||The diffusion of
health models from free market economies influenced Russian Federation reformers to modify
the 1991 Health Insurance Act. They revised the mechanisms of financing health care, which
included employer and risk-based insurance, to conform to a more balanced private-public
mix of financing, which is universally accessible, publicly administered, and hopefully
privately owned (in the future). The availability of health insurance was removed from
being contingent upon employment. This provision thus allowed for more fluid occupational
mobility and reduced the role of the employer in making medical decisions for employees.