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A TURN TO THE HEALTH EXPENDITURE NARRATIVE

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Aloysius days foresight has certainly been engaged in various economic issues related to public health. His last email is full of thoughts that surely has been surmised calculator in hand.

In Spain, general statistics put our public health spending by about 1300 euros a year per citizen, $ 500 amount would vary up or down depending on the CCAA. Yet globally, we remain among the nations with the lowest health expenditure of the European Community.

Experience stubbornly persists in showing how every year this expenditure is continually increasing. This upward trend has been documented from the 70's of last century, and although it is more evident in developed countries has also been detected in the developing countries and those other so-called emerging. We could say without a doubt, public health spending has tripled in the last 50 years.

But in this aspect significantly affects the penetration of private health care. In our country, the regions with highest presence of private health insurance companies (Catalonia, Madrid and the Balearic Islands) have a health spending smaller groups. The opposite example is given in Asturias and Extremadura. In Galicia, for what the topic, we were in the middle of the table and climb or descend.

The private health insurance specialists estimate that if the government adopted tax relief applicable to such products, the public health system may be drained of about 1500 euros per person per year, mainly due to all those For many years users do not need or do not use public health resources. It is clear that the healthy or take drugs or admitted to hospitals. But the greatness of our national health system, universal and equitable, is its funding through taxes we all pay.

Various studies have shown that individual differences in health spending has more to do with proximity to the actual moment of death of the patient's age itself, but from Galicia Ourense we have been complaining population aging as one of the reasons that justify our more health spending.

Still, better management in the diagnosis, treatment and monitoring of chronic diseases shows remedial effects on overall health spending. Other factors that trigger health expenditure, since the application of modern technologies and costly to the medicalization of our society that increasingly demands more health care as a result of increased living standards and welfare. So where will place the top of this expenditure? Of all depends ...