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Table 3.2
Transfers to State off-Budget Funds of the Russian Federation for Social Protection Purposes
2007 | 2008 | 2009 | 2010 | ||
*****bles. | *****bles. | Growth from 2007, % | *****bles | *****bles | |
To the budget of the Pension Fund of the Russian Federation | |||||
Monthly cash payments to disabled | 138.5 | 189.5 | 36.8 | 202.5 | 216..0 |
Monthly cash payments to veterans | 48.3 | 52.1 | 7.9 | 53.2 | 54.6 |
Monthly cash payments to citizens exposed to radiation from radiation accidents and nuclear tests | 8.5 | 9.2 | 9.0 | 9.2 | 9.8 |
Monthly payments to Heroes of the Soviet Union, Heroes of the Russian Federation and bearers of the full set of the Order of Glory, Heroes of Social Labour and bearers of the full set of the Order of Labour Glory | 0.9 | 1.0 | 5.5 | 1.1 | 1.1 |
Social support for Heroes of the Soviet Union, Heroes of the Russian Federation and bearers of the full set of the Order of Glory, Heroes of Social Labour and bearers of the full set of the Order of Labour Glory | 0.01 | 0.01 | 7.0 | 0.01 | 0.01 |
Additional monthly payments to certain categories of citizens of the Russian Federation in connection with the 60th anniversary of the Victory in WWII. | 15.2 | 13.7 | -10.0 | 12.3 | 11.1 |
Compensation payments for care for disabled persons | - | 2.8 | - | 2.9 | 2.6 |
To the budget of the Social Insurance Fund of the Russian Federation | |||||
Child care allowance to citizens exposed to radiation from radiation accidents | 0.9 | 0.9 | 5.5 | 1.0 | 1.1 |
Allowances to citizens exposed to radiation from radiation accidents and nuclear tests | 30.5 | 35.2 | 15.4 | 40.0 | 42.6 |
Provision of disabled persons with technical means of rehabilitation, including manufacture and repair of prosthetic and orthopedic devices | 6.4 | 9.0 | 41.0 | 9.7 | 10.4 |
Child care allowance payable for children until the age of 1.5 to citizens not entitled to mandatory social insurance | 12.9 | 17.2 | 33.3 | 16.8 | 17.2 |
In the coming years, as in 2007, financial support of social protection services among the subjects of the Russian Federation is provided through the Compensations Funds and the Federal Fund for co-financing social spending (table 3.3).
Table 3.3
Transfers to Russian Federation Subjects’ Budgets for Social Protection Purposes
2007 | 2008 | 2009 | 2010 | ||
Bln. .rubles | *****bles | Growth from 2007, % | *****bles | *****bles | |
Subventions from Compensations Fund | |||||
To veterans, disabled persons and persons exposed to radiation for rent and utility payments | 81.7 | 90.0 | 10.1 | 97.4 | 108.5 |
For implementation of government employment policy, including social support for the unemployed | 34.3 | 35.8 | 4.6 | 37.8 | 36.1 |
For social support for donors | 3.8 | 4.0 | 10.7 | 4.5 | 4.8 |
Subsidies from the Federal Fund for co-financing social expenditures | |||||
For social support for labor veterans and WWII workers in the rear | 12.1 | 12.9 | 7.0 | 13.8 | 14.7 |
For payment of rent and utility subsidies to citizens | 8.2 | 11.3 | 36.8 | 11.7 | 12.1 |
For social support for rehabilitated persons and victims of political repression | 2.4 | 2.6 | 7.0 | 2.8 | 3.0 |
Other subventions and subsidies | |||||
For ensuring equal availability of public transport services | 4.3 | 4.5 | 7.0 | 4.9 | 5.2 |
For ensuring service pay raises to officers and wage raises to employees of the public safety militia on a part with officers and employees of the Interior Ministry of the Russian Federation | 8.2 | 22.7 | 175.5 | 19.9 | 27.3 |
For the provision of housing to orphans, children without parental care and children under guardianship who have no housing assigned to them | 0.5 | 1.0 | 107.0 | 1.1 | 1.2 |
The Compensations Fund will be augmented by 80 *****bles (i. e. more than double), allowing the subjects of the Russian Federation to fully discharge their obligations under federal law to nearly 20 bln. citizens.
Subsidies from the Federal Fund for co-financing social spending are used to co-finance the operations of the subjects of the Russian Federations. As in the previous years, the federal fund will provide targeted assistance to various regions in key areas of social protection.
3.4 Improving the Quality and Accessibility of Medical Aid
The greater part of national healthcare functions is placed under the authority of regional and local governments. Federal spending on healthcare amount to financing federal medical centers, most of which offer technologically advanced medical services to Russian citizens, funding medical research and medical education, and confronting such socially significant diseases as HIV, tuberculosis, Hepatitis B and C and diabetes.
In 2008 the federal government will increase healthcare spending by 24% in comparison with 2007; in 2009 this figure will rise to 36%. (table 3.4).
Table 3.4
Main Federal Budget Expenditures on Public Health
2007 (budgeted) | 2008 (projected) | 2009 (projected) | 2010 (projected) | |
Plasma centers | 2.1 | 2.3 | 2.4 | 2.5 |
Hospitals, clinics, military hospitals, enterprise polyclinics | 75.2 | 93.2 | 102.9 | 111.9 |
Including provision of high-tech health care | 17.8 | 22.3 | 26.8 | 30.0 |
Polyclinics, outpatient care centers, diagnostic centers | 2.9 | 3.7 | 4.0 | 4.4 |
Sanatoriums, holiday hotels, rest homes, and tourist centers | 6.9 | 7.3 | 7.9 | 8.7 |
Centralized purchases of medicines and medical equipment | 6.9 | 7.1 | 6.4 | 6.7 |
Centralized purchases of diagnostic agents and antiretroviral preparations for HIV and hepatitis B and C prevention, detection and treatment | 7.6 | 7.6 | 8.9 | 10.5 |
Centralized purchases of equipment and expendables for neonatal screening | 0.4 | 0.5 | 0.5 | 0.5 |
Centralized purchases under the national preventive vaccination schedule | 6.1 | 6.1 | 6.1 | 6.1 |
Federal targeted programs | 4.9 | 4.9 | 5.1 | 8.2 |
Federal Targeted Program for Prevention of and Response to Socially Significant Illnesses in | 3.0 | 3.2 | 3.5 | 7.2 |
Transfers to the Federal Mandatory Health Insurance Fund | 73.4 | 45.7 | 31.4 | 4.4 |
For activities under the basic mandatory health insurance program | 6.0 | 15.0 | - | - |
For mandatory health insurance of children | 3.4 | 3.5 | 3.8 | 4.1 |
For preventive medical examination of orphans and children without parental care | 0.3 | 0.3 | 0.3 | 0.3 |
Additional preventive medical examination of employed citizens | 4.0 | 4.0 | 4.0 | - |
Financing of government contracts for primary health care provided by municipal health facilities in accordance with the program of state guarantees for free-of-charge health services to citizens of the Russian Federation | 20.8 | 22.8 | 23.3 | - |
One of the most important objectives in healthcare reform is prevention. The government plans to reduce the number of people in hospital care through widely available better quality social services; it also plans to increase significantly the capacities and extent of outpatient care:
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