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COVID-19

EU states seek summit on unfair vaccine handouts as AstraZeneca announce more delays

Austria, the Czech Republic, Slovenia, Bulgaria and Latvia have called for a EU summit to discuss "huge disparities" in the distribution of vaccines, according to a letter published Saturday.

EU states seek summit on unfair vaccine handouts as AstraZeneca announce more delays
(Photo by JENS SCHLUETER / AFP)

Austrian Chancellor Sebastian Kurz suggested Friday that some members of the European Union may have signed “secret contracts” with vaccine companies to receive more doses than they were entitled to as per EU-wide agreements.

Kurz and his four counterparts on Friday sent a letter to Ursula Von der Leyen, president of the European Commission, and Charles Michel, president of the European Council, claiming that “deliveries of vaccine doses by pharma companies to individual EU member states are not being implemented on an equal
basis.”

“If this system were to carry on, it would continue creating and exacerbating huge disparities among member states by this summer, whereby some would be able to reach herd immunity in a few weeks while others would lag far behind,” the letter said.

Austrian Chancellor Sebastian Kurz. Photo: YVES HERMAN / AFP / POOL

“We therefore call on you… to hold a discussion on this important matter among leaders as soon as possible,” it said.

Kurz on Friday described “bazaars” where some member states made additional agreements with vaccine companies, but an EU spokesman said that it was up to members states to “ask less or more of a given vaccine.”

The Austrian health ministry also dismissed Kurz’s claims, reiterating the EU’s statement that each member state was allowed to say how many doses of the various vaccines it wanted to procure.

“These were very balanced and transparent negotiations,” Ines Stilling, general secretary of the Austrian health ministry, said in an interview with the public broadcaster Saturday.

The European Union has blamed its sluggish vaccine rollout on supply and delivery problems and continues to lag behind the United States, Israel and the United Kingdom in terms of the percentage of the population that has already received at least one dose.

READ ALSO: France will not halt use of AstraZeneca vaccine, says health minister

The Anglo-Swedish pharmaceutical giant AstraZeneca announced a new shortfall in planned vaccine shipments to the European Union on Saturday, citing production problems and export restrictions.

“AstraZeneca is disappointed to announce a shortfall in planned COVID-19 vaccine shipments to the European Union (EU) despite working tirelessly to accelerate supply,” it said in a statement.

The company had previously warned it was facing shortfalls from its European supply chain due to “lower-than-expected output from the production process.”

It was hoping to compensate for part of the shortfall by sourcing vaccines from its global network, with half of the EU’s supply in the second quarter and 10 million doses in the first quarter due to come from its international supply chain.

READ ALSO: AstraZeneca suspension: Blood-clot risk ‘no higher in vaccinated people’

(Photo by Tiziana FABI / AFP)

“Unfortunately, export restrictions will reduce deliveries in the first quarter, and are likely to affect deliveries in the second quarter,” it added.

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AstraZeneca started delivery of the vaccine to the EU in February, and still aims to deliver 100 million doses in the first half of 2021, of which 30 million are due to be delivered in the first quarter.

The under-fire firm said it was “collaborating with the EU Commission and member states to address the supply challenges.

“It remains confident that productivity in its EU supply chain will continue to improve, to help protect millions of Europeans against the virus.”

READ ALSO: Covid-19: Italy bans batch of AstraZeneca vaccine

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HEALTH

EXPLAINED: Spain’s plan to stop the privatisation of public healthcare

Spain’s Health Ministry has announced a new plan aimed at protecting the country's much-loved public healthcare system from its increasing privatisation.

EXPLAINED: Spain's plan to stop the privatisation of public healthcare

In 1997, at the time when former Popular Party leader José María Aznar was Prime Minister of Spain, a law was introduced allowing public health – la sanidad pública in Spanish – to be managed privately.

According to the Health Ministry, this opened the door to a model that has caused “undesirable” consequences in the healthcare system for the past 25 years.

Critics of the privatisation of Spain’s public healthcare argue that it leads to worse quality care for patients, more avoidable deaths, diminished rights for health staff and an overall attitude of putting profits before people, negative consequences that have occurred in the UK since the increased privatisation of the NHS, a 2022 study found

Companies such as Grupo Quirón, Hospiten, HM Hospitales, Ribera Salud and Vithas Sanidad have made millions if not billions by winning government tenders that outsourced healthcare to them.

On May 13th 2024, Spanish Health Minister Mónica García took the first steps to try and rectify this by approving a new law on public management and integrity of the National Health System, which was published for public consultation.

The document sets out the ministry’s intentions to limit “the management of public health services by private for-profit entities” and facilitate “the reversal” of the privatisations that are underway.

It also aims to improve the “transparency, auditing and accountability” in the system that already exists.

The Ministry believes that this model “has not led to an improvement in the health of the population, but rather to the obscene profits of some companies”. 

For this reason, the left-wing Sumar politician wants to “shelve the 1997 law” and “put a stop to the incessant profit” private companies are making from the public health system. 

The Federation of Associations in Defence of Public Health welcomed the news, although they remained sceptical about the way in which the measures would be carried out and how successful they would be.

According to its president, Marciano Sánchez-Bayle, they had already been disappointed with the health law from the previous Ministry under Carolina Darias.

President of the Health Economics Association Anna García-Altés explained: “It is complex to make certain changes to a law. The situation differs quite a bit depending on the region.” She warned, however, that the law change could get quite “messy”.

The Institute for the Development and Integration of Health (IDIS), which brings together private sector companies, had several reservations about the new plan arguing that it would cause “problems for accessibility and care for users of the National Health System who already endure obscene waiting times”.

READ MORE: Waiting lists in Spanish healthcare system hit record levels

“Limiting public-private collaboration in healthcare for ideological reasons, would only generate an increase in health problems for patients,” they concluded.

The way the current model works is that the government pays private healthcare for the referral of surgeries, tests and consultations with specialists. Of the 438 private hospitals operating in Spain, there are more who negotiate with the public system than those that do not (172 compared with 162).

On average, one out of every ten euros of public health spending goes to the private sector, according to the latest data available for 2022. This amount has grown by 17 percent since 2018.

However, the situation is different in different regions across Spain. In Catalonia for example, this figure now exceeds 22 percent, while in Madrid, it’s just 12 percent, according to the Private Health Sector Observatory 2024 published by IDIS.

Between 2021 and 2022, Madrid was the region that increased spending on private healthcare the most (0.7 percent), coinciding with the governance of right-wing leader Isabel Díaz Ayuso, followed by Andalusia (0.6 percent).  

READ MORE: Mass protest demands better healthcare in Madrid

Two years ago, Andalusia signed a new agreement with a chain of private clinics that would help out the public system over the next five years.

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