Political representatives agree on the need to reduce pharmaceutical expenditure but propose different steps to do so



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## Political representatives agree on the need to reduce pharmaceutical expenditure but propose different steps to do so

04/09/2016 |
SCP

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The three spokesmen of the Commission of Health of the Congress of Deputies that have participated in the second session of the course of summer on medicines organised by the Universitat Jaume I of Castelló have agreed in what is necessary racionalizar the public cost in health, but have showed discrepantes in the form to tackle it.

In the first intervention, the spokesman of the popular parliamentary group, Manuel Cervera, has ensured that “still there is margin of improvement to diminish the pharmaceutical cost, but that it is necessary a lot of coordination, through the Ministry of Health, to achieve a greater saving”. Cervera Has affirmed that up to now it had not posed a common politics to pharmaceutical level that endowed the autonomous communities of some legal tools to promote the containment and that have to promote initiatives like the posed by the previous socialist government to centralise the purchase of the vaccines of the flu.

“The last measures adopted –has commented- will allow to diminish the cost around 15% and in the Valencian Community will go down in 2 years and half, near of 450 million euros”. The ex adviser of Valencian Health has insisted in the fact that it is necessary to watch the cost, but also the number of recipes, therefore “it is necessary to work by that the facultativos do suitable prescriptions to each patient inside the binomial cost/benefit”.

The spokesman of the socialist group in the same commission, José Martínez Elms, has ensured that “the system is sustainable, whenever the money that save or that obtenge of more go back to reinvertir in health, increasing the budgets in this field”, but that “this will not occur, and but –has asked to the public- compare the sanitary budgets of his autonomous community for 2013 with the ones of 2012”. The socialist representative has showed concerned by the loss of universal guarantee and in how will affect this to determinate sectors of the population.

Martínez Elms has defended a sanitary model funded by taxes and proposes like alternatives the auction of medicines, that would allow to save a 1.500 million annual euros, or achieve income finalists with the rise of the taxes of the tobacco and of the alcohol. In his opinion, the decree promulgado by the previous socialist government (RD 9/2011) included measures more effective like the follow-up of the chronic patients polimedicados, the professional freedom of prescription or the adecuación of the quantity of medication for each patient.

Finally, the deputy of Esquerra Joined, Gaspar Llamazares, the one who has spoken on "the Risk of inequidad in the SNS with the new legislative measures" has ensured that “in spite of that they did not have a lot of social statistics” could deduce clearly that these measures would comport an increase in the lists of wait and in the unemployment in the sanitary sector and that the crisis had influenced already in appearances like the hope of life, that had gone down in the period of 2011-2012.

The spokesman of EU in the commission of health has ensured that the RD 16/2012 is a decree that questions the model of the social security and that “it is an offensive privatizadora against the public system”, that “incorporates the tax of illness, excluding to some communities like the immigrant people without papers, or includes a wallet differentiated of services, that will prejudice the existent equity up to now”. Besides, it has criticised the next listing of medicines excluded, because “it has not done a study cost/effectiveness, but they have removed groups of complete medicines, and ones of the most prejudiced communities by the measure will be the women”.

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