15 European Journal of Health Law 7 : 15-27, 2000. © 2000 Kluwer Law International. Printed in the Netherlands. Decentralisation of the Health Care System and Territorial Medical Insurance Coverage in Russia: Friend or Foe? TIMUR SINURAYA * By 1937 all forms of medical insurance in the Soviet Union were abolished, health institutions were nationalized and health care was organized under a central management system. This rounded up the process of creating a system of universally available health care as a free public service, including control of infectious disease, preventive and curative care. While the achievements of the Soviet health care system, manifested in the health indicators, have been internationally recognized, the dissatisfaction with the quality of the delivered services has grown towards the end of the 1980s. This process was in tune with the wider economic and social crises which eventually lead to the break up of the Soviet Union in 1991. In 1993 the Russian Federation launched the reform of its health care system introducing an obligatory medical insurance plan. The reform encompassed the decentralization of the health care system i.e. there-distribution of power between federal and regional authorities in order to create a more effectively
European Journal of Health Law – Brill
Published: Jan 1, 2000
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