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.
Изображение, созданное ИИ

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.

Deputies on the social affairs commission approved, on February 4, the creation of a right to assisted dying, nearly identical to the version adopted in May 2025. Rejected by the Senate last week, this bill returns for second reading at the National Assembly, sparking intense debates on end-of-life issues.

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The Senate's social affairs commission amended the bill on the 'right to assisted dying' on Wednesday, January 7, renaming it 'medical assistance in dying' to limit access to patients at the very end of life. Senators toned down the deputies' initial text, which used a broader criterion of 'vital prognosis engaged.' This initiative, pledged by Emmanuel Macron, will be debated in session from January 20 to 28.

Spain's Health Ministry has launched an investigation into Torrejón de Ardoz Hospital after audios revealed its CEO ordering longer waiting lists to boost profits. Minister Mónica García has urged Madrid's regional government to conduct a thorough review of all privately managed public hospitals. Workers had reported similar pressures months earlier to prioritize more profitable patients.

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Following the European Court of Human Rights' rejection of an earlier appeal, a Barcelona court today dismissed paraplegic Noelia Castillo's father latest bid to halt her euthanasia, scheduled for Thursday at 18:00. The 25-year-old from Barcelona shared her suffering and plans in an Antena 3 interview aired March 25.

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.

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Despite the scandal revealed by audios in which Ribera Salud's director asks to extend waiting lists to earn more money, patients at Torrejón Hospital have mixed opinions about the service. While some express frustration over repeated cancellations and recent protests, others positively value their recent experiences. The debate over Madrid's public-private healthcare model intensifies with ongoing investigations.

 

 

 

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