Intended for healthcare professionals

Letters Assault on universalism

Beginning of the end for Spain’s national health system

BMJ 2012; 344 doi: (Published 08 May 2012) Cite this as: BMJ 2012;344:e3213
  1. Sergio Minué-Lorenzo, senior lecturer1,
  2. José Francisco García Gutiérrez, senior lecturer1,
  3. Juan José Mercader-Casas, senior lecturer1
  1. 1Andalusian School of Public Health, Campus Universitario de Cartuja, 18080 Granada, Spain
  1. sergio.minue.easp{at}

Strategies to destroy the welfare state are inspired by the American social model, in which poverty is a consequence of idleness and never misfortune.1 Such strategies have reached Spain.2 Last month, under the pretext of trying to save money on healthcare, the Spanish conservative government approved a royal decree law (a legislative instrument for use only in emergencies) that radically undermines the foundations …

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