Despite his hospitalization, the Vatican assures that Pope Francis remains involved in key decisions.
Pope Francis' Health Crisis: The Future of Vatican Governance in Question

Pope Francis' Health Crisis: The Future of Vatican Governance in Question
As concerns rise over Pope Francis' health, questions loom about the Vatican's leadership structure should he become incapacitated.
Pope Francis, currently hospitalized with acute pneumonia for the past two weeks, continues to sign off on significant decisions within the Vatican. During his time in the hospital, he has appointed 20 bishops, accepted resignations from at least four, and has made progress towards the sainthood of five individuals. Some of these appointments are ceremonial, including nominating a cardinal to attend celebrations for the 1000th anniversary of the coronation of Poland's first king, Boleslaw I the Brave.
However, the absence of the pontiff's public presence has shifted the dynamics within the Holy See. The usual weekly addresses and comments on critical global issues, such as immigration and human rights, have been noticeably lacking. Despite his condition, the Vatican insists operations are ongoing, with Pope Francis maintaining communication with his aides.
Matteo Bruni, a spokesperson at the Vatican, emphasized that the pope is still governing, although missing the personal connection with the faithful, which includes general audiences and pastoral activities. A recent statement from the Vatican indicated an improvement in Francis' health, noting that he alternates between using high-flow oxygen and a ventilation mask, while participating in respiratory physiotherapy. Although he is no longer deemed critical, the Vatican mentioned he remains under close observation as further stability is needed to assess his long-term prognosis.