Labour's health policy is having paradoxical effect in Iberian countries

EDITOR—British health policies have considerable influence in southern Europe. In the mid-1980s, Iberian countries began to reform primary health care. The changes were based on the implementation of multidisciplinary teams with responsibility for covering the primary healthcare needs of a geographically delimited area. Gradually these organisations lost their enthusiasm and built a bureaucratic structure, losing the original client-oriented approach.

In the early 1990s, because of British influence, the public health sector wanted to improve efficiency. Catalonia developed an internal health market, and …