SHARE
COPY LINK

POLITICS

Thousands rally in defence of Madrid public healthcare

At least 200,000 demonstrators rallied in Madrid on Sunday in defence of the region's primary care, warning plans to overhaul the system would "destroy" local healthcare.

Spain protest
Hundreds of thousands of protesters marched during a demonstration called by citizens under the slogan "Madrid stands up for its public health. Against the destruction of primary health care" in Madrid on November 13, 2022. Photo by Oscar Del Pozo / AFP

Hundreds of thousands of demonstrators rallied in Madrid on Sunday in defence of the region’s primary care services, warning plans to overhaul the system would “destroy” local healthcare.

On a sunny afternoon, huge crowds rallied at four points across the capital and marched on city hall in a mass protest under the slogan: “Madrid rallies in support of public healthcare and against the plan to destroy primary care services.”

Primary care services in the Madrid area have been under huge pressure for years due to a lack of resources and staff, with the situation worsened by poor regional management, unions say. A regional government spokesman said there were 200,000 people.

“Healthcare for all, your health should never depend on your wallet,” read one huge green banner as thousands of voices chanted “Public healthcare!”

The protest convened by local associations and municipalities takes aim at the health policies of the regional government of right-wing leader Isabel Diaz Ayuso — including a push for public-private healthcare partnerships and its restructuring of primary care.

READ ALSO: Why Spain is running out of doctors

The protest comes ahead of a planned strike by nearly 5,000 regional family doctors and paediatricians scheduled for November 21, due to “the overload of work, endless appointments and lack of time with patients.”

They will join an earlier strike by medical staff over the new model for non-hospital emergency centres, which have seen some offering only video consultations due to a lack of staff.

Speaking to reporters at the rally, Monica Garcia of the hard-left Más Madrid party said the health policy of the regional government, which is run by the right-wing Popular Party (PP), was destroying the public health system. “What they are doing is an unprecedented disaster,” she said.

“Ayuso needs to step up, listen to this demonstration and take political responsibility: either her health minister goes or she goes, or the whole Popular Party government goes,” she said. 

“There is a very simple way to retain professionals and that is to treat them well: give them contracts that are not just for a month, a week, a weekend. When a government is incapable of doing this, it is because there are political interests at work.”

Member comments

Log in here to leave a comment.
Become a Member to leave a comment.
For members

SPANISH LAW

IN DEPTH: What is Spain’s ‘Trans Law’ and why is it controversial?

The Spanish government's new gender self-identification legislation is facing widespread criticism from across the country and political spectrum. What is the new 'Trans Law' and why is it proving to be so divisive in Spanish society?

IN DEPTH: What is Spain's 'Trans Law' and why is it controversial?

Spain has long been a world leader when it comes to recognising and protecting the rights of the LGBT community. It was the world’s fourth country to legalise gay marriage with full adoption rights back in 2005, after all.

A couple of years later, in 2007, the same Zapatero government followed it up by passing a pioneering law that allowed people to change their name and sex assigned to them at birth, without having to undergo a full sex change.

A condition of the law, however, was that those wishing to legally change their gender must support their application with a psychological evaluation that diagnosed ‘gender dysphoria’ – that is, the perceived mismatch between someone’s biological sex and their gender identity.

But now, in 2022, the Spanish government has found itself mired in controversy over its proposed updates and expansion of the law.

Protesters wearing face masks wave trans flags during a demonstration calling for more rights for transgender people at La Puerta del Sol in Madrid in 2020. (Photo by PIERRE-PHILIPPE MARCOU / AFP)

The government’s junior coalition partner, Unidas Podemos, has pushed a new ‘Trans Law’ (La Ley Trans as it’s known in Spain) that is quickly becoming a major political sticking point and causing rifts not only within Spanish feminism but the government coalition itself.

And it’s not the first legal controversy this government has caused recently with what was intended to be progressive legislation. In fact, due to the political fallout over the recent ‘Only Yes Means Yes’ sexual consent law that has accidentally reduced sentences for convicted rapists, amendments to the Trans Law have been delayed and the controversy rumbles on.

READ ALSO: Why is Spain reducing prison sentences for rapists?

What is Spain’s new Trans Law?

The law, known at the draft stage as the ‘Real and Effective Equality of Transexual People and for the Guarantee of the rights of LGBTI people’, is seen as the ideological brainchild of Irene Montero, Spain’s Equality Minister who also guided the backfiring ‘Yes means Yes’ sexual consent law through Congress.

