BUSINESS/ The Executive buys the shares of the Legislative and Judiciary, creating the largest rift in the country

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The man who is sentencing the sick to death

2026-11-13 18:56:55Aktualitet SHKRUAR NGA KLODIAN TOMORI

The man who is sentencing the sick to death

In public administration theory, centralizing state purchases for healthcare has an efficiency logic behind it. Consolidating demand reduces costs, standardizes quality, and theoretically makes corruption more controllable. 

But this model has a major risk. When the centralized body is compromised, it turns into a mass execution machine. 

For weeks, state hospitals have been suffering from a shortage of biopsy needles—a basic but crucial tool for the timely diagnosis of malignant diseases. The scandal was first reported by journalist Osman Stafa and confirmed by many patients, who are desperately knocking on the doors of public hospitals. 

For a patient waiting to learn if they have a tumor, time is not an administrative variable, but a matter of survival. However, behind-the-scenes hospital supply shows that these shortages are not the result of some global supply chain crisis, nor a lack of funds, but are the direct product of a seven-month odyssey of failed tenders.

The procurement chronology for medical consumables for the University Hospital Center "Mother Teresa" reads like a case study in institutional dysfunction. It all started in April, when the University Hospital Center forwarded to the OBP its annual needs, divided into two lots: general medical supplies (Lot 1) and surgical supplies (Lot 2). After a ping-pong of letters to review prices and specifications according to the approved catalogs, the hospital resented the file on May 22. The OBP only opened the competition on June 12.

While Lot 1 managed to close with a winner, Lot 2—the one covering operating rooms and diagnostics—entered a vicious cycle of cancellations. The procedure was initially canceled by a decision of the Public Procurement Commission, was re-announced by the OBP on August 24, was canceled again to be reopened on August 28, and then failed for the third time. On November 6, the institution headed by Jonaid Myzyri re-announced the tender for the fourth time, again changing the division into lots and the qualification criteria.

This constant hesitation and repeated rewriting of the rules of the game raises serious questions about the technical capability and goals of centralized procurement. When criteria change from one month to the next and tenders are cancelled in series, the market freezes, suppliers withdraw and hospital shelves empty.

To understand the gravity of this incompetence, one must look at the legal framework that makes the situation Kafkaesque. According to a Decision of the Council of Ministers, the OBP has an absolute monopoly on performing these procedures. Public hospitals have been stripped of any authority to procure on their own. 

In April and May, QSUT leaders repeatedly warned of procedural deadlines and were forced to use emergency 90-day negotiation procedures simply to keep services afloat. But temporary solutions cannot compensate for the chronic failure of a system that is designed to function properly.

The irony of this centralization is clear: the power to purchase is concentrated in a single hand, but responsibility for shortages is left at the door of doctors and hospital directors, whose hands are tied by law. 

But biopsy days are not the only shortage. OBP has practically brought all surgery to a standstill. Today, the Fier Memorial Hospital announced the suspension of operations due to the lack of surgical equipment. The reason for the shortage is the failure of tenders from the OBP bank. 

Capital warned what was coming ( read here ). But no one listened. Or they didn't want to listen. 

In health economics, the costs of bureaucratic delays are not measured in financial fines or audit reports. They are measured in delayed diagnoses, postponed interventions, and lives at risk. 

Until the government understands that an inefficient state monopoly is just as dangerous as an abusive private monopoly, Albanian patients will continue to pay the bill for a system where tenders are endlessly re-announced, while their time is running out.

Or, all this is a dirty coordinated game. To create the alibi that the OBP does not have the capacity to supply the country's hospitals on time in order for the purchasing monopoly to move to another hand. This is the hand that sponsored the criminal draft law on the privatization of health tenders, which is expected to reappear on the scene very soon. 

In any case, this is a crime and the crime has an author. An unworthy person who is sentencing the sick to death. ( Kapitali.al )


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