On Sunday, tens of thousands of Spanish healthcare professionals demonstrated in Madrid against what they claim is the conservative regional government’s dismantling of the public health system.

Since the COVID-19 epidemic began in 2020, the Madrid administration has come under fire for the understaffing of its hospitals and primary healthcare facilities. It is allegedly undermining public health services and favoring private health professionals, according to protesters.

“They have cut our wages instead of raising them. We are overwhelmed with work and do not have any support. We are in danger of extinction,” Lilian Ramis, 61, a matron at the El Molar health center in Madrid, told Reuters.

Demonstrators filled the Plaza Cibeles area in the city center, chanting and waving flags. One demonstrator sported a huge model of Isabel Diaz Ayuso, the right-wing leader of the Madrid regional government, with a Pinocchio-like nose attached.

Regional governments in Spain are responsible for a large part of the health budget as part of the country’s devolved political system.

A regional government spokesman put the number of people who marched through the streets of central Madrid at 250,000 while organisers put it at closer to 1 million.

Ayuso denies the accusation that her administration is dismantling public health services in favor of the private sector.

“We all believe in public health,” she wrote on Twitter on Saturday.

Thousands of health workers also demonstrated in Santiago de Compostela, in northwestern Spain on Sunday, calling for the preservation of the public health system. Police said 20,000 took to the streets.

In November, tens of thousands of people marched through Madrid in support of health workers calling for better working conditions.