Among the various issues taken into account when distributing resources from the common regional financing system is the public health coverage of the population. If Muface were to disappear and civil servants who have chosen the private option were to be served by the public health system instead of by a mutual insurance company, such as Adeslas or Asisa, some autonomous communities would see a significant increase in the number of people their public system is required to serve. This would have a direct impact on the distribution of resources from the financing system: some communities would see these resources grow, while others would lose. This is the case of Catalonia, which would stop receiving €183.5 million. This calculation was reached by the Fiscal Authority (AIREF) through a simulation prepared within the framework of the report published this Monday on the efficiency and effectiveness of Muface.

Muface is back in the spotlight. But this time the motive isn't a new public tender to provide private healthcare to civil servants (1.6 million people), but an analysis carried out by the Independent Fiscal Authority (AIREF) on its effectiveness and efficiency. Broadly speaking, AIREF proposes that future civil servants stop attending mutual insurance companies and join the public healthcare system, so as not to continue swelling structures like Muface, which has become an anomaly in Europe. In fact, the Spanish state is the only country that has a public healthcare system and, at the same time, a separate regime for public employees. "Greece and Portugal already reformed it in 2008, coinciding with the financial crisis," recalled the organization chaired by Cristina Herrero.

Adeslas has finally decided to participate in the Muface concert to provide private health care to the 1.5 million civil servants and their families who use this coverage, as reported this Thursday in a statement. The insurer considers that with the changes introduced by the Spanish government in the tender "a viable model can be set up that allows for the continuity of the health service for Muface officials in the next three years, as has occurred throughout its almost 50 years of existence."