title: Economic crisis and counter-reform of universal health care systems: Spanish case.
abstract: The economic crisis that has been affecting Europe in the 21st century has modified social protection systems in the countries that adopted, in the 20th century, universal health care system models, such as Spain. This communication presents some recent transformations, which were caused by changes in Spanish law. Those changes relate to the access to health care services, mainly in regards to the provision of care to foreigners, to financial contribution from users for health care services, and to pharmaceutical assistance. In crisis situations, reforms are observed to follow a trend which restricts rights and deepens social inequalities.
authors.forename: Paulo Antônio de Carvalho
authors.initials: PA
authors.lastname: Fortes
authors.forename: Regina Ribeiro Parizi
authors.initials: RR
authors.lastname: Carvalho
authors.forename: Marília Cristina Prado
authors.initials: MC
authors.lastname: Louvison
mesh_terms: D003695:Delivery of Health Care / Q000191:economics* / Q000639:trends*; D057172:Economic Recession; D018166:Health Care Reform / Q000639:trends; D006291:Health Policy / Q000639:trends; D006297:Health Services Accessibility / Q000191:economics / Q000639:trends*; D054625:Healthcare Disparities; D006801:Humans; D013030:Spain