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The idea of the minister of health Винетса Велдре about introduction of obligatory insurance of health for inhabitants of Latvia has not found while special understanding at experts. That is, nobody objects, that the measure in itself good objections causes a way of its realisation. |
Cама on itself the idea of obligatory medical insurance for all population of Latvia is completely not new to enter it in this or that form it was supposed for a long time already. But that’s just the point, that that variant of insurance which has been brought now, at all is not, in my opinion, the best.
Obligatory insurance of health to inhabitants of Latvia will cost ostensibly 120-160 латов in a year. It is said that obligatory insurance will help to change the relation of inhabitants to own health, and also will allow to increase the branch budget. The pier, thanking пациентским to payments to the state will be possible to solve a staff deficit problem in medicine, and patients after introduction of obligatory insurance will not carry any more to doctors envelopes as nobody will want to pay twice. New system plan to enter within the next three years.
But the sum which as it is supposed, each inhabitant of Latvia with a view of the insurance will be compelled to deduct, for many is too big at us lives many rather poor people, and this money disperses for necessary daily needs.
Much more preferable the variant which our party Jaunais Laiks has prepared on the eve of elections in 8th Diet is represented to me. According to this plan, it was supposed, that any new requisitions from inhabitants of Latvia it will not be raised. Recalculation of the social tax raised from each person so that will be made instead it was possible to deduct with соцналога the certain sums and to translate them into the special meditsinsko-safety account. Conveniently also does not assume superfluous expenses! Unfortunately, at the given stage this offer is rejected
By the way, time speech has come about medicine, I should recollect one more problem connected with it. For last years the quantity of complaints of employers on ostensibly unreasonable delivery of sick-lists to workers has essentially grown. I do not think, that these complaints in the majority have under themselves strong reasons. Really, recently prompt growth of disease is observed. But the main reason of it consists, probably, that our medicine all the same expensive enough. Here people also address to the doctor almost at the last minute, aggravating weight of disease.
All it, undoubtedly, testifies in favour of obligatory medical insurance. To enter it it is necessary. But, I repeat, that variant which now offer, it is far not the best. However, it is necessary to notice, that it while is not definitive. After all, accepting it, it is necessary to enter amendments to the legislation which should pass discussion by deputies of the Diet. Detailed discussion of new rules among experts, doctors who, undoubtedly, can prompt the best decision is necessary. Personally I very much hope for Minister of Health Vinetsa Veldre. I have drawn a conclusion that is very reasonable, skilled person who not begins to defend the unreasoned decision.
In general, I hope, that the most suitable will recognise that variant of state insurance of health which was initially offered by our party. Really, from all offered plans this is the most convenient and painless. Its acceptance will relieve inhabitants of Latvia of superfluous unreasonable expenditure, but becomes effectual measures in struggle for nation health.
Михаил Nightingales, врач
My relation to the given measure the inconsistent. The slogan of this action: Give money, money give!. Many argue so: or let the medicine at us will be free but then treat free of charge. Or it платна then simply lower taxes that people had possibility to pay service of doctors. In general if will reduce социалку then it is possible to think and of obligatory insurance of health. I without fail cry the social tax from the incomes here from my money and deduct on insurance. And so I also 120-160 латов should lay out on that someone to itself(himself) has lifted the salary! Does not leave! People will come to conclusion, that then соцналог it is better to pay with минималочки.
Elementary arithmetics: the average salary in Latvia makes gross 350 латов in a month, that is, 4200 in a year. The worker pays 9 percent from it as the social tax, the employer of 24,09 percent. We multiply 33,09 on 4200, we receive 1390 латов соцналога which leaves in the state budget from each working. If from this sum on medicine to take 6 – 7 percent will turn out required 100 латов, and no special surtaxes will be necessary. It is better, than to enter new large requisitions. Some speak: the Insurance supposedly like correct, but, on the other hand, I am not ill, the neighbour is ill, we pay fifty-fifty, means, it is treated at my expense!.
On the other hand, obligatory medical insurance is entered in many countries the same as the obligatory annual tax declaration, obligatory insurance of occupier’s liability of habitation or the tenant. In Latvia about 5 thousand patients which actually the life prolongs the state. Monthly treatment of everyone manages approximately in 12 13 thousand латов. If the state refuses them, all of them in short term will die.
That is, the obligatory insurance is necessary, but to pay for it would cost дифференцированно, and it is better, I repeat, if it became a part of the social tax. At entered system it can turn out and so, that the person will not have money for the insurance, and he cannot pay for illness diagnostics. When disease will reach last stage, the state all the same should treat and spend it for it huge money. It is thought, that with introduction of the offered initiative the quantity of such heavy cases can sharply increase.
I do not consider, that introduction of obligatory insurance will seriously change, as us try to assure, the relation of people to the health. Only the purposeful state policy in this area capitally can affect. To conduct an active, healthy way of life should be not only it is prestigious, but also it is simple. Accessible sport centres, велодорожек, pools are necessary for us many. All it should be available everywhere, be under construction at the expense of incomes of the state taxation and function at the expense of budgetary grants plus a small payment from visitors. While the state money go, basically, on any locks of light, and about medicine, dear inhabitants, all right to take care
At last, the most important question. People bear money in envelopes getting to the good doctor, therefore they are ready to pay to it in addition. And in case of obligatory insurance money will go, theoretically, on all doctors, without their professional qualities. And then to get to the good doctor, all the same it is necessary to pay So, as you can see, it too does not solve a problem of envelopes