Наука. Культура. Общество (Oct 2023)
Value or burden: how do youth trust in the institutions of the welfare state affect their future?
Abstract
The article analyzes young people's perceptions of the ability of the state health care system and pension insurance to meet current and future needs for adequate medical care and a prosperous life, and the impact that they can have on the fate of these institutions. It is shown that young people do not count on a state pension, which is primarily due to the disappointing experience of current pensioners , as well as the mass involvement of young people in informal employment, which does not involve paying taxes and deductions to social funds. The respondents justify the latter by the fact that they do not expect any care from the state and in the future rely only on themselves. Young people are also skeptical about public health care. Problems with timely access to a doctor’s appointment and diagnostic examination in district clinics, their unfriendly medical staff , doubts about its professional qualities are pushing young people into private medicine, which they see in a much more positive light. It is significant that, in the opinion of the respondents, public medical institutions are ahead of private ones in terms of the aggregate index of abuse of trust, and its key forms are those that are designed to force patients to resort to paid services. Respondents explain the readiness of employees of state medical institutions for such unseemly behavior, first of all, by mercenary considerations, as well as fear not to fulfil of the demanding of superiors an increase in the volume of paid services. Negative perceptions of young people about the state pensions and the health care system lead to their devaluation. The loss of support in the generations that are becoming the majority is fraught for these institutions with further degradation and even abolishment that does not meet with much resistance. This is detrimental not only from the point of view of future social risks in a society devoid of “safety nets”, but also in terms of the further disintegration of society.
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