Even though the number of protesters in front of the Council of Ministers was small it achieved its objectives. Many important questions for the system of healthcare were raised strongly enough in front of the minister of health and the prime minister Borisov. It is true that Borisov did not give a clear answer and did not make any commitments on the most substantial questions - these of the financing of the health institutions, of the budgets of hospitals and of the liquidation of the market for medical services. The citizens however declared them and expressed their disagreement with them. A clear signal was given that the replacement of the health minister and the boss of NHIF did not lead to a change in policy. The problems remain and even deepen. The lack of answers at the moment does not mean a lack of a result because the government can not help taking into account the expressed public disagreement with the current health policy. The inclusion of representatives of the protesters in working groups in MH and NHIF is only one piece of evidence for that.
The prime minister committed to solving some problems related to the treatment of patients on hemodialysis and the provision of equipment for radio therapy to cancer patients. Even if it is the only result from the protest it was worth holding it because the solution to these problems determine the health and life of thousands of patients.
The comparatively small number of participants is a subject of separate analysis. It is obvious that there is a widespread discontent with the condition of the health system - that shows the many complaints, surveys and research of the public opinion. Even though they were given the opportunity citizens and patients did not participate in large numbers. The participation of doctors and pharmacists was also symbolic even though the leaderships of their professional associations came out with declarations of support. It is sure that one of the reasons is our mentality to react only if we are personally affected. Another reason is probably the lack of faith that something can be     achieved by means a protest at all. It seems that few are those that are ready to sacrifice their comfort of life in the name of an ideal, public objective. Probably we have to accept that these are the realities. Widespread protests are possible only if they are well-organized and administrated. The people are not ready to take part only by the power of a civil appeal even though it is just. We have to accept that things are like they are. Both now and it the future the common work will be done by the more public-spirited and the more active and the rest will just wait for somebody to do something instead of them.

The patient is the important man in the system, it is built for him , d-r Stoycho Katsarov a member of GB of civil association Centre for protection of rights in healthcare declares in an interview for BGNES.

The doctor does not need the health system , he opens the surgery and says it costs so much, he does not need the system. The system is necessary to us as patients. It allows us regardless of whether we have high or low income to have access to the health system that is its sense. From that point of view , if we follow that logic, the patient has to be at the centre of that system, because it is created for him. How can he become the centre of that system? He can become the centre of that system only if things depend on him from financial point of view. The principle is the following the money will go after the patient , the patient is free to choose where to be treated. Where he goes to be treated there the money will go. Therefore the hospitals or the clinics , the medical centres, that are preferred by the patients and they are preferred because they provide a better service will receive more money and will have the opportunity to invest, to develop, to hire new personnel, to buy new equipment. These health institution where nobody wants to be treated or the patients are very few , they will just go bankrupt and that will not be any drama. That's how the ill person becomes the important man in the system. In practice that can be accomplished in the following way: All of us as insured persons receive one electronic card like a credit, debit such kind of cards and with it we make the payment of the service. If my card does not go through the terminal of the health institution there is no payment, i.e. without my consent a payment can not be made. In that way the Health fund will have seven million six hundred thousand controllers of the services that are provided by the health institution and nobody can not be angry with anybody else. d-r Katsarov says , former deputy minister of health.

According to article 30 of the Law on health insurance the Director of NHIF submits in Parliament via the Council of Ministers until 30th June of the next year a Yearly report for the fulfilment of the budget and the work of NHIF for the previous year.
Up till this moment NHIF has not published its report. From its own source CZPZ has got the data that will be submitted to the National assembly. As we already had a reason to guess and it is very obvious in black and white from the report that the Law on the budget of NHIF for 2009 has been violated. On the income part instead of the budgeted 2 472 943 000 leva, 2 208 197 000 have been collected. On the expenses part instead of the allotted by the law 2 071 182 000 leva, 1 752 776 000 leva have been spent. In the law for 2009 a surplus to the amount of 401 761 000 leva was budgeted and the reported surplus is 455 421 000. At the same time NHIF did not pay its obligations to the health institutions for the months of November and December.