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184 Economic <strong>crisis</strong>, <strong>health</strong> <strong>systems</strong> <strong>and</strong> <strong>health</strong> in Europe: country experience<br />

Public administration reforms. There were reductions in the number of<br />

ministries <strong>and</strong> public agencies.<br />

From early 2010, <strong>economic</strong> growth slowly resumed <strong>and</strong> GDP increased by<br />

5.5% in 2011, mainly driven by an increase in exports. Since then, private<br />

consumption has been gradually stabilizing but public consumption is very low<br />

because of the budget consolidation measures implemented in 2010. However,<br />

these measures allowed Latvia to keep its budget deficit well below the target<br />

agreed with the EU <strong>and</strong> the IMF, in order to comply with the Maastricht<br />

stability criterion on budget deficits in 2013 <strong>and</strong> 2014; the country joined the<br />

Eurozone <strong>and</strong> adopted the euro as its national currency in 2014. In addition,<br />

after the initial deflation caused by the <strong>crisis</strong>, prices grew again (at 4.4% in 2011)<br />

<strong>and</strong> GDP grew at about 5% in 2012 <strong>and</strong> 4% in 2013 (Ministry of Finance,<br />

2012; Eurostat, 2013a). The situation in the labour market was expected to<br />

gradually improve in subsequent years; however, increases in employment are<br />

likely to be moderate (on average 2% per year) as growth will mainly depend<br />

on productivity increases (Mitenbergs et al., 2012).<br />

On 22 December 2011, the IMF's Board supported the closure of Latvia's<br />

international loan programme. Of €7.5 billion that was made available, Latvia<br />

used only €4.5 billion. The IMF country report released in early 2012 stated<br />

that Latvia achieved many of its main objectives: “International reserves have<br />

recovered to above pre-<strong>crisis</strong> levels <strong>and</strong> the exchange-rate peg has held. The<br />

financial sector has strengthened, while fiscal adjustment … has preserved<br />

fiscal sustainability. Competitiveness has improved but this was accompanied<br />

by a collapse in output, high unemployment, <strong>and</strong> (despite the programme's<br />

emphasis on emergency safety nets) increasing poverty, while external debt <strong>and</strong><br />

problem assets in the banking sector have also increased” (IMF, 2012, p. 4).<br />

1.3 Broader consequences<br />

With strong <strong>economic</strong> growth, the level of registered unemployment had been<br />

steadily falling in recent years, from 14.4% in 2000 (Tragakes et al., 2008) to<br />

5.7% in 2007 (Economist Intelligence Unit, 2009). However, low saving rates,<br />

likely encouraged by the easy availability of credit, made Latvian households<br />

more vulnerable to <strong>economic</strong> shocks. In 2007, the household savings rate<br />

in Latvia was the lowest in Europe <strong>and</strong> it was the only country in Europe<br />

with a negative savings rate (-4.3%). 3 Low (but positive) savings rates were<br />

also recorded in other Baltic countries (Lithuania, Estonia) <strong>and</strong> the United<br />

Kingdom, compared with an average of 10.8% in the EU27 (Eurostat, 2009).<br />

3 A negative savings rate means that households spend more than they receive as regular income, <strong>and</strong> finance some of<br />

their expenditure through credit or, to a lesser extent, through exceptional resources such as gains arising from the sale of<br />

(mostly financial) assets or running down cash/deposits. One factor that might have contributed to this negative savings<br />

rate was tax evasion (grey economy).

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