{"id":"topics/health-and-care","title":"Health system and care","type":"topic","html":"<p>Health and care ran through the whole 2023–2028 legislature, from the debate on the health chapter of the coalition programme in November 2023 to the exchange on the conflict with the doctors' association in May 2026. The sittings covered the shortage of doctors and nursing staff, hospital beds and waiting times, the overload of the emergency departments, mental health and suicide prevention, and the question of private investment in medical practices. The quotes below are taken verbatim from the Compte rendu officiel of each sitting.</p>\n<h2>CSV</h2>\n<p>On 22 October 2024, during the interpellation on improving public health, <a href=\"/lhoft?page=deputies%2Ffrancoise-kemp\" class=\"wikiLink\" data-target=\"deputies/francoise-kemp\">Françoise Kemp</a> proposed to clarify the split between primary care and the emergency departments.</p>\n<blockquote>\n<p>Fir d’Iwwerlaaschtung vun den Urgencen ze reduzéieren, ass et essentiel, d’Ënnerscheeder tëschent den Aufgabe vun der Primärversuergung, wéi Hausdokteren a Kannerdokteren, an den Urgencë kloerzemaachen.</p>\n</blockquote>\n<p><em>To reduce the overload of the emergency departments, it is essential to make clear the difference between the tasks of primary care, such as family doctors and paediatricians, and those of the emergency departments.</em></p>\n<p><a href=\"/lhoft?page=seances%2F2024-10-22-n042\" class=\"wikiLink\" data-target=\"seances/2024-10-22-n042\">Sitting of 22 October 2024</a>, <a href=\"/lhoft?page=deputies%2Ffrancoise-kemp\" class=\"wikiLink\" data-target=\"deputies/francoise-kemp\">Françoise Kemp</a>, CSV</p>\n<p>On 20 May 2026, in the responses to the Prime Minister's statement on the conflict with the doctors' association, <a href=\"/lhoft?page=deputies%2Flaurent-zeimet\" class=\"wikiLink\" data-target=\"deputies/laurent-zeimet\">Laurent Zeimet</a> reported the Prime Minister's confirmation that there will be no deconventionnement and no two-tier medicine.</p>\n<blockquote>\n<p>De Premier huet gëschter confirméiert: Mat eis wäert et keen Deconventionnement ginn. Mat eis wäert et och keng Zwouklassemedezinn ginn.</p>\n</blockquote>\n<p><em>The Prime Minister confirmed yesterday: with us there will be no deconventionnement. With us there will also be no two-tier medicine.</em></p>\n<p><a href=\"/lhoft?page=seances%2F2026-05-20-n142\" class=\"wikiLink\" data-target=\"seances/2026-05-20-n142\">Sitting of 20 May 2026</a>, <a href=\"/lhoft?page=deputies%2Flaurent-zeimet\" class=\"wikiLink\" data-target=\"deputies/laurent-zeimet\">Laurent Zeimet</a>, CSV</p>\n<h2>DP</h2>\n<p>On 23 November 2023, in the debate on the health chapter of the government programme, <a href=\"/lhoft?page=deputies%2Fgilles-baum\" class=\"wikiLink\" data-target=\"deputies/gilles-baum\">Gilles Baum</a> named what he sees as the obstacles to high-quality health care.</p>\n<blockquote>\n<p>Laang Waardezäiten oder laang Deplacementer fir d’Patienten, awer virun allem och den akute Manktem un Dokteren a Gesondheetspersonal stinn enger qualitativ héichwäerteger Gesondheetsversuergung am Wee.</p>\n</blockquote>\n<p><em>Long waiting times or long journeys for patients, but above all the acute shortage of doctors and health staff, stand in the way of high-quality health care.</em></p>\n<p><a href=\"/lhoft?page=seances%2F2023-11-23-n004\" class=\"wikiLink\" data-target=\"seances/2023-11-23-n004\">Sitting of 23 November 2023</a>, <a href=\"/lhoft?page=deputies%2Fgilles-baum\" class=\"wikiLink\" data-target=\"deputies/gilles-baum\">Gilles Baum</a>, DP</p>\n<p>On 3 December 2025, during the topical hour on liberalisation and privatisation of the health system, <a href=\"/lhoft?page=deputies%2Fcarole-hartmann\" class=\"wikiLink\" data-target=\"deputies/carole-hartmann\">Carole Hartmann</a> stated her party's position on privatisation and tariffs.