However, the 2010 legislation on the Mandatory Health Insurance system appears to have strengthened the role of the insurance system. This, in turn, may have contributed to the recent falls in mortality and lengthening of average lifetimes. However, given the rather short time since the introduction of these programmes, it is probably too early to judge the final outcome. Surveys (conducted by the Levada Center) show that the share of the population indicating that quality of health care provision had improved during the past year went up from 11 % in 2002 to 20% in 2008 (Table 3.3).