From the Document: "According to the 2019 edition of the Bloomberg Healthiest Country Index, in 2018 Spain was the healthiest country in the world, with its health system ranked third in terms of efficiency. In this context, the rapid and relentless onset of the COVID-19 [coronavirus disease 2019] pandemic took many by surprise and has severely tested both the Spanish territorial model, i.e. federalism, and the national health care system."
Forum of Federations
Forum of Federations: http://www.forumfed.org/