<P> Spain enjoys a universal health care system for all citizens and, under certain conditions, also non-citizens . The system is essentially free except for small, often symbolic co-payments in some products and services . </P> <P> According to the Organisation for Economic Co-operation and Development, total health spending accounted for 9.4% of GDP in Spain in 2011, slightly above the OECD average of 9.3% . The Spanish health care system is considered one of the best in the world, in 7th position in the ranking calculated by the World Health Organization . Spain is ranked 1st in the world in organ transplants . The public sector is the main source of health funding . In Spain, 73% of health spending was funded by public sources in 2011, very close to the average of 72% in OECD countries . Since 2010, real term spending on healthcare has declined in Spain . </P>

What type of health care system does spain have