Rogobete proposes more health insurers, to replace the CNAS monopoly

Former Health Minister Alexandru Rogobete argues that the Romanian healthcare system is in need of deep reform and proposes opening health insurance to multiple insurers, rather than limiting it to the National Health Insurance House (CNAS). In his view, competition amongst several insurers could deliver better medical services, greater efficiency, and more freedom of choice for patients, without eliminating the social component of the public system.

Why he is proposing the change

Rogobete argues that the idea of "breaking the monopoly" of CNAS is not new, but has always been postponed because it involves a difficult reform that would fundamentally change the way healthcare funds are managed. He says he attempted to initiate this reform during his tenure as minister, but faced opposition from certain politicians, whom he criticises harshly.

According to the former minister, the current system was designed for a reality that no longer reflects 2026: medicine has evolved considerably, whilst the funding mechanisms have remained unchanged.

"Solidarity remains, the monopoly must go"

Rogobete's proposal includes opening up the insurance system, developing complementary insurance, encouraging private insurance, and integrating all of these into a transparent mechanism.

The former minister insists that such a change should not affect vulnerable people's access to medical services: "Solidarity remains. The monopoly must go!", he declared. According to him, the state should remain the guarantor of access to a package of medical services for people without income, for vulnerable individuals, and for those who cannot afford additional insurance.

What it would mean for patients

In Rogobete's vision, having multiple insurers would allow patients to choose the insurer and the package of services that best suits them, within limits set by the state.

"More insurers means pressure for better services," said the former minister, who believes a competitive system could lead to more efficient contracts and the emergence of new solutions for patients.

Transparency and adaptation to Romania's needs

Amongst the advantages of the proposed reform, Rogobete highlights greater transparency and efficiency in the management of funds, as well as more scope for innovation. He emphasises that Romania should not mechanically copy another European country's model, but rather analyse solutions that work in other countries and build a system tailored to its own needs.

In conclusion, the former minister believes that competition, efficiency, and freedom of choice should work hand in hand with social solidarity and the protection of vulnerable people.