Covid-19 vs challenge to a new health care reform

Abstract

The absence of signs of legitimacy of power structures, and disagreement with the health policy lead to dissatisfaction, condemnation and protest moods among the population. This disagreement is manifested both at the level of consumers of services - ordinary citizens, and at the level of producers of services - the medical (professional) community. If until recently episodes with a low degree of public satisfaction with the quality of medical services were widely discussed in the media, recent years would have indicated protest moods in the professional group, portending the failure of health care reform. Today, one can hear the conventional wisdom everywhere that it is the medical community that must take full responsibility for solving the pandemic problem fully. However, the analysis of the transitional state of the modern public health system presented in the article, including in the context of the COVID-19 pandemic, shows the ability of this "state"to such challenges as political destabilization, public outcry, professional protests and much more. In fact, today we are witnessing a process of expanding the functions of the health care system from traditional, in particular, the provision of medical care to citizens, pharmaceutical activities, the development of state policy in the field of health care and social development, etc., to the area of non-specific and until recently marginal - we mean the ideological component, accumulating in wide layers of society, turns out to be capable of direct political action.