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Fitch Affirms Romania at ‘BBB-‘; Outlook Negative

Fitch Ratings – Frankfurt am Main – 08 Apr 2022: FitchRatings has affirmed Romania´s Long-Term Foreign-Currency Issuer Default Rating (IDR) at ‘BBB-‘ with a Negative Outlook.

A full list of rating actions is at the end of this rating action commentary.

KEY RATING DRIVERS

Credit Fundamentals: Romania’s ‘BBB-‘ rating is underpinned by EU membership and EU capital flows that support investment and macro-stability, and GDP per capita, governance and human development indicators that are above ‘BBB’ category peers. These are balanced against larger twin budget and current-account deficits than peers, a weak record of fiscal consolidation and high budget rigidities, and a fairly high net external debtor position.

Negative Outlook: The Negative Outlook reflects continued uncertainty regarding the implementation of policies to address structural fiscal imbalances over the medium term and the impact of the Ukraine war and energy crisis on Romania’s economic, fiscal and external performance.

Heightened Short-Term Challenges: The Russian invasion of Ukraine represents a significant macro headwind, as it will heighten short-term risks to growth and inflation, and to a lesser extent, to public and external finances. Trade and export links with Russia—as well as Ukraine and Belarus—are very limited (exports to the three countries accounted for only 2.3% of the total in 2020), and unlike other countries in the region, Romania imports only a modest share of its gas from Russia (20%, the is rest domestically produced). However, steep increases in commodity prices, supply-side disruptions and weaker growth in Romania’s main trading partners (mainly the eurozone) will have significant spillovers, heightening short-term risks.

Public Investment Key Growth Driver: Fitch expects GDP growth to slow to 2.1% in 2022 (from 5.9% in 2021), primarily reflecting a slowdown in private consumption and exports. Although the government has put some measures in place to offset higher energy costs, they will likely be insufficient to prevent a loss of purchasing power. We expect public investment to provide some momentum in 2H22, in line with higher absorption of the 2014-2020 Multi-Annual Financing Framework and from the Recovery and Resilience Fund (RRF). In 2023 we expect investment dynamics to further accelerate, which combined with our assumption of normalisation of external trade and supply chains, will lift growth to 4.8%.

Inflation Higher for Longer: We forecast the harmonised index of consumer prices (HICP) will average 10% in 2022 (the highest rate since 2004), with inflation likely to reach double digits in 2Q22 and possibly 3Q22 (from 7.9% in February), reflecting significant pass-through from higher energy and commodity prices as well as second-round effects. The government has placed a cap on electricity and gas prices for households and some companies until April 2023, which should limit inflation pressures somewhat. Unlike other countries in the region, wage growth appears moderate (largely due to restraint on public wages), but pressures are likely to rise as the labour market continues to tighten and employees feel a squeeze on their living standards. Fitch expects inflation to soften to 5.5% in 2023, in large part reflecting base effects.

Central Bank’s Multiple Priorities: The National Bank of Romania (NBR) has tightened its main policy rate by 1.75bp since September 2021 (to 3% in April) and increased its interest rate corridor in an effort to tackle rising inflation. The authorities have also focused on exchange rate stability to limit inflation pass-through, with the currency maintaining broad stability in 1Q22 following interventions by the central bank. We expect the tightening cycle to continue but at a modest pace to prevent an even faster economic slowdown. The NBR reactivated its programme of government bond purchases in March to improve liquidity and limit volatility in domestic bond yields, a tool we expect to be used only sporadically. However, if volatility persists and macro-challenges accentuate, the NBR might find it more challenging to balance multiple policy priorities, raising the risks of a sharper adjustment on the growth or fiscal side.

