Stenogram Sejmu · 2026-06-18

Jarosław Sachajko

Kadencja 10 · posiedzenie 60 · wypowiedź 144

Brak głosu imiennego z tego dnia, który potwierdzałby klub mówcy.

Pełna wypowiedź

10. kadencja, 60. posiedzenie, 2. dzień (18-06-2026) 13. punkt porządku dziennego: Sprawozdanie Komisji Zdrowia o rządowym projekcie ustawy o zmianie ustawy o Krajowej Sieci Onkologicznej oraz niektórych innych ustaw (druki nr 2643 i 2691). Poseł Jarosław Sachajko: Panie Marszałku! Pani Minister! Wysoka Izbo! Rozpatrujemy projekt, który rząd przedstawia jako naprawę onkologii. Tyle że to nie jest żadna kompleksowa reforma ochrony zdrowia, to są działania pozorowane: kolejne definicje, kolejne poziomy, kolejne wskaźniki, kolejne obowiązki sprawozdawcze, a pacjent dalej będzie czekał, dalej będzie odsyłany, dalej będzie szukał lekarza, badania, terminu, miejsca w kolejce. Onkologia potrzebuje porządku, ale przede wszystkim potrzebuje lekarzy, pielęgniarek, diagnostyki, sprzętu, pieniędzy i odpowiedzialności. Tymczasem państwo tworzy kolejną konstrukcję administracyjną, ale nie rozwiązuje podstawowego problemu: z jednej strony dramatycznego niedofinansowania publicznej ochrony zdrowia, z drugiej patologii wynagrodzeń lekarzy z legitymacjami partyjnymi Koalicji Obywatelskiej. Bo jak wytłumaczyć pacjentowi, że lekarz specjalista na etacie według minimalnych stawek ustawowych ma ok. 85 zł brutto za godzinę pracy, pielęgniarka w najwyższej grupie ok. 80 zł brutto, a jednocześnie polityk Platformy Obywatelskiej dostaje ponad 400 zł. To nie jest normalny system. To jest system kominów, nierówności, wypychania ludzi z etatu na kontrakt i szpitalnych długów. Dlatego potrzebna jest prawdziwa reforma, uczciwie finansowane, jasne zasady wynagrodzania, likwidacja patologicznych kominów, wzmocnienie publicznych szpitali i realne skrócenie kolejek, a nie tylko przerzucanie papierów między NFZ-etem, ministerstwem i ośrodkami. Koalicja rządząca wygrała wybory hasłami lepszej dostępności, szybszego leczenia, praw pacjenta i naprawy ochrony zdrowia. A co widzimy? Widzimy saloniki dla swoich, konferencje dla swoich, awanse dla swoich i szybkie ścieżki dla swoich. Dla zwykłych ludzi zostają kolejki, limity, ograniczenia badań, przesunięcie zabiegów i coraz większa presja, żeby iść w prywatyzację. O to właśnie chodzi. Publiczna ochrona zdrowia jest finansowana skandalicznie słabo, a potem obywatel słyszy: nie ma terminu, nie ma lekarza, nie ma pieniędzy. A prywatnie termin się znajduje, prywatny lekarz się znajduje, prywatny system działa. To jest pełzająca prywatyzacja ochrony zdrowia przez jej celowe osłabianie. Wraca stary pomysł Platformy, obecnie Koalicji Obywatelskiej: kręcenie lodów na ochronie zdrowia. Najpierw doprowadzić publiczny system do niewydolności, potem powiedzieć ludziom, że prywatnie będzie lepiej. Ten projekt nie odpowiada na najważniejsze pytania o to, skąd mają być lekarze, skąd pielęgniarki, skąd pieniądze, skąd krótsze kolejki, skąd dostęp do diagnostyki w powiatach. Bez tego jest to tylko kolejna papierowa reforma, która może dobrze wyglądać w tabelkach, ale pacjentowi nie uratuje życia. Na koniec może powiem o tym, że OECD wskazuje, że w Polsce czas dostępności nowych leków onkologicznych należy do najdłuższych w Unii Europejskiej, bo wynosi ponad 800 dni, a decyzje refundacyjne zapadają po 900 dniach. (Dzwonek) W Niemczech średni czas od dopuszczenia leków w Unii Europejskiej do dostępu dla pacjenta to są 102 dni. 102 dni wobec 800 dni. Dziękuję. Przebieg posiedzenia

