# Healthcare access and budget issues in Peru > Live situation record from CLSTR: https://clstr.news/situations/healthcare-access-and-budget-issues-in-peru > Updated: 2026-10-27T19:28:05.000Z. Sources: 4. Developments: 2. In Peru, reports have emerged regarding significant delays in the execution of budgets intended for rare and orphan disease treatments. A study by IPOC Consultores and the Peruvian Federation of Rare Diseases (FEPER) indicated that as of August 2026, over S/ 98 million in funds remained unspent in public health facilities, despite the transfer of 99% of available resources by FISSAL earlier in the year. This lack of budget execution has directly impacted patients requiring specialized therapies, including children with spinal muscular atrophy. Further reports from Piura highlight individual cases of medical neglect, such as a 14-year-old patient waiting two and a half years for aneurysm surgery. Patients have also cited broader systemic issues, including shortages of medication, delays in medical appointments, and the use of outdated equipment. While EsSalud leadership has announced intentions to improve surgical capacity and medicine supplies, no specific timelines for addressing these delays have been established. ## Timeline ### 2026-10-27: Patients and families report critical medical shortages and delays in Mexico and Peru Families in Mexico and Peru are protesting medical negligence, citing critical shortages of medication, lack of specialized studies, and multi-year delays for life-saving surgeries. 3 sources. https://clstr.news/cluster/patients-and-families-report-critical-medical-shortages-and-delays-in-mexico-and-peru ### 2026-10-20: Peru reports budget execution delays for rare disease treatments Over S/ 98 million allocated for rare disease treatments in Peru remains unspent in public health facilities due to budget execution delays, according to a new study. 2 sources. https://clstr.news/cluster/peru-reports-budget-execution-delays-for-rare-disease-treatments --- Cite as: Healthcare access and budget issues in Peru. CLSTR, https://clstr.news/situations/healthcare-access-and-budget-issues-in-peru