In their report, Rifat Atun and colleagues described a perfect health-care system without any pitfalls. Turkey has indeed made some important changes in its health-care system in the past 10 years, the cornerstones being the establishment of a family physician-based system for primary health care, a mandatory health insurance fund based on payroll tax run by the Social Security Institution (SSI), and the development of state-private sector partnership for hospital management.However, important issues have been overlooked.
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