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HEALTH

Barcelona to launch Spain’s first public (and cheap) dentistry service

The Catalan capital is looking to launch Spain’s first public orthodontist service, offering treatments for up to 40 percent less than through the private sector.

Barcelona to launch Spain's first public (and cheap) dentistry service
Photos: AFP

Barcelona residents with dental problems will soon be able to receive treatments on the public healthcare system thanks to a new measure spearheaded by the city’s mayor Ada Colau. 

If approved by Barcelona’s Social Rights Commission on January 15th, it will be the first comprehensive public dentistry service of its kind in Spain.

Having a filling put in will cost €55 – 13 percent less than the average private rate – according to Spanish consumer rights group Facua.

A root canal will cost €160 (30 percent lower) whereas a deep dental clean will be €30 (43 percent lower).

Barcelona Town Hall will make the public service available to all its citizens after initially launching it only for its most cash-strapped residents through mutual insurance company PANEM.

The public health service add-on will help 36,000 people annually, Barcelona authorities have estimated.

“More than 12 percent of our population doesn’t go to the dentist because they can’t afford it, even though it’s essential to live a healthy life,” Barcelona left-leaning mayor Ada Colau is quoted as saying by El Periódico.

“And it’s not just physical health I’m talking about, there are also the emotional and psychological implications to consider.”

A number of opposition parties including Ciudadanos and Spain’s Popular Party have called the measure “implausible” and “unsustainable”, whereas socialist PSOE MP Xavier Trias labelled the move an “improvisation to gather votes”.

Barcelona City Council representatives have argued in response that the public dentistry clinic is “completely viable financially” in that it will be self-sufficient, as the initial €500,000 of public funds that will be invested will be recovered through dentistry earnings.

Barcelona’s first municipal dentist is likely to be based in either the district of Sant Martí, Nou Barris or Sant Andreu, where the need for cheaper dentistry services is greater among its cash-strapped residents.

Spain’s public health system was ranked as the world’s third best by Bloomberg in 2018, but the country’s social security system doesn’t cover dentistry services, aside from certain treatments for children.

According to orthodontist association SEPA, Spaniards have the worst dental hygiene and oral health in southern Europe.

“Dental care has always been considered a luxury in Spain,“ Javier Sanz, of Primary Health Care Association Semergen, told El Pais.

“Healthcare isn’t free, we pay for it with our taxes.

“Providing public dental treatments around Spain would mean having to take funds away from other fields, which could be very detrimental.”
 

For members

HEALTH

When can doctors in Denmark refuse to continue treating patients?

General Practitioners in Denmark have the right to break off a patient-doctor relationship in specific circumstances.

When can doctors in Denmark refuse to continue treating patients?

Although doctors in Denmark have the right to decide not to continue treating a patient – requiring them to find a new GP – the circumstances in which this can happen are limited, and must be approved by health authorities.

The frequency in which the circumstances arise is also low. A doctor decided to no longer receive a patient on 375 occasions in 2016, according to the medical professionals’ journal Ugeskrift for Læger. The following year, newspaper Jyllands-Posten reported the figure at 458.

There are two main categories of circumstances in which a doctor can choose to take this step. The first is in instances of violent or threatening behaviour from the patient towards the doctor. 

The second (and most common) is when the doctor considers the relationship to have deteriorated to the extent that confidence has broken down, according to Ugeskrift for Læger.

It should be noted that patients are not bound by any restrictions in this regard, and can decide to change their GP without having to give any justification.

A patient also has the right to appeal against a doctor’s decision to ask them to find a new GP. This is done by appealing to the local health authority, called a Region in the Danish health system.

In such cases, a board at the regional health authority will assess the claim and if it finds in favour of the patient may order the doctor to attempt to repair the relationship.

Doctors cannot end a relationship with a patient purely because a patient has made a complaint about them to health authorities. This is because patients should have the option of making complaints without fear of consequences for their future treatment. 

However, if this is accompanied by the conclusion on the doctor’s part that there is no longer confidence in them on the part of the patient, they can remove the patient from their list.

The right to no longer see patients in the circumstances detailed above is provided by doctors’ collective bargaining agreements, the working conditions agreed on between trade unions and employer confederations under the Danish labour market system.

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