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. 2017 Oct 25;16:184. doi: 10.1186/s12939-017-0679-7

Table 1.

Background information of the troika and the bailout programme

Troika Bailout General objectives: Bailout
Troika’s sovereign creditors & decision group [40]:
 ▪ European Central Bank (ECB)
 ▪ European Commission (EC)
 ▪ International Monetary Fund (IMF)
Economic Adjustment Programme for Portugal:
 ▪ Memorandum of Understanding on Specific Economic Policy Conditionality (MoU)
 ▪ Technical Memorandum of Understanding (TMU)
 ▪ Memorandum of Economic and Financial Policies (MEFP)
• €4.7billion cuts of public expenditure by 2014 [6]
• Cuts predominantly in health care, education and social security
 ▪ Education:
  ▪ Reduction in spending by 23% from 2010 to 2012
 ▪ Social security:
  ▪ Family allowance for families with children was reduced to 44.60€ per month (2010)
• In healthcare mainly on: drug expenditure, workforce and user charges
• Workforce:
  ▪ Further cuts of 30.000 jobs in the public sector (2013)
  ▪ Salary freezes (2010)
  ▪ Income cuts (2011–2012)
▪ Drug expenditure:
  ▪ Decrease from 1.55% (2010) to 1.25% (2012) and 1% (2013) of GDP
  ▪ Savings in public retail pharmaceutical expenditure:
   ▪ reductions in pricing
   ▪ promotion of competition
   ▪ electronic prescribing
   ▪ prescription monitoring
▪ User charges increase
  ▪ Primary care: from 2.25€ to €5.00€
  ▪ Emergency visits for:
   ▪ Primary care: 3.40€ (2007) to 10.35€ (2014)
   ▪ Secondary care: 8.75€ to (2007) 20.65€ (2014) [11, 44, 66]
▪ Structural reforms: [44, 45]
  • enhance growth
  • generate employment
  • increase competitiveness
▪ A fiscal consolidation strategy
  • enhanced financial control over public-private-partnerships and state-owned enterprises
  • decreasing public debt and deficit reducing the deficit below 3% of GDP by 2014
▪ A financial sector strategy
  • to protect the financial sector against deleverage