A Conversation with Former Ukrainian Minister of Health Ulana Suprun
The Ukrainian healthcare system has undergone major transformation over the past three years as it has transitioned from a Soviet healthcare system to a modern one based on international best practices. The Zelenskyy Administration has promised additional reforms to the healthcare system. Dr. Ulana Suprun, former Ukrainian Minister of Health, discussed the future of Ukraine鈥檚 healthcare transformation and share lessons learned during her three years of service from 2016 to 2019.
Selected Quotes
Ulana Suprun
鈥淚n that three years, we had a law passed that created a National Health Service of Ukraine 鈥 a single payer system that provides for payment of services at the point of service. There are, approximately, between 35-38 million Ukrainians 鈥 there hasn鈥檛 been a census in a very long time, but that鈥檚 the estimate that鈥檚 given by the Ministry of Finance 鈥 and in the first year of the healthcare reform which started in April 2018 [鈥 28 million Ukrainians signed up to the healthcare system."
鈥淚n private business, you鈥檙e talking about your own company and your own employees, whereas in government you鈥檙e talking about 鈥 in Ukraine 鈥 38 million people. So if you make a mistake, if you go too fast because you don鈥檛 go through all the proper channels of checks and balances, you could negatively impact the health and wellbeing of 38 million people. Therefore, there are certain procedures in government to stop you from doing that, and they are there for a reason.鈥
鈥淲e were the only ministry that actually transformed our entire ministry [鈥 we brought in 80% new people into the directorates [鈥 we brought in people from business, from the academic community, from the NGO community. The director of our directorate on strategic planning and Euro-integration was the head of the largest charity organization that helped children with cancer; the person who is the head of our public health center used to be the executive director of the network of people who live with HIV; The person who鈥檚 the head of the National Health Service of Ukraine used to be the CEO of one of one of the best and largest private hospital systems in Ukraine.鈥
鈥淢y Facebook page became a media outlet: so I would write a post on my Facebook page and they would read it on all of the television stations, and publish it on all of the media outlets. [鈥 One of the things that is most popular on my Facebook page is the 鈥榖usting of myths鈥 [鈥 we started busting myths of Soviet medicine, and the first one we did was busting the myth that you cannot wet your TB test that goes under the skin on your arm [鈥 In the Soviet Union, and in Ukraine, they wouldn鈥檛 let the kids wet their arm for five days [鈥 People still come up to me on the streets of Kyiv and thank me for that post.鈥
Speaker

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Kennan Institute
The Kennan Institute is the premier US center for advanced research on Eurasia and the oldest and largest regional program at the Woodrow Wilson International Center for Scholars. The Kennan Institute is committed to improving American understanding of Russia, Ukraine, Central Asia, the South Caucasus, and the surrounding region through research and exchange. Read more