UKRAINIAN MEDICINE. 2013-2015
The Healthcare in Ukraine is part of universal health care system being a successor of the Soviet healthcare system. The Ministry of Healthcare implements the state policy in the country in the field of medicine and healthcare.
As of March 2009 the Ukrainian government planned on reforming the health care system, by the creation of a national network of family doctors and improvements in the medical emergency services. Ukrainian Prime Minister Yulia Tymoshenko wanted (in November 2009) to start introducing a public healthcare system based on health insurance in the spring of 2010.
Further reform was promised by Health Minister Alexander Kvitashvili in 2014 but proposals failed to make political progress and he offered his resignation – which was not accepted. State funding for hospitals cover only the electricity and meager staff salaries, leading to widespread bribery. Even hot water is a problem. Charitable donations are needed to buy even basic medicines or fuel needed to visit patients.
Although some companies (in their collective agreement) supply their employees insurance medicine Ukraine doesn’t. But it is making a switch to insurance medicine, a transformation that will start in 2017 and will last until 2020.
Ukrainian healthcare should be free to citizens according to law, but in practice, patients contribute to the cost of most aspects of healthcare. Medical staff in the state sector have very low salaries.
One judgment on the value of pain is given by German philosopher, Friedrich Nietzsche, who wrote: “Only great pain is the ultimate liberator of the spirit….I doubt that such pain makes us ‘better’; but I know that it makes us more profound”. Nietzsche and philosophers influenced by him thus oppose the entirely negative valuation of pain, instead holding that ‘What does not destroy me, makes me stronger.”