</p>\n<blockquote>\n<p>Mir sinn net fir eng Privatiséierung vum Gesondheetssystem mat willkürlechen Tariffer, bei där een eng Zwouklassegesellschaft verstäerke géif.</p>\n</blockquote>\n<p><em>We are not in favour of a privatisation of the health system with arbitrary tariffs, which would reinforce a two-class society.</em></p>\n<p><a href=\"/lhoft?page=seances%2F2025-12-03-n113\" class=\"wikiLink\" data-target=\"seances/2025-12-03-n113\">Sitting of 3 December 2025</a>, <a href=\"/lhoft?page=deputies%2Fcarole-hartmann\" class=\"wikiLink\" data-target=\"deputies/carole-hartmann\">Carole Hartmann</a>, DP</p>\n<h2>LSAP</h2>\n<p>On 22 October 2024, during the interpellation on improving public health, <a href=\"/lhoft?page=deputies%2Fmars-di-bartolomeo\" class=\"wikiLink\" data-target=\"deputies/mars-di-bartolomeo\">Mars Di Bartolomeo</a> demanded a legal basis for the universal health coverage pilot project.</p>\n<blockquote>\n<p>Dorauser ergëtt sech och, datt mer drop pochen, datt d’Couverture universelle des soins de santé, déi als Pilotprojet vun der leschter Regierung agefouert ginn ass, schnell gesetzlech verankert gëtt.</p>\n</blockquote>\n<p><em>It follows from this that we insist that the universal health care coverage, introduced as a pilot project by the last government, is quickly anchored in law.</em></p>\n<p><a href=\"/lhoft?page=seances%2F2024-10-22-n042\" class=\"wikiLink\" data-target=\"seances/2024-10-22-n042\">Sitting of 22 October 2024</a>, <a href=\"/lhoft?page=deputies%2Fmars-di-bartolomeo\" class=\"wikiLink\" data-target=\"deputies/mars-di-bartolomeo\">Mars Di Bartolomeo</a>, LSAP</p>\n<p>On 20 May 2026, in the responses to the Prime Minister's statement on the conflict with the doctors' association, <a href=\"/lhoft?page=deputies%2Ftaina-bofferding\" class=\"wikiLink\" data-target=\"deputies/taina-bofferding\">Taina Bofferding</a> stated her party's commitment to a solidarity-based health system with equal access regardless of income.</p>\n<blockquote>\n<p>D’LSAP stoung nach ëmmer zu engem solidaresche Gesondheetssystem, an deem all Mënsch zu Lëtzebuerg dee selwechte gudden Zougang zu enger héichwäerteger Gesondheetsversuergung huet, dat onofhängeg vum Portmonni.</p>\n</blockquote>\n<p><em>The LSAP has always stood for a solidarity-based health system in which every person in Luxembourg has the same good access to high-quality health care, independent of their wallet.</em></p>\n<p><a href=\"/lhoft?page=seances%2F2026-05-20-n142\" class=\"wikiLink\" data-target=\"seances/2026-05-20-n142\">Sitting of 20 May 2026</a>, <a href=\"/lhoft?page=deputies%2Ftaina-bofferding\" class=\"wikiLink\" data-target=\"deputies/taina-bofferding\">Taina Bofferding</a>, LSAP</p>\n<h2>ADR</h2>\n<p>On 23 November 2023, in the debate on the health chapter of the government programme, <a href=\"/lhoft?page=deputies%2Ffred-keup\" class=\"wikiLink\" data-target=\"deputies/fred-keup\">Fred Keup</a> criticised the programme for not saying how hospital bed numbers will be raised again.</p>\n<blockquote>\n<p>Mir haten do an de leschten zéng Joer d’Zuel u Better, déi erofgaangen ass. Mir gesinn hei elo net wierklech am Programm, wéi dat erëm sollt ausgebaut ginn.</p>\n</blockquote>\n<p><em>There we had, over the last ten years, the number of beds going down. We do not really see here in the programme how that is to be built up again.</em></p>\n<p><a href=\"/lhoft?page=seances%2F2023-11-23-n004\" class=\"wikiLink\" data-target=\"seances/2023-11-23-n004\">Sitting of 23 November 2023</a>, <a href=\"/lhoft?page=deputies%2Ffred-keup\" class=\"wikiLink\" data-target=\"deputies/fred-keup\">Fred Keup</a>, ADR</p>\n<p>On 3 December 2025, during the topical hour on liberalisation and privatisation of the health system, <a href=\"/lhoft?page=deputies%2Falexandra-schoos\" class=\"wikiLink\" data-target=\"deputies/alexandra-schoos\">Alexandra Schoos</a> proposed to open up the health system in favour of liberal medicine.