President declares health alert over oncology waiting lists

President José Antonio Kast signed a decree declaring a health alert due to the oncology waiting list emergency, affecting over 27,000 patients. The measure grants extraordinary powers to health authorities to speed up purchases and public-private collaborations. It aims to reduce delays averaging 76.8 to 332 days.

At the end of last week, President José Antonio Kast signed the decree declaring a health alert for the public health emergency linked to delays in oncology care, as reported by La Tercera. The announcement was made from Cesfam José Alvo in La Florida, alongside Health Minister May Chomali. The decree, still under review by Contraloría, grants extraordinary powers to the Subsecretaría de Salud Pública, Subsecretaría de Redes Asistenciales, Servicios de Salud, Fonasa, and Cenabast to strengthen public-private collaboration and expedite purchases of private sector services, staff hiring, and pharmaceutical distribution. Additionally, a National Operational Committee will be created to propose and monitor a plan to resolve non-GES oncology waiting lists and delayed GES guarantees. The Ministry of Health reports 7,716 patients on non-GES lists and 19,613 with GES delays, averaging 76.8 days for GES and up to 322 or 332 days for non-GES. The cancers with most delays are cervical, colorectal, breast, gastric, and prostate, accounting for 82%. Minister Chomali stated the alert provides “greater flexibility to move resources.” Former Health Minister Enrique Paris explained it turns the issue into a “state emergency” to boost resolution capacity and prevent deaths. The measure has been welcomed: Alicia Aravena from the Cancer Observatory noted it reflects “sustained civil society work since 2023,” and Carolina Goic from the National Cancer Forum called it “very good news” for patients awaiting diagnosis or treatment.

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Illustration of SernamEG director Priscilla Carrasco holding medical leave documents outside La Moneda palace, symbolizing the suspension of her removal process due to cancer treatment.
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Government suspends SernamEG director's removal process amid her medical leave for cancer treatment

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Following the initial request for her involuntary resignation last week, Chile's government has paused the removal of Priscilla Carrasco, national director of SernamEG, after she submitted medical leave for triple negative breast cancer treatment. The move, backed by President José Antonio Kast but criticized for lacking empathy, highlights tensions in the new administration.

Following Comptroller General approval and publication in the Official Gazette, the nationwide oncology sanitary alert—declared by President José Antonio Kast in late March amid delays affecting thousands on cancer waiting lists—has taken effect. It grants the Ministry of Health extraordinary powers to expedite diagnostics and treatments for 33,000 patients until September 30, 2026, with potential extension.

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One month after the nationwide oncology sanitary alert took effect, Health Minister May Chomali led the signing of a decree transferring $154 billion from the Ministry of Hacienda to the Ministry of Health (Minsal). The funds will exclusively support the Oncology Alert Plan, enhancing public health services' capacity to resolve oncology waiting lists affecting thousands of patients.

Catalonia's Health Department has reversed incentives for primary care centers to shorten sick leaves due to mental health and osteomuscular issues. The plan, opposed by parliamentary partners and health workers, will no longer impact center funding or professionals' variable pay. The department plans to notify centers next week.

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Andreas Gassen, head of the Kassenärztliche Bundesvereinigung (KBV), dismissed demands for a guarantee of specialist doctor appointments within three weeks as „bullshit“ and „socialist regulatory frenzy“. He stressed that appointment allocations must be based on medical need. Gassen was responding to SPD parliamentary group leader Matthias Miersch.

President José Antonio Kast underwent a drug test on Wednesday morning at a medical center in Las Condes, his first since taking office. The action addresses opposition criticism over delays in ministers' tests, despite an existing law. Kast announced reforms to bolster integrity, including periodic tests for lawmakers.

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Over 30 health sector organizations presented a consensus document to tackle the system's crisis, emphasizing UPC review and an immediate stabilization plan.

 

 

 

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