The health care system in Ukraine suffers from a lack of funds, quality and efficiency. Currently,
Ukraine is debating a system of social heath insurance. In this paper we discuss a few of the problems
that have to be faced when introducing social health insurance: the collection of (sufficient) revenues
and distributional issues related to the contributions for health insurance, the importance of risk sharing
among (regional) health insurers in order to create stability in the system, and the definition of entitlements,
i.e. what should be included in a social health insurance package and what should be left to voluntary
supplementary insurance?