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

Author

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  • Inna Blam

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

  • Sergey Kovalev

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

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.

Suggested Citation

  • Inna Blam & Sergey Kovalev, 2006. "Spontaneous commercialisation, inequality and the contradictions of compulsory medical insurance in transitional Russia," Journal of International Development, John Wiley & Sons, Ltd., vol. 18(3), pages 407-423.
  • Handle: RePEc:wly:jintdv:v:18:y:2006:i:3:p:407-423
    DOI: 10.1002/jid.1291
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    File URL: http://hdl.handle.net/10.1002/jid.1291
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    References listed on IDEAS

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    1. Kornai, Janos, 1992. "The Socialist System: The Political Economy of Communism," OUP Catalogue, Oxford University Press, number 9780198287766.
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    Cited by:

    1. Koen Decancq & María Ana Lugo, 2009. "Measuring inequality of well-being with a correlation-sensitive multidimensional Gini index," Working Papers 124, ECINEQ, Society for the Study of Economic Inequality.
    2. Koen Decancq, 2014. "Copula-based measurement of dependence between dimensions of well-being," Oxford Economic Papers, Oxford University Press, vol. 66(3), pages 681-701.
    3. Gordeev, Vladimir S. & Pavlova, Milena & Groot, Wim, 2011. "Two decades of reforms. Appraisal of the financial reforms in the Russian public healthcare sector," Health Policy, Elsevier, vol. 102(2), pages 270-277.

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