Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot146310.32687/0869-866X-2024-32-2-257-262НеопределенThe long 1992 year in medicinal (non-)security of Russia. Report I. Market trialIgnatievV Gig_vas@mail.ruZatravkinS Nzatravkine@mail.ruVishlenkovaE Aevishlenkova@mail.ruN. A. Semashko National Research Institute of Public Health, 105064, Moscow, RussiaThe State Budget Institution “The Research Institute of Health Care Organization and Medical Management of the Moscow Health Care Department”, 115088, Moscow, RussiaLudwig-Maximilian University of Munich, 80539 Munich, Germany180420243222104202521042025Copyright © 2025,2025<p>The year 1992 is an important landmark in the history of Russian pharmaceutical market. It began not in January, but in December 1991, when orders of the President and the Government to open free market of medications were promulgated. The Yeltsin advisers conceived that market economy was infallible means to combat medication shortages, corruption and bureaucratic monopoly. However, panacea did not work. Moreover, it gave rise to completely new problems. The human and state security implies protection from threats of dependence. The unprepared dive into market plunged Russians and the country into deep dependence on imported medications and foreign pharmaceutical companies.<br />The proposed study proceeds our publications in this journal and in journal Pharmacia in 2022. At that time, analysis of medication famine was implemented on basis of published sources and relied on journalistic evidences. The current study was carried out on the basis of archive documents of the Ministry of Health of the Russian Federation and authors interviews of representatives of the regulator. The first report reveals administrative mechanism that engendered crisis of medication supply in the first post-Soviet year of our country.</p>pharmaceutical markethistory of medicinesociology of marketsRussia of the ninetiesфармацевтический рынокистория медицинысоциология рынковРоссия девяностых1.Decree of the President of the RSFSR from 5 December 1991 № 260 “On urgent measures to overcome the crisis situation with the provision of medicines and medical equipment”. Available at: http://www.kremlin.ru/acts/bank/541 (in Russian).2.Resolution of the Government from 26 December 1991 № 68 “On urgent measures to provide the population and health care institutions of the RSFSR with medicines in 1992 and the development of the pharmaceutical industry in 1992-1995”. Available at: https://normativ.kontur.ru/document?moduleId=1&documentId=30653&ysclid=lrnhiyyzpv608760305 (in Russian).3.Formation of the pharmaceutical market of Russia. Farmacija. 1993;(4):9—13 (in Russian).4.State report on the state of health of the population of the Russian Federation in 1992 [Gosudarstvennyy doklad o sostoyanii zdorov'ya naseleniya Rossiyskoy Federatsii v 1992 godu]. Мoscow; 1993 (in Russian).