Budget 2020: how much money will go to medicine




A new draft budget for 2020 was recently registered in the Verkhovna Rada. However, the Prime Minister of Ukraine Oleksiy Honcharuk noted that this is the first project and its final version may differ greatly. However, we can already see what expenditures the Ukrainian government has planned for next year. In particular, let’s find out how much money is invested in health care.

Total expenditures


For 2020, the draft budget includes UAH 108 billion. on health care. And, it should be noted that this is more than this year by UAH 9.8 billion.

The amount of the medical subvention will be UAH 14.6 billion, UAH 72.1 billion will be provided for the implementation of the medical guarantee program for primary, emergency, secondary (specialized) and tertiary (highly specialized) medical care, and UAH 72.1 billion for the reimbursement (availability of medicine) of medicines. .
UAH 6.6 billion for centralized purchase of medicines and medical devices. and this figure almost coincides with the allocated money for 2019 - 6.58 billion UAH. UAH 690 million will be allocated for the treatment of Ukrainians abroad, while this year UAH 689.9 million has been allocated for the program "Treatment of Ukrainian Citizens Abroad".

In addition, the draft budget for 2020 includes:
1.5 billion - a subvention to local budgets to support certain institutions and activities in the health care system, by the way, in this year’s budget there was no such subvention at all;
UAH 80.8 million - for the purchase of angiographic equipment to cover the whole country with a network of reperfusion centers to provide care to patients with cardiovascular disease.
UAH 922.6 million - subvention to local budgets for the development of the emergency medical care system;
UAH 1.7 billion - for the diagnosis and treatment of diseases with the introduction of experimental and new medical technologies;
UAH 502 million - for sanatorium treatment of patients with tuberculosis, children and adolescents with somatic diseases.

Instead, many other subventions were removed from the draft for the following year. For example, now there are no plans to allocate money to local budgets for the purchase of drugs for inhalation anesthesia, while last year it allocated almost 19 million UAH. Zeros are also in the subvention column of reimbursement of the cost of drugs for drugs for the treatment of certain diseases, in 2019, UAH 250 million was allocated.

Drug costs cut significantly The

wave of outrage was caused by the fact that the new team of the Ministry of Health reduced by one third the budget costs for the purchase of drugs for people with rare orphan diseases. And the purchase of drugs for many other diseases and completely excluded from the document.
As for orphan diseases, in 2019 the state has allocated UAH 72 million for children with cystic fibrosis, and in 2020, these costs are planned to be reduced to UAH 24.8 million. They want to allocate UAH 17.6 million for the purchase of medicines for people suffering from orphan metabolic diseases, while this year the figure was UAH 22.4 million. And such reductions are noticeable on many other diseases. For example, only UAH 2.6 million is planned for the purchase of medicines for children with cerebral palsy, compared to UAH 7.7 million this year, and UAH 14.5 million for children with congenital immunodeficiency (UAH 17.6 million). UAH in 2019), for children with mental and behavioral disorders from the autism spectrum - UAH 3.6 million (UAH 17.9 million was allocated in 2019).

Reduced costs for the purchase of drugs for children with resistant juvenile rheumatoid arthritis - 66 million UAH, against 131 million UAH in 2019, for the purchase of medicines for people with Gaucher disease - 97 million UAH, while now it was 120 million

And some diseases have completely lost funding . No money is planned for the purchase of drugs for the treatment of tuberculosis, tests and consumables for the diagnosis of tuberculosis, as well as empty columns in the budget left against the purchase of test systems for the diagnosis of HIV, drugs for children with chronic viral hepatitis, drugs for adults with viral hepatitis B and C, drugs for those with infectious diseases with a high mortality rate.

Therefore, it can already be noted that many people who need help and suffer from serious and rare diseases will simply not receive help next year. But the only hope is that in the final version of the budget for 2020, these shortcomings will be corrected by providing those who need it with the necessary medicines and assistance.

Author Anastasia Ishchenko
Photo Pixabay

Read also : Big data in medicine: five examples of successful and unsuccessful use