Military Review

"Money is huge, the results are dubious," or who will be responsible for the disaster in healthcare?

201

Twenty years of stability worse than fascist bombing?


At a meeting on health issues held on August 20th, we were surprised to learn that things are not going very well in this sector, to put it mildly. And from whom they learned - from Vladimir Vladimirovich himself! Usually calm and calm, this time he could not restrain himself and said a few harsh words on this issue:




If the primary link of health care in our country is in the condition it is still in, the number of heart attacks and strokes will not decrease.


Of course, for medical officials, it became like a bolt from the blue. After all, it’s clear that there’s nothing to blame them for - the sanctions and the damned bourgeoisie, who carried out a planned “optimization” of this very “primary link” for a good two decades, are to blame. Well, as expected, we’ve optimized ...

Minister of Health Veronika Skvortsova, who had to take on the tsar’s anger, did not speak, of course, about sanctions and the bourgeoisie, but courageously continued enumerating the problems that the very “primary link” of Russian healthcare faced. According to her, one of the key health problems is the deterioration of funds:

In the primary health care sector, at present 7 thousand 915 buildings from more than 72 thousand are in disrepair and require demolition, reconstruction or major repairs. To date, more than 7 million square meters are subject to major repairs in the primary care. m health facilities


Also, everything is bad with equipment that is either outdated, or almost worn out, or simply requires replacement:

As for medical equipment, its depreciation increased from 20 to 40%. And now it is already more than 20 thousand units that require replacement. And we don’t talk about all medical devices, we only talk about heavy equipment - these are different versions of digital X-ray machines, digital fluorographs, mammographs, ultrasound machines, endoscopic equipment and laboratory complexes


Yeah ... After all, everything was so stable, and the money did not know where to hide. And the results are worse than during the Great Patriotic War ...

But we learned millions of "economists" and "managers" ...


The Minister of Health also complained about the personnel problem, which is already chronic. According to the data she voiced, the primary sector lacks approximately 25 of thousands of doctors. And with the paramedical personnel in the country, it’s just awful - the shortage is about 130 thousand people. The situation has not been saved by the efforts of recent years, including the once widely publicized Zemsky Doctor program.

We add from ourselves that remarkable initiatives, including presidential ones, to increase the average salary of doctors to the level of 200% of the average industry in the region, are either successfully sabotaged by the regional authorities, or even cause further “optimizations”. So, Putin’s decree on the mentioned level in 200%, according to 2019 year data, is carried out only by the 4 region throughout the country. But very often its “fulfillment” is achieved precisely with the help of the notorious optimization - the amount of allocated funds does not increase, the regional authorities tritely reduce a certain number of health workers and share the freed money between the remaining ones.



Putin himself was forced to state that, in accordance with the national project “Healthcare”, 1,367 trillion was allocated to the industry. rubles. “The money is huge, the results are dubious,” he stated.

Let's take courage and fix our “guarantor” - the results are disgusting. Russia has truly become an endangered country. Yes, the roots of many problems were laid long ago, long before Putin, but he also had enough time to reduce the severity of many of them to some tolerable indicators. Well, a lot, in particular, the results of these very optimizations, you just had to prevent ...

Alas, over the years of Vladimir Putin’s presidency, the number of hospitals in Russia has dropped to about five thousand. By their number, modern Russia lags behind the RSFSR 1932 of the year! But we have something to strive for - if we reduce another two thousand hospitals, we can return to pre-revolutionary times!

True, then tsarist Russia was not the last in Europe and the world in terms of health care. But more than a hundred years have passed since then, and the standards, of course, have changed a lot!

Another interesting figure appeared at the meeting - up to 500 settlements in the country are generally beyond the reach of this primary medical care. The figure is large, because in each of these settlements people live - sometimes tens, sometimes hundreds, and sometimes thousands. But nevertheless, this figure is from the evil one - everything is much worse if you remember how many settlements Russia simply lost over the past decades. Moreover, often precisely because of various kinds of criminal "optimizations" - in healthcare, education, administration ...

What if the reformers offer us to sit on the "macaroni"?


Yes, according to various estimates, over the past decades in the Russian Federation, from 23 to 34 of thousands of settlements have disappeared from the map. Some of them, we will be objective, disappeared for some objective reasons, no matter how strange it may seem. But many thousands disappeared precisely because of the “reforms” mentioned above, when residents, who were literally face to face with the problem of educating their own children and saving them in case of illness or injury, tried by any means to move closer to civilization.

Probably, I will not “hang all the dogs” on the Ministry of Health and personally Veronika Skvortsova - according to people close to medicine, she often raises relevant questions at various meetings. But, as they say, things are still there: the government is busy with much more important things, and while the president does not personally crack, no one is trying to be particularly active there.

Alas, one of the problems that led to the current depressing state is the fragmentation of our medicine. It seems that every village will soon have its own "Minister of Education." Yes, only these “ministers” talk more and more about “macaroons” and receive financial assistance from the budget (they don’t want to sit on macaroons). And is it possible that in order to carry out local health care reform properly, a small medical reform is necessary first? And then there are no qualified doctors, let the "ministers" go to work in their profile to the district clinic ...

And what? Good offer. Actual and inexpensive. Again, in the spirit of the times, we are optimizing officials from medicine, turning them into therapists and endocrinologists ...

Alas, the hope that Putin’s “fly” will be a saving pill for our health care is too weak. Somehow, the confidence is growing that our officials are no longer afraid of him, dreaming of only one thing - to sit out on the day when Vladimir Vladimirovich in his place at the galley oars will be replaced by someone else. Anyone else twenty years old will be able to hang something on their ears.

But still, let’s not be discouraged: officials, of course, will not change, but what if it will be a good lesson for Putin himself? After all, everywhere we spit, everywhere “Money is huge, the results are dubious” ...
Author:
201 comment
Ad

Subscribe to our Telegram channel, regularly additional information about the special operation in Ukraine, a large amount of information, videos, something that does not fall on the site: https://t.me/topwar_official

Information
Dear reader, to leave comments on the publication, you must sign in.
  1. plotnikov561956
    plotnikov561956 26 August 2019 03: 32
    +55
    Recently I read .... "... it's not a problem when. When a clown becomes president, it's a problem when the president is a clown." None of them comes to mind ... DO NOT KEEP THE PEOPLE FOR IDIOTS .. !!!
    1. The comment was deleted.
    2. Vanek
      Vanek 26 August 2019 03: 48
      +17
      Quote: plotnikov561956
      DO NOT KEEP THE PEOPLE FOR IDIOTS .. !!!


      No no.

      They think on the contrary.

      For idiots people have long held.

      And they say, "Do not take them for smart."

      This is not the same.

      hi
      1. Aerodrome
        Aerodrome 26 August 2019 06: 11
        +22
        program: "and the living will envy the dead" (C) in action.
        1. Reptiloid
          Reptiloid 26 August 2019 08: 29
          +15
          Well, of course, in what industry, in the reforms, did not collapse occur? After all, health care improvements were declared all the time of "democratic reforms"? However, this collapse is acknowledged! What is amazing!
          Also, in the calculation of pensions, improvements have been carried out for the same number of years, I remember conversations about courts with a pension fund of different people in 2003 --- 2007. They could not accrue a pension for a year, they visited these pension funds constantly, and there they forced them to rewrite applications, as a result, pension money was lost.
          1. Stas157
            Stas157 26 August 2019 08: 46
            +27
            "Huge money, dubious results"

            Yes, who would doubt it! Was something different at the current elite?

            This is exactly the result of the intermediate results of the notorious May decrees and national projects, where they were sent "colossal money - more than 25 trillion rubles", according to Putin. The guarantor said that there will be demand for performers. (Which we have never seen.) But I wonder who will ask from Putin himself, who for twenty years has not been able to bring the economy out of stagnation and the people out of poverty but still irreplaceable?
            1. Reptiloid
              Reptiloid 26 August 2019 09: 19
              +11
              economy out of stagnation, and people out of poverty ??????
              I recall the lines that the mixture of the investigation with the cause ceases to die.
              Improvements can only be after ALL reforms of the 90s will be recognized as criminal, and those who carried them out qualified as criminals.
              KAPITAKLISM ---- not for Russia
              1. Stas157
                Stas157 26 August 2019 09: 58
                +21
                Quote: Reptiloid
                Improvements can only be made after ALL reforms of the 90s are recognized as criminal, and those who implemented them are qualified as criminals.

