Madrid delays euthanasia guidelines for urgent cases

Spain's Interterritorial Council of the National Health System postponed approval on Thursday of a new euthanasia good practices manual, at the request of Madrid's health counselor Fátima Matute. The document, technically agreed with the autonomous communities, included abbreviated processing for urgent cases. Instead, a new palliative care strategy was approved.

The Ministry of Health attended Thursday's Interterritorial Council aiming to approve the new euthanasia good practices manual, which introduced changes like abbreviated processing for the most urgent cases. However, Fátima Matute, Madrid's Health Counselor, requested its removal from the agenda.

Matute justified the request by the need to enrich the text with input from scientific societies and professional colleges, to achieve greater excellence in such a sensitive matter. Sources from the Madrid Department clarified that the manual does not address mental health and will be discussed at the next meeting. Matute also demanded the resignation of Minister Mónica García for failing to resolve the doctors' strike.

The manual extended postponement periods to six months, allowed temporary suspensions, and strengthened nurses' roles. It had been on the March 27 council agenda but was overshadowed by the union crisis.

The council did approve the new palliative care strategy, which starts early intervention for chronic patients focused on patient suffering. It also reached consensus on chronic kidney disease management, affecting 10% of the population, and measures against frailty in the elderly.

Earlier, Isabel Díaz Ayuso announced Madrid would challenge the royal decree restoring healthcare for irregular immigrants, calling it 'health tourism.' Minister García countered that rights ultimately prevail.

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Realistic illustration depicting Noelia Castillo Ramos in a Spanish hospital room, symbolizing her euthanasia case after a legal battle.
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Noelia Castillo Ramos euthanized in Spain after nearly two-year legal battle over mental capacity

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Noelia Castillo Ramos, a 25-year-old paraplegic woman from near Barcelona, Spain, died by euthanasia on March 26, 2026, at Hospital Residència Sant Camil in Sant Pere de Ribes, following a request approved in 2024 despite prolonged appeals by her father citing her mental health disorders. The case, rooted in childhood trauma and a 2022 suicide attempt, has reignited debates on Spain's euthanasia law.

The PSPV denounced an internal circular from April 27 that denied validity to health certificates for the migrant regularization process. Conseller Marciano Gómez clarified it was a draft and presented the official May 6 document ordering that required documentation be provided.

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Noelia Castillo, the 25-year-old paraplegic from Barcelona, announced on Antena 3 that she will receive euthanasia this Thursday, March 26. The announcement comes the same day the European Court of Human Rights (TEDH) rejected the latest precautionary appeal filed by her father, Gerónimo Castillo, represented by Abogados Cristianos.

Spain's Council of Ministers was delayed over two hours on Friday due to disagreements between PSOE and Sumar on housing measures amid the Iran war energy crisis. Pedro Sánchez negotiated directly with Yolanda Díaz to split the package into two decrees: a main one with tax cuts worth 5 billion euros and another extending rent contracts. Both take effect tomorrow, though the housing decree may fail in Congress.

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President José Antonio Kast signed a decree declaring a health alert due to the oncology waiting list emergency, affecting over 27,000 patients. The measure grants extraordinary powers to health authorities to speed up purchases and public-private collaborations. It aims to reduce delays averaging 76.8 to 332 days.

The Administrative Court of Antioquia issued a precautionary measure against Decree 182 of 2026, which planned to transfer more than six million affiliates to Nueva EPS. The judge found that the regulation would create a high concentration of users and endanger their freedom of choice. The government was ordered to refrain from implementing it until the underlying controversy is resolved.

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Actress Valentina Bassi described Javier Milei's government's project to reform the disability law as 'nefarious' and a 'step back 30 years.' She argued that deregulating the unified nomenclature would make access to therapies depend on individuals' finances. Bassi, mother of a teenager with autism, defended the current system that ensures equal opportunities.

 

 

 

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