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Health Care System

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Health & Medical
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Moldova has a low standard of state funded healthcare. Healthcare in the country is
available to all citizens and registered long-term residents. The Ministry of Health oversees
the health service in the country and all citizens are entitled by law to equal access to a
minimum amount of free healthcare.
The State System
The basic package of free healthcare is limited to emergency assistance and treatment and
treatment for acute illness. However, different medical organisations take varied views on what
procedures are offered and where.
Financing of Moldovan healthcare is predominantly done through taxation, but there are pilot
plans in operation whereby employers pay a flat rate contribution to a healthcare fund for each
person they employ. There is no option for opting out of the state scheme. Vulnerable groups
like retired citizens, the disabled or those who have lost the income from the breadwinner have
their contributions paid by the state, as long as long as there are no other possible means of
making the contribution i.e. no other member of the family can afford to pay the contribution for
them. When healthcare contributions are paid by the state, the beneficiary only receives a
minimal amount of healthcare.
Fees
In addition to taxation, one third of healthcare finance comes from out-of-pocket payments from
the patient. Citizens have to pay for prescription medicine (children under five are exempt) and
medical treatments deemed nonessential, like cosmetic surgery, dental care, massage and some
laboratory investigations. Patients also make under-the-table payments to doctors, consultants
and nursing staff. Such payments may be in the form of a gift or actual monetary payments.
Private Healthcare
There is a private health system in Moldova; however, the system is used by a limited number of
people like MPs and wealthy entrepreneurs because the treatments are extremely expensive.
Patients who use private doctors make out-of-pocket payments directly to the doctors to pay for
the cost of their treatment. Private practice is still limited to a small number of consultancies,
which offer diagnostic rather than curative services. Fees for private healthcare are fixed
centrally, but doctors make up their money through additional out-of-pocket payments.

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Health Posts
All communities in Moldova have access to healthcare. In rural areas, there is a network of 1011
health posts. They are staffed by a feldscher, a midwife and general assistants and they offer a
basic package of care including general cover, maternal and child health services, comprehensive
developmental checks, immunisation, health education and a basic 24-hour emergency cover.
Health Centres
There are 189 health centres in rural areas, each staffed by three doctors. Some health centres
have facilities for inpatient care. Many of the services provided by the health centre are similar to
those provided by the polyclinics in more densely populated areas.
Polyclinics
Towns and districts with a population over 3,000 people are served by polyclinics, which are
staffed by doctors of internal medicine, paediatrics, obstetrics, gynaecology and dentistry.
Nurses, midwives and medical assistants also operate from the polyclinics. Each doctor is
assisted by two medical nurses. Polyclinics in densely populated areas also offer some medical
and surgical treatments on an outpatient basis.
Consultants
Consultants are senior doctors who have completed a higher level of specialised training. In
Moldova, there are 15,700 specialist doctors throughout, who are highly trained. Consultants
regularly accept under-the-table payments in lieu of services provided. There are numerous
specialist fields of medicine in Moldova like gynaecology, oncology, paediatrics and
dermatology. There is often a waiting list to see consultant doctors.
General Hospitals
Hospitals and clinics exist in all major towns and cities of Moldova; there is usually at least one
hospital per district or municipality. In total, there are 100 hospitals across the country (which
includes rural hospitals and Central District Hospitals), five Outpatient Clinics, a Dentistry, a
Psychiatric and a Dermatology Hospital in the capital city of Chisinau. Additionally, there is a
railway, a military and a trade union hospital. Waiting lists are long and facilities and equipment
are poor. Some hospitals in the capital cannot even afford running water between the hours of
8pm and 6am. General hospitals provide services to patients referred from district and municipal
health institutions. Patients are referred to general hospitals by doctors and consultants.
Rural Hospitals
Rural hospitals offer a limited service, which includes basic specialist treatment and some

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Moldova has a low standard of state funded healthcare. Healthcare in the country is available to all citizens and registered long-term residents. The Ministry of Health oversees the health service in the country and all citizens are entitled by law to equal access to a minimum amount of free healthcare.   The State System The basic package of free healthcare is limited to emergency assistance and treatment and treatment for acute illness. However, different medical organisations take varied views on what procedures are offered and where.   Financing of Moldovan healthcare is predominantly done through taxation, but there are pilot plans in operation whereby employers pay a flat rate contribution to a healthcare fund for each person they employ. There is no option for opting out of the state scheme. Vulnerable groups like retired citizens, the disabled or those who have lost the income from the breadwinner have their contributions paid by the state, as long as long as there are no other possible means of making the contribution i.e. no other member of the family can afford to pay the contribution for them. When healthcare contributions are paid by the state, the beneficiary only receives a minimal amount of healthcare. Fees In addition to taxation, one third of healthcare finance comes from out-of-pocket payments from the patient. Citizens have to pay for prescription medicine (children under five are exempt) and medical treatments deemed nonessential, like cosmetic surge ...
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