Abstract
The aim of the analysis is to define the causes (on the example of the govermental proposal of the act on public health insurance in 2000), which made the minister of health call back the proposal in autumn 2000 (ie. Even before the first reading in the parliament).
The questions focus mainly on the role of MOH in the formulation and presentation of public interest in their short- and long-term structure and in a relationship to the development of knowledge, usage of objective analyses, research and approaches of individual interest groups. Finding/outcomes: the analysis shows a weakness in the role of MOH in formulating the public interest,, which is the institutional framework of the public health insurance system.
MOH made the proposal concerning mainly the particular approaches of selected interest groups, not considering the available theoretical knowledge, historical experience and analyses and research in this field. The proposal thus lacked a sufficient solid base and thus when presenting it to the parliament it could not even an implication of criticism.
Conclusions are formulated in a proposal of a few recommendations for the continual process of health policy making. That includes respecting the framework of public law, in which the public health insurance is formulated, reasoning of princips of public health insurance, usage of existing knowledge, analytical and research support of the process of health policy making, formulation of the aims in the presence and discussions of the actors