As a heart patient, I have trusted my medical team for years. But what I recently experienced has shaken that trust — not in my doctor, but in the system standing between us: SVB (Social Insurance Bank).  

On March 26, my prescription for Rybelsus 14mg was submitted to SVB. According to a new protocol — about which I, as a patient, was never informed — SVB must now approve prescriptions before the pharmacy is allowed to deliver the medication.  

SVB claims that approval was granted on April 8. However, the pharmacy only received official confirmation on April 25. The result? 25 days without essential medication.  

What worries me most is this: 

• Can SVB truly suspend or overrule a doctor’s prescription? On what medical grounds? 

• How is it possible that my doctor knew nothing? If SVB had a problem with the prescription, why wasn’t the specialist informed directly, so that they could warn me as the patient? 

• How can a 25-day delay be acceptable? Even 25 hours without medication can be dangerous for a heart patient. 

• Why is there no transparent protocol that informs both patients and doctors about the status of requests and approvals?  

To this day, SVB has provided me with no proof. They do not communicate with me. My doctor says it’s an issue between the patient and SVB. And the pharmacy is not allowed to dispense the medication without SVB’s approval.  

The system is designed in such a way that the patient has no control mechanism whatsoever. No transparency. No protection. No access to their own medical process.  

That’s why I ask publicly:  

“Who decides over our health — our doctors, or a silent bureaucracy?”  

And if SVB has the power to delay or reject prescriptions, then where is the transparency, the communication, and the respect for the patient and their doctor?  

It is time for SVB to be held accountable — to the medical community and to the people.