Agenda Profile: Priit Sibul

Second reading of the draft law amending the Health Services Organisation Act, the Unemployment Insurance Act, and other related acts, as well as amending the Act on Support for Working Capacity (604 SE)

2025-06-12

15th Riigikogu, 5th session, plenary sitting

Political Position
It substantively supports the draft law's objective of guaranteeing the patient's declaration of intent within the healthcare system, as this increases patient autonomy. However, it is strongly critical of the draft law's unclear terminology and overly broad scope, which creates confusion regarding the responsibilities of medical personnel. The political focus is value- and policy-based, emphasizing the clarity of the legislation and avoiding the creation of expectations concerning assisted suicide, which it does not personally support.

2 Speeches Analyzed
Topic Expertise
The text demonstrates knowledge of the connections between healthcare and law (the Law of Obligations Act), clarifying that the proposed bill does not establish new rights; rather, it serves to communicate the declaration of intent to the medical system. It emphasizes terminological accuracy, disputing the phrase "end-of-life declaration of intent" and suggesting "declaration of intent to forgo treatment" as an alternative. Furthermore, it raises procedural concerns, including the lack of digital competence and the necessity for a standardized approach to formalizing the declaration of intent.

2 Speeches Analyzed
Rhetorical Style
The speaker's style is considered and analytical, starting with a personal and emotional topic (the difficulty of discussing death) before moving on to detailed legal criticism. They use direct language to highlight the draft bill's contradictions, such as why the legislation includes provisions for which medical professionals bear no responsibility. The tone is cautious yet persuasive, emphasizing the need to avoid undue expectations (e.g., regarding assisted suicide).

2 Speeches Analyzed
Activity Patterns
He referred to communication with the drafters of the proposal, noting that he himself has not been involved in the process for five years. He requested an extension of his speaking time, which demonstrates a desire to explain his views thoroughly and in detail. No other data is available.

2 Speeches Analyzed
Opposition Stance
The criticism is directed at the bill's drafting process and the ambiguity of the text, especially regarding the inclusion of non-medical wishes (funerals and spiritual support) in the legislation. [The critic] opposes any interpretation that would link the bill to assisted suicide, stating that they would not support it in any shape or form. The criticism is policy-based and procedural, not personal.

2 Speeches Analyzed
Collaboration Style
Although he substantively supports the draft bill, he is submitting amendments (specifically concerning terminology), which indicates a desire to improve the quality of the legislation. He acknowledges that it is difficult to criticize the drafters of the bill because the subject matter is complex, demonstrating a degree of understanding regarding the difficulty of the drafting process.

2 Speeches Analyzed
Regional Focus
It focuses on national legislation and the structure of the healthcare system, specifically the nationwide standardization of patient advance directives. Regional or local issues are not covered.

2 Speeches Analyzed
Economic Views
No data available.

2 Speeches Analyzed
Social Issues
It focuses on a social issue—the alienation surrounding death and aging within society—and stresses the necessity of discussing death more openly. It also brings up the aspect of social inequality, noting that the opportunity to make a declaration of intent must be guaranteed even for those who lack digital literacy or access to a computer.

2 Speeches Analyzed
Legislative Focus
The main legislative focus is the second reading of the draft amendment to the Health Services Organization Act (604 SE). He/She is a substantive supporter of the bill but is initiating amendments to replace the unclear term "Patient's end-of-life declaration of intent" with the clearer "declaration of intent to refuse treatment."

2 Speeches Analyzed