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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">federalizm</journal-id><journal-title-group><journal-title xml:lang="ru">Федерализм</journal-title><trans-title-group xml:lang="en"><trans-title>Federalism</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2073-1051</issn><publisher><publisher-name>Plekhanov Russian University of Economics</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21686/2073-1051-2020-3-110-116</article-id><article-id custom-type="elpub" pub-id-type="custom">federalizm-175</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НАДНАЦИОНАЛЬНЫЕ ПРОБЛЕМЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>SUPRANATIONAL PROBLEMS</subject></subj-group></article-categories><title-group><article-title>Финансирование здравоохранения в условиях пандемических угроз</article-title><trans-title-group xml:lang="en"><trans-title>Financing of Health Care in the Conditions of Pandemic Threats</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Коломиец</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Kolomiets</surname><given-names>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>КОЛОМИЕЦ Андрей Григорьевич, доктор экономических наук, ведущий научный сотрудник</p><p>Нахимовский проспект, д. 32, г. Москва, 117218</p></bio><bio xml:lang="en"><p>KOLOMIETS Andrey G., Doctor of Economics, Leading Researcher</p><p>32, Nakhimvsky prospect, Moscow, 117218</p></bio><email xlink:type="simple">agk1807@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение науки Институт экономики Российской академии наук</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Institution of Science Institute of Economics of the Russian Academy of Sciences</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>03</day><month>10</month><year>2020</year></pub-date><volume>0</volume><issue>3</issue><fpage>110</fpage><lpage>116</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Коломиец А.Г., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Коломиец А.Г.</copyright-holder><copyright-holder xml:lang="en">Kolomiets A.G.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://federalizm.rea.ru/jour/article/view/175">https://federalizm.rea.ru/jour/article/view/175</self-uri><abstract><p>Используя данные о состоянии систем здравоохранения и распространении пандемии в США, Италии и других странах, автор аргументирует вывод, что эффективное парирование пандемических угроз требует корректировки моделей развития и финансирования системы здравоохранения. В частности, необходимо расширение доступа маргинальных социальных групп к услугам амбулаторно-поликлинических учреждений на постоянной основе, включая бесплатные услуги. Положение, когда привлечение низкооплачиваемых мигрантов, фактически исключенных из региональных систем здравоохранения, позволяет получать конкретным работодателям избыточную прибыль, создает для общества не только дополнительные издержки, но и риски катастрофического развития эпидемиологических ситуаций. Такие работодатели являются разновидностью «безбилетников», которые обходится обществу слишком дорого.</p></abstract><trans-abstract xml:lang="en"><p>The author, using data of health care systems and COVID in the USA, Italy and other countries makes a conclusion that effective parrying of pandemic threats demands correction of a health care system and its financing. In particular, expansion of access for «marginal» social groups to services of out-patient and polyclinic institutions including non-payable services on a constant basis is necessary. Situation when involvement of the low-paid migrants who are actually excluded from regional health care systems allows to get excess profit for employers, creates for society not only additional expenses, but also risks of catastrophic development of epidemiological situations. Such employers are a kind of «free-riders» too expensive for society.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>COVID</kwd><kwd>бесплатные услуги</kwd><kwd>маргинальные группы</kwd><kwd>пандемия</kwd><kwd>равный доступ</kwd><kwd>регион</kwd><kwd>региональные различия</kwd><kwd>финансирование здравоохранения</kwd></kwd-group><kwd-group xml:lang="en"><kwd>COVID</kwd><kwd>equal access</kwd><kwd>financing of health care</kwd><kwd>marginal groups</kwd><kwd>non-payable services</kwd><kwd>pandemic</kwd><kwd>region</kwd><kwd>regional distinctions</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">World Bank. Global Economic Prospects, June 2020. Washington, DC: World Bank. URL: https://openknowledge.worldbank.org/handle/10986/33748</mixed-citation><mixed-citation xml:lang="en">World Bank. Global Economic Prospects, June 2020. Washington, DC: World Bank. 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