Breakthrough technologies financing of development of science researches and competitive medical equipment

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The article presents an analysis of revenues and expenditures for medical care for non-working, working citizens and the lowest-paid category of working citizens in all regions of the Russian Federation and Russia as a whole. The technical possibility and expediency of introducing a new breakthrough system for financing domestic health care based on medical savings accounts (MSA) based on the criterion of not reducing the amount of funding for medical services per one resident of the subject of the Russian Federation is justified and proved. It is analyzed and shown that the funds accumulated on the MSA in accordance with the new scheme for financing health care in the Russian Federation are sufficient to cover the average cost of medical care for citizens in all regions of the Russian Federation. The economic effect of the introduction of these accounts in all subjects of the Russian Federation is estimated, which will amount to 378 billion rubles in the first year, of which 292 billion rubles are funds on medical savings accounts of citizens, 18.2 billion rubles are reducing the costs of territorial budgets and compulsory health insurance funds for pensioners and 68.6 billion rubles are reduction of expenses of territorial budgets and compulsory health insurance funds at the expense of working citizens exit from “shadow”, in five years the economic effect will make already 2.9 trillion rubles. The main components of the economic effect are the same as for the first year of medical savings accounts introduction. Funds for medical savings accounts can be used only for medical care. Therefore, about 146 billion rubles of 292 billion rubles citizens will spend on their better medical care. These funds will go to medical organizations (hospitals and polyclinics). The funds saved by the territorial budgets and funds of the compulsory health insurance, it is advisable to direct to research, development and manufacture of competitive medical equipment. Thus, the demand for medical equipment, provided with funding from medical organizations and the population, will increase by 8 times and will amount to approximately 1.240 trillion rubles and the budget funds, which should be directed to the research, development and manufacture of medical equipment, will grow by about 5 times and will amount to 420 billion rubles.