Abstract

The use of the terms “health insurance” and “medical insurance” is quite widespread, sometimes without an understanding of the essential differences in terminological constructs. This vague usage is facilitated by the limited or absent (regarding health insurance) normative documents in which these categories would be treated as legal concepts. Confusion in understanding the concepts of medical insurance and health insurance generates a substitution of concepts and a shift of emphasis, where features characteristic of the public legal field are attributed to the private legal relationship of personal insurance. The article distinguishes between the concepts of “medical insurance” and “health insurance.” It highlights the existing problems of providing medical services based on insurance principles and concepts. The differences in the legal nature of the terminological constructs “medical insurance” and “health insurance” are analyzed The given definition of the “healthcare sphere” refers to a system of social relations that arise between government authorities and local self-government bodies, businesses, institutions, and organizations, as well as individuals and the population as a whole, concerning the prevention of illnesses, the preservation of health, the development of rehabilitation assistance, and the attainment of the highest possible level of physical and mental well-being in the human body. These social relations can be organized into a complex system of interactions based on the mechanism of medical insurance, which is subsequently referred to as “health insurance.” Therefore, we agree that “health insurance” is a term used to denote the organization of the healthcare sphere, and “medical insurance” is one of the mechanisms of such organization.

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