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Spontaneous commercialisation, inequality and the contradictions of compulsory medical insurance in transitional Russia

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Author Info

  • Inna Blam

    (Novosibirsk Institute of Economics and Industrial Engineering, Novosibirsk, Russia)

  • Sergey Kovalev

    (Novosibirsk Institute of Economics and Industrial Engineering, Novosibirsk, Russia)

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    Abstract

    This paper analyses spontaneous commercialisation phenomena in the public health care system of transitional Russia. The authors relate these phenomena to the government's policy of vague declarations of comprehensive universal coverage unsupported by sound financial commitments. The paper provides an analysis of data from two Russian household surveys that confirms the existence of pronounced inequalities across income groups and geographical units, and connects these inequalities to the patterns of commercialisation of health care. The paper identifies the difficulties faced by more equitable policy initiatives in the context of the distorted incentives structures and vested interests generated by spontaneous commercialisation. Copyright © 2006 John Wiley & Sons, Ltd.

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    File URL: http://hdl.handle.net/10.1002/jid.1291
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    Bibliographic Info

    Article provided by John Wiley & Sons, Ltd. in its journal Journal of International Development.

    Volume (Year): 18 (2006)
    Issue (Month): 3 ()
    Pages: 407-423

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    Handle: RePEc:wly:jintdv:v:18:y:2006:i:3:p:407-423

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    Web page: http://www3.interscience.wiley.com/journal/5102/home

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    1. Kornai, Janos, 1992. "The Socialist System: The Political Economy of Communism," OUP Catalogue, Oxford University Press, number 9780198287766, September.
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    Cited by:
    1. Decancq K, 2009. "Copula-based Measurement of Dependence Between Dimensions of Well-being," Health, Econometrics and Data Group (HEDG) Working Papers 09/32, HEDG, c/o Department of Economics, University of York.
    2. Maria Ana Lugo & Koen Decancq, 2009. "Measuring Inequality of Well-Being with a Correlation-Sensitive Multidimensional Gini Index," Economics Series Working Papers 459, University of Oxford, Department of Economics.

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