Challenging Public Finance Outlook: The government overperformed its budget targets in 2021 (we estimate the accrual deficit at 7.5% of GDP versus 8% in the budget) thanks to strong revenue performance and CAPEX under-execution. This better-than-expected starting position, as well as the government’s commitment to adhere to wage and pension spending limits in 2022 (as was the case in 2021), will help the authorities manage increasing expenditure pressures stemming from rising macro-challenges. The energy cap will have a modest net cost to the budget (most of it will be financed by taxing profits of energy producers) and the authorities estimate costs for Ukrainian refugees to total at least EUR1 billion (0.4% of GDP). However, we believe there are likely to be additional demands for support measures, the scope of which will largely be dependent on access to funding. Overall, and despite expectations of solid revenue growth due to a high deflator, we expect the fiscal deficit to reach 7.1% of GDP this year, compared with the budget target of 6.3%.

The ruling coalition remains committed to medium-term fiscal consolidation and implementation of ambitious revenue measures to boost tax collection and expenditure reforms tied to the RRF. However, this will require difficult political compromises and the passage of key pension and wage bills by mid-2023, just before the busy 2024 electoral cycle begins. Romania has a very weak record of adopting structural fiscal reforms, often relying on under-execution of investment to meet deficit targets.

Broadly Stable Debt, Financing Pressures: Under our baseline scenariostrong nominal growth and a modest reduction in the primary balance will keep the public debt/GDP trajectory on a very gradual upward trend, rising from an estimated 48.9% in 2021 to 51.3% in 2023 (and compared with a ‘BBB’ median of 55%). The strong commitment to exchange rate stability somewhat moderates the potential risks from high foreign-currency exposure (50% of total debt). Financing needs will remain large in 2022 (at around 11% of GDP), requiring significant domestic and external issuances. This will heighten the risks around financing flexibility, in particular in the event of additional domestic or external shocks.

Large External Imbalances: Fitch expects Romania´s current account deficit (CAD) to average 6.8% of GDP in 2022-2023, down slightly from a 13-year high of 7.0% in 2021 and compared with the current ‘BBB’ median of 1%. Some of the improvement will be due to a weakening of domestic demand in 2022 (which lowers import demand), followed by our expectations of a recovery in manufacturing exports in 2023. Foreign direct investment picked up in 2021 but in conjunction with capital transfers only covered around 66% of the CAD last year. We expect this ratio to remain broadly constant in 2022-2023, even as EU flows accelerate. High public external debt issuances will keep the net external debt position at around 22% of GDP over the forecast period, compared with the ‘BBB’ median of 5%.

Political Stability: The grand coalition of the centre-left PSD and centre-right PNL has proven remarkably stable since taking power in December, despite various areas of policy disagreement and confrontational stance in the past. The coalition government has turned its focus to dealing with Ukrainians and the cost of living crisis while fully supporting the EU stance against Russia. There are few risks around short-term stability, in particular as parties want to focus on meeting RRF milestones to unlock generous funding. Nevertheless, public discontent could increase rapidly if the cost of living crisis accentuates, potentially risking more populist policies or sharpening internal divisions within the coalition.

ESG – Governance: Romania has an ESG Relevance Score (RS) of 5[+] for both Political Stability and Rights and for the Rule of Law, Institutional and Regulatory Quality and Control of Corruption. These scores reflect the high weight that the World Bank Governance Indicators (WBGI) have in our proprietary Sovereign Rating Model (SRM). Romania has a moderate WBGI ranking at 59.2 percentile, reflecting a recent record of peaceful political transitions, a moderate level of rights for participation in the political process, moderate institutional capacity, established rule of law and a moderate level of corruption.

RATING SENSITIVITIES

Factors that could, individually or collectively, lead to negative rating action/downgrade:

-Fiscal: Reduced confidence in the capacity to implement fiscal consolidation that undermines fiscal policy credibility, leads to a faster-than-projected increase in public debt, reduces financing flexibility or increases risks to macro-economic and external sector stability.

-External: A sustained deterioration in the balance of payments, for example, reflecting a sharper widening in the CAD and/or failure to attract non-debt financing flows.

-Macro: Weaker growth prospects, for example, reflect a more pronounced or longer period of an economic slowdown that leads, for example, to increased fiscal pressures.

Factors that could, individually or collectively, lead to positive rating action/upgrade:

-Fiscal: Improved confidence that the government´s fiscal strategy will lead to a narrowing fiscal deficit and broad stabilisation of general government debt/GDP over the medium term.

