Abstract
The article gives a legal analysis of the current state of the system of compulsory medical insurance in Russia, gives a comparative legal aspect of the CHI systems in Russia and some European countries. A proposal has been formulated on the advisability of providing an opportunity for working citizens to realize their right to choose participation in the CHI system by voluntarily refusing to participate in this system and resolving the issue of paying for medical care and treatment through the voluntary medical insurance system. It is proposed to change the legal status of persons who have no earnings (income) for disrespectful reasons and be insured in the CHI system only in terms of emergency (first aid).
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