Healthcare Financing: Possible Answers to Modern Challenges

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Abstract

The article examines modern problems of healthcare financing, their importance increasing in the context of new challenges associated with the current socio-economic and political situation, which makes doubtful the possibility of a significant increase in public funding. At the same time, healthcare costs should be considered as a health determinant, since their size has a positive effect on population life expectancy at birth. The article analyzes possible additional mechanisms that can be used to increase healthcare financing, examining their positive and negative aspects, including voluntary health insurance, sin taxes, co-payments for medical services. The author concludes that it is necessary to take into account both purely fiscal and social and ethical considerations when choosing health care financing mechanisms, as well as their influence on behavior of citizens.

About the authors

Tatiana Vladimirovna Chubarova

Institute of Economy RAS

Moscow, Russian Federation

References

  1. Антропов В.В. Финансирование здравоохранения: европейский опыт и российская практика // Экономика. Налоги. Право. 2019. № 12 (2). С. 115–126.
  2. Гришин В.В., Рагозин А.В. Политэкономия здравоохранения: как выйти из кризиса // Оргздрав: новости, мнения, обучение. Вестник ВШОУЗ. 2019. Т. 5. № 1. С. 30–37.
  3. Климовских Н.В., Лебедева И.С., Лебедев П.В. Аспекты финансирования здравоохранения Российской Федерации // Экономика и предпринимательство. 2018. № 2(91). С. 1098–1103.
  4. Садовничий В.А., Григорьева Н.С. Чубарова Т.В. От традиций к инновациям: реформы здравоохранения в современном мире. М.: Экономика. 2012. – 286 с.
  5. Стародубов В.И., Сон И.М., Пихоцкий А.Н. Становление обязательного медицинского страхования в России: состояние, развитие, проблемы и перспективы // Медицина катастроф. 2010. № 2 (70). С. 25–28.
  6. Чубарова Т.В. Экономика здравоохранения. Вопросы теории. М.: ИЭ РАН. 2008.
  7. Шишкин С.В., Шейман И.М., Потапчик Е.Г., Понкратова О.Ф. Анализ состояния страховой медицины в России и перспектив ее развития. М. : Издательский дом НИУ ВШЭ. 2019.
  8. Färdow J., Broström L., Johansson M. (2019) Co-payment for Unfunded Additional Care in Publicly Funded Healthcare Systems: Ethical Issues // J Bioeth Inq.;16(4):515–524.
  9. Fusco N., Sils B., Graff J. S., Kistler K., Ruiz K. (2023) Cost-sharing and adherence, clinical outcomes, health care utilization, and costs: A systematic literature review // J Manag Care Spec Pharm, volume 29, issue 1, pp: 4–16.
  10. Kiil A., Houlberg K. (2014) How does copayment for health care services affect demand, health and redistribution? A systematic review of the empirical evidence from 1990 to 2011. // Eur J Health Econ 15, 813–828.
  11. Miracolo A, Sophiea M., Mackenzie Mills M., Kanavos P. (2021) Sin taxes and their effect on consumption, revenue generation and health improvement: a systematic literature review in Latin America // Health Policy and Planning, Volume 36, Issue 5, pp. 790–810.
  12. OECD (2015) Fiscal Sustainability of Health Systems: Bridging Health and Finance Perspectives // OECD Publishing, Paris.
  13. OECD (2017) Tackling Wasteful Spending in Health // OECD Publishing, Paris.
  14. OECD (2022) Consumption Tax Trends 2022: VAT/GST and Excise, Core Design Features and Trends // OECD Publishing, Paris.
  15. Ozer Ceren, Bloom D., Martinez Valle A., Banzon E., Mandeville K., Paul J., Blecher E., Parkes S., Chhabra S. (2020. Health earmarks and health taxes: what do we know? // HNP GP Knowledge Brief, World Bank. – 7 pages.
  16. WHO (2004) The Establishment and Use of Dedicated Taxes for Health. World Health Organisation, Regional Office for the Western Pacific.
  17. WHO (2021) Health systems resilience during COVID-19: Lessons for building back better. Geneva: World Health Organization.
  18. WHO (2021) WHO Technical manual on tobacco tax policy and administration. Geneva: World Health Organization.
  19. WHO (2021) WHO health and climate change global survey report. 2021. Geneva: World Health Organization.
  20. WHO (2022) Global spending on health: rising to the pandemic’s challenges. Geneva: World Health Organization.

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