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Ecuador’s Health System: What Accountability Doesn’t Count

Summary by Plan V
The paradox In 2025, the Ministry of Public Health (MSP) reported a budget execution of 94.64%. That same year, the institutional indicator of supply of medicines and medical devices was located at 59%. Two figures seem to tell different stories. The first shows how much of the available budget was used; the second, a part of what happens when that budget has to become sanitary capacity. The explanation might be that it lacked budget.
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The paradox In 2025, the Ministry of Public Health (MSP) reported a budget execution of 94.64%. That same year, the institutional indicator of supply of medicines and medical devices was located at 59%. Two figures seem to tell different stories. The first shows how much of the available budget was used; the second, a part of what happens when that budget has to become sanitary capacity. The explanation might be that it lacked budget.

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Plan V broke the news on Thursday, August 13, 2026.
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