Medical trade unions from the countries of Visegrad Four (V4) agreed to establish a common federation, in which they will join the forces. Health trade unionists from Czech Republic, Slovakia, Hungary and Poland want to increase pressure on their governments to enforce their interest. According to the head of Polish trade union club current situation in the health care system can no longer be tolerated. He also said that the post-communist countries did not take over the design of health systems in Western Europe, which had a negative impact on staff and patients.