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Dowód treści wypowiedzi

Dowód kolejności na liście dnia

Kontekst w stenogramie

1. (3.15ms; exec 3.1 + fetch 0.05; rows 1) SELECT s.object_id AS statement_id, s.statement_number, s.speaker_name, s.source_member_id, mp.object_id AS member_id, d…

2. (1.58ms; exec 1.56 + fetch 0.02; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

3. (0.7ms; exec 0.69 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6285 ORDER BY ordinal

4. (1.02ms; exec 0.99 + fetch 0.03; rows 4) SELECT statement.object_id, statement.statement_number, statement.speaker_name, dayStatement.ordinal FROM sejm_transcrip…

5. (1.39ms; exec 1.37 + fetch 0.02; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.obje…

6. (0.87ms; exec 0.86 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

7. (0.72ms; exec 0.71 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6283 ORDER BY ordinal

8. (0.96ms; exec 0.96 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.obje…

9. (0.95ms; exec 0.93 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

10. (0.7ms; exec 0.69 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6284 ORDER BY ordinal

11. (0.89ms; exec 0.89 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.obje…

12. (0.71ms; exec 0.69 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

13. (0.62ms; exec 0.61 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6286 ORDER BY ordinal

14. (1.19ms; exec 1.18 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.obje…

15. (0.73ms; exec 0.72 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

16. (1.21ms; exec 1.19 + fetch 0.02; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6287 ORDER BY ordinal

17. (1.84ms; exec 1.82 + fetch 0.02; rows 0) SELECT individual.raw_club, individual.evidence_id, f.requested_url FROM sejm_individual_votes individual JOIN sejm_vote…

1. (3.15ms; exec 3.1 + fetch 0.05; rows 1) SELECT s.object_id AS statement_id, s.statement_number, s.speaker_name, s.source_member_id, mp.object_id AS member_id, day.object_id AS day_id, day.term, day.proceeding_number, day.source_date, day.current_revision_id AS day_revision_id, dayStatement.ordinal, dayEvidence.id AS list_evidence_id, dayEvidence.selector_type AS list_selector_type, dayEvidence.selector AS list_selector, dayFetch.id AS list_fetch_id, dayFetch.requested_url AS list_source_url, dayArtifact.sha256 AS list_sha256, binding.artifact_id, binding.evidence_id AS transcript_evidence_id, transcriptEvidence.selector_type AS transcript_selector_type, transcriptEvidence.selector AS transcript_selector, transcriptFetch.id AS transcript_fetch_id, transcriptFetch.requested_url AS transcript_source_url, artifact.sha256 AS transcript_sha256, artifact.detected_mime, artifact.byte_size FROM sejm_statements s JOIN sejm_transcript_days day ON day.object_id = s.transcript_day_id LEFT JOIN sejm_mp_identities mp ON mp.term = day.term AND mp.mp_number = s.source_member_id LEFT JOIN sejm_transcript_day_statements dayStatement ON dayStatement.day_id = day.object_id AND dayStatement.day_revision_id = day.current_revision_id AND dayStatement.statement_id = s.object_id LEFT JOIN evidence dayEvidence ON dayEvidence.id = dayStatement.evidence_id LEFT JOIN fetches dayFetch ON dayFetch.id = dayEvidence.fetch_id LEFT JOIN artifacts dayArtifact ON dayArtifact.id = dayEvidence.artifact_id LEFT JOIN documents document ON document.owner_object_id = day.object_id AND document.document_kind = 'statement_transcript' AND document.source_document_key = CONCAT('sejm:statement:', s.statement_number) LEFT JOIN document_versions version ON version.document_id = document.object_id AND version.sequence_no = (SELECT MAX(latest.sequence_no) FROM document_versions latest WHERE latest.document_id = document.object_id) LEFT JOIN document_version_artifacts binding ON binding.version_id = version.object_id AND binding.role = 'html' AND binding.current_selector_sha IS NOT NULL LEFT JOIN evidence transcriptEvidence ON transcriptEvidence.id = binding.evidence_id LEFT JOIN fetches transcriptFetch ON transcriptFetch.id = transcriptEvidence.fetch_id LEFT JOIN artifacts artifact ON artifact.id = binding.artifact_id WHERE s.object_id = 16284 LIMIT 1

