The “Health Solidarity” federation warns that the current healthcare payroll system produces losses of billions of lei for employees and claims that the draft of the new payroll law does not solve the existing problems, but risks accentuating them. The conclusions appear in a study based on the analysis of more than 57,000 salary situations in public hospitals.
According to the trade union, one of the most important issues is the way in which increases for working conditions are calculated. These are still reported on the 2018 base wages, and not on the wages currently being paid.
Because of this, each employee loses monthly between 721 and 1,596 lei, depending on the professional category and job. The federation estimates that the total damage reaches approximately 208 million lei each month, which means almost 2.5 billion lei annually. The most affected categories are nurses and auxiliary staff.
Same risks, different gains
The study shows that the same legal provision produces different effects depending on the professional category, even when employees work under the same conditions.
An example is the 85% increase granted to staff in the Anesthesia and Intensive Care (ATI) wards. In practice, this represents approximately 75% of the salary in payment for doctors, 61% for nurses and only 34% for ancillary staff, although they all work in the same environment and are exposed to the same risks.
The federation claims that this difference represents one of the most important inequities of the current system.
Salary differences of up to 25% between employees with the same position
The report also highlights that two employees who occupy the same position, have the same seniority and work in the same type of department can collect different salaries just because they are employed in different hospitals.
According to the study, the difference in net income can reach approximately 1,750 lei per month, equivalent to a gap of approximately 25%.
The authors of the research say that these differences are mainly driven by the way the salary cap is applied and not by the volume or complexity of the work.
At the same time, the union claims that the hospitals facing the greatest staff shortages are also the ones where employees bear the greatest workload, while receiving lower incomes, a situation it qualifies as a “double penalty”.
The report also points to important differences in the salaries of TESA staff, as well as the non-transparent granting of salary incentives, without clear performance-related criteria.
“Health Solidarity” states that the draft of the new wage law does not eliminate any of the six inequities identified in the system.
Moreover, the organization claims that the new form of the law would reduce the increments for working conditions, decrease the pay of guards and work performed on days off, lower the ceiling of increments to 20% and eliminate the differentiation between medical specialties.
According to the calculations presented in the study, in order for all existing salary rights to be calculated at the basic salaries in payment, additional funds of approximately 266 million lei per month, respectively approximately 3.2 billion lei per year, would be required, equivalent to approximately 10.7% of the total personnel expenses of public hospitals.
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