-External: Evidence of increased economic and external resilience to tighter financing conditions and geopolitical risks.

SOVEREIGN RATING MODEL (SRM) AND QUALITATIVE OVERLAY (QO)

Fitch’s proprietary SRM assigns Romania a score equivalent to a rating of ‘BBB’ on the Long-Term Foreign-Currency (LT FC) IDR scale.

Fitch’s sovereign rating committee adjusted the output from the SRM to arrive at the final LT FC IDR by applying its QO, relative to SRM data and output, as follows:

– External Finances: -1 notch, to reflect Romania’s higher net external debtor and net investment liabilities positions than the ‘BBB’ median, as well as higher external vulnerability than implied by the SRM model, given adverse policy developments in recent years that have impacted external competitiveness and aggravated its exposure to shocks.

Fitch’s SRM is the agency’s proprietary multiple regression rating model that employs 18 variables based on three-year centred averages, including one year of forecasts, to produce a score equivalent to an LT FC IDR. Fitch’s QO is a forward-looking qualitative framework designed to allow for adjustment to the SRM output to assign the final rating, reflecting factors within our criteria that are not fully quantifiable and/or not fully reflected in the SRM.

BEST/WORST CASE RATING SCENARIO

International scale credit ratings of Sovereigns, Public Finance and Infrastructure issuers have a best-case rating upgrade scenario (defined as the 99th percentile of rating transitions, measured in a positive direction) of three notches over a three-year rating horizon; and a worst-case rating downgrade scenario (defined as the 99th percentile of rating transitions, measured in a negative direction) of three notches over three years. The complete span of best- and worst-case scenario credit ratings for all rating categories range from ‘AAA’ to ‘D’. Best- and worst-case scenario credit ratings are based on historical performance. For more information about the methodology used to determine sector-specific best- and worst-case scenario credit ratings, visit https://www.fitchratings.com/site/re/10111579.

REFERENCES FOR SUBSTANTIALLY MATERIAL SOURCES CITED AS KEY DRIVERS OF RATING

The principal sources of information used in the analysis are described in the Applicable Criteria.

ESG CONSIDERATIONS

Romania has an ESG Relevance Score of ‘5[+]’ for Political Stability and Rights as WBGI has the highest weight in Fitch’s SRM and is therefore highly relevant to the rating and a key rating driver with a high weight. As Romania has a percentile rank above 50 for the respective governance Indicator, this has a positive impact on the credit profile.

Romania has an ESG Relevance Score of ‘5[+]’ for Rule of Law, Institutional & Regulatory Quality and Control of Corruption as WBGI has the highest weight in Fitch’s SRM and is therefore highly relevant to the rating and is a key rating driver with a high weight. As Romania has a percentile rank above 50 for the respective governance indicators, this has a positive impact on the credit profile.

Romania has an ESG Relevance Score of ‘4[+]’ for Human Rights and Political Freedoms as the Voice and Accountability pillar of the WBGI is relevant to the rating and a rating driver. As Romania has a percentile rank above 50 for the respective governance indicator, this has a positive impact on the credit profile.

Romania has an ESG Relevance Score of 4[+]’ for Creditor Rights as a willingness to serve and repays debt is relevant to the rating and is a rating driver for Romania, as for all sovereigns. As Romania has a record of 20+ years without a restructuring of public debt, which is captured in our SRM variable, this has a positive impact on the credit profile.

Except for the matters discussed above, the highest level of ESG credit relevance, if present, is a score of ‘3’. This means ESG issues are credit-neutral or have only a minimal credit impact on the entity, either due to their nature or to the way in which they are being managed by the entity. For more information on Fitch’s ESG Relevance Scores, visitwww.fitchratings.com/esg.

Romania to Host The World Esports Championship in 2023

The World Sports Championships will return to Romania after the country’s capital, Bucharest, hosted the tournament in 2013, with over 130 countries and 1,200 players expected to compete. In the first global Esports competition with national teams, the World Cup puts the top players in the world against each other to determine which nation will take home the title.

gaming

What do Gaming and Esport mean, and how profitable is it for Iasi county?

