Issue 4 (14) 2011

18 PROBLEMS OF REALIZATION OF THE RIGHT TO MEDICAL REHABILITATION OF THE PERSONS INSURED IN SYSTEM OF OBLIGATORY SOCIAL INSURANCE FROM ACCIDENTS ON MANUFACTURE AND OCCUPATIONAL DISEASES

PROBLEMS OF REALIZATION OF THE RIGHT TO MEDICAL REHABILITATION OF THE PERSONS INSURED IN SYSTEM OF OBLIGATORY SOCIAL INSURANCE FROM ACCIDENTS ON MANUFACTURE AND OCCUPATIONAL DISEASES

N.A. Sokolova

Omsk Law Institute
12, Korolenko st., Omsk, 644010
E-mail:This email address is being protected from spambots. You need JavaScript enabled to view it.

Loss occurrence in the system of compulsory social insurance against industrial accidents and occupational diseases can involve the implementation of primary and secondary social risk. The first is reflected in the loss of earnings, the second - the need to incur additional costs. In accordance with Federal law of 24 July 1998 “On Compulsory Social Insurance against accidents and occupational diseases” persons suffered with physical or mental damage during work can expect additional cost compensation for medical rehabilitation.

The term “medical rehabilitation” is used in two forms − the broad and narrow. The broad concept includes all activities related to health care of the victim, including his treatment, the use of medicines, medical devices, etc. In a narrow sense, medical rehabilitation is aimed at consolidating the results of the treatment, restoration of the physical forces of the insured person and is often carried out in sanatoriums. From the standpoint of legal technique two different concepts can’t be defined in one way, therefore, it seems appropriate, first, to introduce a legal definition of medical rehabilitation, and secondly, use other identification of medical rehabilitation in sanatorium conditions, for example, the term “sanatorium rehabilitation”.

One element of medical rehabilitation is the treatment of the insured, however, it can be used only by victims of serious accidents, which doesn’t seem fair.

The legal definition of insurance support assumes that the insured person may receive only cash payments, however, victim receives treatment after paying for medical services. This situation makes it necessary to adjust the definition of the concept of insurance coverage for insurance against occupational risks.

The law should clarify the authority of citizens to choose one type of social insurance coverage with respect to health care. It is also necessary to adjust the rules in terms of clarifying the type of program of state guarantees the provision of free medical care to citizens, based on financial standards, which calculates the cost of treatment of the insured.

Keywords: social insurance; professional risk; medical aid; accident on manufacture

Bibliograficheskijj spisok

1. Sin'kov S.N. Vozmeshhenie vreda v porjadke objazatel'nogo social'nogo strakhovanija ot neschastnykh sluchaev na proizvodstve i professional'nykh zaboleva­nijj (pravovojj aspekt): avtoref. dis. …kand. jurid. nauk. M.: 2006. 32 s.

2. O Programme gosudarstvennykh garantijj okazanija grazhdanam Rossijjskojj Fede­racii besplatnojj medicinskojj pomoshhi na 2011 god: postanovlenie Pravitel'stva RF ot 04.10.2010 №782 // Tam zhe. 2010. №41, ch. 2. St. 5239.

3. O Territorial'nojj programme gosudarst­vennykh garantijj okazanija naseleniju goroda Moskvy besplatnojj medicinskojj pomoshhi na 2011 god: prikaz Min­zdravsocrazvitija RF ot 24 fevralja 2005 g. [Ehlektronnyjj resurs]: URL: http://www.garant.ru/products/ipo/prime/doc/296363/ (data obrashhenija: 01.09.2011).

4. Ob objazatel'nom social'nom strakhovanii ot neschastnykh sluchaev na proizvodstve i professional'nykh zabolevanijj: Feder. zakon Ros. Federacii ot 24 ijulja 1998 g. // Sobranie zakonodatel'stva Rossijjskojj Federacii. 1998. №31. St. 3803.

5. Ob opredelenii stepeni tjazhesti povrezh­denija zdorov'ja pri neschastnykh sluchajakh na proizvodstve: prikaz Min­zdravsocrazvitija RF ot 24 fevralja 2005 g. // Bjulleten' normativnykh aktov federal'­nykh organov ispolnitel'nojj vlasti. 2005. №16.

6. Ob osnovakh objazatel'nogo social'nogo strakhovanija: Feder. zakon Ros. Federacii ot 16 ijulja 1999 g. // Tam zhe. 1999. №29. St. 3686.

7. Polozhenie ob oplate dopolnitel'nykh raskhodov na medicinskuju, professional'­nuju i social'nuju reabilitaciju zastrakho­vannykh lic, poluchivshikh povrezhdenie zdorov'ja vsledstvie neschast­nykh sluchaev na proizvodstve i profes­sional'nykh zabolevanijj, utv. postanovle­niem Pravitel'stva RF ot 15 maja 2006 g. // Tam zhe. 2006. №21. St. 2263.