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4.1 Entrepreneurship and Property
4.1.1 Conversion of the Social Infrastructure
Health
Services
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In view of the great social significance
of health
institutions, their conversion should be approached with
particular care.
Previous experience in the transfer of
polyclinics and
hospitals to the financial statements of municipal bodies
indicates that these organisations frequently fall into
decline very quickly. Local authorities did not have therequisite
means to support the previous level of medical
services. Enterprises were able to acquire the necessary
medical equipment, including foreign purchases and
guarantee existing services, and also pay medical employee
bonuses from their own funds, provide their children with
places in factory kindergartens, and render other services.
For this reason the enterprise managers and work collectives
do not always support proposals to transfer health
establishments to local authorities. It is sufficient to
note that when the Nizhniy Novgorod Council of People's
Deputies adopted such a decision, on the basis of a
resolution by the Russian Supreme Soviet dated December
27,
1991, regarding the division of state property, on the GAZ
production association's drug addiction centre, the latter
sued them.
In addition, one has reason to hope that,
with the
transition to insured medicine, which is supposed to be
implemented as of January 1, 1993, the utilization of
medical establishments will not incur losses, but will
instead derive profits. Admittedly, the enterprises will
not
be exempted from paying the appropriate contributions to
insurance funds.
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