                The assemblage point of modern Russia is the criminal privatization of the 90s (essentially free transfer of state enterprises to private hands). Putin, too, condemned her and found her dishonest and criminal. Nevertheless, he stated that there would be no revision of this main crime (against the people and statehood itself). So, then, who is he after that, a judge who admits a crime, but does not punish and leaves everything as it is? Maybe he's a cover-up accomplice in a crime? The crime that underlies the origins, the foundation of Russian statehood, without correcting which there will always be a question of justice and the legality of the new government, which replaced the USSR.
                1. Reptiloid
                  Reptiloid 26 August 2019 10: 44
                  +3
                  Stas157, somehow I did not hear this about such Putin's words. No names, no guilty pleas specific, this is only part of the question. And if there is no revision, then it’s not clear at all --- it turns out that they manage poorly, steal, destroy, and let will it stay so? And there are other comers who want to join these thieves?
                  1. Stas157
                    Stas157 26 August 2019 12: 06
                    +12
                    Quote: Reptiloid
                    Stas157, somehow I did not hear this about such words of Putin.

                    This good guy has repeatedly talked about the dishonesty of collateral auctions and the privatization of the 90s, making it clear to everyone that this has nothing to do with it. You can find this in YouTube and in the news archive. Enough to score in the search bar: Putin - privatization will not be revised. hi
                    1. Reptiloid
                      Reptiloid 26 August 2019 16: 34
                      -2
                      enough to score? Being practically crying always at work ---- I look and listen to the pieces. For some reason I heard the end of the phrase
                      And on the other hand, how many conversations were there --- the retirement age will not increase, but rather happened. It must be remembered that any words can be turned upside down. Again, recalling science fiction, as in Robert Sheckley in the EXCHANGE OF MINDS, I will quote ----
                      Remember that in Distorted world--All rules are false. Including the rule listing exceptions, including our definition confirming the rule.
                      But remember also that not every rule is necessarily false, that any rule can be true, including this rule and the exception to it ..
                      В Distorted world--- time does not correspond to your ideas about it. Events can succeed one another quickly, (this is convenient), slowly (this is pleasant) or not change at all (this is disgusting).
                      It is possible that in Distorted world absolutely nothing will happen to you. To count on it is ---- unreasonable ..... How to guess in what world you are? Before Distorted world will not reveal this to you in any disaster ........ Do not hope to outwit him.
                      Italics ----- mine, about the distorted world there is much more .....
                2. MrFox
                  MrFox 26 August 2019 15: 09
                  +7
                  Quote: Stas157
                  The assemblage point of modern Russia is the criminal privatization of the 90s (essentially free transfer of state enterprises to private hands)

                  The way it is. And while people are alive who remember how privatization went, they will never agree that everything that was created by them and their ancestors passed into the wrong hands
            2. Olgovich
              Olgovich 26 August 2019 11: 55
              -22
              Quote: Stas157
              This is precisely the result of the interim results of the notorious May decrees and national projects,

              The result is in figures, which the author "modestly" kept silent about: Minister of Health Veronika Skvortsova, 20.08.2019:

              “For the first half of 2019, indicators have improved significantly. According to preliminary data, life expectancy was 73,7 years, an increase of 0,8 years in six months. In women, it’s already 78,5 years.

              Further:
              According to the goals set in the presidential decree in May, life expectancy by the end of 2019 should be 73,2 years.

              Those. The purpose of the May decrees for 2019 isALREADY achieved..
              And this figure -73,7 r is much higher than in the USSR.
              Alas, over the years of Vladimir Putin’s presidency, the number of hospitals in Russia has dropped to about five thousand. By their number, modern Russia lags behind the RSFSR of 1932! But we have where to strive - if you cut another two thousand hospitals, you can return to pre-revolutionary times!

              It will not work: In Russia, 1916 was 8 hospitalsand (Russian calendar for 1917 A. Suvorin, Petrograd, Type. T-va A. Suvorina, New time, 1916)
              Yes, the roots of many problems were laid long ago, long before Putin, but he also had enough time to reduce the severity of many of them to some tolerable indicators.

              That's exactly what long before him: over the years of power in the country produced hundreds of millions of abortions, practically in the size of the country's population. For example, 1970 - 6 million / year (today 0,5 million).
              The USSR is the world leader in abortion.
              1. Mordvin 3
                Mordvin 3 26 August 2019 12: 31
                +6
                Quote: Olgovich
                And this figure -73,7 r is much higher than in the USSR.

                How much is this? Recently I asked Atalef how to understand - much? I wanted to compare with their Israel, for example, how much the standard of living of them and us had improved over the same period of time. Atalef said nothing. But someone else from Israel answered, as I understand it.
                Why are Russians dying out?
                Quote: dolfi1
                Life expectancy in Israel 1970 - 71 year. 2019 - 84 of the year.

                Life expectancy in the USSR in 1970-71 - 68,9 years, 2018 - 72,8 years. Those. for the same time increased by three years, while at your place - on 13. That's exactly what I wanted to say. True, Skvortsova said a couple of days ago that for six months, life expectancy in Russia has increased by a year, but I can’t believe anything.

                I made a mistake there, on 4 years, the duration for 38 years increased. This is much, in your opinion?
                1. Olgovich
                  Olgovich 26 August 2019 12: 46
                  -13
                  Quote: Mordvin 3
                  How much is this?

                  1. 73,7 -68,47 - = 5,23 g
                  where 73.7 years is the lifespan of today, 68, 47 years is the lifespan in 1991:

                  2. Under Putin, life expectancy has increased on 12%:
                  73, 7-65,47 =8,23 g,.

                  where 65,47 years are the lifespan in 2000

                  "failure", yes ....
                  1. Mordvin 3
                    Mordvin 3 26 August 2019 12: 54
                    +8
                    Quote: Olgovich
                    where xnumx years is the lifespan of today

                    I don’t know how they think there, maybe they have already begun from the moment of conception, but I don’t believe in such a sharp increase, besides this is preliminary data.
                    Quote: Olgovich
                    2: Under Putin, life expectancy increased by 12%:

                    Quote: Olgovich
                    And this figure -73,7 r is much higher than in the USSR.

                    We initially spoke about the USSR, and not about Putin. And in the 90, the people were actively dying according to the precepts of our reformers, among whom Putin was.
                    1. Olgovich
                      Olgovich 26 August 2019 13: 01
                      -10
                      Quote: Mordvin 3
                      I don’t know how they think there, maybe they have already begun from the moment of conception, but I don’t believe in such a sharp increase, besides this is preliminary data.

                      1. Do not believe it.
                      2.73 g is no longer preliminary.
                      Quote: Mordvin 3
                      We initially spoke about the USSR, and not about Putin. And in the 90, the people were actively dying according to the precepts of our reformers, among whom Putin was.

                      1. So there is a figure compared to the USSR.
                      2. Putin did not rule in the 90s practically, nothing.
                      1. Mordvin 3
                        Mordvin 3 26 August 2019 13: 22
                        +6
                        Quote: Olgovich
                        1. So there is a figure compared to the USSR.

                        There is, and it is not 65,47 in 2000, but 69,1 in 1990. And the percentage will be poorer. And 73,7 - the results of the first half of 2019
                        Quote: Olgovich
                        Putin did not rule in 90 practically.

                        One team with Chubais, who saw nothing wrong with the extinction of several million "uncommitted".
                      2. Olgovich
                        Olgovich 26 August 2019 13: 44
                        -8
                        Quote: Mordvin 3
                        There is, and it is not 65,47 in 2000, but 69,1 in 1990. And the percentage will be thinner.

                        He is also good, unlike:
                        1971 - 68,13 years
                        1991 68,47 years

                        20 years old, down the drain.

                        Moreover, the duration increased precisely because of = death reduction. What is this talking about?
                        And no one can force to give birth: do not forget the indisputable "achievement" of the previous government: about 200 million abortionsWorld Leadership. In 1960-70, we aborted more than all countries combined. The result is extinction since 1992, aging, reduction in childbearing generations
                        Quote: Mordvin 3
                        One team with Chubais, who saw nothing wrong with the extinction of several million "uncommitted".

                        Advisor to the mayor, yes, this is the size in the country lol
            3. Alexy
              Alexy 28 August 2019 12: 29
              -1
              But you don’t have to go too far, that Putin can not get the economy out of stagnation in 20 years. You probably forgot what happened 20 years ago. Another thing is that the system created by him, in modern realities is no longer working and requires a fundamental reform. And all these May decrees - just cut the budget. First, in order to find money for them, they raise taxes, increase retirement age, etc. And then this money is trivially stolen.
          2. Svarog
            Svarog 26 August 2019 09: 02
            +15
            Quote: Reptiloid
            However, this collapse is recognized! What a wonder!

