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Šaško’s Inner Circle: Rising influence of Tomáš Rusiňák at the Ministry of Health
Table of Contents
Published August 18, 2025
A Rapid Rise to Power
The appointment of Kamil Šaško as Minister of Health has been accompanied by a swift restructuring of key positions within the ministry, drawing attention to the growing influence of Tomáš Rusiňák. Initially appearing as a key advisor during Šaško’s first public appearances addressing concerns over ambulance tenders, Rusiňák’s role has rapidly evolved. Reports from press conferences indicate Šaško frequently consulted with Rusiňák, even leaning in for whispered advice when facing questions.
This dynamic was particularly noticeable during Šaško’s initial briefings, where Rusiňák was presented with differing titles – first as a representative for hospital construction, and subsequently as a member of the Ministry’s legal team. this shifting presentation raises questions about the clarity of his responsibilities and the strategic dialog surrounding his role.
From Legal Chief to Construction Czar
As of the end of July, Tomáš Rusiňák held the position of CEO of the Legislation and Law Section at the Ministry of Health. Though, by August, Minister Šaško appointed him as the Minister’s Special Envoy for the construction and modernization of health facilities – a meaningful promotion within a short timeframe. This appointment places Rusiňák at the center of a major government initiative,overseeing the development of new hospitals.
The speed of this transition is noteworthy,especially considering that while leading the Legislation and Law Section,the Ministry approved a legal services contract with a former colleague of Rusiňák. Details of this contract remain limited, but the timing raises potential conflict of interest concerns.
Implications for healthcare Infrastructure
Rusiňák’s new role gives him considerable authority over the future of healthcare infrastructure in Slovakia. His responsibilities include overseeing the construction of four new hospitals, a project of immense scale and public importance. The efficiency and transparency of this process will be crucial, particularly given the existing scrutiny surrounding government contracts and potential conflicts of interest.
The appointment also highlights a broader trend of increasing numbers of state secretaries within the current government, raising questions about bureaucratic bloat and the effective allocation of resources. the growing number of high-level positions with associated salaries, vehicles, and secretariats is drawing criticism from opposition parties and transparency advocates.