Public health adds more than 60,000 officials after a year of turbulence in Muface
The General Mutuality of State Civil Servants (Muface) has gone through what could have been the worst stage in its history. This Wednesday, November 5, marks exactly one year since the triggering of a crisis that came to put the survival of the model in checkwhen none of the three insurance companies that were providing the service at that time presented themselves to the new tender. Twelve months later, within this mutual fund there is a little more stability, which has resulted in the definitive abandonment of DKV Seguros and the addition of more than 60,000 mutual members to the ranks of public health, amount that includes both patients previously treated by insurers and new registrations of public workers
According to data to which ‘La Información Económica’ has had access, at the end of last June, the National Social Security Institute (INSS) It counted a total of 567,530 members, of which 417,928 were registered as holders and 149,602 as beneficiaries. The figure is higher than the 506,742 total affiliates that were registered at the end of 2024, of which 369,586 were listed as members. The window to request the change has been open up to three times during the first half of the exercise.
The first time took place in January, since although it had not yet been put out to tender, it was decided to maintain it. Various sources convey to this medium that the choice of public system was around 30,000 requests. We had to wait until May for Muface to enable the option again, but with the new 2025-2027 concert already in force. As a novelty, in June it was also available on an ordinary basis, a milestone that was achieved in the negotiations at the end of 2024 and which represented a historical claim union.
To put it in context, the INSS gained almost 50,000 mutual members in 2024. If a historical series that starts in 2010 is taken as a reference, the number of participants has remained stable throughout the year. period about 1.5 million peoplealthough the number of mutual members who choose to go to the public has doubled from the 265,709 people at that time.
The x-ray as of June 30, 2025 shows a total of 1,560,319 affiliates between public and subsidized healthcare, slightly below the 1,564,181 people in December 2024. Muface is currently distributed between SegurCaixa Adeslaswhich is close to 574,000 mutual members, almost 14% more than six months ago, and Asisa, which goes from 352,081 to 418,921 people. The CEO of DKV, Fernando Campos, whose company withdrew from participating in the tender, has warned this Monday that there is a problem of “excess supply”. “We also believe that the health sector complements public health, beyond the politicians who try to confront both systems,” he said.
New strategic plan
He Muface General Council held a meeting a few weeks ago in which the framework with the priorities of the new AVANZA2 strategic plan for 2025-2027 was addressed, which includes, among other aspects, the goal of energizing the organization and delve into the sustainability of the system. It so happens that the Independent Authority for Fiscal Responsibility (AiREF) published a document last March in which it concluded that Muface has room to improve effectiveness, be more efficient and equitable. For this it will be necessary to address measures which involve making Muface voluntary and for new officials to progressively join public health.
Despite These two initiatives are not included in said roadmapin said document there is mention of these reforms, which “must be addressed in a broader context of the Mutual Society itself and, therefore, it does not seem that its inclusion in this Plan is the ideal instrument to work on them.” This situation has heated up the atmosphere. CSIF – the most representative union among the civil servants – has already threatened with a “great social mobilization” in case the Government continues with the proposed structural reforms.
