Agenda Profile: Aleksei Jevgrafov

A written request for a vote of no confidence in Social Minister Karmen Joller, submitted by 21 members of the Riigikogu.

2025-09-10

15th Riigikogu, 6th sitting, plenary session

Political Position
The political focus is heavily directed toward the portfolio of the Minister of Social Affairs and the performance of the healthcare system, emphasizing two critical issues: the long-term shortage of doctors and the obstacles caused by general practitioners' lack of funding when referring patients for health screenings. The questions presented are policy-based, demanding a clear position and support from the Minister regarding the increase of the state commissioning (or state order). The stance is forceful and aimed at finding concrete solutions in healthcare planning.

4 Speeches Analyzed
Topic Expertise
The speaker demonstrates detailed knowledge of specific healthcare planning issues, referencing a concrete target (1,000 doctors by 2033) and the Tartu Clinic's proposal to increase state commissioning. Furthermore, they are familiar with the daily funding challenges faced by general practitioners (GPs), which impede the referral of patients for necessary health screenings. The expertise presented is practical and centered on systemic resource allocation questions.

4 Speeches Analyzed
Rhetorical Style
The rhetorical style is formal and direct, utilizing forms of address such as "Respected Minister!" and "Esteemed Minister!" Questions are posed analytically and concretely, emphasizing the "practical" nature of the issues. The tone is concerned and demanding, relying on known facts (e.g., the proposal from the Tartu Clinic) and reports (the lack of funding for family doctors).

4 Speeches Analyzed
Activity Patterns
The pattern of activity was restricted to participation in the debate on the no-confidence motion against the Minister of Social Affairs in September 2025. The speaker posed repeated questions and questions similar in content regarding both the training of doctors and the funding of general practitioners, which indicates the priority of these topics for him/her in that specific debate.

4 Speeches Analyzed
Opposition Stance
The standoff targets the actions and awareness of the Minister of Social Affairs, particularly concerning funding deficits and the support provided for long-term planning. The criticism is policy-based, highlighting systemic deficiencies and the Minister's alleged unawareness regarding the specific areas suffering from funding shortages.

4 Speeches Analyzed
Collaboration Style
There is little information available regarding the style of cooperation, but the speaker actively responds to questions posed by other debate participants (Andre Hanimäe) and to the minister's replies, using these as an introduction to their own questions. Direct cooperation or the search for compromise is not mentioned.

4 Speeches Analyzed
Regional Focus
The regional focus is primarily national, addressing the general workforce planning and financing of healthcare. The only specific regional reference is to Tartu University Hospital's proposal, which is connected to the national medical education commission.

4 Speeches Analyzed
Economic Views
Economic perspectives center on the necessity of increasing state funding and procurement to address the healthcare workforce crisis. Emphasis is placed on the need to guarantee adequate financial coverage for general practitioners (GPs) to carry out crucial health screenings, citing existing deficiencies in the current budgetary allocation.

4 Speeches Analyzed
Social Issues
The primary social issue is the accessibility and quality of healthcare services. Specifically, emphasis is placed on the shortage of doctors and patients' restricted access to health screenings, which stems from funding problems in primary healthcare.

4 Speeches Analyzed
Legislative Focus
The legislative focus is aimed at reforming the state commissioning system and budget policy within the healthcare sector to address the doctor shortage and ensure adequate funding for general practitioners (GPs). Specific draft legislation or amendments are not mentioned; instead, the emphasis is on directing political decision-making.

4 Speeches Analyzed