2. (1.58ms; exec 1.56 + fetch 0.02; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extraction.run_id WHERE extraction.source_artifact_id = 23634 AND run.state = 'completed' ORDER BY CASE extraction.quality_state WHEN 'success' THEN 0 WHEN 'unreadable' THEN 1 ELSE 2 END, run.finished_at DESC, extraction.id DESC LIMIT 1

3. (0.7ms; exec 0.69 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6285 ORDER BY ordinal

4. (1.02ms; exec 0.99 + fetch 0.03; rows 4) SELECT statement.object_id, statement.statement_number, statement.speaker_name, dayStatement.ordinal FROM sejm_transcript_day_statements dayStatement JOIN sejm_statements statement ON statement.object_id = dayStatement.statement_id WHERE dayStatement.day_id = 16139 AND dayStatement.day_revision_id = 15745 AND dayStatement.ordinal BETWEEN 142 AND 146 AND statement.object_id <> 16284 ORDER BY dayStatement.ordinal

5. (1.39ms; exec 1.37 + fetch 0.02; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.object_id AND version.sequence_no = (SELECT MAX(latest.sequence_no) FROM document_versions latest WHERE latest.document_id = document.object_id) JOIN document_version_artifacts binding ON binding.version_id = version.object_id AND binding.role = 'html' AND binding.current_selector_sha IS NOT NULL WHERE document.owner_object_id = 16139 AND document.document_kind = 'statement_transcript' AND document.source_document_key = CONCAT('sejm:statement:', 142) LIMIT 1

6. (0.87ms; exec 0.86 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extraction.run_id WHERE extraction.source_artifact_id = 23629 AND run.state = 'completed' ORDER BY CASE extraction.quality_state WHEN 'success' THEN 0 WHEN 'unreadable' THEN 1 ELSE 2 END, run.finished_at DESC, extraction.id DESC LIMIT 1

7. (0.72ms; exec 0.71 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6283 ORDER BY ordinal

8. (0.96ms; exec 0.96 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.object_id AND version.sequence_no = (SELECT MAX(latest.sequence_no) FROM document_versions latest WHERE latest.document_id = document.object_id) JOIN document_version_artifacts binding ON binding.version_id = version.object_id AND binding.role = 'html' AND binding.current_selector_sha IS NOT NULL WHERE document.owner_object_id = 16139 AND document.document_kind = 'statement_transcript' AND document.source_document_key = CONCAT('sejm:statement:', 143) LIMIT 1

9. (0.95ms; exec 0.93 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extraction.run_id WHERE extraction.source_artifact_id = 23630 AND run.state = 'completed' ORDER BY CASE extraction.quality_state WHEN 'success' THEN 0 WHEN 'unreadable' THEN 1 ELSE 2 END, run.finished_at DESC, extraction.id DESC LIMIT 1

10. (0.7ms; exec 0.69 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6284 ORDER BY ordinal

11. (0.89ms; exec 0.89 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.object_id AND version.sequence_no = (SELECT MAX(latest.sequence_no) FROM document_versions latest WHERE latest.document_id = document.object_id) JOIN document_version_artifacts binding ON binding.version_id = version.object_id AND binding.role = 'html' AND binding.current_selector_sha IS NOT NULL WHERE document.owner_object_id = 16139 AND document.document_kind = 'statement_transcript' AND document.source_document_key = CONCAT('sejm:statement:', 145) LIMIT 1

