Notebook “5” The national health system at the crossroads

The concern regarding the future of the National Health System (SNS) is evident, and the discussion is quite heated. A first necessary reflection addresses the complexity of the institutional architecture of the SNS when establishing a reformist project. Because, as is well known, we are not talking about a “National Health Service” model like the British NHS, but about a “System” that integrates the seventeen “Regional Services” plus a small addition, the so-called INGESA, for the management of the health services of the two autonomous cities of Ceuta and Melilla.

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