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Dilemmas of Health-Care Reform


  • S. Shishkin


There are three main problems at present in the area of health care:— an imbalance between the amounts of state financing for health care and the guarantees offurnishing medical assistanceto the citizenry at no charge;— a lack of coordination in the activities and contradictions in the mutual relations of the entities receiving state financing for health care, engendered by the decentralization of management and transition to a system of mandatory medical insurance;— an absence of competitive behavior among insurance organizations and medical institutions, despite the adoption of the institutions of a market economy into the system of health care.

Suggested Citation

  • S. Shishkin, 1999. "Dilemmas of Health-Care Reform," Problems of Economic Transition, Taylor & Francis Journals, vol. 41(9), pages 54-72.
  • Handle: RePEc:mes:prectr:v:41:y:1999:i:9:p:54-72
    DOI: 10.2753/PET1061-1991410954

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