The Spanish central government has announced plans to cut health and education spending by €10bn. If the regions do not agree to do this, then the central government will take control of their operations and enforce cuts. Some say that this will lead to the growth of the Alzira model in which a private consortia run a functionally privatised hospital at a saving of around 25% to the state.
But there is a deeper problem. As with Greece, there has been systematic corruption. One insider says that no one knows how many people are employed in public sector healthcare in any of the regions. He adds that no one, including the government, has a coherent healthcare strategy.



