Question: is there a national health service in spain

Answer: Yes, The Spanish National Health System (Spanish: Sistema Nacional de Salud, SNS) is the agglomeration of public health services that has existed in Spain since it was established through and structured by the Ley General de Sanidad (the ``General Health Law'') of 1986. Management of these services has been progressively transferred to the distinct autonomous communities of Spain, while some continue to be operated by the National Institute of Health Management (Instituto Nacional de Gestión Sanitaria, INGESA), part of the Ministry of Health and Social Policy (which superseded the Ministry of Health and Consumer Affairs--Ministerio de Sanidad y Consumo--in 2009). The activity of these services is harmonized by the Interterritorial Council of the Spanish National Health Service (Consejo Interterritorial del Servicio Nacional de Salud de España, CISNS) in order to give cohesion to the system and to guarantee the rights of citizens throughout Spain.