In the conditions of martial law, when support for entrepreneurship is declared at all state levels, and without strong business development, the restoration of Ukraine is considered impossible, on the part of the executive in the field of health care, systemic discrimination and obstacles to the activity of private medicine are allowed.
The Association of Private Medical Institutions of Ukraine draws attention to the systematic and gross violation of Article 49 of the Constitution of Ukraine, which guarantees state support for the development of health care institutions of all forms of ownership, by the Ministry of Health (hereinafter — the Ministry of Health of Ukraine), responsible for the formation and implementation of state policy in the field of health care.
Yes, The Ministry of Health of Ukraine does not allow the formation of a capable network and routes of providing medical care to the population of health institutions (hereinafter referred to as “HOZ”) of a private form of ownership, thereby displacing them from a single medical space. Currently, attempts are being made to form artificial infrastructures of HOS, which will receive priority and preferential funding from state and local budgets, which does not take into account the capacity of private medicine and hinders its development, as well as violates the right of patients to choose HOZ for medical care, prevents the implementation of qualitative progressive models the provision of medical care, transparent financial settlements, contributes to the spread of the practice of informal payments for patients, thereby potentiating the development of corruption schemes in the health sector.
Artificial barriers are systematically created for the participation of HOs of private forms of ownership in the program of medical guaranteesdue to the constant change of rules, norms and criteria, the possibility of concluding contracts with the National Health Service of Ukraine, which is a significant threat to change the course of the declared health care reform in Ukraine and creates risks of irrational spending of state budget funds for the creation of new capacities of PPE of the state form of ownership instead of using and attracting those that already exist and prove to be effective.
The normative documents of the Ministry of Health of Ukraine grossly violate the rights of patients receiving medical care in a private form of ownershipwhich henceforth are deprived of the equal opportunity to purchase blood preparations and can acquire them only if there are surpluses of such drugs in blood centers.
The executive branch systematically creates discriminatory norms against medical workers who work in private forms of ownership. Thus, the state created programs of preferential housing lending exclusively for medical workers of state and municipal health care facilities, which directly contradicts the need to support and preserve the personnel potential of the medical industry as a whole.
The Ministry of Health of Ukraine, using the administrative resource, actively promotes 100% of the quota of the possibility of booking medical workers who work specifically in health care facilities of state and municipal property, and also grossly violates the rights of private medical institutions to recognize them as critically important and introduces discriminatory norms, which, among other things, contradict the resolution of the Cabinet of Ministers of Ukraine on these issues.
Such state policy creates extremely unfavorable conditions for attracting investments in private medicine— because the lack of state guarantees, an unfavorable environment for business development, weak investment protection due to the creation of discriminatory norms by the authorities will directly impede the stable participation of potential international and national investors and contribute to the formation of a negative international image of our state. Official letters are sent to the relevant government bodies.
We ask the President of Ukraine, the Prime Minister of Ukraine, the Chairman of the Verkhovna Rada of Ukraine to urgently pay attention to the systemic discrimination of private medicine in Ukraine by the executive power and to take measures to resolve this situation in order to effectively develop and ensure the capacity and sustainability of the healthcare system in Ukraine and preserve the health of Ukrainian citizens.