It is a global phenomenon. It already generates substantial profits for hardware companies

Adrian Socaciu from the Romanian Sports Institute

The event in Iasi is the culmination of months of planning and negotiations to host the World Sports Championship final in 2023. Since June 2020, Iasi has been nominated by the International Sports Federation to begin the regulatory procedures for Romania to request quality. Romania is recognized as a significant element in the European Gaming and Sports sector as an official member of the IESF.

Thousands of people are expected to attend the event in Iasi, the host city for the most effervescent World Sports Championship in 2023, so preparations are well underway to commence the most well-known and well-publicized competitive sport.

The city of Iași is experiencing rapid economic growth, as evidenced by a strong core of several sports, cultural, and social programs among young people.

More than a World Gaming and Sports Championship will be held in Iasi. The current tendency is to build a gaming and eSports sector in Iasi that will be made on three pillars: academic programs developed in partnership with Iasi’s „Alexandru Ioan Cuza” University, the creation of an eSports hub, and the staging of a gaming and sports festival. Iasi will be the European capital of gamers and eSports lovers!

eSports is a competition or sport that requires skill and physical effort to play digital games where athletes compete in a world championship.

Adrian Socaciu from the Romanian Sports Institute

eSports is organized into tournaments and leagues, with many similarities to traditional sports. Participation in competitions requires a demonstration of will, adherence to authority-imposed sports rules, and subordination to laws and regulations where digital athletes worldwide compete for glory.

Gaming and eSports have grown into a multibillion-dollar industry on a national and international scale. Hardware businesses are already profiting handsomely as a result of this. And it’s a dynamic of events for the organizers, attracting thousands of ardent players and millions of fans.

According to data submitted to the tax authorities, Romania’s gaming and eSports industry generated sales of more than 200 million euros in 2020. Romania’s gaming business currently employs around 125 enterprises and 6,000 workers, placing the country among the top ten in the European Union.

How many nations are represented and how many athletes are competing in the World eSports Championship? Do you know what the awards are for the World eSports Championship?

The World Sports Championship will return to Romania after the country’s capital, Bucharest, hosted the sporting event in 2013. Over 130 countries and 1,200 players will participate in the World eSports Championship. The championship prizes will be unveiled at the press conference on March 29, 2022. The Romanian Sports Institute offers the latest European technology statistics, trends and data to excel in this field. The next level is to become one of the European hubs for the production of online and browser games.

Health Insurance House Approves Procedure by Which Refugees from Ukraine can Access Medical Services

The President of the National Health Insurance House (CNAS) Adela Cojan approved the procedure by which foreign citizens or stateless persons in special situations, coming from the area of the armed conflict in Ukraine, can access medical services on the territory of Romania.

According to a CNAS press release, based on the border crossing document accepted by the Romanian state, foreign citizens or stateless persons coming from Ukraine benefit from medical services, medicines, medical supplies, medical devices and services included in the national curative programs, the same as the medically insured persons in Romania.

Health Insurance House
Health Insurance House Logo

Mihai Sofronea’s Film The Windseeker Won the FIPRESCI Award at the Sofia International Film Festival

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At the Sofia International Film Festival 2022, Mihai Sofronea’s Romanian film The Windseeker, starring Dan Bordeianu, won the FIPRESCI award.

The Windseeker, a Romanian film, won the FIPRESCI award for „craftsmanship of reflecting human existence and for how cinema language is used to reveal the beauty of nature and day-to-day life” at a ceremony held on March 19 at the National Culture Palace in Sofia, Bulgaria’s capital, marking the 26th edition of the Sofia International Film Festival.

Romanian film
The Windseeker film

The movie tells the tale of a young man who takes refuge far from the city, just as his life appears to end, only to discover new reasons to live. Olimpia Melinte and Adrian Titieni are also part of the cast. The writing and directing belong to Mihai Sofronea.

Romanian film poster
The Windseeker

This award is an honor. It is a joy to see that the reaction of the Bulgarian audience was just as excited as the Romanian halls where we presented the film. Thank you, SIFF!

