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In its GDP adapted to current prices amounted to However, as we know, it did not work out. At the same time, total exports not only fell sharply but also deteriorated in quality and diversity.

Economic Aspects of Ukrainian Migration to EU Countries

The share of primary goods, oil and grain increased both in exports and in the overall economic structure of Ukraine. In , machinery accounted for In it constituted only Researchers from the Vienna Institute for International Economic Studies wiiw acknowledged in a recent study, that the implementation of EU regulation and other requirements of an association agreement would impose significant financial strains: both in direct costs to the state budget and in indirect losses for Ukrainian enterprises and the economy as a whole.

For example, Kiev is obliged to adopt over EU legal acts, mainly in the fields of agriculture, technical standards, labor law and financial services. Investment costs that will be required for Ukrainian enterprises to be in line with the technical standards TBT and phytosanitary measures SPS of the EU will be significant. The highest costs will be associated with the approximation of technical regulations and standards, requirements for conformity assessment and labeling, phytosanitary regulations and animal health. The transition will be particularly burdensome for small and medium-sized enterprises, which dominate the Eastern European economies of the former USSR.

They are likely to face market share losses and a reduction in profits. Just for reference: according to the Global Competitiveness Report of the World Economic Forum for Ukraine ranks 85th out of countries, and its rating has been falling for the last few years. The agro-industrial sector has always been of great importance in Ukraine, both economically and culturally.

Here, the export restrictions to the European market, which has been traditionally heavily protected, have proven to be especially burdensome. Here one could observe two extremes: Quotas were either not used at all because of the inability to comply with EU food safety standards and the lack of experience of operating in the EU market.

This is how it was with honey, grain, tomato products, grape juice and sugar. Principles of further cooperation between Ukraine and the Eurasian Union. In other words, instead of becoming one of the largest processing and manufacturing centers of the Eurasian Union, and, subsequently, an industrial and logistics hub of the wider economic space from Lisbon to Vladivostok, Ukraine, at its Transatlantic zeal, has practically become a Third World country specializing in the export of primary agricultural products.

Nevertheless, what is to be done? On-the-ground partners change as nongovernmental organizations fall in and out of favor.

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When treatment for these infections was interrupted in late , clinics used remaining stocks until the Global Fund stepped in with emergency humanitarian assistance. State-financed HIV and TB services in government-controlled areas in the eastern part of the country are overwhelmed with new patients arriving from rebel-held territory. There are legitimate concerns that the ongoing conflict will aggravate the challenge of multidrug-resistant TB.

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The HIV epidemic is primarily driven by injection drug use. But drug rehabilitation centers and needle-exchange programs have been shuttered in rebel-held areas, driving addicts to reuse or share needles. Substitution therapy is formally banned in Luhansk, and while technically permitted in Donetsk, neither methadone nor bupenorphrine is legally available.

Russia, which itself staunchly prohibits use of these drugs in defiance of considerable international pressure, does not provide them. Some patients in need therefore moved back further into Ukraine when the conflict began, taking advantage of a special program launched immediately to assist them. Too many, however, have suffered direct withdrawal, switched back to heroin, or even died; the exact numbers are impossible to determine.

Ukraine still clings to the remnants of the Soviet system of health care. Twenty-six years after independence, it still prioritizes curative services over prevention, hospitals over ambulatory services, and specialists over primary care. Incentives promoting quality—or, put another way, attention to health outcomes—are virtually absent.

Total health spending is around 7 percent of GDP, but expenditure from public sources covers only about half of the services people actually use. About 95 percent of the difference comes out of pocket, with only marginal spending from private or employer-based coverage.

The system is de facto privatized. Patients routinely pay for everything—exams, diagnostic tests, hospital stays, pharmaceuticals, even linens, bandages, and soap. A recent Ministry of Health study found that stents are most frequently placed around 10 am, right after banks open at 9.

More and more people, deterred by likely out-of-pocket expenses, are postponing care until their conditions deteriorate, leading to worsening individual and overall health outcomes. Until recently, many routine medications and vaccines were not just prohibitively expensive, but completely unavailable. Under the old system, a small number of shell companies, all with tight connections to health ministry officials and lawmakers, colluded to distribute state contracts and resell products through a chain of affiliated entities. The absence of consistent and strategic leadership left Ukraine for years without the prerequisite ingredients to fix this mess.

Enter Dr. Ulyana Suprun. Suprun is a Ukrainian-American radiologist from Detroit who came to Kyiv just before the Euromaidan, in the fall of , with the intent of promoting Ukrainian writers and culture by translating Ukrainian books into English.

Inside Economy of Ukraine

During the initial months of the conflict, she trained Ukrainian combatants in field medicine and arranged for the delivery of thousands of NATO-standard individual first-aid kits. She was appointed as acting health minister in July Her one condition for taking the job: that she be allowed to appoint her own leadership team. Many posts are now filled by young, energetic, in many cases Western volunteers, replacing obstructionist political appointees with vested interests in the old system.

They have earned and capitalized on recent declarations of support from the president, prime minister, and key legislative allies.

Ukrainian Prism: Foreign Policy 2018 got B- again

They have taken advantage of vital, courageous, ongoing groundwork by regional health authorities some of whom have proactively experimented with reform despite uncertainty at the central level and civil society groups effectively lobbying for additional resources. Instead of empty declarations—and the Ukrainian people have had quite enough of those—there are now concrete, well-conceptualized and sequenced steps on the table.

One of the smartest elements of the strategy has been an early grab for low-hanging fruit. Public opinion has been positively mobilized by the demonstration of early success, or at least the effective demonstration of serious potential. Also, as of April 1, , an outpatient pharmaceutical package is in place for government payment directly to pharmacies covering different medicines for cardiovascular disease, asthma, and type II diabetes.

Most importantly, a comprehensive overhaul of the entire system is in the works. The elements of reform are straightforward, situated within the logic that money should follow the patient to cover a well-defined set of basic health services, delivered according to international best practices for diagnostics and treatment:. Transparency is intended to eliminate the currently all-too-common fear of financial ruin. USAID has been tremendously and efficiently supportive.

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