One and a half million Spanish civil servants both, active or retired, of central administration, education and law enforcement sectors assigned to MUFACE are living in uncertainty at the end of this year.

The current MUFACE health care ends on December 31. With 19 days to go these public servants do not know who and how they will be provided healthcare to which every European citizen is entitled.

The lack of foresight of the Spanish Government, which called the public tender late, in October, and the absence of adequate funding have meant that no insurance company has submitted any bid, thus undermining a health care model that is an integral part of the public health system in Spain ‐ a successful model that has contributed to the sustainability of the Spanish health care system, alleviating the overload of the national health care service and creating employment in the health care sector for more than 50 years.

The MUFACE health care model is applied to Justice and Defence sector as well. Public workers in courts and military staff live right now a similar situation due to a temporary restraining order that keeps suspended the procurement health care assistance procedure in MUGEJU and ISFAS without any information of how long it will take to raise it. With these two sectors, more than 2 million civil servants are involved in this issue.

This situation of uncertainty is causing the cancellation of hundreds of medical appointments and tests in hospitals, which have already been brought to the attention of the government, the Ombudsman and the political groups in Parliament at national level.

There cannot be strong public services if their employees are not guaranteed a right as basic as health care protection, included also in Article 35 of the European Charter of Fundamental Rights and in principle 16 of the European Pillar of Social Rights.

Consequently, CSIF requests CESI to support Spanish civil servants in their claims and to demand the Spanish government to guarantee their right to health care and protection by implementing all necessary measures to ensure the viability of the MUFACE model in short and long term.

An emergency motion adopted by the Congress of CESI on December 12 2024