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Correspondence to Joseph Kutzin e-mail: jku es. Bulletin of the World Health Organization ; Advocates of SHI have suggested that in low-income countries, insurance coverage can expand from the formal sector to the entire population, as it has done in many countries that followed the Bismarck model such as in western Europe, Japan and the Republic of Korea. The Kyrgyz experience illustrates the importance of thinking about health financing policy in functional terms 5 , 6 rather than in terms of historical models imported from western Europe.

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