In Kyrgyzstan, significant share of the state funds used on the preferential treatment and financing of treatment other patients largely tolerated by themselves. However, the replacement of free services with paid ones occurs spontaneously and haphazardly. The strategy of replacement of free Medicare to paid in official documents and normative acts are not formulated, however, it really exists. With the introduction of co- payment system, patients are forced repeatedly pay for the same medical service, eventually not having a warranty for complete recovery. Many administrators in medicine believe that they do not need to take co-payment from patients, because the patients buying medicines themselves, and in this regard, there are many claims and perturbations on this subject. Our point of view, informal payments in medicine, i.e., unofficial payments to the doctor should not be seen as a "bribe". In the absence of a regulatory mechanism, the informal payment for services acts as a state-nonregulated addition to the market price, this cannot be canceled or destroyed. The only way to put them to some kind of framework - is legalization these payments. Special funds, or receipts from paid services should become a source of own fund of a polyclinic or hospital, which can be used first of all for increasing the salaries of medical workers. Instead of fixed co-payments in medical care, it is advisable to introduce co-payment in relation to medicines, i.e. pay part of the cost of drugs used in the treatment of the patient.