President Petro is transitioning the Colombian health system to incoming Health Minister Guillermo Alfonso Jaramillo, but the situation is precarious. While the government increased direct funding and prioritized primary care, its ambitious health reform ultimately failed to pass. This failure has coincided with a rise in debts, increased barriers to access, and growing out-of-pocket expenses for citizens. The system is now in a critical state, facing significant financial strain. The incoming minister will inherit these challenges as they attempt to stabilize and improve a health sector burdened by systemic issues and recent setbacks. The transition signifies a handover of a system needing intensive care despite initial efforts to bolster it.