title: [Copayment can also be a social measure].
abstract: Psychology shows that what is free is poorly valued. Free of cost national health systems may become blocked due to misuse and may even become unfeasible. Copayment already exist in Spain. It was introduced in pharmaceutical prescriptions as a solidarity measure. This copayment has generated abuses. Its introduction has always been seen as a co-financing action to the system or as a discouraging measure to avoid misuse. The truly solidarity action is a proper organization of a copayment system as a social measure together with efficiency measures and rational use of health resources by all participant actors in the system: managers, professionals and users.
authors.affiliation: Unidad Docente de Comunidad de Madrid, Hospital Universitario Ramón y Cajal, Madrid, España. teresa.sagrado@gmail.com
authors.forename: T
authors.initials: T
authors.lastname: Sánchez-Sagrado
mesh_terms: D003669:Deductibles and Coinsurance; D009313:National Health Programs / Q000191:economics* / Q000458:organization & administration; D013030:Spain; D013222:State Medicine / Q000191:economics / Q000458:organization & administration; D013548:Sweden