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date: 16 December 2019

Abstract and Keywords

The chapter offers a review and evaluation of changes in the Russian health care system over the past two decades. It examines the general trends in health care status of the population and the evolution of the sources of health care financing. I focus mainly on the institutional changes in the health care system since the beginning of transition in 1992. I argue that the reform in the early 1990s has created barriers, preventing the transition to more equitable and effective system. In the period of economic growth from 2000 to 2008, public policy toward health care became more active. Large-scale public programs were initiated in 2005–6. The new stage of reform began in 2010 with the new law on compulsory health insurance. I discuss the first outcomes of this policy and the barriers and the prospects for health care reforms.

Keywords: health care reform, health care financing, compulsory health insurance

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