With the pandemic at a minimum, the ideas from the beginning of the legislature begin to sprout. United We Can has registered a Proposal Not of Law in the Congress of Deputies in which it seeks to recover its strategy of letting the Muface system die in Spain through the gradual loss of clients.
In this way, they ask that people who become civil servants be picked up by social security instead of being able to choose the system they prefer, as has been the case until now. On her day, the person in charge of Health in the purple party, Amparo Botejara, pointed out that the system generates inequities among citizens.
Shortly after hearing the news, the employers of private health, Idis, has issued a statement in which they flatly reject the United We Can proposal based on economic arguments. “Administrative mutualism, as a coverage mechanism for the special Social Security scheme for State officials, saves the public system between 720 and 800 million euros a year. This is undeniable data extracted from the savings generated by each mutualist, since the average premium is much lower than public health spending per capita, specifically 451 euros less,” explains the employers’ association that includes companies that provide services to the State.
Based on these data, the employers indicate that suppressing the model, the ultimate objective of United We Can, would cost the public system some 3,000 million euros to be able to serve the almost 1.8 million mutualists that currently exist. That amount, they add, would not include “the investments that would be necessary to carry out in order to provide assistance.”
The current Minister of Health has already made it clear to Podemos that her model has Muface. When she was head of Territorial Policy and Public Function, she already said twice (in the Senate and by letter to the opposition) that the Government would continue to have the insurance system.
However, it seems that there are two souls in the Ministry of Health. A year ago the ‘Action Plan for the Transformation of the National Health System in the Post-Covid 19 era’ saw the light, a document signed by the former Secretary General of Health Faustino Blanco, before his dismissal to give way to Silvia Calzon.
In the report, within the actions to be undertaken to “improve economic efficiency in health”, it is marked in its first point that it is necessary to “address, in the sense that Law 14/1986, General of Health, guides, the situation of mutual funds with direct public financing (Muface, Mugeju and Isfas), as well as indirect financing through rebates on commercial health insurance”. A phrase that the sector understands as a de facto elimination.
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