Tiroler Tageszeitung, editorial from July 19, 2023. By Michael Sprenger: “A high price”.

2023-07-18 20:01:05

Innsbruck (OTS) Health and Social Affairs Minister Rauch does not shy away from the conflict. Now he’s messing with the provincial governors.
It’s regarding health policy and care in the country. May it be more than an inconclusive showdown.

Is the Green Health and Social Affairs Minister Johannes Rauch risking a power struggle with the country leaders? Yes. Is he turning the federal system upside down? No. Does Rauch consciously seek confrontation? No, but he doesn’t avoid her either. He has already proven this to the medical association. The professional representation of the medical profession is a monolithic block similar to that of the provincial governors when it comes to the financial equalization negotiations once morest the federal government. It’s true, it’s regarding power, money and influence. But Rauch has other things in mind, because he is concerned with the necessary reforms in health policy, with long-term protection of care. Both areas are among the major socio-political challenges. In both cases, constructive interaction between the federal and state governments is required. Rauch knows what is at stake if the reform path taken does not succeed. Because then everything would remain as it is. A dangerous threat.
The federal states want more money from the federal government via the redistribution of tax revenue – i.e. the so-called financial equalization. Rauch wants the federal states to make their contribution to structural changes. The Green Minister risks a lot. Many of his predecessors failed because of the power of the country heads. As a Green, he also has it much more difficult, as he has no party-political partner among the nine state governors. And he cannot necessarily count on getting the support he needs from the Chancellor’s Party. Nevertheless, it is to be hoped that Rauch will not fail.
Austria might always be proud of its healthcare system. But the country paid a high price for this. And is now in the process of taking a wrong turn in its health policy. A move towards a two-tier system can no longer be denied. So there is a need to strengthen the practiced area, additional cash registers, better opening hours and the expansion of specialist outpatient clinics in the hospitals. All of this can only succeed if Rauch can persuade the medical association to act, if the federal states not only keep an eye on their immediate sphere of influence, but also act in accordance with national policy. Urgent reforms are also needed in nursing care. From recruiting new nurses to better pay.
The minister is currently trying “like a madman” to win allies for his necessary projects. Time is running out. May the minister not be mistaken regarding this.

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