not exactly the same but related: be careful in madrid when renewing your work papers if you are not european. i had to go to the doctor, by chance while having my residency/work card renewed. i have permanent residency and have lived here for over ten years… i am married to a spaniard and eligible for nationality. well, as any non-EU person knows, the renewal process takes months and months, and i had just started it by telephoning to get my ‘appointment’ to turn in the renewal application. be very careful, because if your appointment is for a date AFTER your card’s expiration date, here is what the madrid health service will do: TAKE AWAY YOUR HEALTH CARE CARD!.... that is what they did to me, and refused to give me an appointment until i came back with the application for my residency card. i told them that would be impossible for several weeks until my appointment came up, and after much humiliation and mistreatment by your typical huffy funcionaria, i was given some sort of temporary dispensation that they give to refugees, charity cases and people like that (and therefore the doctor could not put any info on me into the computer system for his records).
the whole experience was surreal since i have lived here for eons, but it just goes to show once again that there is always a spanish bureaucrat waiting to treat you like dirt as soon as given the legal opportunity! the only way to have avoided this is to ask for the renewal appointment months and months in advance, but i had no idea they were taking so incredibly long to give them out. take no chances with your health, renew extremely early! of course, now i have completed the renewal process and my new health card is supposed to take up to one year to come in the mail!!!! to sum it up, if you are non-EU, once every five years, you have to spend approximately one year as a third-class citizen walking around with no health card (instead you have a giant printed out piece of paper saying that you should be getting a health card in the mail someday, very convenient to carry)... just one more example of how badly run every public and gov’t.-directed place is in this country (except the tax office, of course!)