12. (0.71ms; exec 0.69 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extraction.run_id WHERE extraction.source_artifact_id = 23635 AND run.state = 'completed' ORDER BY CASE extraction.quality_state WHEN 'success' THEN 0 WHEN 'unreadable' THEN 1 ELSE 2 END, run.finished_at DESC, extraction.id DESC LIMIT 1

13. (0.62ms; exec 0.61 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6286 ORDER BY ordinal

14. (1.19ms; exec 1.18 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.object_id AND version.sequence_no = (SELECT MAX(latest.sequence_no) FROM document_versions latest WHERE latest.document_id = document.object_id) JOIN document_version_artifacts binding ON binding.version_id = version.object_id AND binding.role = 'html' AND binding.current_selector_sha IS NOT NULL WHERE document.owner_object_id = 16139 AND document.document_kind = 'statement_transcript' AND document.source_document_key = CONCAT('sejm:statement:', 146) LIMIT 1

15. (0.73ms; exec 0.72 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extraction.run_id WHERE extraction.source_artifact_id = 23636 AND run.state = 'completed' ORDER BY CASE extraction.quality_state WHEN 'success' THEN 0 WHEN 'unreadable' THEN 1 ELSE 2 END, run.finished_at DESC, extraction.id DESC LIMIT 1

16. (1.21ms; exec 1.19 + fetch 0.02; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6287 ORDER BY ordinal

17. (1.84ms; exec 1.82 + fetch 0.02; rows 0) SELECT individual.raw_club, individual.evidence_id, f.requested_url FROM sejm_individual_votes individual JOIN sejm_votes vote ON vote.object_id = individual.vote_id AND vote.current_revision_id = individual.vote_revision_id JOIN object_revisions revision ON revision.id = vote.current_revision_id JOIN evidence e ON e.id = individual.evidence_id JOIN fetches f ON f.id = e.fetch_id WHERE vote.term = 10 AND vote.sitting_number = 60 AND individual.mp_number = 321 AND LEFT(JSON_VALUE(revision.snapshot, '$.date'), 10) = '2026-06-18' AND individual.raw_club IS NOT NULL AND individual.raw_club <> '' ORDER BY vote.voting_number DESC

3.15ms SELECT s.object_id AS statement_id, s.statement_number, s.speaker_name, s.source_member_id, mp.objec…

1.84ms SELECT individual.raw_club, individual.evidence_id, f.requested_url FROM sejm_individual_votes indiv…

1.58ms SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run …

3.15ms SELECT s.object_id AS statement_id, s.statement_number, s.speaker_name, s.source_member_id, mp.object_id AS member_id, day.object_id AS day_id, day.term, day.proceeding_number, day.source_date, day.current_revision_id AS day_revision_id, dayStatement.ordinal, dayEvidence.id AS list_evidence_id, dayEvidence.selector_type AS list_selector_type, dayEvidence.selector AS list_selector, dayFetch.id AS list_fetch_id, dayFetch.requested_url AS list_source_url, dayArtifact.sha256 AS list_sha256, binding.artifact_id, binding.evidence_id AS transcript_evidence_id, transcriptEvidence.selector_type AS transcript_selector_type, transcriptEvidence.selector AS transcript_selector, transcriptFetch.id AS transcript_fetch_id, transcriptFetch.requested_url AS transcript_source_url, artifact.sha256 AS transcript_sha256, artifact.detected_mime, artifact.byte_size FROM sejm_statements s JOIN sejm_transcript_days day ON day.object_id = s.transcript_day_id LEFT JOIN sejm_mp_identities mp ON mp.term = day.term AND mp.mp_number = s.source_member_id LEFT JOIN sejm_transcript_day_statements dayStatement ON dayStatement.day_id = day.object_id AND dayStatement.day_revision_id = day.current_revision_id AND dayStatement.statement_id = s.object_id LEFT JOIN evidence dayEvidence ON dayEvidence.id = dayStatement.evidence_id LEFT JOIN fetches dayFetch ON dayFetch.id = dayEvidence.fetch_id LEFT JOIN artifacts dayArtifact ON dayArtifact.id = dayEvidence.artifact_id LEFT JOIN documents document ON document.owner_object_id = day.object_id AND document.document_kind = 'statement_transcript' AND document.source_document_key = CONCAT('sejm:statement:', s.statement_number) LEFT JOIN document_versions version ON version.document_id = document.object_id AND version.sequence_no = (SELECT MAX(latest.sequence_no) FROM document_versions latest WHERE latest.document_id = document.object_id) LEFT JOIN document_version_artifacts binding ON binding.version_id = version.object_id AND binding.role = 'html' AND binding.current_selector_sha IS NOT NULL LEFT JOIN evidence transcriptEvidence ON transcriptEvidence.id = binding.evidence_id LEFT JOIN fetches transcriptFetch ON transcriptFetch.id = transcriptEvidence.fetch_id LEFT JOIN artifacts artifact ON artifact.id = binding.artifact_id WHERE s.object_id = 16284 LIMIT 1

