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  • Essay / Changes in the Russian healthcare system - 843

    Health is recognized as one of the primary vital needs of humanity. A low level of public health can be considered a danger to the nation. In Russia, elements of health care existed since the times of the ancient Slavs in such actions as sanitation of settlements, burial of the dead during epidemics or wars. With the spread of Christianity, the Church provided free care to poor patients, widows and orphans. But the State legally and financially strengthened the Church's charity. In 1096, the great prince of Kievan Rus, Yaroslav the Wise, introduced a special tax – tithing to the poor, orphans and the sick. The Soviet model of health care (Semashko system) was created in 1918, under the leadership of the Russian People's Commissariat of Health. (in fact the first Ministry of Health in the world). It combined pre-existing systems and forms of health care. Public health care continues the basic traditions and principles: it is free and accessible to all. In general, the Soviet system tended to neglect primary care and place too much emphasis on specialist and hospital care. The number of hospital beds and doctors in the Soviet Union lagged far behind those in other countries. The massive construction of hospitals and the hyperproduction of doctors led to irrational budgetary expenditures that affected the quality of health care. This system, in many cases subject to fair criticism, at the time, was truly advanced. Only the centralized state health system could effectively treat health problems. with massive outbreaks in the country. This model has achieved considerable success in the fight against infectious tuberculosis, typhoid fever and typhus. The experience of the cholera epidemic in 1970 was seen by the world community as an example...... middle of paper ...... a budgetary model to a mixed public-private model destroyed to well respects the dignity of the national budgetary system, which included a relatively high level of health care and its availability. In 2000, the World Health Organization produced a ranking of global health systems (the World Health Organization no longer produces such a ranking due to the complexity of the task). According to the best-to-worst country ranking, Russia ranks 130th out of 190. The World Health Organization found that France provides the "best overall health care" in the world. France has a universal health system (coverage of all members of society), largely financed by the State. These statistical facts can prove that the public and universal free health care system can provide good quality medical services to everyone..