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Dear reader!

This year marks the passing of 20 years since the re-establishment of health insurance in the Republic of Estonia. That is a sufficiently long time to look back and recall how we have arrived at the present day.

We all tend to forget, especially those events and activities that do not have to be recalled every day. That is why we asked those people whose ideas have been implemented over 20 years and who have contributed to the development of our health system to recall their activities and write them down. This book does not aspire to absolute truth or precision in terms of facts, the aim is rather to present people’s memories as genuinely as possible.

As we read this book, we see that quite a lot of what was initially agreed on has been implemented over the course of 20 years. Diligent and persistent people have led the health care sector, and intense activity has carried on continuously. People’s way of thinking has changed over the years and the centre of gravity of thoughts and ideas has shifted in a definite direction. The initial objective of reorganising medical institutions and their financing has given rise to aims intended for patients and brought aspects associated with human values to the surface: solidarity, insurance coverage and the ability to pay for necessary health care expenditures. I am happy to say that this development has proceeded in the right direction and our current objective is to ensure that people receive high quality and timely medical care in the event that health problems arise.

I thank everyone who has contributed to the completion of this book with their advice and assistance and I wish pleasant reading!

Hannes Danilov

Chairman of the Board of the Estonian Health Insurance Fund

The Story of the Estonian Health Insurance Fund. 20 Years of Treatment and Insurance

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