Sunday, January 28, 2007

Social Health Care

Public health Care in Russia is in deep trouble. Russian government realized that long time ago but only recently Pr. Putin ordered to improve the situation. Health Care is one of 4 “National Projects” under a close watch of Mr. Medvedev, most likely a Putin’s successor as President of Russian Federation. Every Russian citizen has an insurance policy but quality of medical services is terrible. Hospitals are out of necessities: drugs, tools, equipment and materials. You literally have to come with all your supplies if you want to have surgery. Medical staff (doctors and nurses) coerces patients for bribes. All this used to be for the long time, even in Soviet Union, patients rarely came to doctors empty handed. Now the situation is even worse. You have to pay bribes to get quality service.
I hope Mr. Medvedev will change the situation around. Since he has been appointed as 1st Deputy Prime Minister, Ru government spent billions of oil money on health care. However, there is no indication of systematic change. The simple money “injections” in Ru health care would most likely be wasted and if oil prices went down, everything would be the “same all” again. Russia needs to move from public health care to a private one, probably not to the extend as it is in US.
Watch for Senator Clinton and her future policy regarding health care. It raises a lot of concern – would we want to have a “Russian style health care” in US? Good advise for any traveler to Russia: forget about you ins policy, get some cash in the event something happens to you, US dollars are very welcome.

4 comments:

Anonymous said...

Are any health care providers present on Ru fixed income market?

Anonymous said...

There are no any big, private medical service providers in Russia yet. My guess, next 5-10 years would be a "boom" of Russian hospitals and Health Care providers that would be offering bonds and other fixed income instruments..

Anonymous said...

Do you see these instruments being backed by the hospitals themselves or the municipalities the hospitals are in?

Anonymous said...

In response to the last comment: you are right, municipalities are backing up the hospitals and if offered, Russian HMOs and PPOs would have the same ratings as munis are in..