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BREXIT

‘It’s torture’: How ailing pensioners in Europe have become the human cost of Brexit

On the heels of the latest UK government announcement, British pensioners in Europe, some of whom have serious even terminal health conditions reveal how the anxiety of not knowing how their vital treatment will be covered has added to the torture.

'It's torture': How ailing pensioners in Europe have become the human cost of Brexit
Photo: Deposit Photos

The news that the British government has pledged to continue covering the health costs for pensioners in the EU for only six months if Britain leaves the EU without a deal has caused a huge amount of anger and worry.

The 180,000 British pensioners in the EU, who have grown used to being used as bargaining chips over the last three years despite their vulnerability, have been told repeatedly by politicians they would be able to continue their lives as before.

But the reality is their futures, which for many depend on access to healthcare due to chronic illness, now hinge on agreements being made between governments.

While pensioners in the EU are being urged not to panic many cannot help but fear what lies in store for them as Brexit reaches another crucial point.

“Yesterday around 200 people contacted me to tell me how losing their S1 cover would affect them – all of them were heartbreaking to read,” Kalba Meadows from British in Europe told The Local.

“We need the real human cost of Brexit to be heard far and wide. And we urgently need the UK government to publicly confirm that they are still seeking future bilateral or EU wide agreements on health care, so that people like those who've spoken out here can sleep again at night.”

Here three pensioners living in the EU explain why life has become so fraught since the EU referendum and how their lives or those of their partners now depend on politicians reaching an agreement.

Pauline, France

“We are physically not up to another house move. If we have to go back it could only be as refugees.”

My husband and I retired to France in 2010 and rely on health cover through S1 with a top-up mutuelle. He’s now 69 and I’m 68.

In 2014 I was diagnosed with Parkinson’s. I have medication for that four times a day, plus an osteoporosis pill once a week, and paracetamol two or three times daily.

I also have physiotherapy twice a week. All covered by state health insurance. About four years ago my husband had treatment for prostate cancer: consultancy, operation and ongoing monitoring all covered by state health insurance in France. New glasses, dental work for both of us, the state insurance contribution is not insignificant. Breast cancer scans, cervical smears, Flu vaccines… the list goes on.

I haven’t tried to work out how much all that would cost if we had to pay for it. I’m sure we’re better off than some – we both have the UK state pension and work pensions, and savings to fall back on.

But our entire income is in sterling, and we rely on the exchange rate to keep our heads above water. Since June 2016 the stress has been unrelenting.

Every so often there’s another turn of the screw. It’s torture. I’m now on sleeping pills and anti-depressants.

I’m like a zombie, wishing that it would all just go away. It’s putting an immense strain on our relationship.

England seems to me to be a foreign country compared with the one I lived in for nearly 60 years. I’ve applied for Irish nationality but that’s just one more thing to stress about.

We have no children and my husband’s only brother died three years ago. What is back in England for us? We are physically not up to another house move.

If we have to go back it could only be as refugees, we would have to leave everything behind. The thought of that breaks my heart.

 

Val Johnstone, France

“There is no way we could afford health care without reciprocal agreements.”

We have lived in France 18 years, we are now in our seventies.

Three years ago my husband, who has had an artificial leg from childhood and needs medical help with that often, found he had lymphoma stage 5.

He had a session of chemotherapy but it returned and he was in the middle of more treatment when he suffered a stroke.

He is in hospital again with chicken pox because he has low immunity to catching diseases.

Once recovered from that he will need more chemo, physio for his hand and arm that no longer work and probably more hospitalisation.

We are very involved in French community life here and even though we had all our working life in the UK, now consider France our home. 

There is no way we could afford health care without reciprocal agreements and we do of course have health insurance here and carte vitale.

We will never go back. Our lives are here now. We have been affected very much by the stress and worry about our future health problems. Healthcare is our biggest worry.

 

Peter Thomson, France

“Without healthcare we will have no option but to do so and add to the burden of an already overcrowded NHS.”

We are not in a financial position to fund our healthcare needs. 

My wife suffers from acute rheumatoid arthritis, which condition is ameliorated and arrested from advancement by a raft of medication that includes a monthly visit to Limoges hospital (50 km distant) for a Roactemra infusion.

We need to continue this treatment to keep her out of pain and with a modicum of mobility and quality of life.

We are contemplating having to return to the UK should Brexit deprive us of our healthcare provisions along with our residency.

My wife is 75 years of age and I will be 80 shortly. We have our house on the market and have reduced the price by €90,000 to encourage a sale.

We do not want to leave France or return to the UK.

Without healthcare we will have no option but to do so and add to the burden of an already overcrowded NHS.

We will have no choice but to do so and arrive in the UK no better than refugees. We could stay here if the government would promise to continue the current S1 arrangement. We would be in our own home, receiving the treatment we receive now, and avoid burdening the NHS with our presence and health conditions.

A statement from the UK's Department of Health and Social Care insisted that those in Spain would be able to coninue to access healthcare until at least the end of 2020, even with a No-Deal Brexit. 

