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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Problems of Social Hygiene, Public Health and History of Medicine</journal-id><journal-title-group><journal-title>Problems of Social Hygiene, Public Health and History of Medicine</journal-title></journal-title-group><issn publication-format="print">0869-866X</issn><issn publication-format="electronic">2412-2106</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">611</article-id><article-id pub-id-type="doi">10.32687/0869-866X-2021-29-s1-726-730</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>DIFFERENTIATING THE POSSIBILITIES OF DIFFERENT SEGMENTS OF THE POPULATION TO USE PAID HEALTH SERVICES AS A FACTOR OF SOCIAL TENSION</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Alekseenok</surname><given-names>A. A.</given-names></name><bio></bio><email>alekseenok-aa@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Kaira</surname><given-names>Yu. V.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Mikhalev</surname><given-names>I. V.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Galtsova</surname><given-names>A. N.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Kolmogorov</surname><given-names>E. V.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff id="aff-1">Central Russian Institute of Management - branch, Russian Academy of National Economy and Public Administration under the President of the Russian Federation</aff><pub-date date-type="epub" iso-8601-date="2021-06-15" publication-format="electronic"><day>15</day><month>06</month><year>2021</year></pub-date><volume>29</volume><issue>S1</issue><fpage>726</fpage><lpage>730</lpage><history><pub-date date-type="received" iso-8601-date="2021-08-05"><day>05</day><month>08</month><year>2021</year></pub-date></history><permissions><copyright-statement>Copyright © 2021,</copyright-statement><copyright-year>2021</copyright-year></permissions><abstract>The article is devoted to the study of the impact of the possibility of using paid medical services on the level of social tension. A sociological analysis of the differentiation between the use of paid medical services by the poor and non-poor is being carried out, which are most updated during the COVID-19 period. It is summarized that the lack of funds for the care of children's own health and health has a direct impact on the growth of social tensions. The lack of necessary medical care due to lack of money is the most significant problem for the majority of the poor.</abstract><kwd-group xml:lang="en"><kwd>paid medicine</kwd><kwd>health services</kwd><kwd>public health</kwd><kwd>social tensions</kwd><kwd>deprivation</kwd><kwd>social inequality</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>платная медицина</kwd><kwd>медицинские услуги</kwd><kwd>здоровье населения</kwd><kwd>социальная напряженность</kwd><kwd>депривация</kwd><kwd>социальное неравенство</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Журавлева И. В. 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