Abstract
This article proposes provisions aimed at improving the existing system of distributing state social expenses. Special emphasis is placed on the issue of using the principles of economic efficiency in a situation of increased need to spend the state budget on social needs. The purpose of this study was to identify the areas of social financial support by the state where adjustments are currently the most justified and necessary due to the macroeconomic situation. The hypothesis of the study is that the existing model of social financing has a number of shortcomings that reduce the effectiveness of financing the social sphere. As a result of the study, the authors identified these shortcomings, revealed the prerequisites for their occurrence and formulated the directions of interventions to reduce the negative influence of the most significant factors. An alternative model of support for citizens is named, implementation of which is possible due to the positive dynamics of social sectors. The article considers one of the most important mechanisms for financing the social sectors – implementation of state programs. The modern mechanism of social programming, as well as the specifics of its formation is clarified; the most important regional social programs are analyzed, the shortcomings of their implementation in the regions as well as gaps in the regulatory framework are emphasized. A possible linkage of social financing and import substitution programs is proposed in order to increase the efficiency of allocating budget funds for health care.
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