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All this speaks about an inefficiency of the existing system of compulsory health insurance and about requirement of change of the principles of its functioning. Perhaps, it would be expedient to return again to the centralized management of the medical organizations, but with other system of distribution — without using the residual principle of the former Union and intermediary services of the existing system.

Today there are two forms of medical insurance of the population, this voluntary and compulsory health insurance which in a certain ratio exist now in each civilized state.