Public Healthcare in Spain at two speeds: where are we heading with a nearly €1,000 gap between Regions?

While Asturias allocates €2,422 per inhabitant to public healthcare in 2025, Madrid barely reaches €1,482, creating a gap of nearly €940 that is consolidating an increasingly fragmented National Health System (SNS). With 853,509 patients waiting for surgery (average waiting time of 121 days) and citizen satisfaction plummeting to 6.02 out of 10 (the lowest figure in the historical series according to the 2025 Health Barometer), the SNS still delivers good health outcomes, but is accumulating structural tensions that cannot be ignored. This analysis breaks down the national and regional cost structure, the main quality indicators, and assesses the realistic direction in which Spain’s public healthcare system is heading over the next decade.

Coming soon…