The national health system in our country is mostly (80-90 percent) based on the solidarity system that existed before independence and is funded by employee health insurance contributions, with additional changes during these 26 years of existence of independent Macedonia. A total of 7.8 percent of the insured's gross income goes to the Health Insurance Fund of Macedonia (HIFM). If the insured does not use them, of course, there is no return on this part of the contributions because his 7.8 percent of the salary is poured into the entire fund and is used to treat those who need treatment at that moment. With positive policies and reform efforts, there will be positive changes, and thus the problems in all segments of health will be reduced. A national strategy and reforms need to be made that will enable Macedonia to get closer to European healthcare, as well as to modernize and improve it. In this way, public health will be able to provide quality services that will satisfy both patients and doctors.