With electricity bills tripling since Russia invaded Ukraine, Spain's middle class is being dragged into poverty, and its ill citizens are suffering the most.
It's the third largest cause of death worldwide and the fourth in Spain, the Spanish Association for Patients with COPD says.A survey of more than 3,600 people with lung conditions, conducted by the charity Asthma + Lung UK, found one in five Britons surveyed with asthma reported life-threatening attacks as they cut back on medicines, heating and food because of the soaring cost of living.
Without his oxygen machine, Mr Casais says he would have to be permanently hooked up to a machine in hospital, losing his independence and costing the state more.COPD is "a chronic, irreversible disease," Dr Pascual says, "so these patients' objective is to live a useful and full life and they therefore need the necessary funds".
Fernando Uceta, 61, who had a double lung transplant in August and also suffers from COPD, says he avoids air conditioning and relies on easier-to-monitor electric heaters to manage his costs. Mr Casais relies heavily on electricity for his respiratory machine, as well as for heating and cooling his home.
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