The concern with establishing safety nets for resolving the social problems in Russia after the August Coup of 1991 speeded up the diffusion of Western social insurance mechanisms to Russia. Russia wanted to set up the administrative and legal structures to guarantee free market and democratic social relations. The Supreme Soviet adopted ideas for decentralized, self-financing medical care organization, but exercised caution regarding the importation of foreign health programs. The organizational form of provider-controlled, private insurance medicine has persisted over government-administered health programs in the United States, while Canada developed "single-payer" national health insurance and, in Great Britain, a national health service was maintained.