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Feature Małgorzata Solecka

One hundred days and what's next?

MedExpress Team

Małgorzata Solecka

Published March 25, 2024 09:24

The well of the government is over, the frenzy was not - certainly not in health care. But let's agree, this caesura is completely artificial, what can be done for a hundred days, especially when most of this time has to be spent firstly on learning the system, secondly - on defusing the landmines that the predecessors, more or less intentionally, left really quite a lot.
One hundred days and what's next? - Header image

Izabela Leszczyna certainly deserves recognition and a positive assessment, although not a very high one (acceptable with a plus, or maybe even a weak "sufficient") for diligence, ambition and courage, after all, let's not forget that there was no crowd of applicants for the post of Minister of Health. So much for the summary, it's worth focusing on what's next.

Because next, in the very short term - local elections. The head of the Ministry of Health during the Katowice Health Challenges Congress (March 7-8) announced, with a very high level of certainty in her voice) that immediately after them she will begin - already with newly elected local government officials, with a mandate for the next term) talks on hospital restructuring. In the background is the Civic Coalition's "concrete" in the form of County Health Centers, which would provide county residents without access to diagnostics and treatment with just such basic health services. The snag is that at the moment, residents of all counties have such access, at least in theory. For they have hospitals, some of which (how large, depends on the criteria and decisions made on an ongoing basis) are unable to support themselves and whose hospital function bears a powerful question mark. These are the ones that would - deciphering what politicians are saying - turn into District Health Centers, perhaps expanded to include a long-term care module as well. These will undoubtedly be interesting conversations, especially since murmurs are already ringing out from coalition circles about defending county hospitals and directing support to them.

Time is rushing by, as hospital restructuring is written into the KPO, after all, this is just one area where a certain dynamic of decisions is needed. In a very short time, the countdown to which has already begun, the government will have to face the wrath of nurses. These feel led out into the field on their own draft amendment to the minimum wage law. And even if this scenario (let's send the bill to committee and try to bury it there, maybe no one will notice) was to be expected, the continuation of the matter is a big question mark. Will the ministry succeed in "pacifying" the nurses' mood, or has the critical mass of awkwardness and retractions, which politicians in recent months have not spared the authors of the bill, which, it is obvious, was doomed to failure from the beginning, already been exceeded?

The nursing project is one thing, the implementation of another wage revaluation operation is another. And then there are the (employer) demands for setting maximum salaries in the public system, into which (in a bizarre way) the OZZL demands for three national averages for specialist doctors fit. What formula will the ministry manage to put together from these scattered puzzles?

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