The ratio of negative and positive influence factors of the urban environment on the urbanites’ health

The impact of the urban environment on health is recognized by many authors as negative. But the positive effects of this influence cannot be overemphasized. One of them is the availability of a system of high-quality medical care. The paradox is that by experiencing constant physiological, psychological, intellectual overload, suffering from hypodynamia and adverse environmental background urban residents have a wide range of preventive, curative and rehabilitative health services. The authors conducted a study on the model of the musculoskeletal system diseases affecting mainly urban residents and found out that such a phenomenon as the competition of private and public medicine in the fight against these diseases in the urban environment gives a positive effect. Research has shown that the conditions of the urban environment themselves are not clearly bad or good for health. The vector of their influence depends on the choice of the person who can take advantage of the opportunities provided by the city for health promotion or passively obey the negative influences of the urban environment. Urban residents have ample opportunities to choose the health-improving methods provided by clinics and centers of restorative medicine of private ownership. But commercial interests in this case may contradict the goals of recreational activities. The state should not hinder the development of private medicine, it needs to embrace social technologies of healthy lifestyle among the population. The provision of medical services cannot be based on the postulate of self-regulation of the market, because the appeal of a person for help in a private clinic is most often associated not with financial considerations, but with personal medical experience, the influence of relatives, friends, the media, Internet information, self-assessment of health.