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Health systems in transition<br />

<strong>Latvia</strong><br />

associations of alternative medicine registered within the <strong>Latvia</strong>n Physicians<br />

Association: the Association of Homeopathy, the Association of Eastern<br />

Gymnastics, the Association of Biophysical Medicine, the Association of<br />

Manual Therapy, and the Association of Osteoreflexotherapy. Only one, the<br />

largest of these, the Association of Holistic Medicine and Naturopathy, has the<br />

right to issue certificates in alternative medicine.<br />

Alternative medical services in <strong>Latvia</strong> are fully reliant on OOP payments, as<br />

none of these are statutorily financed. No alternative therapies or medications<br />

(such as homeopathic medicines) are reimbursable in <strong>Latvia</strong> (as defined by the<br />

Regulations of Cabinet of Ministers) and none are covered by health insurance,<br />

including private insurance.<br />

There are no data are available on the number of users of these services, or<br />

on the profile(s) of the users.<br />

6.13 Health care for specific populations<br />

All citizens of <strong>Latvia</strong> and almost all residents are entitled to receive<br />

statutorily financed services (Section 3.3 Population coverage and basis for<br />

entitlement).<br />

Some specific groups within the country for whom special provisions apply<br />

include those detailed here.<br />

Prisoners: Ambulatory and hospital care for prisoners are organized and<br />

financed by the Ministry of Justice, with some services directly provided for<br />

prisons. The Ministry of Justice also funds treatment costs if the services to<br />

the prisoner are provided in prison health care facilities. HIV/AIDS and TB<br />

prevention and treatment in prisons are paid for from the health budget as part<br />

of a national programme.<br />

Chernobyl victims: Victims of the Chernobyl nuclear accident are covered<br />

by the main statutory health care system; however, they are exempted from<br />

patient co-payments, and also qualify for 50% state subsidy for dental care and<br />

social rehabilitation.<br />

Politically repressed individuals: Such individuals are covered though the<br />

statutory health care system, but are exempted from patient co-payments.<br />

Low-income individuals: Regulations of the Cabinet of Ministers of<br />

2003 determine the criteria for formal status of “low-income person”. Lowincome<br />

individuals with formal status as such are exempted from patient copayments.<br />

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