 Mihai Sofronea, film director

Libra Film (Romania), Chouchkov Brothers (Bulgaria), and Living Pictures are producing The Windseeker (Serbia). The film was made with the help of the National Center of Cinematography and the European Union’s Creative Europe program MEDIA.

Photo source: cinemagia.ro

COVID-19 Daily Cases in Romania Increases by 2,236 in 24 Hours

The Health Ministry reported on March 21 that 2,236 new cases of SARS-CoV-2 infection were reported in Romania in the last 24 hours, down five from the previous day, with over 18,000 RT-PCR and fast antigenic testing done.

254 of the new instances were in re-infected patients who tested positive more than 90 days after recovering from the disease the first time.

Since the previous report, the majority of newly confirmed COVID-19 cases in Romania have been recorded in Bucharest City (688), Cluj-Napoca (196), and Timis (137).

As of Monday, Romania had documented 2,818,275 cases of people infected with the new coronavirus.

Inpatient stays

In Romania, 3,042 patients with COVID-19, down 85 from the previous report, are hospitalized in specialist care centres, including 215 children.

Four hundred and fifty-five patients, down nine from the previous week, are in intensive care, including three children.

400 of the 455 patients admitted to the ICU are COVID-19 unvaccinated.

Deaths

According to the ministry another 12 Romanians infected with SARS-CoV-2 – 5 men and seven women – have died in the last 24 hours, including two before the reference time.

11 of the 12 patients who died had not been vaccinated, while one had been. The patient who had been immunized was over 60 years old. Comorbidities were seen in all immunized patients who died.

In Romania, 64,697 persons have died from SARS-CoV-2 infection since the pandemic.

Enlightenment Solidarity Project: Art Exhibition in Bucharest to Support Ukraine

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The largest New Media Art event in Romania, iMapp Bucharest, has joined the ENLIGHTENMENT SOLIDARITY PROJECT initiative – #ArtistsUnitedforPeace, projecting the international solidarity movement.

The campaign included a projection on the façade of the „Ion Luca Caragiale” National Theater – Teatrul Naţional „I. L. Caragiale” Bucureşti on Saturday, March 19th, 2022, between 20:30 and 23:00.

Ion Luca Caragiale” National Theater
“Ion Luca Caragiale” National Theater 

Over 35 visual artists and light festivals from around the world have donated their time and talent to the international solidarity campaign ENLIGHTENMENT, as Valahia News mentioned.

People, according to the organizers, require hope, love, encouragement, and support. We can link the entire world via art and encourage peace if we work together. Even at the worst hours of humanity’s history, art has always served the same noble purpose: to promote togetherness and to highlight the best qualities in individuals.

Projections on the National Theatre in Romania
iMapp projection on Bucharest Theater Facade: #ArtistsUnitedforPeace

International visual artists were encouraged to develop works lasting 10-15 seconds on the theme of the project under the tagline ENLIGHTENMENT, #ArtistsUnitedforPeace. On the weekend of March 19th-20th, 2022, these works of art will be broadcast in various places throughout the world in a single movie, and the animations will highlight – through their creative energy – the combined efforts to sustain hope through a message of love, solidarity, and support. A film with drawings by children from Hungary and Italy will be included in the promotion.

The United States of America, Mexico, Costa Rica, the United Kingdom, Belgium, France, Germany, Portugal, the Czech Republic, Poland, Norway, Italy, Hungary, Australia, Japan, Canada, Thailand, and Romania are just a few of the countries where the international solidarity campaign will be projected, with over 30 cities around the world supporting the project that emphasizes the ability of art to unite and transcend time and space through the power of its healing messages.

Masked Aggressor Disarmed a Romanian Soldier at Military Unit in Constanta

This may be the Romanian Ministry of Defense’s motto these days: one incident after another. In March, there were two significant incidents. Two military planes collided on the same day in the first, killing eight people. Another incident occurred on Friday, March 18, when a soldier coordinating tank operations was crushed during routine procedures.

