Much ink has been spilled about Latvia’s health care system’s problems. Nevertheless, the focus is usually on optimization and not on needed structural reforms. Naturally, optimization is very much needed. However, only a structural reform decentralizing the decisional process may result in a higher degree of resolubility, integration of actions, and quality. At the same time, it must proportionate a solution for its forthcoming worst financial problems, promote a more rational use of resources and, clearly define what is public and what is private, to avoid fraud and corrupt...
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