The Evolution of The Romanian Health Care System During the Last 3 Decades (1990-2020)

Starting with 1990, due to the change of the Romanian political regime, the period of attempts to amend social and health insurance legislation was without noticeable results, mainly because the new governments were more concerned with the adaptation of existing legislation than with its radical change, the evolution of the public health system being strongly influenced by the transformations operated in the mechanisms for regulating economic and social activities. Even if it was imposed to overcome a large number of difficulties in the public health care field, some positive aspects can be noticed, materialized by the impression of an increasing tendency of the expenditures made from the consolidated state budget, as well as by the continuous decrease of the stillbirth rate and infant mortality rate. The purpose of this paper is to highlight the main moments that marked the evolution of the reconstruction of the Romanian health system and the setting up of the scheme of social and medical insurance, in the last three decades since the ending of the communist regime.