Foreign Policy has a list of the worst healthcare reforms in the world…the list includes China, Russia, the United States, and Turkmenistan.
So, in a frankly insane healthcare reform effort, [Turkmenistan’s “President for Life” Saparmurat Niyazov] restricted the public’s access to care by replacing up to 15,000 doctors and nurses with unqualified military conscripts. The next year, he ordered hospitals and clinics outside of the capital, Ashgabat, to close — even though the vast proportion of Turkmenistan’s population lives in rural areas. The BBC quoted him as saying, “Why do we need such hospitals? If people are ill, they can come to Ashgabat.” He also implemented fees and created an “unofficial” ban on the diagnosis of certain communicable diseases, like hepatitis.