            But it is even more surprising that despite the fact that the authorities know and see their worthless work, organizational conclusions are not made and everything remains "stable"
            1. Reptiloid
              Reptiloid 26 August 2019 10: 54
              +10
              In my opinion, the word crash sounded for the first time, before they could not get enough of everything. Now, list other industries where the crash. And then the names of those who especially tried in this crash. Only when will it be, if the collapse is noticed after 30 years? about. This pace cannot be fixed ..
              Quote: Svarog
              ..But even more surprising is that despite the fact that the authorities know and see their worthless work, no organizational conclusions are made and everything remains "stable"
              And there are nasty words ------monitor the situation So what? Domonored.
              1. Svarog
                Svarog 26 August 2019 10: 57
                +2
                Quote: Reptiloid
                In my opinion, the words crash were voiced for the first time, before everything could not be populated.

                Yes, even though there is progress ... they began to recognize their mediocre activities. But I doubt that in other areas they recognize and even more doubt that at least someone will bear responsibility. Recognized, then it’s beneficial to someone, at this stage, pass a little back, the boiler begins to boil ..
                1. Reptiloid
                  Reptiloid 26 August 2019 11: 13
                  +2
                  is it beneficial for someone? Maybe those who are in line for the post. SSS rotation? I'll go about the housework. Respect.
                  1. Svarog
                    Svarog 26 August 2019 11: 14
                    +3
                    Quote: Reptiloid
                    Maybe those who are in line for the post. SSS rotation?

                    Yes, most likely .. revealingly someone decided to spank and replace with an even more effective one ..
          3. Sotskiy
            Sotskiy 26 August 2019 10: 11
            +3
            Quote: Reptiloid
            ... improvements in health care have been proclaimed throughout the "democratic transition" ...

            So they are on the "face"! lol Hasn't the monetization of medicine led to the salvation of the "best" people of the Russian Federation?
            And "driving away from paternalism" isn't it a secret dream that accidentally flew out of the mouth of the Guarantor? So everything is according to plan, everything is natural. What is the failure of their ideas and actions? Populism on TV? Do you still believe him?
            1. Reptiloid
              Reptiloid 26 August 2019 11: 04
              +3
              Believe it or not? It's not about me. I work with different people .... I remember well how many spoke and hoped that right now they would raise their state industry and restore their plants. This is at the beginning of the century. Now many are aware of the lie and this is important
        2. AAK
          AAK 26 August 2019 08: 52
          +4
          well, like "... and bring your own rope and soap, or they will be given out in the clinic ...."
    3. Svarog
      Svarog 26 August 2019 08: 17
      +10
      What if the reformers offer us to sit on the "macaroni"?

      Yes, according to various estimates, over the past decades, from 23 to 34 thousand settlements have disappeared from the map in the Russian Federation.

      What to do? This is genocide, in fact, there is a slow extermination of the population by effective managers. It is necessary to judge all who are involved in this. Only in this way will they begin to realize that they are responsible for the decisions they make.
      1. igorbrsv
        igorbrsv 26 August 2019 08: 27
        +9
        They are judged. And in their place they come. So many ministers of health are changing. No sense.
        1. Svarog
          Svarog 26 August 2019 08: 30
          +1
          Quote: igorbrsv
          They are judged. And in their place they come. So many ministers of health are changing. No sense.

          Something I don’t remember being judged, do not remind anyone exactly?
          1. igorbrsv
            igorbrsv 26 August 2019 09: 10
            +8
            In every regional center. With enviable regularity. It is there that the funds are "redistributed". They also give the go-ahead to doctors not to prescribe drugs (so that the money cried by the cat is "enough"). They cut their additional payments when they are forced to raise their salaries. It's like a cancerous tumor. It is useless to change one. All management positions and at once. And since so many qualified people cannot be found all at once, even a special team should be formed so that this month in this regional center, then in another request
            1. Svarog
              Svarog 26 August 2019 09: 13
              +3
              Quote: igorbrsv
              It's like a cancerous tumor. It is useless to change one. All management positions and immediately.

              That's for sure .. in general everyone needs to be changed from the head.
          2. akunin
            akunin 26 August 2019 09: 51
            +1
            Zurabov was sent into exile as an ambassador to Ukraine, but he could have gone to the states or Germany laughing
            1. The comment was deleted.
              1. akunin
                akunin 26 August 2019 14: 57
                0
                maybe a genius? laughing
      2. WIKI
        WIKI 26 August 2019 10: 12
        +8
        Quote: Svarog
        This is genocide, in fact, there is a slow extermination of the population by effective managers.

        The main public health problem is the presence of effective managers with a clear lack of such an element as conscience in their brains.
      3. lucul
        lucul 26 August 2019 10: 41
        +2
        What to do? This is genocide, in fact, there is a slow extermination of the population by effective managers. It is necessary to judge all who are involved in this.

        It doesn’t work out -You will immediately be declared an anti-Semite .....
    4. Civil
      Civil 26 August 2019 08: 40
      +3
      One must understand that medicine will only be paid, it will remain free only for minors and pensioners and other non-working categories. There can be no such luxury in a poor country.
      1. Alf
        Alf 26 August 2019 15: 39
        +1
        Quote: Civil
        only for minors and senior citizens

        But only pensioners by that time may not remain. Or the retirement age will be raised to 100 years or the old people will die out earlier.
    5. Good mat
      Good mat 26 August 2019 16: 12
      +7
      But with the temples, it’s getting better and better — anyone who is singing who didn’t get the doctor’s ticket on time, or the ambulance didn’t get there, or didn’t have enough money for treatment, everything with divine prices ...
      1. UAZ 452
        UAZ 452 28 August 2019 17: 45
        0
        In the church, any prices are divine. A-priory.
    6. w70
      w70 30 August 2019 06: 54
      0
      When will our "Woe Patriots" begin to see the connection between the lack of independent courts and freedom of assembly and hospital queues? No, they will continue to shout "Damned liberals"!
    7. zenion
      zenion 30 August 2019 15: 16
      0
      If you think this is only in Russia, this is a big mistake. Such garbage happened around the world. Due to the fact that you can buy and sell and steal, you can only in dollars.
    8. Digital error
      Digital error 30 August 2019 22: 50
      0
      wherever you spit, everywhere "Money is huge, the results are dubious" ...

      And you do not reflect, but treat with understanding. You look, hassle and scatter ...
  2. Far B
    Far B 26 August 2019 03: 53
    +30
    And with the formation of seams, and with culture, and housing and communal services (city of millionaires, please do not propose as examples - Russia is not alive as millionaire cities, but a hinterland, after all. There will be no hinterland - it will remain on the map from a dozen points of these same cities. Not enough for 1/7 of the land). But
    But still, let’s not be discouraged
    How long? When there, as in "Peculiarities of the National Hunt," Lyova Soloveichik finally says that "now you can become despondent"?
    Although ... There are no limits, because we only re-master feudalism. Ahead - a new slaveholding, primitive communal ... There is where to move.
    1. Boris55
      Boris55 26 August 2019 07: 39
      -6
      Quote: Dalny V
      How long? When there, as in "Peculiarities of the National Hunt," Lyova Soloveichik finally says that "now you can become despondent"?

      Here in September, as we vote, it will be clear whether it is worth falling into gloom or not.
    2. Reptiloid
      Reptiloid 26 August 2019 08: 42
      +4
      Quote: Far In
      ..... Although ... There are no limits, because we only re-master feudalism. Ahead - a new slaveholding, primitive communal ... There is where to move.

      Well, senators, deputies and some officials have already fully accepted both the feudal and slaveholding systems, as evidenced by their statements, as their beloved ones (I will not repeat, everyone knows that they made themselves and the pride of the nation), and about any nearby cattle and drunks.
      They accepted the system, but they still couldn’t secure the privileges! But ---- they try !! (for the poor at night, turn off the electricity, at least)
  3. Same lech
    Same lech 26 August 2019 04: 15
    +7
    the hope that Putin’s “flak”

    This is one of the peculiarities of the national policy of Russia ... everyone looks up and what the supreme will say ... the final solution to the problem always rests with the president ... and we live with hope for the priest of the king, God and hero.
    The state system is not in a position to independently solve somehow sensitive issues ... Putin needs to be kicked ... well, what a punishment of God is on our heads.
    1. Aerodrome
      Aerodrome 26 August 2019 06: 13
      +17
      Quote: The same LYOKHA
      The state system is not in a position to independently solve somehow sensitive issues ... Putin needs to be kicked ..

