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Spain’s Health Minister quits in order to run for regional Catalan elections

Spain's Health Minister Salvador Illa will leave his job on Tuesday to run for the regional Catalan elections scheduled on February 14th, the Prime Minister’s office confirmed on Monday.

Spain's Health Minister quits in order to run for regional Catalan elections
Photo: AFP

“Salvador Illa starts today his last 24 hours at the helm of the ministry,” the statement said. “Tomorrow Tuesday will be his last cabinet meeting and his replacement will be disclosed.”

Illa has been the face of Spain's battle against coronavirus after being appointed health minister in the government of Socialist Prime Minister Pedro Sanchez, which came into power a year ago. 

He gained visibility for coordinating the fight against the virus, with near-daily TV appearances to update the nation on the situation.

The 54-year-old, who hails from the northeastern Catalonia region, will run at the head of the Socialist Party of Catalonia (PSC), the local branch of Sanchez's Socialist party, when regional elections take place on February 14th.

There was no official word on who would replace Illa, but media reports point to Carolina Darias, who is currently minister for territorial policy and civil service as a strong contendor.   

Darias has worked closely with Illa and the regions, which are responsible for managing their own health policy, throughout the pandemic.   

In a statement, the Socialist Party hailed Illa's “tireless and crucial

Illa's candidature came as a surprise when it was announced in December after Miquel Iceta, who headed the
list in Catalonia, decided to step back.

The vote, Catalonia's fifth election in 10 years, is being held a year ahead of schedule because the region's separatist leader Quim Torra was barred last year by the courts from holding public office.

Bitter divide

The Socialists are hoping Illa will improve their showing in the elections after only securing 17 of the regional parliament's 135 seats during the last poll three years ago.

They are also hoping to take advantage of the bitter divide between the region's ruling separatist parties, which have been at loggerheads over strategy since the failed independence bid of October 2017.

Catalonia's 7.5 million people are split over independence, with the latest opinion poll by a Catalan polling firm showing 49.9 percent against and 45.1 percent in favour.

Polls predict the separatist parties will once again win a majority in the Catalan parliament.

But they suggest a close fight between the two ruling parties: Torra's “Together for Catalonia,” which has adopted a more hardline stance, and the leftist Esquerra Republicana de Catalunya (ERC), which has erred on the side of moderation and dialogue with Madrid.

With a serious demeanour and trademark black-framed glasses, Illa previously served as mayor of La Roca del Valles, his hometown, between 1995 and 2005, before going on to hold various posts in the regional government.

He holds a degree in philosophy and since 2016, has served as number two within the Socialist Party of Catalonia.

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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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