Cost-sharing in Health : An Appropriate Aspiration for Ukraine?
Ukraine’s fight for its values and its future has become an inspiration to the democratic world. That fight comes at an unthinkable human cost, and it will likely only sharpen the expectations of a strong state capable of effectively serving its ci...
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| Format: | Report |
| Language: | English en_US |
| Published: |
Washington, DC
2022
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| Online Access: | http://documents.worldbank.org/curated/en/099310108042274436/P1703210787cc70bc0be4103c821960330f http://hdl.handle.net/10986/37832 |
| Summary: | Ukraine’s fight for its values and
its future has become an inspiration to the democratic
world. That fight comes at an unthinkable human cost, and it
will likely only sharpen the expectations of a strong state
capable of effectively serving its citizens, who are also
taxpayers. A pressing problem to be addressed is the
widespread, overwhelming, toxic informality of private
financing for health care. For citizens who pay for care for
an ill family member, often at the risk of becoming
impoverished, the lack of accountability of service
providers for results or quality is a grave injustice and a
clear threat to social cohesion and economic confidence.
This note discusses the idea of cost-sharing for publicly
funded health care as Ukraine searches for a socially
acceptable trade-off in the scale of public health care
coverage. The note looks at possible risks to the
population’s health and financial protection as well as
possible reasons that may be driving individual and
government willingness to take these risks. It also provides
numerical simulations to answer the practical question of
how much revenue could be generated through co-payments, and
poses a question of its own, as the Ukrainian saying goes:
is the game worth the candles |
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