It is said that the decline in public health can lead to the privatization of health and the lack of equity. This is called correlation. Chomsky insists: "The technique of privatization is to reduce investment so that it does not work seriously and then make it available to private capital." The situation seems to be right. Recent years have seen a trend towards private insurance: more than 25% of total spending is in the private sector

In addition, health care, half of health transport, pharmacological research and most of the continuing training of health workers are in the hands of private companies. This, of course, can cause differences among people, and the use of dental services is very clarifying: they are more used by those with better economic situation. Correlation and causality are not the same, but the situation is so clear that nobody questions it, except the Health Advisor, for whom the only problem is that there are not enough doctors, even though the theory of spontaneous creation has expired long ago.

However, there is no correlation with the use of Euskera, when there is causality. According to the available evidence, the lack of attention in one's own language (customary with minority languages) leads patients not to ask what they are entitled to, especially in situations of vulnerability, such as the elderly, minors, mentally disabled and with mental health problems. That is, if there is no supply, there is no demand, and on the contrary, the more offers, the more orders. The data published by Osakidetza confirm that only 20% of the users have opted for Basque as the preferred language, knowing that they will not be given.

For some the consequences are clear: linguistic planning must be radically changed. It seems that it is not appropriate for one in five to seek care in Basque and, at the same time, ask most workers for Basque. The supply in Basque must be adjusted to demand, so the linguistic profiles are excessive. Stand firm in the theory of spontaneous creation. In essence, as is the upward trend in private insurance, it should be deduced that less public health services should be offered.

Clearly, the profile model is not enough. Currently, health care in Basque is not guaranteed anywhere, to the detriment of patients. That is, therefore, the problem that needs to be resolved, rather than anything else. Ensure care in Basque from primary care to hospital, in oral and written relations, anywhere and at any time.

Knowing that doctors do not arise for themselves, and with pragmatism, we know that you cannot get everything from one day to the next. There are, however, a number of basic criteria that should be met in the organisation of linguistic profiles. First, wherever there is only one doctor or nurse (regardless of the socio-linguistic area), the professional must be bilingual. This includes small locality offices, Continuing Care Points, hospital emergency services (with special attention to pediatrics) and emergency services (ambulances, coordination center, helicopter), as well as some hospital specialties.

If a single dermatologist existed in a unit, for example, care should be taken in the two official languages. Secondly, the right of all professionals to work in Euskera and patients to receive clinical documentation in Euskera should be guaranteed. In short, the key is to offer all the service in bilingual. Knowing that the same portfolio of services is not available everywhere, the socio-linguistic area cannot be a single pattern. Serious burns, for example, are only dealt with in Cruces, Barakaldo. If they were met at the Goierri, the criteria would not change, being a unit.

Assuming that all this is complex, that the profile model is not enough, it is obvious that at this moment profiles cannot be reduced. On the contrary, trained professionals must be created to work in Basque until all care in Basque is guaranteed. Because the health system aims to provide a quality service, equitably. To say that too much importance has been given to the Basque Country, when patients are being denied the fundamental right, that is to say that it is over-playing the public while Osakidetza is falling apart. Language registration has not changed: they prioritize their interests over the rights of patients.