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48 Europe
The Economist
September 22nd 2018
2
root of the problem, but the facts do not
bear out this view. Portugal, southern Italy
and large parts of Spain have incomes per
head similar to parts of eastern Europe, yet
enjoy higher life expectancy. Scotland and
the north-east of England also have high
death rates from chronic disease. “What
you do with
GDP
is important,” says Mr
Vagero. Some countries prefer to spend
their money on social policy, others on
weapons. But in general, health systems in
eastern Europe are simply “not compara-
ble to western Europe,” says Mr Massay-
Kosubek.
“Health inequalities are unjust because
they can be prevented,” he goes on. Educa-
tion, access to clean air and improvements
in mental health could help. But preven-
tion policies are hard to get right, even if
they save money in the long run. With
more low-emission cars in western Eu-
rope, older, more polluting models end up
in eastern European markets.
EU
-wide
measures to reduce smoking, like plain
packaging and bans on public smoking,
have had some success. Alcohol consump-
tion could be tackled in a similar way. But
those who have kicked the smoking habit
often belong to the well-educated, richer
part of society. Improvements in health do
not always lead to greater equality.
Almost all
EU
members are collaborat-
ing on an action plan on health, and the
European Commission is running projects
to tackle the root of the health problem in
groups vulnerable to sickness. But not
everyone in Brussels supports such col-
laboration. Nationalist
MEP
s might seek to
take back control of public-health reform
after the European Parliament elections
next year by limiting the interpretation of
the
EU
’s mandate on health, some warn.
That couldhinderbringingEuropeans clos-
er, in sickness and in health.
7
W
HEN they returned this month after
their long summer holiday, Spain’s
politicians had much to contemplate.
There are signs that the economic recovery
is starting to flag. The Socialist minority
government ofPedro Sánchezmust strike a
balance between eliminating the deficit,
restoring social spending and raising busi-
ness taxes. A year after its independence
referendum, Catalonia’s government re-
mains sullen, awaiting the controversial
trial for rebellion of some of its imprisoned
former leaders. And Mr Sánchez has
pushed through an overdue law to remove
the remains of Francisco Franco, Spain’s
former dictator, from the triumphalist
mausoleumhe built outsideMadrid.
But Spanish politics have been con-
vulsed by a less uplifting matter: whether
the postgraduate degrees some of its lead-
ers boast of were fairly obtained. On Sep-
tember 11th Carmen Montón resigned as
health minister after it emerged that she
had been awarded a master’s degree in
2011 from King Juan Carlos University
(
URJC
) in Madrid without doing the requi-
sitework. In April the same fate had befall-
en Cristina Cifuentes, president of the Ma-
drid regional government and a member
of the conservative People’s Party (
PP
),
who had secured a bogus master’s from
URJC
’s Institute of Public Law.
Opposition newspapers have claimed
that Mr Sánchez’s doctoral thesis was pla-
giarised or written by someone else. The
thesis, entitled “Innovations in Spanish
economic diplomacy”, is hardly an aca-
demic ground-breaker. It was approved by
a low-powered examination panel at a
private university. But there is no evidence
that it was not his ownwork.
That allegation looked like a smoke-
screen to protect Pablo Casado, the new
PP
leader, who is potentially in far more seri-
ous trouble. In 2008 he obtained the same
degree as Ms Cifuentes. He admits that he
was credited with 18 of 22 assignments
without doing any work. He insists he did
nothing wrong. But in July a judge ruled
that his degree could have constituted an
undue gift; she has asked the supreme
court to lift Mr Casado’s judicial immunity
in order to charge him. The institute is now
closed and its founding director charged
with fraud.
All this sets the bad example that the
way to get ahead is through contacts, not
merit and hard work. Like
URJC
, several
other Spanish universities have become
party fiefs. But what explains the politi-
cians’ need to inflate their credentials?
There are a handful of genuine intellectu-
als in theCongress. But nowadays the aver-
age Spanish politician is a party hack ply-
ing a discredited trade, argues Victor
Lapuente, a political scientist at Gothen-
burg University. “Getting a postgraduate
degree is a way of seeming to be a trained
professional,” he says.
The fuss over degrees is also a sign that
an election may not be far off. Mr Sánchez
took office in June after dispatching Mari-
ano Rajoy, the
PP
prime minister, in a cen-
suremotion. After years of austerity under
the dour Mr Rajoy, Mr Sánchez, aged 46
and with an easy charm, brought a breath
of fresh air. But his Socialists have just 84 of
the 350 seats in parliament. He has gov-
ernedwith gestures, such as Franco’s exhu-
mation, and with
U
-turns (having initially
welcomed a migrant ship, his government
is nowsendingmigrants back toMorocco).
Mr Sánchez says hewants to see out the
parliament’s term until 2020. Despite his
inexperience, he has the sense of opportu-
nity of a more seasoned politician. To em-
barrass Mr Casado, this week he proposed
a constitutional amendment to curb par-
liamentary immunity, a popularmove. But
he may struggle to get the 2019 budget ap-
proved. Having lifted the Socialists to a
narrow lead in the polls, he may be tempt-
ed at anymoment to go to the people.
7
Spain
A question of degrees
MADRID
The politics of the permanent election campaign
Devaluing the currency