Agenda Profile: Lauri Laats

Hearing regarding the care reform (no 719)

2025-05-12

15th Riigikogu, 5th session, plenary sitting.

Political Position
A critical opposition stance regarding the implementation of the care reform emphasizes that the original goal upon which the reform was established (the affordability of nursing home care using the average pension) has not been met, and both funding and pricing require a fundamental overhaul. Strong opposition has been voiced against the current decisions, coupled with a demand for a clear action plan and answers from the Minister. This is a powerful political movement focused on improving the tools and programs, rather than merely offering criticism from the podium.

4 Speeches Analyzed
Topic Expertise
Demonstrates a clear, informed understanding of the context surrounding care home financing, rising costs, quality oversight, and labor shortages. It references the findings of the State Audit Office audit, discusses the necessity of modifying financing models, and cites Pihlakodu as an example of systemic failure within the sector. Concrete questions are presented, and the need for an action plan and strengthened supervision is emphasized. The criticism is recognized as being well-founded, based on the facts and data utilized.

4 Speeches Analyzed
Rhetorical Style
The tone of the speech is combative, accusatory, and fiercely critical; it employs strong rhetorical questions, emotional references to the plight of pensioners and home care, and specific examples of problems. It combines an emotional approach (focusing on people's welfare and the older generation) and critical analysis with logical argumentation, which ultimately shifts into a direct focus on the minister's actions.

4 Speeches Analyzed
Activity Patterns
The active discussion surrounding the interpellation on the care reform (No. 719), scheduled for May 12, 2025, is recurring. Seven questions are being posed, seeking clarifying answers and concrete steps. Reference is made to previous events (the National Audit Office's review and the political background of 2022–2023), and the necessity for definitive actions and responses is being stressed. This appears to be a periodic, organized effort designed to capture parliamentary attention regarding a specific issue, generating a strong analytical resonance.

4 Speeches Analyzed
Opposition Stance
Strong opposition criticism of the government's care reform implementation: it is claimed that the goals are unattainable and the reform is flawed, with misguided decisions made regarding price control and quality improvement. The critics emphasize inadequate action plans, the impact of funding decisions, and a lack of supervision, repeatedly blaming the negative effect of previous decisions on pensioners.

4 Speeches Analyzed
Collaboration Style
The nature of cooperation appears limited and conflictual: the need for ministerial responses and the implementation of concrete steps is emphasized, but a significant tone of cooperation or compromise is lacking. The need for the state and local governments to work together has been mentioned, but the main focus remains accountability and control, along with resolving judicial or financing problems.

4 Speeches Analyzed
Regional Focus
The focus is on local authorities and cities: Tallinn and Mustamäe are mentioned in a professional context, alongside references to local municipalities and Pihlakodu. It is stressed that funding and oversight pertain to both specific regions and the state as a whole. This highlights the attention paid to regional implementation and the role of local governments in the provision of care services.

4 Speeches Analyzed
Economic Views
The economic approach focuses on controlling the prices of care home services, the necessity of reforming financing models, and limitations on public sector financial obligations. The speech emphasizes that too much money has been poured into care homes without resulting in a corresponding increase in quality, and calls for the creation of a more stable and transparent financing scheme and predictable budget utilization. Furthermore, the taxation of pensions and the abandonment of support for single pensioners are criticized as part of a unilateral decision.

4 Speeches Analyzed
Social Issues
Social standpoints center on the aging population and the welfare of pensioners: the priority is affordable, quality home care and residential care services; concern is felt regarding the cost of living and service accessibility, and the necessity of strengthening social protection for the elderly is stressed. Concerns have been raised about the expansion of private profit margins and the lack of supervision, which affects the quality of home care.

4 Speeches Analyzed
Legislative Focus
Legislative directions are aimed at reforming the financing and supervision of the care reform: a submitted interpellation (No. 719) and seven clarifying questions have been presented, and the need for the Minister to establish an action plan and concrete steps has been emphasized. The financing problems raised by local governments and the necessity of increasing transparency have been described; specific individual bills are not brought up, but the focus is on legal and financing amendments.

4 Speeches Analyzed