Agenda Profile: Reili Rand

Health Insurance Fund deficit

2025-09-17

Fifteenth Riigikogu, sixth sitting, press briefing.

Political Position
The political position is strongly results-based, focusing on the deficit of the Health Insurance Fund (Tervisekassa) and improving people's access to faster medical care. The speaker opposes the government’s narrative regarding the budget surplus, calling it a one-time extraordinary income, not a permanent cash cow. The main requirement is to allocate hundreds of millions in additional funds to the Health Insurance Fund, as internal system savings are insufficient.

1 Speeches Analyzed
Topic Expertise
The speaker demonstrates knowledge of state budget processes (RES) and financial matters, differentiating non-recurring extraordinary revenue from permanent funding. This expertise is also evident in their discussion of Health Insurance Fund (Tervisekassa) financing, where they highlight the specific magnitudes (tens of millions versus hundreds of millions) needed to cover the systemic deficit.

1 Speeches Analyzed
Rhetorical Style
The rhetorical style is formal and direct, employing a critical and questioning approach directed at the Minister. The speaker begins with sarcasm regarding the government's "jovial moods" and "money printing press," subsequently transitioning to a logical argument that highlights the disparity in financial magnitudes. A procedural pause is also utilized to ensure the question is heard, which suggests a demanding tone.

1 Speeches Analyzed
Activity Patterns
The speaker is an active monitor of state budget strategy negotiations and sessions, having submitted a specific question to the Minister concerning the funding of the Health Insurance Fund. This pattern of activity indicates active participation in legislative oversight.

1 Speeches Analyzed
Opposition Stance
The primary opposition is aimed at the Minister and the government, who are being criticized for the inefficiency of the budget process and their ineffective handling of the Health Insurance Fund (Tervisekassa) deficit. The criticism is policy-driven and intense, calling into question the adequacy of internal systemic savings, which are orders of magnitude too small.

1 Speeches Analyzed
Collaboration Style
Insufficient data.

1 Speeches Analyzed
Regional Focus
The focus is entirely on the national level, addressing the state's budget strategy and the funding problems of the Health Insurance Fund (Tervisekassa), issues that affect access to medical care across the entire country.

1 Speeches Analyzed
Economic Views
Economic perspectives advocate for targeted government spending (in the hundreds of millions) aimed at addressing the social deficit, preferring this approach when internal systemic savings prove insufficient. They are critical of how the government handles the budget surplus, stressing its non-recurring nature.

1 Speeches Analyzed
Social Issues
The main social issue is ensuring faster and better access to medical care for the public, a goal directly obstructed by the funding deficit of the Health Insurance Fund (Tervisekassa). This has been presented as a priority problem requiring an immediate financial solution.

1 Speeches Analyzed
Legislative Focus
The legislative focus is aimed at influencing the State Budget Strategy (RES) negotiations, demanding that a proposal be made to allocate additional funds to the Health Insurance Fund. The speaker is the initiator of this political demand within the framework of the budget process.

1 Speeches Analyzed