      It seems to me that a kick is already needed in the opposite direction.
    2. Boris55
      Boris55 26 August 2019 07: 46
      -20
      Quote: The same LYOKHA
      final decision always rests on the president

      Are you sure about that? I’m not at all.
      Presidential power determines the general direction of the country's movement.
      Presidential power is limited by the Constitution and the laws adopted by the Duma.
      The presidential power does not manage the money (budget) of the country.

      1. To be or not to be
        To be or not to be 26 August 2019 08: 17
        +8
        Boris55 (Boris) Today, 07:46 "" "

        How does power work?
        Interest Ask
        Smorim:
        1 Aug 2 - Thousands of people go to rallies for fair elections,
        - On August 10, Saturday, another protest rally began in Moscow ... Moscow authorities allowed a rally to be held on Sakharov Square.
        -August 17 in Moscow on Sakharov Avenue, another rally began, which is held by the Communist Party.

        2.-Forest fires in Siberia - began in July 2019 in remote areas of the Krasnoyarsk Territory, Irkutsk Region, Buryatia, Transbaikalia
        - July 2019 - Flood in the Irkutsk region, the city of Tulun

        3. 22.08.2019 -Dmitry Medvedev wants to introduce a 4-day work week in Russia
        Does he not know that the country is agitating and pouring kerosene into the fire ??
        1. Boris55
          Boris55 26 August 2019 08: 54
          +1
          Quote: To be or not to be
          Thousands of people go to rallies for fair elections,

          In Russia, the permanent Maidan has been going on since the 2012 year.


          Colonel and senator with billions - this is the visible part of an attempt to make a coup in Russia, stopped by special services ..

          Quote: To be or not to be
          On August 17 in Moscow on Sakharov Avenue, another rally began, which is held by the Communist Party.

          The Communist Party and the EP are the last of the late CPSU who refused to build socialism. All registered parties in their work do not go beyond the prevailing concept. Others - strangled in the bud.

          Quote: To be or not to be
          Dmitry Medvedev wants to introduce 4-day work week in Russia

          At first he increased his retirement age, but now he does not know how to provide people with work ... some thoughts and all are not printed.
          1. To be or not to be
            To be or not to be 26 August 2019 09: 46
            +4
            Boris55 (Boris) Today, 08: 54

            In Russia, a permanent Maidan has been going on since 2012. "
            Clear . there is little space for the trough, but many want it. grunting .. hamster ..
            But. As always, the top of the Maidan and those standing behind them will break through to the trough (and even then not always) .. in the "ban" as always ..
            Better in the Laws and in their strict observance by all
      2. Reptiloid
        Reptiloid 26 August 2019 08: 55
        +1
        In connection with all of the foregoing The same Lech, AirdromeI recall the story of Stanislav Lem about one of the travels of Iyon the Tikhiy. There, on the planet Pinte, the government decided to water the planet and RIP the population (people). People got sick, suffered, died early, but "did not notice" "and praised the fish," hoping "" that they would be able to transform and become full-fledged fish!
      3. akunin
        akunin 26 August 2019 10: 03
        +2
        Are you sure about that? I’m not at all.
        Presidential power determines the general direction of the country's movement.
        Presidential power is limited by the constitution and The laws adopted by the Duma.
        The presidential power does not manage the money (budget) of the country.

        in the picture you have very true
        This is the Kremlin. There Putin. He issues decrees and monitors compliance with the country's constitution.
        (it should be the other way around - at the beginning "constitution" then "decrees", but oh well)
        The President of the Russian Federation is the guarantor of the Constitution of the Russian Federation, the rights and freedoms of man and citizen
        Article 4. If the parliament adopts unconstitutional laws and the government does not work well (each candidate for the minister is adopted by the president), Volodin and Matvienko were approved by the president, and in the presidential republic.
      4. New Year day
        New Year day 26 August 2019 12: 34
        +3
        Quote: Boris55
        Quote: The same LYOKHA
        final decision always rests on the president


        Presidential power determines the general direction of the country's movement.
        Presidential power is limited by the Constitution and the laws adopted by the Duma.
        The presidential power does not manage the money (budget) of the country.


        That's why we are going wrong, the direction is wrong.
        About decision-making mechanisms are very well described in the Novaya Gazeta. There, interviews are given by ministers and members of the AP. You will be surprised, but Putin determines the country's economy
        1. Boris55
          Boris55 27 August 2019 07: 50
          -2
          Quote: Silvestr
          That's why we are going wrong, the direction is wrong.

          Could it be possible in more detail why the May Decrees do not suit you? It is in them that the president, in fulfillment of his constitutional duties, determines the direction of the country's movement for the coming time.

          Quote: Silvestr
          You will be surprised, but Putin determines the country's economy

          To whom the government and the Deputies, when drawing up and approving the country's budget, will allocate money, it will develop, but to whom it will not be allocated, they will bend.

          Quote: Silvestr
          About decision-making mechanisms are very well described in the Novaya Gazeta.

          "Novaya Gazeta", as a print organ of the bourgeois, cannot say anything bad about the bourgeois in principle, but with the opinion of the State Department that Putin is to blame for everything, she completely agrees.

          While we are fighting against false goals, the real ones do their job.
          1. New Year day
            New Year day 27 August 2019 09: 58
            +3
            Quote: Boris55
            Could it be possible in more detail why the May Decrees do not suit you? It is in them that the president, in fulfillment of his constitutional duties, determines the direction of the country's movement for the coming time.

            the text is very good but the realities ..
            The results of the implementation of the “May decrees” of 2012.
            The central objective of the May decrees was to increase salaries for doctors and teachers. As a result, the numbers converged with surgical accuracy, and salaries remained almost at the same level. But has the federal elite left the local administrations any choice? If there are not enough funds in the regional budget, and no subsidies are received from the center, you have to show the wonders of digital combinatorics, that is, engage in juggling statistical reporting.
            But for some reason this didn’t affect the standard of living of state employees of the indicated categories - they, as they received miserable pennies and hardly reached wages to wages, continue to do so to this day.
            Nizhny Tagil with surgeons as evidence for you! laughing
            Quote: Boris55
            "Novaya Gazeta", as a print organ of the bourgeois, cannot say anything bad about the bourgeois in principle

            It doesn’t matter what color the cat is, the main thing is that it catches mice. To paraphrase, it doesn’t matter whose newspaper it matters, how much it reflects the real situation.
            Or do you prefer patriotic heralds from behind a hillock?

            They probably tell the truth!
            1. Boris55
              Boris55 27 August 2019 13: 02
              -3
              Quote: Silvestr
              the text is very good, but the realities .. Results of the implementation of the “May decrees” of 2012 of the year.

              So for what Medvedev and Volodin gave the money, it’s done, but for what’s not, it’s not. Putin does not know the treasury.

              Quote: Silvestr
              no matter whose newspaper, the important thing is how much it reflects the real situation

              And how can you not recall Mikhail Evgrafovich: "... In my opinion, the division of life phenomena into great and small, the reduction of the great to the small, the elevation of the small to the great - this is the true mockery of life ..." We only have to figure out what is small and what is great.

              Quote: Silvestr
              Or do you prefer patriotic heralds from behind a hillock?

              Not. I do not like them. The bourgeoisie invested a lot of money in 20 free TV channels for us, so as not to let us wake up.
      5. Fan-fan
        Fan-fan 26 August 2019 13: 04
        +5
        Borya, you won’t shine with your mind.
    3. The comment was deleted.
  4. The comment was deleted.
  5. Revolver
    Revolver 26 August 2019 04: 22
    -25
    In America, doctors, along with lawyers and the upper (not the very top, but not the middle) level of managers, make up what is called the "upper middle class". Incomes of about $ 500000 per year for an ordinary family doctor with private practice is normal. Neurosurgeons, urologists, cardiologists, and some other specialists and income of $ 1000000 (in words: a million) are not uncommon. That's when the budget of the Russian Federation will be able to pay the district police officer half a lemon of bucks a year, then complain about the quality, and so - what you paid for is what you have.
    1. Plague doctor
      Plague doctor 26 August 2019 04: 53
      +23
      We are not in America, and there highly skilled workers get blessed. We have a country where people have always lived poorly, poorly, in comparison with America, because the authorities always considered people to be trash and stuffed their pockets, and the employer in Russia is the same, it’s an extra income for itself, and workers wouldn’t die of hunger
      1. brat07
        brat07 27 August 2019 00: 04
        -2
        Quote: The Plague Doctor
        We are not in America, and there highly skilled workers get blessed. We have a country where people have always lived poorly, poorly, in comparison with America, because the authorities always considered people to be trash and stuffed their pockets, and the employer in Russia is the same, it’s an extra income for itself, and workers wouldn’t die of hunger

        Put you a minus.
        Why? Because you are the "Plague Doctor".
        After your comments, I want to hang myself.
        PS: Chur, do not offer a rope with soap. stop
        1. Plague doctor
          Plague doctor 27 August 2019 06: 42
          +4
          And I didn’t put a minus, my comment is the truth of life
    2. carstorm 11
      carstorm 11 26 August 2019 04: 59
      +8
      you with such numbers go somewhere to Trump))) half a million a year) 120-200 is their salary. although also not a little. do not forget that they would become a man in such debts climbs that even with a good sn pay them half their lives later.
      1. rocket757
        rocket757 26 August 2019 05: 26
        +8
        Quote: carstorm 11
        you with such numbers go somewhere to Trump))) half a million a year) 120-200 is their salary. although also not a little. do not forget that they would become a man in such debts climbs that even with a good sn pay them half their lives later.

