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Eurohealth SYSTEMS AND POLICIES m Acknowledgements: We want to express our gratitude to Joe Kutzin for his very useful comments on an earlier version of this paper. The usual disclaimer applies. We also want to thank Baktygul Akkazieva, Alexander Turdziladze, Adyljan Temirov and Ketevan Goginashvili for their collaboration in collection of the data. Eurohealth incorporating Euro Observer - Vol.17 I No.4 I 2011