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Doctors want to stop the law on nurses again
Slovak Medical Chamber is trying again to stop the force of law, which from April mandatorily increases wages of nurses and midwives. Chamber therefore turned to the President of Parliamentary Health Comittee Richard Raši, who received more than 1 000 letters with the request of health care providers, members of Slovak Medical Chamber, for suspension of legal norm until it will be financially covered. Doctors are trying to stop the force of this law also through General Prosecutor's Office.
Zvolenská received only promises
Minister of Health agreed with insurance companies that they will give money from € 50 million reserve in state budget in full amount to the hospitals and outpatient clinics, which need them to cover the higher wages of healthcare professionals. State, however, can not force private insurance companies Dôvera and Union to forward all apportioned money to health care providers. State has such a power only in case of state owned Všeobecná zdravotná poisťovňa (General Health Insurance Company). Minister thus received from the association of insurance companies only the verbal promises. The written agreement in the form of common memorandum is being prepared.
Zvolenská will negotiate with employers already this week
Minister of Health Zuzana Zvolenská plans to start another round of negotiations with healthcare employers on the nurses' salary issue. At the negotiating table she should meet with the Association of Faculty Hospitals, Association of Hospitals in Slovakia, trade unionists and the representatives of private doctors. The exact date of the meeting is not known yet.
Zvolenská believes in willingness of providers
Minister of Health Zuzana Zvolenská expects that in next two months hospitals and outpatient clinics will act approachable by the fulfilling of the Act on minimum wage claims of nurses. Employers have now, according to her, different view on the situation. Minister agreed with insurance companies that money from € 50 million reserve in state budget will be fully used for the healthcare providers.
Nurses will not enter into strike for now
Slovak Chamber of Nurses and Midwives on the concilioum in Poprad did not adopt any severe measures in order to reach the fulfillment of statutory minimum wages of nurses. President of the Chamber believes that agreements and promises given by the Minister of Health Zuzana Zvolenská will be fulfilled. Nurses considered the tougher measures in case if the minimum wage claims of nurses would not be fulfilled.
Dôvera does not expect profit this year
Health insurance company Dôvera does not expect profit in 2012. Insurance company plans to use all the resources from health insurance on the health care, with the exception of the resources for its own operation. Despite this fact, increasing of payments for hospitals will not be enough to cover the costs of mandatorily increased salaries of nurses (from April) and doctors (second phase of increase from July). Dôvera will negotiate on the specific increasing with the Association of Hospitals in Slovakia in May, new condition should apply from June.
Nurses are also considering a strike
Salaries of nurses should be increased gradually until the end of the year, or from May they will be guaranteed only for nurses in state hospitals. This for now seems to be a solution of the problem with mandatorily increased wages of nurses and the fact that hospitals do not have money to cover them. Representatives of the Slovak Chamber of Nurses and Midwives so far do not like any of these options. The definitive solution will be decided on Friday's Assembly of the Chamber.
Zvolenská will not let the reserve go so easily
Long promised quick measure, which should avert the collapse in healthcare system, seems to be useless for now. Minister of Health Zuzana Zvolenská still does not know how to transfer € 50 million from the state budget reserve into the healthcare system. There is an annual need of € 100 million for higher salaries of healthcare professionals. Until Zvolenská finds a solution, Ministry of Finance will not release the reserve money.
Nurses would probably succeed in the courts
If nurses will try through the courts to carve out their wage claims, they would probably succeed. This opinion was expressed by Ombudswoman Jana Dubovcová. Amendments signed between nurses and employers are according to her forced and nurses would have no problem to prove it in court. And if the legal act is enforced, it is not made freely and seriously, generally the court declares this act as void. Failure to comply with the law only because of the lack of resources is according to Ombudswoman unacceptable and undermines the basic principles of democracy.
Zvolenská is missing € 11 million per month
According to the Minister of Health, Zuzana Zvolenská, with no additional funding from the state, the healthcare system is threatened with the collapse. Zvolenská said, the state-owned Všeobecná zdravotná poisťovňa (General Health Insurance Company) may increase the payments to the health care providers by € 3 million per month. There is, however, a need of € 11 million monthly to cover the mandatorily increased salaries; next year it will be € 15 million. Predecessor of Zvolenská, Ivan Uhliarik has a different opinion and claims that from May this year the health insurance companies will save € 41 - € 49 million on purchasing of cheaper pharmaceuticals.

