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Reforming voluntary drug insurance in Russian healthcare: does social solidarity matter?

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  • Gerry, Christopher J.
  • Kaneva, Maria
  • Zasimova, Liudmila

Abstract

With low take-up of both private health insurance and the existing public drug reimbursement scheme, it is thought that less than 5% of the Russian population have access to free outpatient drug treatment. This represents a major policy challenge for a country grappling with reforms of its healthcare system and experiencing low or no economic growth and significant associated reductions in spending on social services. In this paper, we draw on data from a 2011 Levada-Center survey to examine the attitudes and social solidarity of the Russian population towards drug policies in general and towards the introduction of a proposed voluntary drug insurance system in particular. In addition to being among the first to explore these important questions in the post-Communist setting, we make three important contributions to the emerging policy debates. First, we find that, if introduced immediately and without careful planning and preparation, Russia’s voluntary drug insurance scheme is likely to collapse financially due to the over-representation of high-risk unhealthy individuals opting in to the scheme. Second, the negative attitude of higher income groups towards the redistribution of wealth to the poor may further impede government efforts to introduce voluntary drug insurance. Finally, we argue that Russia currently lacks the breadth and depth of social solidarity necessary for implementing this form of health financing.

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  • Gerry, Christopher J. & Kaneva, Maria & Zasimova, Liudmila, 2017. "Reforming voluntary drug insurance in Russian healthcare: does social solidarity matter?," Health Policy, Elsevier, vol. 121(11), pages 1177-1185.
    • Handle: RePEc:eee:hepoli:v:121:y:2017:i:11:p:1177-1185
    DOI: 10.1016/j.healthpol.2017.09.001
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    Cited by:

    1. Andrey Aistov & Ekaterina Aleksandrova & Christopher J. Gerry, 2021. "Voluntary private health insurance, health-related behaviours and health outcomes: evidence from Russia," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(2), pages 281-309, March.
    2. Evguenii Zazdravnykh & Andrey Aistov & Ekaterina Aleksandrova, 2024. "Total expenditure elasticity of spending on self-treatment and professional healthcare: a case of Russia," International Journal of Health Economics and Management, Springer, vol. 24(1), pages 81-105, March.
    3. Maria Kaneva & Christopher J. Gerry & Nikolay Avxentiev & Valerii Baidin, 2019. "Attitudes to reform: Could a cooperative health insurance scheme work in Russia?," International Journal of Health Economics and Management, Springer, vol. 19(3), pages 371-394, December.
    4. Diesty Anita Nugraheni & Satibi Satibi & Susi Ari Kristina & Diah Ayu Puspandari, 2022. "Factors Associated with Willingness to Pay for Cost-Sharing under Universal Health Coverage Scheme in Yogyakarta, Indonesia: A Cross-Sectional Survey," IJERPH, MDPI, vol. 19(22), pages 1-18, November.

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