Healthcare in Hungary
Healthcare in Hungary
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Healthcare in Hungary

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Healthcare in Hungary

Hungary has a tax-funded universal healthcare system, organized by the state-owned National Health Insurance Fund (Hungarian: Nemzeti Egészségbiztosítási Alapkezelő (NEAK)). While healthcare is considered universal, several reasons persist preventing Hungarian nationals to access healthcare services. For instance, a Hungarian citizen who lived abroad but is unable to show contributions to another country's healthcare system will not be able to access the Hungarian healthcare system free of charge. However, to the OECD, 100% of the total population is covered by universal health insurance, which is absolutely free for children (all people under 16), mothers or fathers with babies, students, pensioners (everyone over 64), people with low income, handicapped people (including physical and mental disorders), priests and other church employees. In 2022 the cost of public health insurance is 8,400 HUF per month (280 HUF/day) which is the equivalent of $23.69. The healthcare system underwent significant changes which also resulted in improving life expectancy (7.48 years for men and 4.92 years for women between 1993 and 2013) and a very low infant mortality rate (4.6 per 1,000 live births in 2014). According to the OECD Hungary spent 7.8% of its GDP on health care in 2012. Total health expenditure was $US1,688.7 per capita in 2011, US$1,098.3governmental-fund (65%) and US$590.4 private-fund (35%).

Doctors' pay is the lowest among the OECD countries. General practitioners are paid 1.4 times the average wage and hospital specialists 1.6 times.

The first hospitals go back to the 13th-century mining towns of Hungary. The first mining health insurance was founded by János Thurzó in 1496. The first modern insurer was established in 1907, named Országos Munkásbetegsegélyező és Balesetbiztosító Pénztár ("National Workers' Sick-benefit and Accident Fund").

The first steps to overall health insurance took place in the Horthy era with the creation of Országos Társadalombiztosítási Intézet (lit. "National Social Insurance Institution") in 1928 (This is the predecessor of present-day Országos Egészségbiztosítási Pénztár.). Social services were complete by 1938, at that time the Hungarian social health insurance system was the most progressive and charitable in East-Central Europe.

After World War II the Communist government fully nationalized social insurance. Since then the Hungarian healthcare system has been state-owned, overall, and available to all people.

The free-market shift initiated after the end of communist rule in 1989-1990 put a strain on the largely centralized, wholly tax-funded public health system, which required far-reaching reforms. These resulted in the creation of the National Healthcare Fund (Hungarian: Országos Egészségbiztosítási Pénztár), in 1993. The OEP, predominantly based on a social insurance system, is the public organization currently controlling the management of health care in Hungary. 83% of the financing for health care comes from taxes and other public revenues.

Participation in the insurance scheme is mandatory for everyone in the workforce, including the self-employed. Most private hospitals also operate under the OEP framework. Because of past hiring policies, Hungarian hospitals often have redundancies of doctors, and a lack of nurses, resulting in an unproductive misuse of human resources.

So-called "gratitude payments", another communist legacy, require in practice a cash payment to have access to better treatments. According to the survey conducted by the Euro health consumer index in 2015 Hungary was among the European countries in which unofficial payments to doctors were reported most commonly. In 2020 the government announced a crackdown on these payments along with an unprecedented pay rise for doctors.

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