, and its main opponents were the two parties that support the Government: PSOE and United We Can. Despite the recent commitment of the cabinet of Pedro Sanchez of «shielding» the public model of the SNS through the recent Cohesion Law, the purple formation makes a measured reading: «Our initiatives have materialized in Non-Law Proposals that sadly have not had the support of our Government partners ”, emphasizes Rose Medellresponsible for Podemos in the Health Commission of Congress, which lists, among other ‘failed’ projects, those related to the transformation of Muface, Mugeju and Isfas.

In statements to Medical WritingMedel emphasizes that his proposals were aimed at promoting «transparency in the public-private collaboration”, as well as to incorporate into the public health system “all new additions to the civil service, the armed forces and the judiciary” in order to “advance in cohesion and equity”.

“The pandemic has shown us that a weakened health system cannot respond to the disease and has also shown that the constitutional right to health can only be addressed from a public service, because its only objective is the well-being of all citizens”, reiterates the leader of United We Can, who regrets that proposals like his anti-concert model died on the brink of Congress.

But the truth is that the PSOE does not share the vision of its partners in the central Executive. In this regard, sources from the socialist formation allege that the Government «has given very determined steps to strengthen public health” through projects such as the Public Health Strategy 2022 and the new State Surveillance Network, which were «recommended by the parliamentary groups in the conclusions of the Commission for Social and Economic Reconstruction.»

«Finally, it is essential to point out the important resolution proposals that our group has approved in the context of the Debate for the State of the Nation, where our commitment to the public, universal, equitable and quality health model has been reaffirmed,» they reply.

The laws of Pandemics and Health Advertising, on the shore

During the course of the political year, initiatives such as the Pandemic Law, that of Health Advertising or that relating to the financing of immunotherapies for kidney cancer, all of them presented by the Popular Party.

«The only positive balance is that we have not yet changed the minister, because it would have been the fifth since June 2018,» he replies. Elvira Velasco. The main representative of the PP in the Health Commission of Congress regrets that «the real problems» of the SNS have not been addressed, which from her point of view range from the «hardship that professionals go through», especially those of Primary Care, to «the shortcomings of the MIR calls”. «More economic and human resources are needed, and for this real measures are necessary that have been thrown to the ground,» he emphasizes.

On the other hand, the popular leader points out that her party «has insisted throughout the year» on the need to promote greater accessibility to innovative treatments for diseases such as kidney cancer «with the position against Congress», as well as to alleviate the problems of surgical waiting lists. “We have already requested a plan to address it, it is inexcusable that there are delays of more than 500 days for surgical activity,” he adds.

They also speak of «lights and shadows» in the Basque Nationalist Party. “We have witnessed over and over again since the start of the pandemic an attempt to recentralization of health competenciestransferred to the autonomous communities through the Interterritorial Council”, denounces Josune Gorospe, health manager of the GNPwhich points, among other factors, to the “exclusive capacity of the State” when regulating measures such as those related to the use of masks or the covid vaccination calendar “without shared action” with the autonomies.


Elvira Velasco: «The only positive thing is that the minister has not changed, it would have been the fifth since June 2018»


For similar reasons, Basque nationalists have also shown their reluctance to the Law of Equity, Universality and Cohesion. “The regional powers have to be legislated in the regional parliaments, and an example of this is that the Basque Government has just approved the draft Public Health Law to provide the Basque Country with an updated legal framework that serves to safeguard and promote the health of the Basque population”, they stress.

Mental Health Protection and Suicide Hotline

Indeed, the disagreements were part of the dynamics of the General Courts, but there was also applause after the approval of initiatives such as the Mental Health Strategy. “The latter led to the launch of the Telephone 024 for attention and prevention of suicidal behavior”, they recall from the PSOE, which adds other “significant advances” to the list, such as the expansion of the portfolio of common services for oral health care, the recent approval of the royal decree on the new Framework Statute of health personnel (a the one given the green light by the Council of Ministers).

«From the socialist group we have also proposed initiatives that have been approved by a broad parliamentary consensus, such as those related to developing measures to prevent sudden cardiac arrest and on the improvement of knowledge and prevention of stroke.«, add from the PSOE, which add to the positive balance of the course the development of a Spanish Vaccination Strategy against Covid-19 that «has turned Spain into an international benchmark» in this section.

The truth is that, although the new Mental Health legislation was not opposed by any party, some groups regret that some of its guidelines were left out of the strategy. In the case of vox, slip that their motion to urge the adoption of certain measures to promote and strengthen mental health care was «inconceivably rejected by the socialist parliamentary group and the rest of the left and extreme left groups, who branded it as populist» . are words of Jose Manuel Marinresponsible for Vox’s health in the Senate, who denounces that «once again, the left opposes any initiative presented using the only argument of ‘no is no’”.


«Spain has become an international benchmark in the inoculation of vaccines», they celebrate from the PSOE


In this line, Ciudadanos points out that it is still necessary to «focus» on more issues of the protection of the mental health of the Spanish. “It is vital to incorporate a Suicide Prevention Plan to the Mental Health Strategy of the SNS (2022-2026), reinforce the telephone line for suicidal behavior (024) and promote campaigns against cyberbullying and for awareness of eating disorders”, they point out.

Dispensing of medical cannabis in Spain

In the PNV they put the emphasis on one of their great projects of the course, linked to the prescription and dispensing of cannabis for therapeutic use. It was the Basque nationalists who promoted in the Lower House the subcommission for the study of the effects of this type of compound, and the final assessment is, he affirms, «positive».

“In addition, the Congress agreed to advance in the recognition of the medical specialty of Infectious diseases with its training itinerary through the MIR route at the proposal of the Basque Group at a key moment to face the Covid-19 pandemic and possible future health crises”, they add.

Citizens also underline the relevance of another of the laws approved «unanimously» this course, such as the support for people with ALSalthough they regret that «the Government still has it forgotten in a drawer».

Finally, from Vox, they focus on the approval of motions such as those related to the identification and registration of people with post-polio syndrome, the incorporation into the Pharmaceutical provision of the SNS of innovative treatments authorized in Europe for the lipodystrophy and the one that urged the Government to express the principles and values ​​that it defends for health care “at all levels during the pandemic.”

«Vox’s support for these three motions proves our firm commitment to the health of Spaniards, by virtue of which we will always defend and sponsor those parliamentary initiatives that improve it. The public resources that must be used exclusively to strengthen a single, equitable SNS without distinctions between Spaniards based on their place of residence”, adds José Manuel Marín.

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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