The article recalls Rafael Macedo's complaints about the functioning of SESARAM and the partnerships with the private sector in Madeira's healthcare, stating that nothing has improved and that SESARAM has lost "sovereignty," with patients being the ones who suffer the consequences.
The text highlights that Porto Santo depends on a single professional, whose medical leave halts diagnostics on the island, while the Health Centers of Machico, São Vicente, and Calheta have idle equipment due to a lack of technicians. The technicians' refusal to take responsibility stems from the prolonged absence of someone responsible for human resource management.
When exams such as MRIs and CT scans are delayed for oncology patients, the system reaches an ethical limit. SESARAM's inability to retain or hire diagnostic and therapeutic professionals fuels the dependence on the private sector to clear waiting lists.
SESARAM's response amounts to announcements, promising competitions to hire new technicians and guarantee urgent exams. The article criticizes that, in a competitive market where private health attracts professionals with better conditions, public competitions risk going unfilled, comparing the situation to other chronic failures such as the lack of teachers and problems with the ferry.
