Services currently providing palliation are largely based in university hospitals, which are government funded. Patients in university hospitals either have to pay for treatment and medication themselves privately or their costs may be partially (or completely) covered either through one of three government health insurance schemes, or by the Green Card scheme, or by private insurance.
Free inpatient treatment and medication in university hospitals is available for people on low incomes if they have been issued a government Green Card. Outpatient prescribed medication has to be paid for by the patient, who may be covered by their health insurance. End of life medical support accessible in Ministry of Health hospitals is free for inpatients, if they are insured or have a Green Card. There are a few home care services run by private health companies who also offer palliative care, but these are not reimbursable by government insurance plans.18
The health system is highly complex in Turkey with access to government health insurance schemes dependent on location and also whether the patient is, or has been, a government employee. More government funded services are found in the three largest cities. Where government funded provision exists there are more likely to be free or subsidised primary care and inpatient services.19
There are no reports of charitable palliative care agencies (NGOs). In 2003, one cancer NGO, the Association of Patients with Cancer, was reportedly able to offer some financial help for cancer patients in need.20
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