        Well, really, everything is not good there .... that there is no absolute truth, but we have worse and worse ones than in the USSR!
        There are more and more officials and managers, and they have one goal, they will take care of their loved ones, and not about us! Moreover, the power system is based on them, and not on us! However, the power system is sharpened to serve the interests of the rich, and not all the rest. The officials are simply in the system, those who are lower, who are higher and have, have the rest of the people too!
        In short, we all have ..... and when we all end, what does inaccessible medicine contribute to, then who will they have it with? They don’t think about the future! And it’s not a sin to think about ourselves !!!
        1. knn54
          knn54 26 August 2019 06: 44
          +2
          As always, two troubles; D.U.A.C.- reformers and roads. Often, patients themselves are forced to get to a medical facility.
          The biggest danger is a doctor-coward. For a minimum of knowledge.
          In universities (not only medical) they pay for the session, not for knowledge.
          1. rocket757
            rocket757 26 August 2019 06: 55
            +5
            Quote: knn54
            As always, two troubles; D.O.R.A.K.- reformers and roads.

            We have worse, reformers, remodelers, unfinders! They only succeed in destroying, they have never done anything in life normally!
            1. Reptiloid
              Reptiloid 26 August 2019 09: 08
              +3
              Quote: rocket757
              Quote: knn54
              As always, two troubles; D.O.R.A.K.- reformers and roads.

              We have worse, reformers, remodelers, unfinders! They only succeed in destroying, they have never done anything in life normally!

              Good morning Victor! And again, I remember about OBRYENIA in one of Lem's stories. As you say, people are getting worse and worse, and changes in the direction of deterioration are continuing. Just as in Lema --- the forcible transformation into fish, cold and dumb.
              1. rocket757
                rocket757 26 August 2019 09: 34
                +3
                Quote: Reptiloid
                Just as in Lema --- the forcible transformation into fish, cold and dumb.

                Hi Dmitry soldier
                Sometimes you’ll try to figure it out and don’t understand !!! is it we live in science fiction or writers write our science fiction from our lives!
                1. Reptiloid
                  Reptiloid 26 August 2019 10: 32
                  +3
                  Quote: rocket757
                  .... Hello Dmitry soldier
                  Sometimes you’ll try to figure it out and don’t understand !!! is it we live in science fiction or writers write our science fiction from our lives!
                  Great spotted, Victor! Lem certainly wrote fiction from people! He has a terrible detail! INSPECTION, called. How they climbed into the decaying corpse of a giant monster and live there. So is CAPITACLISM! When in the United States, as in other countries, a crisis was approaching at the end of the last century, caused precisely by the system, ours proclaimed that KAPITAKLISM ---- would solve all the problems of the USSR! Well, the USA solved their problems at the expense of the USSR. And now the capitalist RF cannot in any way catch up with the socialist USSR, while it is constantly groaning. And KAPITAKLISM in Russia --- this is a decaying corpse is
                  1. rocket757
                    rocket757 26 August 2019 11: 33
                    +5
                    This is our fish with a darling, especially from the head!
                    1. Reptiloid
                      Reptiloid 26 August 2019 16: 00
                      0
                      Quote: rocket757
                      This is our fish with a darling, especially from the head!
                      Exactly, Victor.
                      Nearly 30 years of fishing, turning into a cold, wordless fish ---- brought a lot of harm to the country.
          2. New Year day
            New Year day 26 August 2019 09: 12
            +4
            Quote: knn54
            The biggest danger is a doctor-coward. For a minimum of knowledge.


            You're not right. The doctor becomes a coward for other reasons. Under the Union, doctors were bolder, because poor diagnostics forced the brain to turn on and make responsible decisions. There were practically no complaints. Now: hospitals are flooded with ultrasound, CT, MRI, but everyone forgets that the same people who give the conclusion are sitting behind them. And they are also mistaken. Having received a conclusion, the attending physician is obliged to take it into account, even if the results of the study contradict the clinic. To step over an erroneous result, knowledge and courage are needed, because the clinician is also a person. And here, at the time of the decision, the likelihood of complaints and Bastrykin’s shadow pops up. The doctor thinks, if you make a mistake, you will get both. Do you need it? And there are standards, beyond which are not approved. The flow of complaints and criminal cases is crushing. Here comes the desire for doing nothing. True, there is a danger of getting the same troubles now due to inaction.
            So they work, walking on a thread.
            1. akunin
              akunin 26 August 2019 10: 12
              +3
              Quote: Silvestr
              True, there is a danger of getting the same troubles now due to inaction.

              if this is not a blatant case, then inaction will drive, and the initiative is a bastrykin. I personally try not to communicate with patients personally - they knock about everything in all instances.
      2. Revolver
        Revolver 26 August 2019 06: 08
        0
        Quote: carstorm 11
        you with such numbers go somewhere to Trump))) half a million a year) 120-200 is their salary.

        $ 120k - $ 200k are programmers and middle managers. Well i.e. there may be a thread in agricultural states such as IA, KY, OK, or in the south in AL doctors and have so little, but on both coasts $ 500k is more typical. I mean doctors with private practice, not those who are young in salaries in hospitals, those who really can have less than $ 200k.
        If you think, I envy them - so no. To study for a long time and is expensive, then to make a name for yourself and start-up capital for your practice - that’s how half your life will go. Of course, if the doctor’s parents also help, otherwise make your way yourself as you can. The responsibility is enormous, not only that they can be sued for millions in case of an error - there is insurance from this, but the very knowledge that your mistake can kill someone or leave someone with an invalid probably crushes (I don’t know - I'm not a doctor). They can pick up a bell in the middle of the night, or pull them out of a restaurant just when they are about to bring a steak, and rush if your patient is too hungry or is about to give birth.
        And to deal with insurance - after eating peas, doctors usually hire an individual person for this job, but often insurance wants to speak with the doctor personally. But insurance is where the money comes from, very few people pay out of pocket, so you have to.
    3. nikvic46
      nikvic46 26 August 2019 06: 52
      -2
      In America, some doctors work under license; others work for the state. Those who work in free medicine and study for free.
      1. Natalya Ilyushkina
        Natalya Ilyushkina 26 August 2019 08: 04
        +11
        Where is the free medicine in the USA, don’t lie and no one studies here for free, at least 10 thousand a semester, if you live in the state and more than 30 if not, and that’s just to get a bachelor’s, and then another 100 thousand, if not more, in medical scool. Then you need to pass exams, they are all paid for about 2 thousand each, then work in the hospital, seven days a week, for 50-60 hours a week, salary for the first 3 years, 60-70 thousand a year, without variations. And only then you can go to a private clinic or get a license for a private practice, also for money, though I don’t know how much, here’s a free education, I haven’t heard anything about free service, although I’ve been living here for 20 years. Maybe it’s only in our state, although I doubt it. By the way, insurance for a month costs us $ 1200 for two, and we pay it ourselves, some companies pay some for the employee. If you do not buy insurance, you will pay a fine, although it seems that this year Trump canceled this law and read about it somewhere. what to invent is not necessary.
        1. akunin
          akunin 26 August 2019 10: 22
          +3
          Quote: Natalia Ilyushkina
          50-60 hours a week, salary the first 3 years of thousands 60-70 per year without variations

          50-60 hours a week, with a working week at 30 hours, the last 5 years for $ 400 a month, now the main one requires working on Saturday and Sunday in 2 shifts for $ 18 a shift. And like me, on the periphery of a thousand. If you start load about expenses in the United States, then in the winter months my rent is $ 120 per month and the winter we have from October 1 to May 1 .31 year in medicine.
        2. nikvic46
          nikvic46 26 August 2019 18: 11
          0
          Natalya Ilyushkina. You forgive me for the stupid comment. I just got it all from our newspapers. I will be glad if you continue to correct us (me).
      2. Revolver
        Revolver 26 August 2019 09: 25
        +8
        Quote: nikvic46
        In America, some doctors work under license; others work for the state. Those who work in free medicine and study for free.

