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The article makes it clear that the problems of public health service are strategic in nature. That is why only tactical strategic decisions on its development can significantly influence such basic indicators as the sickness rate, the life-span and the ability to work of the population. The conceptual nature of public health service, substantiating the necessity of its conceptual restructuring, is revealed. The scenario of public health service innovative upgrade based on the conceptual technologies, taking into account of the system approach and the cultural context in their inseparability is suggested.

Keywords: Public health care, conceptual restructuring, innovative scenario, system approach, the cultural context

On January 4, 2026, it will be exactly three years since I returned to the pool after a thirty-year hiatus...

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I don't remember any names. I don't know who these children have become. I don't know which of them is in school today, who is already working, who is raising younger brothers and sisters, and who has long been swept away by a road that we don't even know exists. But I remember their eyes.