On July 23, Ukraine’s Constitutional Court will hear arguments challenging the landmark 2017 legislation that overhauled the country’s healthcare system. It’s the latest salvo in an ongoing war pitting entrenched interests – empowered by the health minister – against the fundamental needs of patients and their families. Backsliding on Ukraine’s health reform has not attracted the same headlines as other reversals of reforms in banking, taxation, corporate governance, and the judiciary. But healthcare costs Ukraine about 7 percent of its budget, a huge slice of public spending that’s at risk of recapture by cronyism and corruption.

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