Different definitions and descriptions of quality can be found in the health sector, but the definition used by the World Health Organization (WHO), with a systemic approach, is divided into six criteria: efficacy, efficiency, scope, acceptability, equity and safety. Each one affects the others and they are all intimately united.

The scope would be to provide the service in time and place, i.e. to provide the necessary human and technical means in the right place and in the right time. It is so important that it is also included in the legislation. The CAPV Decree 65/2006, for example, establishes the maximum time limits for access to programmed and non-urgent surgical procedures, which cannot exceed 30 days in the case of oncological surgeries, 90 days in cardiac surgery and 180 days in the case of other interventions. It is clear that waiting, one of the most important parts of the reach, is integrated into the usual quality parameters and is given priority in the management of health organizations. In fact, 30% of patients' complaints or complaints come from waiting lists. But is it evaluated correctly?

Waiting lists are evaluated by specialties of the service units. It must not be said that this is very important, in order to know where deficiencies can be detected. Where the needs, the resources there. But medicine and health care in general should not focus on specialties but on people. That's our goal: to serve people, not diseases. And there are social variables that totally condition health, like gender, sex, social class, place of residence, working conditions, origin, ethnicity and language.

Gender is key in any health system created in a male society. I know the patient who suffered a renal colic to whom lithotripsy was performed at full speed at the Galdakao-Usansolo Hospital. The patient reminds him of gratitude, of course. Needless to say, this patient is a man, like the doctor who treated him. You will hardly find a woman who receives such early attention among men. I am not going to mention, for example, the case we have seen in the networks. It was one of a friend, a woman, who was said several times that she had anxiety, until they finally found a very widespread stomach cancer. Too late: He died of cancer. Let us not fool ourselves: In Osakidetza there are power relationships (between professionals and patients), hierarchies (between professionals) and socialization processes (both users and workers). Not written, but the current social rules and, therefore, prejudices, stereotypes, racism, classism, linguistics (Basque doctor or good doctor?) Dominan. So is machismo.

Tell it and think about it. I made my specialty at Galdakao-Usansolo Hospital twenty years ago, and now most workers, including doctors, are women. Staff, but not director or head of service: director of clinical management, managing director, medical director, chief of emergency, chief of urology... are men. Health is serious and it seems that we must act with common sense.

But let's get to the point. What does being a woman have to do with waiting lists? That is, it has nothing to do with it because it has not been studied or you don't want to see it. As mentioned, waiting lists are analyzed by specialty (to be thanked), but the sample is not treated correctly: gender, sex, location, social level... And as a doctor, I'd like to know if women have to wait longer than men. And I would like these data to be made public, to be heard in the Gasteiz Parliament as well. I'm not yesterday, but... And I'm a doctor. I know the diagnoses can vary (I also change them). They can tell us that women with ‘stomach cancer’ don’t have to wait any longer than men for care. They won't tell us that maybe the supposed original diagnosis was "anxiety," or "discomfort," and in a few months they were diagnosed with cancer, maybe a little later than honest men with stomach cancer.

In conclusion, I would like to offer a curiosity to the few readers who have come here, especially women. At the time when I was a medical student, my peers (many of them simple good-family erdaldunes, coming from private schools) organized a football team called Ovafat. We're gonna fuck you all. They are currently specialists or heads of service. Those who manage your waiting lists. I am not a feminist, I cannot be a feminist, because I am a man born and raised in the society of the time. I defend health care, especially in Euskera. But I am convinced that in this struggle too, women will help me. Let us rigorously and rigorously analyse the attention paid to women; let us analyse the waiting lists from a gender perspective.