Should the Ministry of Health (MINSA) and the Social Security Fund (CSS) be merged into a single healthcare system?

Panama currently operates a bifurcated health system where the Ministry of Health (MINSA) covers the uninsured using tax dollars, while the Social Security Fund (CSS) covers workers who pay payroll taxes. This results in duplicate hospitals, administrative bloat, and a bureaucratic nightmare where patients are bounced between systems. The 'unification' debate is highly sensitive because CSS holds the retirement pension funds, and many fear a merger is a Trojan horse for the government to access that liquidity. Proponents argue unification is the only way to save money and improve coverage efficiency. Opponents argue it puts the financial solvency of the pension system at risk.