On Saturday night, another tragedy was going to unfold. In Constanta, near the Black Sea, a disguised man trespassed one military unit and took the pistol and ammo of the military defending the premises.

According to a news release from the Romanian Ministry of Defence, a soldier from the 110 Communications and Informatics Center in Mamaia Sat, Constanta county, was attacked on Saturday, March 19, while doing guard duty in the military unit. At around 8.15 p.m., an unidentified guy wearing a hood and wielding a knife broke into the army unit’s perimeter and attacked the soldier.

According to the source, the guard station soldier followed legal procedures, opposed the attacker in a face-to-face encounter, but stripped the weapon and a 30-cartridge magazine.

After controlling the weapon and ammo, the assailant departed the unit’s perimeter (jumped the fence). The assaulted soldier immediately contacted the guard corps commander and the unit commander.

The event is being investigated by the Military Prosecutor’s Office and the police.

The incident prompted the Ministry of National Defense’s leadership to issue an immediate order to improve security services, verify security plans, and defend military goals at the level of all military units.

According to Valahia News, this is the third occurrence involving Romanian military forces raises severe concerns about the Romanian soldiers’ quality of training. This occurs when the Romanian people require more excellent protection than any previous moment in history. Unfortunately, a succession of occurrences reveals that, before everything else, the army requires significant training.

How Many Ukrainian Refugees Have Fled to Romania

After Russia invaded Ukraine on February 24, almost 470,000 Ukrainian residents fled to Romania on March 18.

Since the crisis, 469,284 Ukrainian individuals have entered Romania, with over 85,000 remaining in the country and 3.753 seeking refuge, according to Valahia News.

In the previous 24 hours, 6,448 Ukrainian residents have entered Romania via the Ukraine border, and 5,094 have entered via the Republic of Moldova border.

On the other side, Vasile Dincu, the Romanian Defense Minister, indicated that the Romanian authorities are prepared for a more significant influx of refugees from Ukraine. Still, the Ukrainian authorities cannot process them.

We are in a state of vigilance. Apart from military training, defence resources, for the strengthening of the Eastern Flank, a new problem has appeared, that of the refugees, that we have to handle. This is a situation that directly affects us, it also affects the population in the area.

Vasile Dincu, Minister of National Defense 

Because they cannot afford to migrate to other countries, many Ukrainian refugees will remain in Romania. Romania has registered 75% of Ukrainian citizens who have moved to other EU nations from Romania.

In the last inflow of Ukrainian migrants in Romania, which lasted from the start of the crisis until March 18, more than 280,000 Ukrainians crossed the Romanian border.

Significant efforts have been made at the land border to increase control and surveillance, with additional crews carrying out operations in areas of responsibility. Management is carried out in coordination with other institutions responsible for this field to ensure an efficient exchange of data and information and the coordinated adoption of appropriate responses to any circumstances that may occur.

Romanian President Klaus Johannis stated at a press conference on March 16 that Romania would not refuse any war refugees from Ukraine, saying that helping the Ukrainians is „the least that Romania can do in this catastrophe.”

However, the Ukrainian problem is concerning, and the Russian-Ukrainian war appears to be far from over. With over 600,000 people fleeing Ukraine, the situation in Ukraine could lead to the largest refugee crisis in Europe this century.

425,000 Ukrainian Refugees Entered Romania

About 425,000 Ukrainian refugees have entered Romania since the conflict between Ukraine and Russia. The Romanian Border Police have reported that on March 14, 66,345 people entered Romania, including 13,769 Ukrainian nationals (down 4.8% from the previous day) through the border crossing points.

According to the Romanian General Border Police Inspectorate (IGPF), within 24 hours on Monday, 7,181 Ukrainian nationals entered Romania at the border with Ukraine (up 8.6%), and 5,089 Ukrainian residents came in through the wall with Moldova (down 18.8%).

 Ukrainian Refugees in Romania

Ukrainian refugees
Photo source: Vlad Ilas

As of March 14 at 24:00hrs, 425,786 Ukrainian citizens entered Romania.

