# Global healthcare system accessibility challenges > Live situation record from CLSTR: https://clstr.news/situations/global-healthcare-system-accessibility-challenges > Updated: 2026-10-03T13:15:00.000Z. Sources: 13. Developments: 2. Healthcare systems in several countries are experiencing significant operational and accessibility challenges. In Spain, surgical and consultation waiting lists have risen, with Galicia reporting average waits of 89.5 days due to medical strikes and administrative issues. While some studies suggest public perception of a “collapsing system” may be driven by personal experiences with delays rather than broad statistics, systemic issues like staffing shortages and territorial inequalities persist. In Peru, the EsSalud agency is attempting to reduce surgical wait times from a 45-day average to a target of 17 to 22 days by implementing night and weekend shifts to address a backlog of over 38,000 patients. Meanwhile, in Canada, advocates have noted that surgical delays result in deteriorating physical health and increased dependency on caregivers for vulnerable populations. In Venezuela, the challenges are primarily financial, as patients struggle to afford essential medications, supplies, and diagnostic tests such as CT scans. ## Timeline ### 2026-10-03: Healthcare challenges persist in Venezuela and Spain Healthcare systems in Venezuela and Spain face distinct challenges, ranging from extreme financial barriers for patients in Venezuela to issues with waiting lists and resource distribution in Spain. 2 sources. https://clstr.news/cluster/healthcare-challenges-persist-in-venezuela-and-spain ### 2026-09-30: Healthcare systems face rising surgical waiting lists in Spain, Peru, and Canada Healthcare systems in Galicia, Peru, and Canada report rising surgical waiting lists, driven by medical strikes, high demand, and administrative challenges, impacting patient autonomy and health. 12 sources. https://clstr.news/cluster/galicia-healthcare-waiting-lists-rise-amid-medical-strikes --- Cite as: Global healthcare system accessibility challenges. CLSTR, https://clstr.news/situations/global-healthcare-system-accessibility-challenges