Changing Perceptions of Informal Payments under Privatization of Health Care: The Case of Kazakhstan

Changing Perceptions of Informal Payments under Privatization of Health Care: The Case of Kazakhstan Previous studies on informal exchanges in the health care sector in post-socialist states have extensively discussed their complex and diverse nature, in particular the difficulty in distinguishing between gratuities and bribes given to health care providers. In examining this in Kazakhstan, I argue that the ongoing privatization of health care has blurred the boundary between official user fees and informal payments given as a reward for quality care. This has, in turn, sharpened the contrast between informal payments given in the expectation of proper treatment and money extorted by health practitioners. This paper also demonstrates that ordinary people often circumvent formal procedures by using money to obtain services to which they are not officially entitled or to gain access to public medical funding. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Central Asian Affairs Brill

Changing Perceptions of Informal Payments under Privatization of Health Care: The Case of Kazakhstan

Central Asian Affairs, Volume 6 (1): 20 – Jan 1, 1

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Publisher
Brill
Copyright
Copyright © Koninklijke Brill NV, Leiden, The Netherlands
ISSN
2214-2282
eISSN
2214-2290
D.O.I.
10.1163/22142290-00601001
Publisher site
See Article on Publisher Site

Abstract

Previous studies on informal exchanges in the health care sector in post-socialist states have extensively discussed their complex and diverse nature, in particular the difficulty in distinguishing between gratuities and bribes given to health care providers. In examining this in Kazakhstan, I argue that the ongoing privatization of health care has blurred the boundary between official user fees and informal payments given as a reward for quality care. This has, in turn, sharpened the contrast between informal payments given in the expectation of proper treatment and money extorted by health practitioners. This paper also demonstrates that ordinary people often circumvent formal procedures by using money to obtain services to which they are not officially entitled or to gain access to public medical funding.

Journal

Central Asian AffairsBrill

Published: Jan 1, 1

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