        Only military doctors work for the state, and also doctors in Veteran Administration hospitals. All the rest of the hospital (at least everything I visited) are private, or rather, corporate.
        If a student signs a contract with the Pentagon to serve after training, I don’t remember how long, but not less than 5 years, then the Pentagon pays for the training. There are pros and cons. The plus is that you go out without debt, and you don't have to look for a place to undergo residency - it is already waiting for you. But ... After, even if only 5 years, one of your classmates learned during this time to be a urologist, another to a neurosurgeon, a third bought himself a practice, and you are just a general therapist, well, or even a traumatologist surgeon, with a very specific and not Necessarily demanded experience in civilian life and insignificant (you can't postpone much from the salary of a novice officer) savings - you can't buy practice. So either you spit on money and try to make a career as a military doctor (well, let's say Trump's personal doctor is either counter- or even vice-admiral - the president is supposed to), but not everyone shines big stars. Or you go to civilian life, but 5 years of your career are lost, and the experience is very specific, you will not get a job in every hospital. There are options - to the rural outback, there is a shortage of doctors, or in the Veteran Administration, but they pay "like a simple engineer" - whoever lived in the USSR will understand this phrase.
        Yes, each state has its own licensing system for medical personnel, and if you are allowed to treat, say, in NY, you have no right to practice through the Hudson River in NJ. Those who passed the residency training in passing prepared and passed examinations for a license (i.e. the right to practice medicine independently without the supervision of other doctors) in the state where they planned to settle. And you still have to. Those. residency in a military hospital will be counted out without problems, but no one will exempt from the state license exam, and it takes many months to prepare.
        There is free or partially paid medicine. For the poor, this is Medicaid - insurance provided by the state (administered at the state level, paid by the federal government). 100% paid, but not all. Well, let's say, if the tooth hurts, then pull out and put the bridge to pay, and if you want to make a canal and a crown - already pay extra yourself. And not all doctors accept this insurance (it’s understandable why - it pays worse than private insurance).
        For Medicare over 62 years old. Also insurance paid by the state. It pays much better, but only covers 80%. If you want the rest - from your pocket, and if you want - buy Medicare supplement insurance, which covers these 20%. How much is this? Say, if the procedure is under anesthesia (epidural injection, colonoscopy, and even more so any, even the smallest surgery), anesthesia will cost roughly $ 10k, of which, if you did not buy additional insurance, $ 2000 out of your pocket.

        And further. I have minuses in general, but it is not clear why they are minus when I just give facts for comparison with American medicine? From envy?
      3. New Year day
        New Year day 26 August 2019 09: 30
        +2
        Quote: nikvic46
        In America, some doctors work under license; others work for the state. Those who work in free medicine and study for free.


        And they all work according to standards aimed at a compromise between preserving human health / life, the economic feasibility of the case, the level of insurance. No need to idealize American healthcare. The last case: a doctor working in the United States, but Russian, turned to his wife for advice. On problems with the child, he turned to his American colleagues, but according to state standards, the child is fine, although a doctor who has been educated in the Union and the Russian Federation will understand that this is not so. But American standards claim that he is healthy. After the consultation, treatment was prescribed that corrected the situation. Our problems are handled by ours from Italy, England, where by their standards the child is healthy, but essentially more. I want to grieve, such standards are being introduced in Russia, so they are still contradicted by doctors from the USSR. Modern-stupidly perform them, so the call is difficult to find a healthy conscript. Hence, by the way, the answer to the question about “cowards-doctors”.
        1. Revolver
          Revolver 26 August 2019 09: 50
          +4
          Quote: Silvestr
          On problems with the child, he turned to his American colleagues, but according to state standards, the child is fine, although a doctor who has been educated in the Union and the Russian Federation will understand that this is not so. But American standards claim that he is healthy. After the consultation, treatment was prescribed that corrected the situation.

          If the disease is not on the list of officially recognized diseases in America, the doctor has no right to make a diagnosis, even if the disease is recognized and described in detail abroad. And prescribe foreign drugs that are not approved by the FDA (Food and Drug Administration), also has no right. For such a license is deprived. This is my doctor who can recommend warming up or rinsing there, but only in Russian, and in English with an inscription in the medical history - never. Only officially recommended products.
          But pederasty was removed from the list of diseases and even in some states it was legally prohibited from treating it. So if your young offspring said that he was gay (or finally she), do not dare to drive to doctors to correct orientation and identification. Otherwise, the child will be taken away and placed in an LGBT shelter, and you will be fined and / or put in prison.
          1. Revolver
            Revolver 27 August 2019 03: 17
            +1
            Quote: Nagan
            pederasty was removed from the list of diseases and even in some states it was legally prohibited from treating it

            And who secretly minus? And for what? In support of LGBT, not otherwise.
            ;-)
    4. New Year day
      New Year day 26 August 2019 08: 54
      +5
      Quote: Nagan
      That's when the budget of the Russian Federation will be able to pay the district half a lemon bucks a year, then complain about the quality,

      It's too late. Those who could work with a soul have left or are leaving. Another generation comes
    5. To be or not to be
      To be or not to be 26 August 2019 08: 57
      0
      Nagan. check the cartridges .. they are single or damp
      "We are in America. We are in America .." wink
      From a conversation with a former Soviet who had long gone to your America .. He says that very rich and very poor live normally, and the rest exist
      1. Revolver
        Revolver 26 August 2019 09: 39
        +5
        Quote: To be or not to be
        normally live very rich and very poor, and the rest exist

        This, of course, is not the whole truth, but there is some truth to this :(

        Quote: To be or not to be
        check the cartridges .. they are single or damp

        Combat, produced in the USSR, bought on occasion a whole zinc. Over the years, part of the shooting range, but still a lot left. I store at home in a dry, heated room.
    6. Den717
      Den717 26 August 2019 09: 14
      +2
      Quote: Nagan
      In America, doctors ....... Revenues of about $ 500000 a year from an ordinary family doctor with private practice are normal. At neurosurgeons, urologists, cardiologists, and some other specialists, income of $ 1000000 (in words: one million) is not uncommon. That's when the budget of the Russian Federation will be able to pay the district half a lemon bucks a year,

      Note that in America these salaries are not paid by the budget .... But a patient who pays insurance from the money that he receives in his hands. And these insurances make up a tangible part of citizens' income. On the plus side, there are some differences between the economies, in the size of which the country's possibilities for social support sit. We can mention the government debt and the printing press, which produces "reserve world currency" in an incomprehensible amount. I want to say that we and America are very, very different in terms of the economic system and capabilities. Therefore, I consider it not entirely correct to compare the income of individual citizens without taking into account the entire system. In general, talking and trying to solve the problem of one industry is a hopeless business. It is necessary to reform and develop the entire management system in the country. Here they say
      the authorities always considered people for rubbish and stuffed their pockets, and the employer in Russia is the same, it’s an extra income for itself, and workers should not die

