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Mandatory
insurance had to be provided by employers. Employees could not chose individual policies
for themselves. Basic benefits included the right to choose medical facilities and
physicians within health plan packages, and the right to seek redress for medical
malpractice. This last provision was the primary mode of controlling the quality of
medical care provided to consumers. Lack of professional accountability to the patient has
been a major reason for patient dissatisfaction. Employers could choose among competing
private health plans at different prices, much like the Health Insurance Purchasing
Corporations considered by the Health Reform Task Force of the U.S. Senate Finance
Committee. Although the choice of health plan was made by the employer, the Russian health
care consumer was given greater access than going to the nearest polyclinic in their
geographic medical district, where the medical staff was employed and accountable to the
government. |