But someone was not very ...

But someone was not very desirable to the merger and consolidation never took place. Thus, today, should frankly admit that in the early years of the twenty-first century, both in the health care system in Russia, and in the system of compulsory medical insurance, a crisis situation that requires decisive action by a qualitative change in form and content of social structures of society for the protection of public health . Has long been a commonplace of the classical thesis that the formation and preservation of health of the population only 15-20%% depends on the organization of medical care, ie of the health system and from medical workers. But the main ingredients that shape health is a complex social factors: the welfare of the population, living and working environment, ecology, general and sanitary culture, habits and traditions, social protection measures, etc. It is a candid thoughts on that, based on This correct conclusion about the comprehensiveness of health, it is logical to concentrate forces and means of social institutions of government to ensure public health, including financial resources, in one management structure. This provides a unified approach to preserve the health of the population. Childbirth, disability, pain and morbidity, disability, unemployment, social support and medical care, physical culture - all this is conditional separation of a single entity - human health. Nice to know that today, out of the current systemic crisis within the framework of administrative reform program were the activities to create the Ministry of combining health and social development of the state. Establishment of the Ministry of Health and Human Development, and even led not care provider caused no unique reaction among the medical community. But it is a question for another day, and now wants to stay at another: will affect whether a similar association of local health authorities, regional funds CBOs, social insurance funds and other structures of the social sphere? It is clear that such a union at the highest level of control though and gives a kind of administrative and economic effect, but it is hardly comparable with the efficiency that can be obtained during a similar association in the field, in the republics, territories and regions of the country. In our opinion such a step would not only logical but also very promising with many points of view. Let us dwell on the economic component of the content of social structures essentially duplicate the same function. In each of their local health authorities, local self-government funds and social welfare created by essentially the structure of operating the same duplicated functions. These can be roughly classified department management, personnel and legal services, control and audit departments or services of automated control systems, economic - the administrative authorities, the leaders of the territorial health authorities, local self-government system and the social security fund has two or three alternates, in each organization's specific fleet of vehicles, office space, etc.