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LIFE IN SPAIN

Spain’s Pamplona pays homeless people’s one-way bus ticket out of the city

Authorities in Pamplona have implemented a controversial measure to combat homelessness in the northern city: pay them to leave. 

Spain's Pamplona pays homeless people's one-way bus ticket out of the city
A homeless person sleeps in a street in Spain. (Photo by Thomas COEX / AFP)

Pamplona City Council has caused divisions among locals after it emerged authorities have been paying people sleeping rough in the city to leave the Navarran capital by bus for other cities in Spain.

Those who aren’t working and face social exclusion in Pamplona (including not having a roof over their heads) are now offered a free one-way ticket out of town on state-paid coaches.

It’s a measure pushed by newly appointed Pamplona mayor Joseba Asirón, who had already promised to resolve the issue of homelessness during his campaign for re-election.

The number of people sleeping in the streets of Pamplona has reportedly increased exponentially in recent years, “multiplying by seven the cost for authorities since 2019” according to former Councillor for Social Services Raúl Armendáriz, in an interview in local daily El Diario de Navarra last November. 

Even though another shelter was provided in late 2023 to help resolve the problem, there are still not enough beds to house all of Pamplona’s homeless population.

Asirón’s office has defended the move, saying it’s a common strategy when facing a collapse of local homeless shelters, and that they offer those without financial resources a chance for new opportunities elsewhere or to return home.

It is reminiscent of what Marbella’s most notorious mayor, the late Jesús Gil, did when in the 90s he bused out all the homeless, petty thieves and prostitutes to the edges of the Costa del Sol city. 

The free-ticket-out-of-town solution has been criticised by charities such as Cáritas and the Red Cross and the opposition, who argue that Pamplona’s homelessness issues have worsened under Asirón. It’s convinced much of the Pamplonica population either.  

“They have to give them shelter and not a bus so they can leave,” one local woman told Antena 3 news. 

Homeless people in Pamplona can only stay a maximum of three nights at the shelter, or other hotel or guesthouse before having to leave their bed.

Homelessness has grown by 25 percent in Spain since the 2008 economic crisis, and worsened by the Covid pandemic. 

Spain’s national stats body INE reported in 2022 that there were 28,500 people without a home in Spain. 

Other examples of inhumane ways of dealing with homelessness in Spain include countless examples of hostile architecture, when bars, spikes and other objects are added to building entrances to make it impossible for homeless people to sleep there.

READ ALSO: Madrid’s hostile anti-homeless architecture that you see everyday but don’t even notice

As many as 80 percent of people sleeping in the streets of Barcelona suffer a mental disorder, from before they were homeless or as a result, a figure that’s common elsewhere in Spain.  

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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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