The fragmented health care system in Turkey created a hierarchy of
access and accordingly citizenship. By means of different security
systems the state established differential relationships with its
citizens, dividing them along the lines of their affinity with the
state and their employment status. The problems within this
inegalitarian system and the current attempts at its modification
constitute the starting point of this thesis. Although the study
focuses on the attempt at the socialization of health services
undertaken in 1961, after the military intervention of 27 May 1960,
it presents a comprehensive picture of the Turkish health system in
the Republican period with a view to providing the historical
background against which the current debate around health sector
reform can be better understood. The efforts to establish
socialization of health services as the health system of Turkey has
failed mainly due to the simultaneous development of inegalitarian
corporatist system which provides medical coverage to those in the
formal sector.
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