Updated on Saturday, 18 September 2021 – 02:01
The parliamentary group considers that a mutual benefit system “outside” the health system produces “a source of inequities”
The Secretary General of United We Can, Ione BelarraCATI CLADERAEFE
Unidos Podemos has registered a Proposition No of Law in Congress with which it intends to resume its idea of integrate new mutualists into public health. The parliamentary group thus intends to progressively eliminate the General Mutual Fund for Civil Servants of the State (Muface) system, which provides assistance to public officials. This systemallows them to choose between two options: Social Security and private health. Within private healthcare, to date, there is the option of choosing between four providers: SegurCaixa Adeslas,Asisa, DKV or Igualatorio Cantabria.
“The defense of a model of public and universal health is incompatible with reserving a differentiated attention to two million people”, collects Unidas Podemos in its proposal. They consider that a mutual benefit system “outside” the health system produces “a source of inequities”. The NLP of the purple group also alludes to the Social Institute of the Armed Forces (ISFAS) and the General Judicial Mutual Fund (MUGEJU) and it is criticized that administrative mutualism “uses publicly funded private providers” to provide health care. The parliamentary group has identified Muface as “the largest” of mutuals, dependent on the Ministry of Territorial Policy and Public Function, which serves 1,473,641 people (984,867 owners and 488,774 beneficiaries).
Several have already spoken out against the proposal, such as the Central Trade Union Independent and Officials (CSIF). “We regret the pressure from United We Can “, they have assured in a statement.” We want to remember that administrative mutualism was established at a time when officials lacked Social Security and had to pay for health care insurance privately, “they have voiced.
Likewise, the union has pointed out that the proposal has created uncertainty among the civil servants group, for which they demand a meeting with the Minister of Finance and Public Function, Mara Jess Montero. In addition, they demand that the Treasury close the new health agreement with mutuals for the next few years in order to create “sustainable” conditions. In his opinion, if not, the aggravation to which the National Health System has subjected the pandemic, will leave about 2.1 million people in a “very compromised” situation.
They also insist that health care is provided under the conditions established by the Public Administration in concert with insurers, other than those offered in private insurance and with benefits from the Basic Portfolio of the National Health System. “These coverage are even sometimes diminished in relation to those offered by the autonomous communities themselves to the rest of the inhabitants of their territory,” they denounced in a statement.
According to the Public Health Expenditure Statistics prepared by the Ministry of Health, in 2019, mutuals represented 3% of public spending (2,231 million euros). According to the latest data, purchases from the private sector through concerts represented 10.8% of public health spending, that is, 8,072 million euros.
Muface has a considerable budget of around 1,750 million euros (2018) and a Average staff of 850 people. In addition, it is integrated into the management of the Pension Plan of the General State Administration, whose net worth is around 640 million euros and has more than 640,000 participants and beneficiaries, making it the largest occupational pension plan in Europe by number of participants.
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