</p>\n<blockquote>\n<p>Mir wëllen den Dirigismus an den Zentralismus am Lëtzebuerger Gesondheetswiesen opbriechen, fir déi liberal Medezinn ze stäerken.</p>\n</blockquote>\n<p><em>We want to break open the dirigism and centralism in the Luxembourg health system, in order to strengthen liberal medicine.</em></p>\n<p><a href=\"/lhoft?page=seances%2F2025-12-03-n113\" class=\"wikiLink\" data-target=\"seances/2025-12-03-n113\">Sitting of 3 December 2025</a>, <a href=\"/lhoft?page=deputies%2Falexandra-schoos\" class=\"wikiLink\" data-target=\"deputies/alexandra-schoos\">Alexandra Schoos</a>, ADR</p>\n<h2>déi gréng</h2>\n<p>On 23 November 2023, in the debate on the health chapter of the coalition agreement, <a href=\"/lhoft?page=deputies%2Fsam-tanson\" class=\"wikiLink\" data-target=\"deputies/sam-tanson\">Sam Tanson</a> stated her position on the liberalisation announced in that chapter.</p>\n<blockquote>\n<p>Den Accès zum Dokter dierf net vum Portmonni ofhänke vun deem Eenzelnen!</p>\n</blockquote>\n<p><em>Access to the doctor must not depend on the individual's wallet!</em></p>\n<p><a href=\"/lhoft?page=seances%2F2023-11-23-n005\" class=\"wikiLink\" data-target=\"seances/2023-11-23-n005\">Sitting of 23 November 2023</a>, <a href=\"/lhoft?page=deputies%2Fsam-tanson\" class=\"wikiLink\" data-target=\"deputies/sam-tanson\">Sam Tanson</a>, déi gréng</p>\n<p>On 18 December 2025, during the debate on the bill raising the authorised number of hospital beds, <a href=\"/lhoft?page=deputies%2Fdjuna-bernard\" class=\"wikiLink\" data-target=\"deputies/djuna-bernard\">Djuna Bernard</a> warned that extra beds are of no use without staff.</p>\n<blockquote>\n<p>Wann d’Leit feelen, Infirmieren, Dokteschen, Aide-soignanten an Therapeut/innen, da bleiwen déi zousätzlech Better am schlëmmste Fall e Reminder, dass mer de Personalmangel nach ëmmer net am Grëff hunn.</p>\n</blockquote>\n<p><em>If the people are missing, nurses, doctors, care assistants and therapists, then in the worst case the additional beds remain a reminder that we still do not have the staff shortage under control.</em></p>\n<p><a href=\"/lhoft?page=seances%2F2025-12-18-n120\" class=\"wikiLink\" data-target=\"seances/2025-12-18-n120\">Sitting of 18 December 2025</a>, <a href=\"/lhoft?page=deputies%2Fdjuna-bernard\" class=\"wikiLink\" data-target=\"deputies/djuna-bernard\">Djuna Bernard</a>, déi gréng</p>\n<h2>Piraten</h2>\n<p>On 23 November 2023, in the debate on the health chapter of the coalition agreement, <a href=\"/lhoft?page=deputies%2Fsven-clement\" class=\"wikiLink\" data-target=\"deputies/sven-clement\">Sven Clement</a> demanded a clear ban on private investors financing medical practices.</p>\n<blockquote>\n<p>Wat fir eis Piraten awer kloer misst verhënnert ginn, ass, datt privat Investisseure finanziell dierfe bedeelegt ginn.</p>\n</blockquote>\n<p><em>What for us Pirates should clearly be prevented is that private investors may take a financial stake.</em></p>\n<p><a href=\"/lhoft?page=seances%2F2023-11-23-n005\" class=\"wikiLink\" data-target=\"seances/2023-11-23-n005\">Sitting of 23 November 2023</a>, <a href=\"/lhoft?page=deputies%2Fsven-clement\" class=\"wikiLink\" data-target=\"deputies/sven-clement\">Sven Clement</a>, Piraten</p>\n<p>On 20 May 2026, in the debate on the motion for multi-year national planning of medical staff, <a href=\"/lhoft?page=deputies%2Fsven-clement\" class=\"wikiLink\" data-target=\"deputies/sven-clement\">Sven Clement</a> criticised the majority's reliance on existing plans.</p>\n<blockquote>\n<p>Een, dee psychologesch oder psychiatresch Problemer huet, dee waart net drop, datt Dir e Plang hutt.