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Ukraine provides an illuminating example of a health system that has responded to a health shock in a way that both builds health system resilience and advances health system reforms. When the COVID-19 pandemic broke out in Ukraine in early 2020, a set of major health financing and provider payment reforms were under way. The capacity of the National Health Services of Ukraine (NHSU) and collaboration with the Ministry of Health (MOH) of Ukraine offered considerable flexibility to make quick adjustments in purchasing arrangements toward changing COVID-19 health care needs. The NHSU is entitled to purchase program of medical guarantees (PMG) services through packages defined on an annual basis with regular adjustments to accommodate evolving needs. The ongoing reforms involved a transition from historical line-item budgeting toward output-based purchasing arrangements through which resources were channeled to selected health providers, conditional on confirmed provider capacity and using new payment mechanisms (capitation, global budgets, fees for service, per-case payment, and so on) that incentivize efficiency. It is an opportune time to reflect on how Ukraine's pandemic response affected the health system reforms and the extent to which adjustments made helped them progress or set them back. The lessons from this experience may be important during the current health sector emergency caused by the Russian invasion in Ukraine, which started on February 24, 2022.
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With many couples separating each year, the question of how to determine the financial and property consequences of such separation has always been a problem area within family law. Should the principles be the same for married and cohabiting couples? Should the division of assets reflect the parties' own expectations or norms imposed by society? These are just two of the questions which the essays in this collection seek to explore. Recent cases in the House of Lords have seen willingness on the part of the judges to seek out empirical studies to inform their deliberations, but if the law is to engage with empirical data then much more information is needed, both about the arrangements people make during their relationships, and about the impact of the law when a relationship breaks down. This inter-disciplinary work brings together leading academics in the fields of law, economics, sociology and psychology in an attempt to provide some of the missing empirical information. Part I sets out the legal framework and identifies the importance of empirical studies for this area. Part II examines how couples (whether cohabitants or spouses) manage their money during their relationships. Part III then considers the impact that the law currently has on separating couples - examining how legal principles translate into reality and what their consequences are for the parties. Finally, Part IV considers the issue of legal rationality: it may be rational for the law to be shaped by patterns of behaviour, but how far will individual couples allow their behaviour to be shaped by the law?
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Divorce --- Equitable distribution of marital property --- Law and legislation
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Equitable distribution of marital property --- Life insurance --- Valuation
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Civil law --- Civil law. --- Community property --- Community property. --- Equitable distribution of marital property --- Equitable distribution of marital property. --- Marital property --- Marital property. --- Netherlands.
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