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Healthcare in HungarySince the year 2000, Hungary has made strides to improve its healthcare system, which for decades has lagged behind the healthcare systems of other countries in the European Union (EU). Unequal issuing of medical equipment, the prevalence of smoking, drinking and obesity and an unstable political system have resulted in systematic healthcare issues in Hungary, which disproportionately affect citizens living in poverty. Here are seven facts everyone should know about healthcare in Hungary.

7 Facts About Healthcare in Hungary

  1. Hungary has one of the lowest life expectancies in the EU. In 2017, life expectancy in Hungary averaged 76 years, a four-year increase since the year 2000. Despite the improvement, the Hungarian life expectancy is still 4.9 years behind that of other Europeans. Hungarians have higher rates of risk factors, such as smoking, obesity and underage alcohol consumption than other countries in the EU, which can contribute to an early death.
  2. As of 2017, Hungary’s rate of amenable mortality is twice that of the rest of the EU. Amenable mortality refers to deaths from diseases and conditions that are nonfatal when given appropriate medical care.
  3. Socioeconomic inequalities in Hungary contribute to lower life expectancy. Lower-income Hungarians are more likely to report unmet medical needs than those with a higher income. Out-of-pocket spending in the country is double the EU average and medical care is most readily available to those who can afford to pay. Though access to medical care is not an issue across the board, lower-income Hungarians are 11 times more likely to complain of unmet healthcare needs.
  4. Healthcare in Hungary suffers from an unequal distribution of equipment. According to the Organization for Economic Cooperation and Development, the Hungarian counties with the lowest health status tend to also have the lowest numbers of necessary medical supplies. The distribution of resources is concentrated largely in the capital of Budapest and the counties with the highest health status. The city of Budapest alone has 87% more doctors and 64% more hospital bed space than the rest of the country.
  5. Healthcare in Hungary does excel in some areas but still has systematic problems. In 2016, the Euro Health Consumer Index ranked the Hungarian healthcare system 30th out of 35 countries in the EU. Though Hungary does excel in infant vaccination and physical education, it has some of the EU’s highest waiting times for CT scans and a higher than average occurrence of lung disease, infections and cancer deaths. It also had the second-highest prevalence of bribery among hospital workers. Hungarian physicians are particularly susceptible to this form of corruption due to their low pay. Their acceptance of these so-called “gratitude payments” puts those who cannot afford to pay extra at a disadvantage.
  6. The World Health Organization (WHO) rewarded the government’s anti-tobacco initiatives. In 2013, the WHO awarded Prime Minister Viktor Orbán with its WHO Special Recognition award for “accomplishments in the area of tobacco control.” In recent years, the Hungarian government has developed anti-tobacco campaigns to quell the high percentage of smokers in the country. These reforms include changing the labels on tobacco products to include warnings of the potential side effects of smoking and banning smoking in public spaces. The country has also taken steps to ban advertisements for tobacco products and, since then, has seen a reduction of smoking-related deaths.
  7. Reforms to increase the healthcare workforce are in progress. In November 2018, the government rolled out a plan to increase physicians’ pay 72% by 2022, and, in early 2020, announced government scholarships for 3,200 people in order to bring more Hungarians into the understaffed nursing profession.

Healthcare in Hungary today is still behind many other countries in the European Union. Hungarians have lower life expectancies than other Europeans and the country is in need of more skilled doctors and nurses to properly treat all of its people. However, in recent years, the Hungarian government has invested more money to reduce the country’s high rates of smoking-related deaths and increase the healthcare workforce. Healthcare in Hungary has experienced a positive change in recent years and, with more investments in the healthcare sector, more necessary reforms can be made.

Jackie McMahon
Photo: Flickr

10 Facts About Corruption in Hungary

After several subsequent electoral successes, Prime Minister Viktor Orbán and his Fidesz party have been accused of corrupt activity by the European Union and opposition parties in Hungary. Today, Hungary is ranked as 64 out of 180 countries in terms of corruption, ranking it “among the most corrupt Member States” in the EU. In the text below are 10 facts about corruption in Hungary.

