The Petro administration is leaving Colombia with increased public debt and significantly higher public spending, estimated at a 30 trillion peso increase. This rise in expenditure coincides with a 17.9% increase in health-related legal protections, indicating potential challenges within the healthcare sector. The government’s attempts at healthcare reform have reportedly failed, leaving the future of the system uncertain. Critics point to a substantial increase in national financial obligations under the current administration. The increased debt burden and spending raise concerns about the country’s fiscal stability. The situation casts a shadow over the long-term sustainability of public services, particularly healthcare, in Colombia. These developments present significant economic and social challenges for the incoming government.