Free medicine in Russia is a myth

2024 Author: Seth Attwood | [email protected]. Last modified: 2023-12-16 15:55

A clear example for car owners: if you buy OSAGO, which you cannot refuse, drive your car year after year without an accident, and every 10 years you are bumped into, insurance covers repairs - is it free? Or if you buy your own CASCO and your car is stolen, and the insurance covers the damage - is it also free?

In fact, the situation is similar with medical services for compulsory medical insurance and voluntary health insurance.

From each ruble issued to you, the employer deducts about 50 kopecks to various budgets and funds. We are interested in the MHIF - the mandatory health insurance fund. Your employer deducts 5, 1% of the accrued salary into it. Accrued salary is the salary before personal income tax is deducted from it, which today is 13% (soon 15%). Thus, if you were given 87,000 rubles in hand, then 5100 rubles went to the MHIF. if we measure how much the MHIF has spent from the paid salary, then it will already be 5.86%. You can easily calculate for yourself how much you pay for medicine per year: multiply the money received on your hands for the year by 0.0586.

Someone thinks that the MHIF is only a small part of what our medicine costs the population. This is not true. Here are the specific numbers that were 3 years ago:

And here is a fresh statement by the Minister of Health of the Russian Federation Veronica Skvortsova:

"The consolidated budget envisaged for health care in 2017 will be increased and will amount to 3 trillion 035.4 billion rubles (an increase to the level of 2016 will be 5, 9%). At the same time, the expenditures of the compulsory medical insurance budget will amount to 1 trillion 735 billion rubles. federal budget expenditures - 380.6 billion rubles, the consolidated budget of the constituent entities of the Russian Federation - 919.8 billion rubles."

380 billion- remember this figure.

So, the budget of the MHIF in 2017 amounted to 1,799.1 billion rubles. - this is what was collected from our salaries.

Almost a trillion rubles more - the regions paid.

If we open the 2017 federal budget, we will see figures of 378,679,800,800 rubles for health care, but upon closer examination:

- only 199,543,877,300 rubles go directly to the Ministry of Health

- and then the Ministry of Health itself spends directly on health care 165 337 748 600 rubles!

So, health care expenditures: population 1,799, 1 billion rubles. and the federal budget 165, 3 billion rubles.

Do not forget that most drugs are paid, and for some medical services there is a free queue so that you will not wait for it alive, and there are also services that, in principle, are not free.

The volume of paid medicine

It consists of two components: the first is the commercial drug market, i.e. These are the medicines that citizens buy for their own money in the process of paid or conditionally free medical services, and the second is actually paid medical services.

Let's start with the first one:

In 2017, the volume of commercial drugs amounted to 751.9 billion rubles.

And what about the second one? In 2017, the Russian public health system earned 591 billion rubles from paid services.

And what about private medicine? so far a drop in the ocean, about 2 billion rubles:

Total: 751, 9 + 591 + 2, 2 = 1345, 1 billion rubles. the volume of the paid medicine market in Russia in 2017.

The total volume of the healthcare market in 2017 amounted to 4442.6 billion rubles, of which

The expenses of the MHIF budget (the fact that Russians pay themselves from their salaries) - 1,799.1 billion rubles.

Regional budgets - 919.8 billion rubles.

Paid medicine - 1,345.1 billion rubles.

Federal budget - 378.6 billion rubles. (of which only 165.3 billion rubles were spent directly on health care)

The share of the federal budget (i.e. free medicine) is 8.5%, and if only direct health care costs 3, 7%.

Share of expenses directly from the wallet of citizens is 70, 7%and in dynamics it only increases.

Several graphs per topic: