Privatization of health systems with care: A message to East Europe from western systems

Eastern European countries are experiencing major changes in their political and socio-economic systems. Similarly, health care systems are facing major policy changes. The enthusiasm for privatization and decentralization, without adequate preparation, is likely to produce unfavorable results unless careful planning and analysis of policy options is followed. This paper analyses the current status, problems and policies of health care systems in Eastern Europe. It raises the argument that privatization may not be the solution, based on western countries’ experiences.