The average person had to wait in line for a long time at the hospital, and there were not enough or no quality medicines with therapeutic effects. As early as the Soviet period, the national health care system within the emergence of ? Gray? The healthcare system, that is, the phenomenon of private payment for medical treatment. Some people went through the ? back door? or pay out of their own pockets to get to a good hospital to see a good doctor.
Russia still has a national health care system, to which all Russians are entitled, and a law on compulsory health insurance for the population was adopted in 1996. The law on mandatory health insurance for the population was passed in 1996, and citizens were given free state health insurance policies, which were intended to accelerate the establishment of market mechanisms in the Russian health care system and to encourage competition among health care organizations in their quest to receive money from patients. However, the health care system, which has only the appearance of a market economy, remains the same, with wasteful use of funds and inflexible and irrational mechanisms.
The mandatory health insurance system is woefully underfunded, with a budget shortfall of nearly $1.5 billion. The two sources of funding for the national health system are drying up. Businesses pay premiums for their own workers through the Unified Social Tax, and the state and local treasuries pay premiums for people who are unable to work, such as children and adolescents, retired people, and people with disabilities. And in practice, employers are always looking for ways to underpay insurance premiums through ? red packets? to pay wages. Local finances often don't pay premiums because they don't have the money. The amount of money spent on health care for patients is even more minimal. Most of the money from financial allocations and insurance premiums is used by medical units to pay for utilities.
The quality and accessibility of NHS services has not improved in seven years. There are still queues for hospital visits. Hospitals have inadequate diagnostic and medical equipment. The free medicines provided to patients by the NHS have decreased year on year. Moreover, free medicines cover only basic and simple medical services. If a patient needs major surgery or expensive long-term treatment, they can't count on state health insurance.
But there are other alternatives, a high level of medical care is available on a fee-for-service basis in non-state medical institutions, and there are many such hospitals in Russia. But few people can afford such a luxury. It can be compared: in a private clinic, just a blood test costs 3 dollars, and the registration fee for internal medicine is 7-10 dollars. And the average monthly salary in Russia is about 180 dollars.
It is true that many wealthy companies have a veritable health insurance for their employees, with access to medical care, convalescence and hospitalization. But there are few such companies.
Now Russia is about to embark on a massive healthcare reform. After studying the situation in the health sector, experts from the Russian Ministry of Economic Development have concluded that the main problem is not insufficient funding, but rather careless use of funds. Increasing the efficiency of the healthcare system is the main goal of the reform. To this end, the health care program was changed to a flat rate and payment for medical services was made on the basis of the results of the work, i.e., on the basis of the number of patients seen, instead of on the basis of the budget, as is the case now.
Mikhail, Deputy Minister of Economic Development of Russia, who is responsible for health care reform. According to Dmitriev, the new system will prompt medical units to give up unnecessary housing and equipment and streamline redundant staff. Russians should also pay for health care out of their own pockets, which would make them more responsible for their own health. According to the experts, people in Russia support the healthcare reform, because high-quality medical assistance is one of the most needed and important services in the world.