Health financing

The most vivid indicator of the degree of socio-economic development of society are the health indicators of the population. The statistics of the last decade show a decrease in the birth rate and life expectancy, as well as the provision of public health services. The urgency of this problem lies in its vital importance for every person.

Unfortunately, the state budget significantly reduced the possibility of providing free medical care. Financing of health care is carried out at the expense of certain sources. These include:

- financing from the state budget;

- insurance receipts of CHI and LCA;

- services provided on a fee basis;

- income received from securities;

- Donations, as well as gratuitous transfers, etc.

Financing of health care from the state budget is made in accordance with the approved annual amounts. However, these funds are not fully sufficient. In addition, the list of diseases for which such maintenance is performed is very meager. The reason for this situation, in particular, lies in the underpayment of taxes by individuals and legal entities.

Financing of health care in the required amount is possible by expanding the corresponding budget line. To do this, it is necessary to strengthen tax obligations, but at this stage of the economic development of society this idea contradicts the fiscal policy of the Russian government. In addition, the transfer of funds under such a scheme does not promote the development of market relations. Therefore, health financing should be provided only for carrying out various scientific developments. That is, in those areas where there is no market relationship.

In the new economic conditions, one of the forms of social protection of the country's population is medical insurance, which is mandatory. The law of the Russian Federation, which approved the organizational and economic aspects of contributions that cover health care costs, strengthens the interest and responsibility of every person, as well as enterprises and the state as a whole, in health care. This normative act provides the rights of a citizen of the Russian Federation to receive medical assistance, which are fixed in the country's constitution. The purpose of this law is to finance preventive measures and guarantee the provision of medical services to everyone who has an insurance event.

The public health system also exists through voluntary contributions. VHI serves to provide additional services to medical institutions in the country. Their provision is not included in the CHI system. As insurers in the LCA can act as individuals who are capable, and enterprises that represent the interests of their employees. Under the system of supplementary insurance, health services are rendered only to those citizens who timely and fully transfer insurance payments under the concluded contract. The amount of contributions depends on the state of health of the insured and the prices that medical establishments establish for their services. Usually the agreement on LCA is for a period that does not exceed twelve months. However, it is advisable to make its signing for a longer time period. Medical insurance, made on a voluntary basis, does not extend to the services provided by the MHI.

Currently, domestic health care requires additional infusion of monetary resources, as well as their most effective use. This should happen due to increased competition between medical institutions and improvement of the insurance system.