10 Facts About Corruption in Hungary

  1. Orbán, along with the Christian Democratic People’s Party, holds a super-majority of 66 percent in Parliament, which allows them to amend the country’s constitution. To date, several amendments have passed that cement the power of Fidesz. Most notably, changes made to the electoral process reduce the chances of opposition parties winning seats. A new amendment modified the process so that 93 of the 199 seats are awarded proportionally based on the percentage of votes a party receives in the national election. The remaining 106 seats are won by receiving a plurality of votes in a local election, meaning that Fidesz can get 40 percent of the vote and still win the seat. Because opposition parties are divided, it is difficult for them to win these local elections.
  2. In March, the European People’s Party discussed suspending the Fidesz party from its bloc in the European Parliament amidst corruption allegations. This is not the first time that Orbán has been threatened with expulsion. However, no actions were taken at that time.
  3. Hungary regularly engages in unannounced “negotiated procedures,” which allow the government to strike a deal without going through an open competition. This has led some to accuse the government of mishandling EU funds. The 2014-2020 EU budget allocates €28 billion to Hungary, but critics worry that much of it will end up in the hands of Orbán’s family, friends and party loyalists. Adding to their concern, the prime minister’s office has sole authority in determining disbursement of funds. Elios Innovatív, owned by Orbán’s son-in-law István Tiborcz, had won a €40 million contract with the government in 2015. Lőrinc Mészáros, a longtime political ally of Orbán’s, has seen his wealth triple since Orbán’s election. He has become the second richest man in Hungary, owning 203 companies and receiving 83 percent of his companies’ profits from EU funds.
  4. From 2013 to 2019, Hungary’s ranking in the World Press Freedom Index dropped from 56 to 87 in the world. The dramatic shift occurred when 476 private media companies simultaneously transferred ownership, without compensation, to the Central European Press and Media Foundation. Allies of the Prime Minister head the company, including István Varga, a former Fidesz member of Parliament, and István Bajkai, Orbán’s personal lawyer.
  5. The Fidesz Party declined to sign an agreement that would allow Central European University (CEU) to remain in Budapest. The university will now be forced to move its campus to Austria. CEU has several anti-corruption research arms, including the Anti-Corruption Research Group and the Center for Integrity in Business and Government. At multiple points, their reports were critical of the Fidesz government and accused it of corrupt activity. For example, one CEU research report wrote that the party engaged in “a constitutional coup d’état against an established democracy.”
  6. Through gerrymandering, Fidesz effectively limits opposition party participation. Gerrymandering ensures victory in what would otherwise be competitive districts. One study found that an opposition party needs to receive around 300,000 more votes than the Fidesz party needs in order to win a majority in the parliament.
  7. A 2016 poll reported that two-thirds of Hungarians regard their government as corrupt with 60 percent believing that corruption in Hungary goes to the top levels of government, including Orbán. This reflects a strong need for change, but the power accumulated through corruption has allowed Fidesz to continue to govern.
  8. Amid growing corruption concerns, an opposition politician named Akos Hadhazy gathered 680,000 signatures demanding that Hungary join the EU’s new anti-corruption arm, the European Public Prosecutor’s Office. Hadhazy specifies many of these 10 facts about corruption in Hungary, but he is especially concerned about the use of EU funds. Thus far, Fidesz refuses to join, citing concerns about overreach from Brussels. Hadhazy said, “Now it’s up to EU institutions to increase pressure on the Hungarian government unless they want European taxpayers to finance a regime that openly works against the EU.”
  9. Transparency International Hungary (TIH), an anti-corruption NGO, considers young people to be essential to combating corruption. According to TIH, 90 percent of Hungarians ages 15-29 believe that corruption is present in their politics. However, they also find that only 25 percent of young people believe that reporting government corruption will be taken seriously. TIH hopes to mobilize the youth in their fight against corruption.
  10. The Hungarian Helsinki Committee provides free legal assistance to detainees, victims of police brutality and jailed protestors or activists. The group helped more than 1,400 people in 2018. From 2008 to 2018, it trained more than 4,000 lawyers, judges and states officers. The NGO describes itself as “one of the few remaining voices that publicly oppose attacks on civil society and the further democratic backsliding of Hungary.” Hungarian tax laws allow its citizens to donate 1 percent of their income tax to a nonprofit of their choosing. NGOs, including the Hungarian Helsinki Committee, encourage donations in order to continue their work. Through this, Hungarians may express their support for organizations working to combat corruption in their country.

According to the World Bank, Hungary has a poverty rate of about 15 percent, meaning almost 1.5 million Hungarians live in poverty. These 10 facts about corruption in Hungary threaten academia, the media, NGOs and several democratic institutions. This, in turn, threatens the well-being of Hungarian civil society, which is trying its best to create a more equitable and just Hungary.

– Kyle Linder
Photo: Flickr