In a sentence, the new Trans Law simplifies the gender self-identification process. As currently proposed, the law states that any person over 16 years old will be able to legally change their name and gender on official ID documents by simply completing a basic administrative procedure.

According to Montero, the law is a recognition of “trans people’s right to be who they are, without witnesses, without any obligation to undergo hormone treatment… and without a medical report that must say that they are sick.”

As of yet, the law does not specify any limits on how many times a person would be legally able to change their gender, though the Spanish press has reported in recent weeks that the senior partner in government, Pedro Sánchez’s PSOE, may try to force further amendments to the legislation.

A woman holds up a placard reading “Families proud of their trans children” during a gathering marking the “International Transgender Day of Visibility” (TDOV) in Madrid on March 31, 2021. (Photo by PIERRE-PHILIPPE MARCOU / AFP)

Crucially, the new law removes the requirements from the 2007 bill of a gender dysphoria diagnosis – essentially making gender self-identification, and changing your legal gender, far easier.

If the new law is approved in its current form, children between the age of 16 and 18 will be allowed to legally change their sex without their parent’s consent, though those between 14 and 16 years will still need parental authorisation.

Gender self-identification will also be available to children between 12 and 14 years old, and children under the age of 12 will have the right to change the name on their formal identification documents.

READ ALSO: Teens in Spain can change gender on paper without medical evaluation

This aspect of the law – that of self-identification among children – is causing particular outrage, and has been subject to criticism from both Spain’s Council of State and its Judiciary, the latter of which has demanded that gender self-identification must, from a purely legal perspective, begin from the age of 18.

The Trans law also allows the use of hormone blockers on children from the beginning of puberty, and recognises the legal status of non-binary people, that is, those who do not identify with any gender. Under the proposed Trans Law, no letter signifying gender would appear on their ID documents.

It also bans conversion therapy, the pseudoscientific practice of changing a person’s sexual or gender identity.

Why is the Trans Law so controversial?

As you may have heard or read in Spain in recent weeks, this groundbreaking law has been met with considerable controversy. Sociocultural issues like those of sexuality and gender are always politically charged, and often become battlegrounds on culture war fighting between left and right.

But this draft law hasn’t just been attacked along traditional left versus right lines. It has been attacked by the Spanish judiciary and State Council, divided Spaniards across the country, including Spain’s feminist community and the government coalition itself.

As is the case around the world, much of the debate around gender self-identification has manifested itself in debates over sport.

Protesters wear masks during a rally to mark Transgender Day of Remembrance, in Madrid, on November 20, 2022. (Photo by OSCAR DEL POZO / AFP)

Spain’s Trans Law, in its current form, would allow trans people to compete in sports events according to their self-identified gender. This means plausibly maintaining physical and biological advantages over their cisgender counterparts, something that has led many to suggest self-identification in this instance would serve to be anti-feminist and bring into question fairness and competitiveness. It has also caused controversy with regards to toilets and changing rooms, a debate seen the world over.

In fact, the Trans Law has also divided Spain’s feminist community, with many suggesting that the implementation of gender self-identification serves to unpick decades of feminist attempts to move away from a gender-based view of the world. Some Spanish feminists have argued that the Trans Law takes Spain backwards as it elevates gender above other issues and adheres to traditional stereotypes.

Similarly, the Trans Law as it is currently conceived could, critics say, cause backwards steps in terms of women’s equality and legal rights. By allowing any man to change his legal sex by simply completing an administrative procedure, critics fear this could mean “legalising” sexual discrimination and facilitate gender violence.

Critics are demanding assurances that what they view as potentially fraudulent or opportunistic instances of gender self-identification be avoided, such as if a man legally becomes a woman to, for example, avoid legal consequences under gender violence legislation.

Supporters of the law say that gender self-identification is a human right, and that the state should not require medical or psychological proof for someone to be able to change their own gender.

As one might expect, the proposed law has been attacked by the Spanish right, with tensions also flaring from within the government coalition. PSOE have requested extensions to the deadline in order to “to give legal certainty to the law,” likely because it is certain that the law in its current form would be appealed by PP and Vox in the courts.

As the government continues to deal with the political fallout of its botched ‘Only Yes Means Yes’ law, expect controversy over the Trans Law – and gender self-identification in particular – to continue in 2023.

SHOW COMMENTS