a b s t r a c tAlthough Portugal has been deeply affected by the global financial crisis, the impact of the recession and subsequent austerity on health and to health care has attracted relatively little attention. We used several sources of data including the European Union Statistics for Income and Living Conditions (EU-SILC) which tracks unmet medical need during the recession and before and after the Troika's austerity package. Our results show that the odds of respondents reporting having an unmet medical need more than doubled between 2010 and 2012 (OR = 2.41, 95% CI 2.01-2.89), with the greatest impact on those in employment, followed by the unemployed, retired, and other economically inactive groups. The reasons for not seeking care involved a combination of factors, with a 68% higher odds of citing financial barriers (OR = 1.68, 95% CI 1.32-2.12), more than twice the odds of citing waiting times and inability to take time off work or family responsibilities (OR 2.18, 95% CI 1.20-3.98), and a large increase of reporting delaying care in the hope that the problem would resolve on its own (OR = 13.98, 95% CI 6.51-30.02). Individual-level studies from Portugal also suggest that co-payments at primary and hospital level are having a negative effect on the most vulnerable living in disadvantaged areas, and that health care professionals have concerns about the impact of recession and subsequent austerity measures on the quality of care provided. The Portuguese government no longer needs external assistance, but these findings suggest that measures are now needed to mitigate the damage incurred by the crisis and austerity.

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Este artículo compara la acomodación política del Islam en Portugal y en la República de Irlanda desde el término de los años 50.  Mucha literatura tiene como foco los sospechos usuales, como Alemania, Francia, Holanda y Gran Bretaña, contextos con comunidades musulmanas de tamaño considerable y establecimiento de considerable duración. Por su turno, no se conoce mucho sobre la institucionalización del Islam en Estados en los cuales la presencia de musulmanes es más reciente y sigue siendo relativamente pequeña. Portugal e Irlanda son dos Estados periféricos, de pequeña dimensión y de matriz católica. Sus populaciones musulmanas representan debajo de 1% de la población total. Los dos casos providencian un teste único a la tesis de Jonathan Laurence sobre la convergencia de los procesos de institucionalización en la Europa Occidental en contextos de diferenciación histórica, política e institucional. Nuestras conclusiones apuntan al hecho que Portugal converge conforme la sugerencia de Laurence, Irlanda no es un caso de convergencia. Lo explicamos recurriendo a dos puntos. Las comunidades musulmanas en Irlanda tienen niveles de diversidad intracomunitaria mayores y eso explica la mayor dificultad de movilización. La posición de la Iglesia Católica Romana es el segundo punto. En Portugal, ese agente institucionalizado tiene un papel de gatekeeper y intermediación mas fuerte que su homólogo irlandés. El proceso de cooptación del Islam es una ilustración. En Irlanda, la Iglesia Católica tiene un papel más ambiguo y no tiene las capacidades ni los recursos para operar como su homóloga portuguesa en el contexto de la institucionalización del Islam en Irlanda.

Between 2001 and 2009, the Portuguese religious field faced a sequenced reconfiguration which put its power structure in perspective. Two decades after the institutionalization of the Committee on Religious Freedom, the redefinition of the relationship between the secular and the religious summoned a debate on the relationship between the State, religious traditions and organizational secularities. In this article, the case of healthcare, namely the governance of religion in hospitals, interrogates the religious field from the standpoint of a public-biomedical secularity regime

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