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  • Title: Spain: from the decree to the proposal.
    Author: Gracia D.
    Journal: Hastings Cent Rep; 1987 Jun; 17(3):S29-31. PubMed ID: 11644028.
    Abstract:
    This is one in a series of four country reports published together in the Hastings Center Report. Gracia, a bioethicist, compares health care policy before and after Franco's dictatorship. Under Franco, compulsory health insurance was enacted, and modern hospitals were built at the expense of primary services. Patient care was governed by the principle of beneficence "in its extreme and paternalistic sense." Medicine in the democratic post-Franco period has reflected changes in Spanish society as political freedom has led to an increased moral pluralism and the formation of public policy through debate and compromise. Gracia identifies three bioethical issues where changes in attitudes and policies have been the greatest: resource allocation, abortion, and organ transplantation. He concludes his report by briefly describing the role bioethics plays in public policy formation in Spain today.
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