Mr Sarwar says that in 2003, Nicola Sturgeon told Scottish labour that 84,000 people on a waiting list was a humiliation.
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He says that the stats before the pandemic showed 450,000 people on lists.
He highlights waits of more than 12 hours at A&E departments and asks the first minister what she would say to them if she looked them in the eye.
Ms Sturgeon says her responsibility is to support the health service in recovery from the pandemic.
She says the difference between 2003 and now is the changing demographics in the country. She again highlights record spending and investment.
She adds: "What I would say to patients is that yes, I know in opposition it is easy to come up with slogans, but in government my responsibility is to deliver the investment to support the staff and make changes for patients and that is what we are going to continue to do."