The healthcare system for one million public employees in Spain has been in a state of uncertainty for the past two months. For over fifty years, Muface, an administrative mutuality under the Ministry of Public Function, has provided medical care to teachers, police officers, postal workers, and diplomats, allowing them to choose between public or private healthcare. However, following an announcement on November 5, the future of Muface is unclear. On that date, major insurers involved in the last contract with Muface--Adeslas, Asisa, and DKV--refused to continue participating in a system that they claim results in continuous losses. Despite the government's efforts to remedy the situation with an additional 1 billion euros, the issue remains unresolved. Muface has become a complex puzzle influenced by various factors, including the ongoing war in Ukraine and upcoming elections in the Community of Madrid. While the majority of the Spanish population may not be familiar with Muface, for its 1.53 million beneficiaries--comprising 1.1 million active public employees and 430,000 dependents--this mutuality is integral to their everyday lives. Accessing the Muface website for dental appointments or reimbursement for medication is a routine part of their healthcare experience. Notably, a significant proportion of beneficiaries are retired public employees, such as Pilar Gutiérrez, a retired teacher in Segovia, who has utilized Muface services for over thirty years, consistently opting for private healthcare. She expresses concern over the uncertainty surrounding the future of Muface, emphasizing the difficulty of changing healthcare providers after years of established relationships. The monthly contributions required from mutualists range from 25 to 55 euros, which cover only a small fraction of Muface's operational costs. The remainder is funded through the State's General Budgets. The projected cost for the next three years, based on the latest proposal, is set to reach 4.5 billion euros. This includes a proposed premium increase of 33.5% for the upcoming 2025-2027 contract period. However, these figures have not succeeded in attracting private sector interest, with only Asisa considering participation in the bidding process, which closes on January 27. If Asisa opts out, two alternatives emerge: a new public tender--which would mark a third attempt in a few months--or a controlled dismantling of the Muface system, transitioning all beneficiaries to the national health system, a plan supported by the Ministry of Health but opposed by public employee unions and most regional health directors. In Spain, there are three million public employees, yet only one-third are covered by this unique mutuality model. In addition to Muface, there are two other similar entities catering to military personnel and judicial officials. The historical roots of Muface trace back to the Franco era, when universal public healthcare was nonexistent, leading to the establishment of administrative mutualities to provide health coverage and retirement benefits for ministry staff. By 1975, these were consolidated into three entities to streamline services and standardize conditions. With the advent of democracy, the expansion of public health and education systems resulted in a significant increase in the number of public employees. While those who were already part of the system retained their mutuality memberships, newer public employees do not have similar options, leading to perceptions of Muface as a relic of the past that should be abolished. The current Minister of Health has been vocal about the potential dissolution of Muface, citing a report that suggests integrating mutualists into the public healthcare system could be both feasible and reasonable. This report argues that reallocating the 4.5 billion euros earmarked for insurers until 2027 to the national health system would enable it to accommodate these new patients effectively. However, the impact of such a transition would vary significantly across regions, with the highest increase in public healthcare users anticipated in regions like Andalusia, Extremadura, and Castilla y León. For the leftist coalition party, Sumar, addressing the Muface situation has become a key ideological point, advocating for the transition of public employees to the national health system, especially as private insurers withdraw from the mutuality framework. Insurers have faced persistent financial challenges while serving Muface. Companies like Sanitas, Mapfre, and others have previously participated in the mutuality but have since exited due to unprofitability. The ongoing conflict in Ukraine and inflation have exacerbated financial strains, with some insurers reporting losses in the hundreds of millions of euros over recent years. In light of these circumstances, the current Minister for Digital Transformation and Public Function faces mounting pressure as a new bidding process looms. With elections on the horizon, the stakes are high for all parties involved. Public sector unions have mobilized in protest, demanding the preservation of the current system while navigating the complex interplay of ideology, public interest, and financial sustainability within the healthcare landscape of Spain.