Why is this important: The sterilization concession was one of the landmark events in the government’s efforts to reform the health system and provide quality service. It requires the contractor, an Italian company co-owned by Rapaj – who holds a 40% stake – to ensure that all public hospitals and surgical clinics receive proper sterilization of medical equipment. Before this agreement, public hospitals faced alarmingly high rates of post-operative infections due to substandard sterilization. While many medical professionals have praised the improvements since the concession’s implementation, the Special Structure Against Corruption and Organized Crime (SPAK) maintains that there were instances of abuse and corruption in the awarding of the contract and began investigating. 

Why is this important: The last time the opposition Democrats approved a budget was in 2012. It was half the size of the upcoming 2025 budget. However, Democrats argue that despite its size the 2025 budget fails to support vulnerable groups and the middle class. They have submitted two amendments to address these shortcoming: one proposing a special status for miners and another calling for the establishment of a living wage.

Why is this important: The 2025 budget highlights the government’s commitment to advancing EU integration and expanding international influence.

Why is this important: The debate underscores how international events can shape local dynamics. Rama’s established connections with Trump’s allies could mean he’s better positioned to develop a working relationship with the new U.S. administration. For Berisha however, the value may lie elsewhere: this rhetoric may give hope and mobilize his supporters that better days lie ahead.