"After four decades of fascist dictatorship, the Franco regime in Spain came to an end in 1977,starting off a political transition which culminated in a democratic constitution in 1978. Spain has undergone intense political decentralization over the last twenty years, creating 17 regions enjoying high degrees of legislative and political autonomy, including responsibility for health issues, but with a potential for generating interregional differences in public policies. In the 1980s, the Spanish economy became more closely linked into the European and international economies, and stable welfare policies increased social spending, establishing universal access to educational and health services, and expanding social security, employment and social protection benefits. ..."

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