But the fears proved groundless ...

But the fears proved groundless: hardened on a party basis managerial skills in medicine, policy forms and methods of control, left the health authorities since the socialist administration, did not allow the system to become an independent MLA relatively independent alternative structures in the Russian health care. In turn, funds MLA, by the way, not provided for in the very first edition of the Law on Compulsory Health Insurance, predetermined secondary role health insurance organizations of CBOs. In some subjects in the territorial model of OMC insurance medical organizations have not been established. Over a decade of existence and development of a mandatory health insurance united parities between local health authorities and territorial MHI funds were found in a variety of forms a kind of coitus. Individual heads of local health care became the chairman of the board of CBOs, and other de facto executive management of the funds turned negative magnetoresistance in these departments most local health authorities. Finally, the introduction of so-called program of state guarantees the provision of free medical care to the population although it weighed amounts of financial resources of local self-government with the volume of medical services, returned control of the health system to the original planned distribution methods with a formal administrative mechanisms to encourage or punish health care facilities that do not fit in the quantitative performance plans for outpatient visits and hospital days. It was then fervent early opponents of CBOs have been its protectors and more brazenly began to assign the laurels of the pioneers and organizers of the formation of the system itself. Local legislative bodies, taking a tough regulatory-banning solving the control of all activities of the territorial MHI funds and their executive management, in fact, returned to the territorial level, extra-budgetary funds within the State Budget and the distribution system health. The political system is not received in the public health structure correlated with the civilized liberal attitude in medicine. Such a development was assumed by several investigators and Public Health in the early years of the CHI system in Russia. And later, politicians and leaders of the country in 2001-2002, attempted to prevent a crisis in the state system of public health: an attempt was made for the introduction and construction of medical and social health care system, the proposed merger of extrabudgetary funds for social and health insurance. A reasonable idea was even declared in one of the annual messages of the President. Was the beginning of a broad discussion of the draft law on health and social insurance. Reasons for failed in practice to implement such reforms, still waiting to be explored.