Dilemmas of Health-Care Reform

Abstract

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.