Lehendakari acknowledged in his Christmas television message that there were problems and difficulties in Osakidetza and that on 1 February, at the opening of the Murueta health centre, there were shortcomings in primary care. Last year, companies linked to some people in the PNV were commissioned to “reorganize” and “innovate” primary care, LKS and Tei.

In the face of criticism and strikes in recent years, the Department of Health has spent millions of euros annually on communication campaigns. Many of them have been hired through agencies and media linked to people from the PNV, such as Mediasal and News Group.

Faced with institutional propaganda hidden in EITB information, the latest Deustobarometer survey, published in December 2022, points to health concerns and Osakidetza's average score has dropped to 5. In addition, according to OSEKI, initiative for the right to health at the University of the Basque Country/Euskal Herriko Unibertsitatea, regarding the resources allocated to health by the Department of Health of the Basque Government, the majority of the population considers that in recent years they have decreased.

As an article by OSEKI states, the neoliberal trend materialized in the Osasuna Zainduz Plan in the early 1990s. The Osasuna Zainduz Plan was created by Iñaki Azkuna, Health Advisor (1991-1999) and Rafa Bengoa, Director of Health Planning and Management (1991-1995). Years later, health centers were opened in Bilbao, as mayor of the city of Azkuna and as health advisor of the Basque Government Bengoa (2009-2012). Rafael Bengoa is now director of a consultant and the Hospital 12 de Octubre de Madrid is one of his clients.

They now want to implement the procurement model defended by the Osasuna Zainduz Plan in the Health System of the Community of Madrid. In the face of this, the coordinator against the privatization of health in Madrid has criticized that it means “transferring public money to private enterprise as soon as possible”, that is, “eliminating the mechanisms that public law establishes to ensure the transparent and controlled use of the public treasury”.

The Madrid coordinator says that the experiment is not new, citing Osakidetza: “In the case of the Autonomous Community of the Basque Country there is no political control over procurement, only the Basque Court of Public Accounts, which is a technical body and the budget law only sets the limit of expenditure”. ELA believes that Isabel Díaz Ayuso follows the rhythm of the jewel of the Basque oasis.