      Yes, partly true. But who is this power? These are the same housemates that we chose locally for their promises, and who immediately forget what they promised. This means that, first of all, these promises must be legally consolidated, and their failure to be elevated to the rank of a crime. And if an elected official has received an unsatisfactory assessment of his activities from his electorate for a year of work, he must be removed from power. Then this official will be interested in work and real achievements. Let's go back to healthcare. Today, the AO institutions are transferred under the control of the departments of regional authorities, which see the situation in figures in the reports. Local government is gradually turning into a simple imitation of power, from which more and more powers are being torn away. But they are the ones who see on a daily basis the state of health care in the primary care, schools, kindergartens and everything that annoys us every day. And today Skvortsova was kicked out at the meeting, she returned to the office and ordered automatic doors to be installed in all children's clinics, as in supermarkets. Maybe this is the right decision near her house. But when the entire department with the chief doctors are pushing their horns "on time", they spend quite a lot of money, despite the fact that the clinic in the adapted building has not had elementary maintenance over the past 10-15 years, it seems that Skvortsova herself and all her assistants in their medical specialties, and in life, proctologists. With all that it implies .... Here you can roll out the financial management system for a long time in the AO, but in all other industries. In any case, at the end you run into the System. But nobody touches her. Tellingly, not a single opposition party or construction (bulk-basement) offers this either. They say they say, but there are no practical suggestions on how and what to do .... This, of course, is not a dead end. And not a disaster. But the situation requires real measures of influence, some noticeable dynamics. And in this regard, first of all, the Duma, which is the State Duma, is not finalizing, with all its chambers, and those institutions that MUST analyze the situation for their salaries and propose ways to solve problems. Sorry for a lot of bukaf ... something flooded in the morning ... request
    7. Galleon
      Galleon 26 August 2019 09: 42
      0
      There is another opinion on this question. You can watch from 1min 38 sec
    8. AU Ivanov.
      AU Ivanov. 26 August 2019 10: 41
      +1
      In America, doctors never pay a budget. There, medicine is mainly private. None of the budgets can withstand such salaries. By the way, veterinarians in the US earn even more than doctors.
    9. Botanologist
      Botanologist 26 August 2019 10: 59
      +1
      Quote: Nagan
      doctors, along with lawyers and the upper (not the very top, but not the middle) level of managers, make up what is called the "upper middle class". Incomes of about $ 500000 per year for an ordinary family doctor with private practice is normal. Neurosurgeons, urologists, cardiologists, and some other specialists and income of $ 1000000 (in words: a million) are not uncommon


      Where did these numbers come from? Lawyers called other amounts to me in the states, much less.
  6. Nikolaevich I
    Nikolaevich I 26 August 2019 04: 54
    +18
    Have you forgotten, perhaps, the "law of conservation of matter"? "If it decreases somewhere, it will arrive in another place!" Okay ! The number of hospitals and schools is decreasing every year ... but the number of churches is constantly increasing! (Somewhere, such numbers ran ... 3 churches a day!) So "marfusha" ... should we live in sorrow? Well, what if there is nowhere to be treated?! But there is where to perform the funeral service! yes
    PS I talked with one friend on the phone ... he lives in the south of Russia ... he made an appointment with a therapist ... the "appointment" was appointed 1,5 months after the appeal ...
  7. The comment was deleted.
  8. Mikhail m
    Mikhail m 26 August 2019 04: 57
    +10
    And then there are no qualified doctors, let the "ministers" go to work in their profile to the district clinic ...
    Then, the electorate will definitely not live up to retirement.
    officials, of course, will not change, but what if it will be a good lesson for Putin himself?
    20 years of good lessons have not led to a result. Leave for another 20 years, or what?
    1. Fan-fan
      Fan-fan 26 August 2019 13: 30
      0
      If the rower has seen only one problem in 20 years, then everything is clear with him.
  9. Nitochkin
    Nitochkin 26 August 2019 05: 07
    +5
    Government, government and government again.
  10. RAE8
    RAE8 26 August 2019 05: 12
    +19
    At a meeting on health issues held on August 20th, we were surprised to learn that things are not going very well in this sector, to put it mildly. And from whom they learned - from Vladimir Vladimirovich himself! Usually calm and calm, this time he could not restrain himself and said a few harsh words on this issue:

    Funny though. We have a natural result of the GDP policy with comrades. And there’s nothing to blame for the mirror.
  11. aybolyt678
    aybolyt678 26 August 2019 05: 30
    +3
    it's time, it's time to finally start the "Doctors' File" !!! laughing only this time an attempt on the people ...
    1. Ingvar 72
      Ingvar 72 26 August 2019 05: 41
      +11
      Quote: aybolyt678
      "Doctors' Case" !!!

      There is no one to start, because almost everywhere chief doctors are members of "United Russia". A raven will not peck out a raven's eyes.
      1. rocket757
        rocket757 26 August 2019 06: 41
        +6
        Quote: Ingvar 72
        There is no one to start, for

        More likely there is nobody to start!
        Grassroots staff sdr ... scatter and so, they are holding on NOT FOR WHAT !!! only pensioners are afraid of losing something .... yes, even the CHIEFS and their hangers-on have something to lose! And they don’t require anything from the grassroots staff, especially because they’ll run away at once! With work around it is not so good, but what they have does not represent ANY value!
        1. New Year day
          New Year day 26 August 2019 09: 36
          +14
          Quote: rocket757
          Grassroots staff will fly ...


          Read about the situation with surgeons in Nizhny Tagil. There the surgeons of two hospitals simply quit and there was no one to be operated on from. The authorities, instead of solving problems, started looking for a replacement. Obviously, Central Asia will help them. Yes, and God help you!
          And such a process is going on all over the country. A little more time will pass and everyone will be horrified by the results of the 20-year reign, but it will be too late.
          1. rocket757
            rocket757 26 August 2019 09: 50
            +3
            The question is, where are the commanders of ALL OXR ... impudent !!! It's not all right with us either, but medicine is still kept, "free", on old personnel and paid services right in state clinics! But this is only because our population is working, there is where and for what, they are already used to paying a lot !!!
            Only this is not forever and not for everyone, too .... if pensioners do not have help from children, they can not get such medicine !!!
      2. AAK
        AAK 26 August 2019 08: 49
        +4
        The second name of this case was - "Kremlin case" ... quite relevant ...
  12. avia12005
    avia12005 26 August 2019 05: 36
    0
    If the president does not change the government, the government will replace him.
    1. 30143
      30143 26 August 2019 07: 46
      +4
      They are personally loyal to him! It must be a saboteur.
      1. AAK
        AAK 26 August 2019 08: 48
        +4
        Yeah, duma, the government and the generals also swore allegiance to Nicholas II and swore allegiance ... Everyone knows the price of these oaths ... Now it is enough for one of the "devotees" to at some point say among the same sacramental the phrase "guys, we are on the eve of a grandiose nix ..." as the GDP will be handed over with giblets and even tied with sheets ...
    2. New Year day
      New Year day 26 August 2019 09: 38
      +4
      Quote: avia12005
      If the president does not change the government, the government will replace him.


      The government is actually led by Putin, formally Medvedev. Cones to the latter, the first in chocolate
      1. Fan-fan
        Fan-fan 26 August 2019 13: 35
        0
        It is precisely for this that Putin appoints Medvedev to the premieres, and Medvedev himself understands this, but this role suits him, he has good grandmothers and has long been a millionaire in the dollar.
  13. Mihail55
    Mihail55 26 August 2019 05: 57
    +12
    One of the elements of this failure itself is the lack of first-aid posts at enterprises. About five years ago, the welder became ill at the workshop (a very young man !!!). The ambulance was getting HALF an hour! The result is the death of a MAN! And in the 70s, my father was suddenly struck by a heart attack right at the workplace ... the nurses in the health center REFLECTED !!!! But any enterprise is a DANGER! Naturally, with our bourgeois, people - why pity them ...
    1. Phil77
      Phil77 26 August 2019 06: 43
      +11
      First-aid post? And again, as an example, my factory. Yes, there is a first-aid post, but (ellipsis)! Nurses are on duty in shifts, what are their functions? My head got sick, I got pressure (went down) and the main thing is the driver’s alcohol test ! That's it! And before there were doctors: a therapist, a gynecologist, a surgeon, and you won’t believe it! -Dentist! At that time, about 2 thousand people worked at the factory, then a giant buys us, then we enter into a union and alles kaput. Doctors are overboard! Here's a personal story. Well, the point of view of the Ministry of Health, I think, is not too different from * capitalist * why are they healthy and smart for us? We are for them the source material, no more.
      1. parusnik
        parusnik 26 August 2019 07: 19
        +9
        And before there were doctors: a therapist, a gynecologist, a surgeon, and you won’t believe it! -Dentist!
        .... I believe ... We also had a physical training room at the fish canning factory, I went there for procedures, warming up all sorts, something else ... Almost a mini-clinic .. Factory workers, a medical examination at the place of work. .There they also took analyzes and didn’t take them to the regional center now. Now there is no such thing as the plant itself, instead of it 7 OOOsheks that work on a 4-day, 5-hour working day. Communism? No ... lack of products ...
        1. Phil77
          Phil77 26 August 2019 07: 30
          +6
          Yes, the same thing is everywhere !!! Unless of course you take * their * health care as an example. But (ellipsis) they treat teeth, perform surgeries and give birth * they * for some (you can guess which ones!) Are preferred just over the hill!
          1. Reptiloid
            Reptiloid 26 August 2019 17: 19
            -1
            Quote: Phil77
            Yes, the same thing is everywhere !!! Unless of course you take * their * health care as an example. But (ellipsis) they treat teeth, perform surgeries and give birth * they * for some (you can guess which ones!) Are preferred just over the hill!
            For what? It's a secret!!!!! Or the secret of the contribution. Or state .... of that state, of course, ..
        2. New Year day
          New Year day 26 August 2019 09: 42
          +7
          Quote: parusnik
          We also had a physical cabinet at the fish canning factory


