Contra todo pronóstico, la extensión de la cobertura sanitaria pública para profesionales como los abogados, los arquitectos o los médicos, podría aprobarse en los últimos momentos de la actual legislatura. En el Pleno del Senado de esta semana se discutirán las enmiendas al proyecto de Ley General de Salud Pública y la mayoría de la Cámara Alta –PP, CiU y Senadores nacionalistas– apoya extender la cobertura pública a estos colectivos a través de una enmienda a la Disposición Adicional Sexta del proyecto.
Actualmente, se estima en 164.000 las personas sin cobertura sanitaria pública. 26.000 son parados que no reciben subsidios o que perciben rentas superiores al Iprem. El resto, unas 138.000 pertenecen a otros colectivos, entre ellos profesionales liberales, como los abogados. Sin duda, éstos son el colectivo más numeroso.
Esta antigua limitación se explica porque los abogados se han ido quedando fuera de la cobertura a medida que el sistema público sanitario ha experimentado sus diferentes transformaciones. El motivo es que los abogados –especialmente antes de la laboralización– era un colectivo que no solía estar adscrito a un régimen de la Seguridad Social, sino que estaba cubierto por el mutualismo privado. Cuando la Sanidad dejó de financiarse con cotizaciones sociales y lo hizo con impuestos, se quedó descolgado y no entró en la cobertura.
Sin excepciones
El PP, CiU y el Grupo de Senadores Nacionalistas apoyan que en la futura ley se extienda la cobertura sanitaria pública a los profesionales que no disfrutan de ella de forma automática, sin que existan excepciones o adaptaciones en etapas temporales. Los tres grupos suscriben una enmienda en este sentido.
El motivo es que el proyecto de ley que entró en el Congreso y se envió al Senado en pleno verano establece distinciones y en la Disposición Adicional Sexta se condiciona esta extensión de la cobertura sanitaria pública a que el futuro Gobierno desarrolle un real decreto.
Lo cierto es que, además de producirse una discriminación, se produciría una clara situación de asimetría, ya que al menos cuatro autonomías ya han adoptado medidas para ampliar la cobertura pública. Por ello, estos grupos apoyan que la sanidad pública sea realmente universal y que entre en vigor a la vez para toda la población que no la posee.
Desde el Grupo Socialista del Senado se explica que todavía no hay un posicionamiento definido de cara a la votación del Pleno. Fuentes consultadas por EXPANSIÓN explican que las enmiendas se debatirán en el Pleno del Senado, lo que puede ocurrir entre mañana y el jueves. Luego, si se aprueban, pasarán al Congreso.
Pasos en la tramitación legislativa
Una vez que se voten las enmiendas al proyecto de la Ley General de Salud Pública en el Pleno del Senado, lo que tendrá lugar el mañana o el jueves, en el caso de que se aprueben, el texto será remitido al Congreso de los Diputados. En esta cámara se volverá a debatir el proyecto y las enmiendas aprobadas en el Senado.
Por tanto, será en el Pleno del Congreso de la semana que viene –el último de la legislatura– cuando se conozca si efectivamente sale adelante la extensión de la cobertura sanitaria pública para los colectivos que no disfrutan de ella. Será esencial conocer entonces las posturas de los diferentes partidos, especialmente la del PSOE. Hay que recordar que ha sido en el Congreso donde al menos en dos ocasiones, los diputados se han mostrado favorables, por unanimidad, a aprobar esta cuestión.
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