Dark side of sunny Spain for Britain's elderly expatriates
Doctors are refusing to treat English patients without an interpreter
Jackie Stevens in Denia, Costa Blanca
Sunday July 9, 2006
The Observer
http://observer.guardian.co.uk/world/story/0,,1816158,00.htmlIt is a familiar sight in any British hospital. Older women in blue sashes staffing a makeshift charity stall in a busy corridor. But here in Denia hospital on Spain's Costa Blanca, the volunteers have no time to serve tea. The expat-run charity Help is indispensable, providing interpreting and sometimes nursing and aftercare for the growing number of British patients that pass through here.
Tens of thousands of British settlers pursuing a dream retirement in the sun have doubled the population in this area in the past two years - and put a growing strain on a creaking Spanish health service.
Now Spanish authorities say they are placing an unbearable burden on scant medical resources and are demanding that the UK pays for their care. And in a move likely to send a chill through the expat community, Spanish doctors - even those who speak English - are now refusing to treat anyone who cannot speak Spanish without an interpreter present.
Jill Porter Smith, 75, who retired here from Cambridge 25 years ago, volunteers at Denia Hospital five days a week. 'Most of our clinics now have a sign over the door saying, "Non-Spanish speakers will not be seen without an interpreter," but with only a handful speaking fluent Spanish in a community of over 40,000, our volunteers are stretched to the limit. It's not unusual to deal with British people who have lived here over 20 years and complain about medical staff not speaking English. Because waiters and barmen speak English, they expect doctors to.'
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She says expats abuse the system by using health facilities without registering as residents. 'Many are relocating to Spain and receiving medical treatment for serious conditions more quickly and of a high standard unavailable to them on their own NHS but, as many of these are 'invisible' residents and have no appropriate medical cover, Spain is recouping only a fraction of the costs of treating them,' she told fellow ministers.
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So authorities on the Costas are cracking down, ordering doctors to ask for documentation before treatment Gutierez, an MEP for Murcia on the Costa Blanca, said: 'There is a huge cost to Spain because they have not been contributing to our health service. British officials think everything is fine because their citizens are getting everything free, but it's not.'
Oh the irony.