At present, border checking at the entrance to Romania through the border crossing points is carried out efficiently, in accordance with the provisions of the national and community legislation, with the border guards covering the checking arteries to their fullest.

Similar measures to strengthen the check and increase surveillance have also been implemented at the land border, with additional crews carrying out missions in areas of responsibility.

There is work done under an integrated system with other organisations with responsibilities in the area for an efficient exchange of data and information and for joint adoption of the necessary measures to manage cases as they emerge. 

Photo source: Vlad Ilas

Why Do Romanians Visit Oncologic Clinics in Other Countries?

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On February 4 each year, World Cancer Day increases cancer awareness and promotes cancer prevention, detection, and treatment.
Oncological illnesses remain one of Romania’s most common health problems, accounting for thousands of deaths among Romanians with cancer. According to World Organization data, cancer kills at least 10 million people worldwide each year, with Romania being one of the worst-affected countries in Europe.
Pollution, stress, a hectic lifestyle, and the quality of the food Romanians prepare to contribute to the thousands of new cancer cases detected each year.

In Romania, how many people die of cancer?
According to the National Institute for Public Health (INSP), oncologic affections claim the lives of 60,000 Romanians each year. Around 160 calories per day. Isn’t that greater than the number of deaths caused by any other virus? We would realize the sorrow surrounding this affection if the numbers were presented daily on all TV stations, as they are currently with the new coronavirus. To put it another way, we need a February 4 every day to be conscious of it.

Unfortunately, many people died of cancer in Romania during the pandemic because they did not diagnose the disease in time or could not cure it. After all, the country’s hospitals couldn’t handle Covid-19 patients. This isn’t always the case, but we should be honest about what’s going on and why.

Romanians seek treatment in other countries.
Many Romanians are choosing to treat their oncologic problems overseas because of poor medical conditions in their nation and constraints in receiving medical treatment during the Covid-19 pandemic.
One of the numerous reasons Romanians seek clinics outside of Romania is that they are dissatisfied with the Romanian medical system, namely public hospitals. Furthermore, anytime a patient in Romania is diagnosed with cancer, they will immediately seek a second opinion from an oncologist. As a result, Romanians may find Austrian or Turkish clinics a good fit.

One of the clinics used by Romanians is the Anadolu Medical Center. The clinic treats patients in a sophisticated and modern way, providing medical services of international standards to enhance the quality of life. According to data from the Anadolu Medical Center, in 2020, 19% of all foreign patients were Romanians, the highest percentage of patients of foreign nationality who were treated for oncological diseases among Turks. Romanian cancer patients choose oncology clinics abroad, such as the Anadolu Medical Center in Turkey or the AKH in Austria, because of the professionalism of the doctors, the way the centres receive and treat patients, and the state-of-the-art cancer treatment technology used. Technologies like the CyberKnife M6, which enables radiation with millimetre-level precision, or the Da Vinci, the world’s most advanced robotic surgery system, are both efficient and non-invasive.

Statistical data

Statistics show that lung cancer (18%), followed by colon cancer (9.4%), liver cancer (8.3%), stomach cancer (7%) and breast cancer (6.9%). In 2020, Romanians benefited from 28% of all chemotherapy treatments performed on foreign patients at Anadolu Medical Center. This is one of the most common types of cancer in Romania. If previously 142 patients died from tumour pathology every day (Global Cancer Observatory 2018), now this number has increased. Who should be responsible for this situation? The issue of cancer mortality has been suppressed during the pandemic, but it is an issue that should raise awareness. Why should cancer patients choose another classic option? They won’t, which is why foreign oncology clinics are successful?

And, one final thought here: out of all those Romanians diagnosed with cancer, how many can afford treatment abroad? Why don’t they have medical options in the country, at the same level as they have abroad, to choose from? The very few private oncological clinics in Romania barely cope with the number of patients seeking to be cured. In this equation, the state hospitals don’t even bother to compete, as they can’t possibly offer what the private clinics do.

How long will it take the Romanian state to do something for the cancer patients and offer proper treatment in the country, in modern state hospitals, within the medical insurance they pay?

Medical Centers
Source: Anadolu Facebook page