The President promulgated the new National System for Access to Consultations and Surgeries (Sistema Nacional de Acesso a Consultas e Cirurgias), replacing the two‑decade‑old SIGIC system. He cited positive elements — notably greater transparency and efficiency — but expressly raised doubts about implementation, professional frameworks and patient data protection. If implemented as designed, the reform aims to change how waiting lists are managed, but hospitals and patients should expect a transition period while technical and privacy issues are resolved.