Translation:

The author says that the national health system when it was created and put into operation, thanks to political moments (left governments) that enabled such an initiative from the State. This was the case in Britain, as in Venezuela. Consequently, the principal (only perhaps) financier was the State via taxes, mining income etc. But the drama is that this spending, that investment is weighing, has a cost in the scheme of public finances (neoliberal vision?). Obviously not being considered as an investment, it is seen as an unnecessary expense, if it is assumed that health is a matter for individuals, but the perspective that the State must watch for its citizens/population is lost. But in the end, It seems that by adding and subtracting these considerations they do not look and then the adjustments and the cut of the social benefits, like health, come.
Let us remember that it was precisely in the wake of the Spanish Flu that European countries and the United States began to mount their public health systems ... it seems that there must be tragedies to remind us because these long-term and preventive institutions/investments are indispensable.