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- Title
RATIONALISATION OF THE EXPENDITURE AND THE RIGHT TO HEALTHCARE. IMMIGRANTS AND THE FAIRNESS OF PUBLIC HEALTH REFORM.
- Authors
Gallego Salazar, Daniela
- Abstract
Act 16/2003 for the Quality of the Spanish Health System was modified on April 2012 by the Royal Decree-Act 16/2012 with the aim of guaranteeing the sustainability of the National Health System and improving the quality and security of health benefits. One of the changes in the new text restricts access to regular healthcare for immigrants without health card. The rationale of this decision is that in order to ensure the continuity of the health system it is necessary to rationalise health expenditure. In this case, such optimisation has meant an important restriction in health access by a part of the population living in Spain, particularly affecting groups with high levels of social vulnerability and precariousness. We suspect that the only criterion applied to such modification of Act 16/2013 is the cost-benefit one. We wonder whether rationalizing the distribution of a public good as health is, can only be done through the application of a cost-benefit analysis. Our purpose is to reflect on the possibilities and limitations of the utilitarian criterion to guarantee compliance with the aims of medicine and to introduce the deliberative procedure, from the approach of critical hermeneutics, as a rational criterion able to overcome the deficiencies of the utilitarian perspective.
- Subjects
RATIONALIZATION (Sociology); MEDICAL care; IMMIGRANTS
- Publication
Ramon Llull Journal of Applied Ethics, 2013, Issue 4, p124
- ISSN
2013-8393
- Publication type
Article