MEPs with a sharp reaction: Iva Mihaylova is being held in the Republic of North Macedonia without medical assistance

14.08.2026 | Civil rights

Bulgarian MEPs have sent an urgent appeal to the EU regarding the case of Iva Mihaylova. The young woman, who holds Bulgarian citizenship, is being denied life-saving treatment abroad by the judicial authorities in Skopje.

Снимка от CEphoto, Uwe Aranas, Wikimedia Commons (CC BY-SA 3.0)

Urgent appeal to the EU to save Iva Mihaylova

Bulgarian MEPs have joined forces in an urgent appeal to the leadership of the European Union. The case concerns 22-year-old Iva Mihaylova, who holds dual Bulgarian and Macedonian citizenship but is being denied the opportunity to seek adequate medical treatment abroad due to administrative obstacles in the Republic of North Macedonia (RNM).

"Respect for the independence of the judiciary cannot justify the silence of institutions when an EU citizen faces irreversible physical harm."

Timeline and medical necessity

Systemic problems and allegations of discrimination

MEPs are sounding the alarm over serious procedural irregularities, including witness intimidation. There are concerns that Mihaylova's Bulgarian identity is influencing the attitude of the judicial system in the RNM. The case has been brought to the attention of the highest levels of the EU, including Ursula von der Leyen, António Costa, and Kaja Kallas, with a request for intervention and the guarantee of human rights.