The National Health Service (SNS) in Portugal is facing a significant financial crisis, with a reported negative balance of 1.035 billion euros and a debt to external suppliers of 1.510 billion euros. Despite an increase in consultations and surgeries, waiting lists are growing, and more patients are without family doctors. The Minister of Health, Ana Paula Martins, has not addressed how state policies contribute to the decline of public health services, particularly through tax deductions for private health services. This system encourages the use of private healthcare, undermining public services and leading to a financial strain on the SNS. The article raises critical questions about the sustainability of public health funding and the fairness of tax policies that benefit private healthcare users at the expense of those relying solely on public services.