Agenda Profile: Kristina Šmigun-Vähi

Draft law amending the Health Services Organisation Act (advance directive of a patient’s end-of-life will) – first reading (604 SE)

2025-04-23

15th Riigikogu, 5th session, plenary session

Political Position
The political focus is on the amendment to the Health Services Organization Act concerning a patient’s end-of-life declaration of will. The speaker supports the direction of the draft bill but strongly emphasizes the need to resolve practical and ethical issues. Emphasis is placed on awareness work and the psychological preparation of healthcare professionals, which demonstrates a policy- and value-based approach.

2 Speeches Analyzed
Topic Expertise
The speaker demonstrates expertise in the field of applied healthcare, focusing on organizing awareness campaigns and the training of medical professionals. Particular emphasis is placed on the complexity of medical ethics and the shift in physicians' mindset concerning end-of-life decisions. Specific terminology is used, referring to advance directives and the training of doctors starting in their very first year of study.

2 Speeches Analyzed
Rhetorical Style
The rhetorical style is formal, respectful, and measured, addressing both the chair of the session and the Minister. The tone is concerned and inquisitive, balancing practical implementation issues (such as awareness campaigns) with deep ethical and psychological considerations. The speaker himself acknowledges the sensitivity of the question ("I thought long and hard about whether I should ask this or not").

2 Speeches Analyzed
Activity Patterns
The speaker was active during the first reading of the specific bill, posing two questions during the same session day. This pattern indicates a focus on key legislative debates and a willingness to delve into the details.

2 Speeches Analyzed
Opposition Stance
Not enough data.

2 Speeches Analyzed
Collaboration Style
The working style is based on dialogue and information gathering, involving direct questioning of the minister. Communication is respectful and solution-oriented, with a focus on the specifics of implementation.

2 Speeches Analyzed
Regional Focus
Not enough data.

2 Speeches Analyzed
Economic Views
Not enough data.

2 Speeches Analyzed
Social Issues
The primary focus is on a sensitive social and ethical issue—the patient's end-of-life declaration of will. The speaker emphasizes raising public awareness and the importance of addressing healthcare workers' mental health and resolving ethical dilemmas. The emotionally difficult task faced by doctors is particularly highlighted.

2 Speeches Analyzed
Legislative Focus
The legislative focus is currently on the draft Act amending the Health Services Organization Act (patient's end-of-life declaration of intent) (Bill 604 SE). The speaker plays the role of an active questioner, demanding clarifications regarding the details of the bill's implementation and the training protocols for healthcare professionals.

2 Speeches Analyzed