</p>\n</blockquote>\n<p><em>Someone who has psychological or psychiatric problems is not waiting for you to have a plan.</em></p>\n<p><a href=\"/lhoft?page=seances%2F2026-05-20-n143\" class=\"wikiLink\" data-target=\"seances/2026-05-20-n143\">Sitting of 20 May 2026</a>, <a href=\"/lhoft?page=deputies%2Fsven-clement\" class=\"wikiLink\" data-target=\"deputies/sven-clement\">Sven Clement</a>, Piraten</p>\n<h2>déi Lénk</h2>\n<p>On 23 November 2023, in the debate on the health chapter of the coalition agreement, <a href=\"/lhoft?page=deputies%2Fmarc-baum\" class=\"wikiLink\" data-target=\"deputies/marc-baum\">Marc Baum</a> argued the programme pushes on with privatising the public health system.</p>\n<blockquote>\n<p>Wat dëse Programm bei der Sécurité sociale undeit, zitt en am Kapitel Santé duerch: D’Privatiséierung vun eisem ëffentlech finanzéierten universelle Gesondheetssystem gëtt weider verstäerkt virugedriwwen.</p>\n</blockquote>\n<p><em>What this programme hints at on social security, it carries through in the health chapter: the privatisation of our publicly financed universal health system is being pushed further.</em></p>\n<p><a href=\"/lhoft?page=seances%2F2023-11-23-n005\" class=\"wikiLink\" data-target=\"seances/2023-11-23-n005\">Sitting of 23 November 2023</a>, <a href=\"/lhoft?page=deputies%2Fmarc-baum\" class=\"wikiLink\" data-target=\"deputies/marc-baum\">Marc Baum</a>, déi Lénk</p>\n<p>On 18 November 2025, during the interpellation on suicide in Luxembourg, <a href=\"/lhoft?page=deputies%2Fmarc-baum\" class=\"wikiLink\" data-target=\"deputies/marc-baum\">Marc Baum</a> criticised the lack of a binding framework and a central structure in mental-health care.</p>\n<blockquote>\n<p>Et feelt wierklech un engem verbindleche Kader, enger zentraler Struktur, déi déi verschidden Acteuren zesummeféiert.</p>\n</blockquote>\n<p><em>What is really missing is a binding framework, a central structure that brings the various actors together.</em></p>\n<p><a href=\"/lhoft?page=seances%2F2025-11-18-n107\" class=\"wikiLink\" data-target=\"seances/2025-11-18-n107\">Sitting of 18 November 2025</a>, <a href=\"/lhoft?page=deputies%2Fmarc-baum\" class=\"wikiLink\" data-target=\"deputies/marc-baum\">Marc Baum</a>, déi Lénk</p>\n<h2>Ministers</h2>\n<p>On 27 February 2024, in the debate on the bill changing the staffing key for services for elderly people, the Minister of the Family answered the criticism by describing the minimum staffing in the new text.</p>\n<blockquote>\n<p>An deem neien Text soe mer direkt ab dem éischte Bewunner, dass direkt emol zwee Leit mussen do agesat ginn, een Infirmier an een Encadrant.</p>\n</blockquote>\n<p><em>In the new text we say that from the first resident onwards two people must be deployed straight away, a nurse and a carer.</em></p>\n<p><a href=\"/lhoft?page=seances%2F2024-02-27-n012\" class=\"wikiLink\" data-target=\"seances/2024-02-27-n012\">Sitting of 27 February 2024</a>, Max Hahn, Ministre de la Famille, des Solidarités, du Vivre ensemble et de l’Accueil</p>\n<p>On 3 December 2025, during the topical hour on liberalisation and privatisation of the health system, the Minister of Health and Social Security restated the principle the government stands by.</p>\n<blockquote>\n<p>Virun zwou Wochen hunn ech hei gesot, datt eise Gesondheetssystem drop baséiert, datt all Bierger e gläichberechtegten Zougang zu enger héichwäerteger medezinnescher Versuergung kritt an huet a behält.</p>\n</blockquote>\n<p><em>Two weeks ago I said here that our health system is based on every citizen getting, having and keeping equal access to high-quality medical care.</em></p>\n<p><a href=\"/lhoft?page=seances%2F2025-12-03-n113\" class=\"wikiLink\" data-target=\"seances/2025-12-03-n113\">Sitting of 3 December 2025</a>, Martine Deprez, Ministre de la Santé et de la Sécurité sociale</p>"}