50 Manat 20 years of the state program 'Health'

Turkmenistan's "Saglyk" (Health) program was launched in 1995 under Saparmurat Niyazov, the eccentric authoritarian who renamed himself Turkmenbashi and restructured nearly every aspect of public life — including closing rural hospitals on the theory that villagers would benefit from walking to centralized facilities. The program's 20th anniversary in 2015 fell under his successor Gurbanguly Berdimuhamedov, a former dentist who made public health one of his signature political platforms after reversing several of Niyazov's more damaging medical reforms.

KM#190 is among a tight cluster of commemoratives the Central Bank issued that year with near-identical specifications.