“The UK and Spain have each taken steps to ensure that people living in each country can continue to access healthcare as they do now until at least 31 December 2020. This means that your healthcare access will remain the same after 31 October 2019, whatever the Brexit scenario,” a statement sent to The Local said. 

“The necessary legal steps have been taken in the UK, and the UK Government is now seeking to work closely with Spain ahead of exit day. To find out more about the Spanish government’s guidance on access to Spanish healthcare and Brexit, go to www.lamoncloa.gob.es“.

 

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RESIDENCY PERMITS

Why is it so hard to get an appointment at some of Spain’s foreigner offices?

One of the reasons Brits in Spain say they haven't got a TIE residency card yet is the apparent impossibility of getting an appointment at their local extranjería office or police station. So is there any truth to this?

Why is it so hard to get an appointment at some of Spain's foreigner offices?

Anyone who has tried to do anything official in Spain will be well aware of the dreaded cita previa system, whereby they must first make an appointment.

For foreign residents, this is not a simple task. It’s not just a question of simply making an appointment as more often than not, there aren’t any available.

And it’s not like you can just log-on a day later and find more. Many people spend weeks or even months trying to make these appointments, so they can carry out mandatory bureaucratic procedures.

These appointments are needed for everything from applying for or renewing your TIE if you’re non-EU to getting your EU green residency card. They’re needed again when going in for fingerprinting or even just trying to pick up your card once it’s ready.

Earlier this week, the British Embassy in Madrid stressed that it’s “really important” that the 200,000+ UK nationals in Spain with a green residency certificate exchange it for a TIE card “as soon as possible” to avoid issues with the EU’s new Entry-Exit System. 

READ ALSO – ‘Get the TIE now’: Brits in Spain urged to exchange residency document

The problem is that the exchange has never been made compulsory, only strongly encouraged and around half of British residents in Spain still haven’t gotten their TIE after Brexit.

In reaction to the announcement by the British Embassy, numerous British residents in Spain commented how hard it is get an appointment at their local police station or extranjería (foreign affairs) office.

Could the difficulty in getting an appointment be one of the reasons to blame for this?

So why are these cita previas so coveted and why are they so difficult to get?

Unfortunately, it’s not just a question of simple Spanish bureaucracy. There’s something slightly more sinister going on here. The fact of the matter is that if you go to certain relocation companies, firms and agencies they can get you an appointment straightaway – if you pay for it.

A year ago in May 2023, Spain arrested 69 people for blocking appointments at immigration offices. They were accused of booking up all the available appointments via a computer bot to later sell to foreigners to make a profit, despite the fact that this process should be free.

Arrests were carried out in Madrid, Albacete, Alicante, Almería, Badajoz, Barcelona, ​​Vizcaya, Burgos, Cádiz, Córdoba, the Balearic Islands, Marbella, Murcia, Tarragona, Tenerife, Toledo and Valencia, which gives us an idea of how widespread the illegal practice is.

Although Spanish police managed to dismantle this particular ring of criminals, it did not solve the problem.

Just seven months later in December 2023, ONG Movimiento Por la Paz (MPDL) confirmed to Levante news in Valencia that the ministry’s network had been hacked for two years and that it was unfair to foreigners who were being discriminated against because of it. 

They also claimed that the police and foreign ministry knew about the problem and still let it happen. 

Vincente Marín, CEO and lawyer for Parainmigrantes website aimed at foreign residents and those wanting Spanish nationality, confirmed this in a video he posted on the site.

He explained that bots hack into the system and that whenever appointments become available, they can book them up in seconds and then sell them on the black market for between €100 and €200, admitting it was a big problem for his firm too.

The initial screen of the appointment page (cita previa) on Spain’s extranjería website, and where many foreigners find it impossible to book residency official processes.

Fast forward to February 2024 and a group of lawyers and gestores from Castellón and Valencia denounced the system, saying that it was “controlled by criminal mafias”. They also cited the problem of bots hacking the system and complained that some of their clients still hadn’t been able to get appointments in five or six months.

In May of this year, the issue is still ongoing. Balearic news site Ultima Hora reported several readers who had been trying to get appointments for months in Mallorca and had been unsuccessful.

One has to get an appointment before her residency card runs out in June and was even considering paying an agency who were asking for €200 to help her get one.

Wherever there’s a sizable population of foreigners, from Barcelona to Valencia, the extranjería website has generally been ‘hacked by bots’.

In order to improve the situation more national police have been called in to work at the Immigration Office in Orihuela (Alicante) because of the number of foreigners living in the area. The police there have confirmed that they have allocated more resources for the issuance of documents too, to try and speed up processes. 

If you’re trying for an appointment the best option is to aim to not pay for one if you can help it, as you’re only fuelling the problem.

Reputable law firms may still be able to help you get one by dedicating more resources to applying for them manually, but you shouldn’t have to pay over the odds for what should be a free service. 

Here are our tips on how to get a cita previa when it seems impossible. 

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