Paraguay doctors strike over collapsed health system

Paraguay doctors began a five-day strike on Monday, 24 August 2026, in response to a collapsing health system. The action, led by the Sindicato Nacional de Médicos (Sinamed), affects over 1,500 health centers across the country. Doctors are demanding a pay adjustment of about G. 3,000,000 (US$500) per doctor, which they claim has been frozen since 2012, eroding their purchasing power.

Inflation has cut real wages sharply over the past 14 years, according to the union. The strike also calls for double pay for holidays worked and permanent jobs for thousands of doctors currently on temporary contracts. Hospitals report reduced services, suspending consultations and scheduled surgeries across the public health network.

Major cities and rural areas both experience disruptions, with some hospitals offering only basic and emergency care on the first day. The health ministry named more than 11,000 functionaries, but the union says permanent positions are needed to address widespread job insecurity. Doctors also demand better maintenance of hospital equipment and medical supplies, warning that shortages are compromising care quality.

The government has held four tripartite meetings with the Ministry of Labor and the Ministry of Health but has not reached an agreement, citing resource limitations. Health Minister María Teresa Barán stated that meeting demands would be difficult without sufficient resources. The strike has drawn support from other medical organizations and patients, with marches and plantones in Asunción and other cities.

While emergency and critical care services remain operational, many patients face long waits and uncertainty as routine care suspends. Union leaders warn that the crisis could worsen if the strike extends beyond Friday, 28 August 2026, and threaten to call for an indefinite strike.