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Millions of people get sick and die from causes that could largely be prevented with access to health services. In addition, millions of families fall further into the trap of poverty through a lack of social protection that means they must bear the cost of healthcare themselves.

One of the main problems is the lack of political will and economic capacity in developing countries to allocate resources to health. In addition, many of these countries are highly dependent on international cooperation, which is often inadequate and unpredictable in the long run. This is compounded by the fact that high-income countries abandoned their international responsibilities during the economic crisis, drastically reducing their international aid budgets.


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The new decree approved in 2018 extended coverage, but there are still major gaps: it excludes people who have been in Spain for less than three months. Therefore, care for minors, pregnant women, asylum seekers and victims of trafficking who have been in Spain for less than 90 days is not currently guaranteed.

This exclusion from health care is a discriminatory measure that targets those who are most vulnerable and therefore constitutes a breach of Spain’s international human rights obligations.

At Salud por Derecho we are working to ensure that the government takes the necessary measures to guarantee health care to all persons, regardless of their legal status. We are joining forces with other organisations in this effort through networks such as EAPN and REDER.


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Alianza Más Sanidad Pública y Universal (More Public and Universal Health Care Alliance):

We belong to REDER (Network of Denunciation and Resistance to the RDL 16/2012), an alliance of collectives, movements, organisations and people involved in the defence of universal access to health care in Spain and the condemnation of non-compliance.

REDER boasts more than 300 organisations and is coordinated by a steering committee which includes our organisation and others like ARI-PERU, la Federación de Asociaciones para la Defensa de la Sanidad Púbica (FADSP), Médicos del Mundo, la Plataforma per una Atenció Sanitària Universal a Catalunya (PASUCAT), Salud por Derecho, la Sociedad Española de Medicina de Familia y Comunitaria (semFYC) y la Sociedad Española de Salud Pública y Administración Sanitaria (SESPAS).

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More than twenty social, health and professional organisations have come together to form this alliance to demand that the political establishment (national and regional governments and political parties) adopt the political and budgetary measures that are needed to strengthen the healthcare system and reinforce its capacity to face the challenges that COVID-19 has exposed.

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