Vadim Tsybulsky

By the the end of XIX - the beginning of XX century the health care system in Russia practically was absent, there was no also a legal regulation. The first legal certificates have been connected with creation in 1864 of institute doctors applied by zemstvas for serving peasants at the expense of means of local governments - zemstvases, and with development of factory medicine, thanks to the law from 26th August, 1866 obliged factories to arrange clinics with number of places depending on number of the workers. Medical care in these clinics have been provided free of charge. As the industry charter forbade to raise a payment from workers not only for treatment, but also for hygienic and dietary maintenance of the patient. Later according to Cities Regulation of 1870 and 1892 the duty of the organisation of medical care has been assigned to a municipal government to the population similar to those which was provided by zemstvas doctors on village.

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