Abstract
It has been revealed how inadequate access to medical services manifests as social exclusion, leading to poverty and limited life opportunities. The way the decentralization reform contributes to improving access to social services is examined. Significant dysfunctions in the healthcare system are identified, particularly due to variability in service accessibility levels across different regions. A methodological approach to assessing the accessibility of medical aid is proposed, including the development of integral indices that consider multiple dimensions of the quality of medical care. The necessity for strategic intervention by the state to reduce social exclusion through improved access to social services is emphasized, especially in light of contemporary challenges such as military actions in Ukraine. The importance of understanding the interconnections between social infrastructure and societal inclusiveness is demonstrated, highlighting the role of accessible social services in forming a more equitable and cohesive society.