The master's thesis explores the (re)organization of compulsory health insurance in Slovenia. It leaves asidecomparative legal analysis of health insurance systems and focuses on the current legislative framework, discussing key issues and potential improvements at the systemic, substantive, and organizational levels. Since its establishment in 1992, the system of compulsory health insurance in Slovenia has undergone several significant reforms, reflecting changing social conditions, political pressures, and the subsequent revelation of regulatory shortcomings. Slovenia operates a public health system based on the Bismarck model, characterized primarily by the principles of solidarity between the wealthy and the poor, and reciprocity between the healthy and the sick. One of the most significant reforms occurred after more than two decades of public debate: the abolition of supplementary health insurance and the introduction of a mandatory health contribution. The ongoing challenges surrounding the regulation of contributions for compulsory health insurance—specifically, the currently applicable mandatory health contribution—raise several other dilemmas. These include the method of determining contributions, the organization and functioning of the Health Insurance Institute, and the accessibility of healthcare services and benefits, particularly in the context of the division between public and private healthcare systems. These topics are critically examined in the thesis. Furthermore, in relation to the social risk of dependence on long-term care, the adoption of the Long-Term Care Act has brought some resolution by consolidating the rights arising from this risk within a single legislative framework, thereby addressing the previous fragmentation and legal uncertainty.
|
