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Business Coalition Unveils EsSalud Governance Reform as Minister Prepares Review

The Labor Ministry is set to vet a governance-focused plan drafted with UN and ILO input that could advance to the Cabinet and Congress.

Overview

  • Confiep says a working group with medical experts and international representatives has a draft to overhaul EsSalud’s governance, including a professional board and clearer executive appointments.
  • Labor Minister Óscar Fernández plans to meet the team next week to decide whether to submit the bill to the Council of Ministers for subsequent congressional consideration.
  • Business leaders argue the breakdown stems from management failures rather than funding, noting that over 70% of the roughly S/17–18 billion budget goes to payroll.
  • Patient advocates report severe access problems, including about 42,000 people awaiting surgery, an average 105‑day wait for specialist consultations, and up to six months for some cancer diagnoses.
  • Surveys cited by advocates show 64% of patients faced treatment interruptions and 31% waited three to five months for a diagnosis, while frequent leadership turnover has undermined continuity and performance.