1.84ms SELECT individual.raw_club, individual.evidence_id, f.requested_url FROM sejm_individual_votes individual JOIN sejm_votes vote ON vote.object_id = individual.vote_id AND vote.current_revision_id = individual.vote_revision_id JOIN object_revisions revision ON revision.id = vote.current_revision_id JOIN evidence e ON e.id = individual.evidence_id JOIN fetches f ON f.id = e.fetch_id WHERE vote.term = 10 AND vote.sitting_number = 60 AND individual.mp_number = 321 AND LEFT(JSON_VALUE(revision.snapshot, '$.date'), 10) = '2026-06-18' AND individual.raw_club IS NOT NULL AND individual.raw_club <> '' ORDER BY vote.voting_number DESC

1.58ms SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extraction.run_id WHERE extraction.source_artifact_id = 23634 AND run.state = 'completed' ORDER BY CASE extraction.quality_state WHEN 'success' THEN 0 WHEN 'unreadable' THEN 1 ELSE 2 END, run.finished_at DESC, extraction.id DESC LIMIT 1

5× (4.84ms) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing…

5× (3.95ms) SELECT source_text FROM text_segments WHERE extraction_id = ? ORDER BY ordinal

4× (4.43ms) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON versi…

5× (4.84ms) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extraction.run_id WHERE extraction.source_artifact_id = ? AND run.state = ? ORDER BY CASE extraction.quality_state WHEN ? THEN ? WHEN ? THEN ? ELSE ? END, run.finished_at DESC, extraction.id DESC LIMIT ?

5× (3.95ms) SELECT source_text FROM text_segments WHERE extraction_id = ? ORDER BY ordinal

4× (4.43ms) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.object_id AND version.sequence_no = (SELECT MAX(latest.sequence_no) FROM document_versions latest WHERE latest.document_id = document.object_id) JOIN document_version_artifacts binding ON binding.version_id = version.object_id AND binding.role = ? AND binding.current_selector_sha IS NOT NULL WHERE document.owner_object_id = ? AND document.document_kind = ? AND document.source_document_key = CONCAT(?, ?) LIMIT ?

(0.46ms) /app/templates/speeches/show.php

/app/public/index.php

/app/vendor/autoload.php

/app/vendor/composer/autoload_real.php

/app/vendor/composer/platform_check.php

/app/vendor/composer/ClassLoader.php

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/app/vendor/symfony/deprecation-contracts/function.php

/app/vendor/symfony/polyfill-php83/bootstrap.php

/app/lib/PFrame.php

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/app/src/Http/ReviewDecisionRoutes.php

/app/src/Http/TopicDecisionRoutes.php

/app/src/Http/WatchRoutes.php

/app/src/Http/SpeechController.php

/app/src/Overview/SpeechReadModel.php

/app/src/Text/TextSearch.php

/app/templates/layout.php