          Do not believe it, I was in Optina Desert. He met with a priest, a former resuscitator. So there is its own medical unit! The church takes care of the health of its employees, and the laity Cyril offers to reconcile and thank the authorities.
          1. AAK
            AAK 26 August 2019 10: 10
            +5
            And that's not all ... our "shepherds of the flock of God's servants", as far as I know, have not yet given up the privileges for duty-free import of alcoholic and tobacco products ... probably only for the continuous burning of incense and constant communion ...
            1. Phil77
              Phil77 26 August 2019 12: 19
              0
              Are they still importing and trading? And the main one * looking * remains the same?
        3. Reptiloid
          Reptiloid 26 August 2019 17: 25
          0
          Yes, Alexei, there were good outpatient clinics, even hospitals sometimes. People still have good memories of them. Here you can recall the rest houses, dispensaries (???), recreation centers, boarding houses .... preventive examinations .....
          Yes, I wonder how it is, went where ----- and there are many who know work? Do not even imagine .....
  14. Ross xnumx
    Ross xnumx 26 August 2019 05: 57
    +16
    What do you take only health care. Everything is clear without comment.
    But still, let’s not be discouraged: officials, of course, will not change, but what if it will be a good lesson for Putin himself?

    Officials change as the law enforcement system and the system of material interest change.
    Putin has long forgotten all the lessons. He does not even remember in which state he spent his childhood and youth. He does not even remember the words of the oath, which he began to break immediately after leaving. He magnifies the people involved in the collapse and humiliation of a great power. He does not have a single case that is not accompanied by negative, and all his positive for the state affairs can be counted on the fingers of one hand, not excluding the dominance of harm over the benefits of "noble fantastic plans" and "fabulous achievements."
    Threesome, he is also a threesome in Russia. And now the time has come for senility and memory failures. But these are only flowers in comparison with the future.
    Let them remind you, respected in oligarchic circles, the guarantor, that your "unselfish activity" in office is similar to the situation described by the genius of Russian poetry:
    He respected himself forced
    And he could not have invented it better.
    His example is the other science;
    But, my God, what a bore
    With a sick person, sit day and night,
    Do not step away a single step away!
    What a low cunning
    Half-dead amuse
    He needs to correct the pillows,
    It is sad to bring medicine,
    Sigh and think to yourself:
    When the hell takes you!
    »
    1. Nonna
      Nonna 26 August 2019 08: 23
      +3
      The best comment about our non / Guarantor of everything that happens in the country.
    2. AAK
      AAK 26 August 2019 10: 12
      +2
      Well, yes, "... I smear a sandwich with butter, immediately the thought - how are the people there ..."
  15. RAE8
    RAE8 26 August 2019 05: 58
    +3
    Or maybe it's good that the national project "Health" has failed. All these are good intentions. So even though there are some hospitals left, there is no medical staff.
  16. high
    high 26 August 2019 06: 09
    +2
    The money is huge ...... the results are questionable, "or who will be responsible for the health care disaster?
    Of course, for medical officials, it became like a bolt from the blue. After all, it’s clear that there’s nothing to scold them

    Parliament must answer for ,, disaster in health care ,,
    Alas, officials can’t do anything if not allocated to health care in the budget,,a lot of money,, and crumbs, per capita:
    - Russia 524 dollars
    - US $ 9
    - Canada 4 508
    - Czech Republic 1284
    - Lithuania 923
    - Nauru 812
    - Poland 797
    - Bulgaria 572

    https://nonews.co/directory/lists/countries/health-expenditure-capita ,
  17. Li17
    Li17 26 August 2019 06: 10
    +12
    Maybe not in the subject, but tell me, where are we ahead? Wherever you throw our favorite window dressing, only the slogans have changed! Moreover, if something does work, it will receive a "reform" with all that it implies! And in the subject, this problem did not arise today, but has always been! In my town, medicine has always been the worst in the region, and now the bosses are reporting everything a lot, and specialists are quitting, and not even just because of money (many work in addition to their main job in private clinics or have another source of income) but because of the disastrous relations from above (as it will be now, so I again doubt that we are going forward and everything is fine with us). Still, Mao was right, who at one time drove his servants of the people through working days on collective farms!
    1. Ross xnumx
      Ross xnumx 26 August 2019 07: 33
      +13
      Quote: lithium17
      Maybe not in the subject, but tell me, what are we ahead of?

      We are "forward":
      1st place in the world in the production and export of natural gas (35% of world gas production);
      1st place in the world in terms of peat reserves (47% of world peat reserves);
      1st place in the world in terms of reserves of table salt and second place in terms of reserves of potash salt;
      1st place in the world in terms of drinking water reserves and second place in terms of fresh water;
      1st place in the world in terms of diamond reserves and second place in their extraction;
      1st place in the world in physical volume of diamond exports;
      1st place in the world in explored silver reserves;
      1st place in the world for the length of electrified railways;
      1st place in the world in terms of absolute population decline;
      1st place in the world in the number of abortions;
      1st place in the world in the number of orphans, abandoned children and children left without parental care;
      1st place in the world in the number of suicides among children and adolescents;
      1st place in the world in the number of accidents - in Russia for 10 thousand cars - 12 accidents;
      1st place in the world in the number of police per capita;
      1st place in the world in terms of growth in the number of dollar billionaires ...
      hi
      1. Li17
        Li17 26 August 2019 08: 18
        -1
        I wanted to drink something like on a business trip - in the morning and not a glass!
        1. Ross xnumx
          Ross xnumx 26 August 2019 08: 29
          +7
          Quote: lithium17
          I wanted to drink something like on a business trip - in the morning and not a glass!

          Let's! Let's drink for those 23 dollar millionaires who have been born daily for 20 years ... without clinking glasses ...
      2. Andrey VOV
        Andrey VOV 26 August 2019 08: 56
        0
        1st place last season in wheat exports.
        By the number of deaths due to accidents per 100 people, 000rd place in 73 (WHO data)
        in terms of suicide from 5 dr 14 years and from 15 to 24 we are in 3rd place, which is terrible
        by the number of abortions we are not the first
        the number of policemen per capita is also not the first
        the data given on the topa.ru resource is not objective ... but nevertheless, today the country is certainly not there, but it could have such resources ..
      3. New Year day
        New Year day 26 August 2019 09: 44
        +2
        Quote: ROSS 42
        We are "forward":


        So why are we so bad? !!!!
        1. Svarog
          Svarog 26 August 2019 10: 22
          +3
          Quote: Silvestr
          Quote: ROSS 42
          We are "forward":


          So why are we so bad? !!!!

          Because we are the first where the leading countries are last ..
  18. Lysik001
    Lysik001 26 August 2019 06: 13
    0
    After the reign of GDP, much in the country has changed for the better. It is very unfortunate that this does not concern health care. Perhaps in large cities it has become better. But in the province it is just a guard! One cannot even dream about the level of the USSR. The point here is not even the equipment, but the doctors themselves. More precisely, people in white coats who have never been and never will be doctors. They need analyzes. After them, more analyzes. And when the amount reaches 10 thousand they scratch their turnips ... and write out aspirin for 20 rubles. God forbid you get sick in the suburbs. By the way, the doctors themselves said why you are coming to us. We ourselves are treated in Moscow. And GDP ... smiles constantly. He has other doctors. Vladimir Vladimirovich! Let at least ....
    1. rocket757
      rocket757 26 August 2019 06: 43
      +5
      Quote: Lysik001
      After the reign of GDP, much in the country has changed for the better

      The country didn’t fall apart ... ok, count it out! And we, and our children, and pensioners, and ........... with this we HOW ???
  19. svp67
    svp67 26 August 2019 06: 21
    +11
    Well, you explain to me, how after such confessions the person who was Deputy Minister of Health since 2008 of the year, and from 2012 of the year the Minister can remain in the office of this ministry? How?
    And we don’t talk about all medical devices, we only talk about heavy equipment - these are different versions of digital X-ray machines, digital fluorographs, mammographs, ultrasound machines, endoscopic equipment and laboratory complexes
    But during this time, a lot of expensive modern high-tech equipment was purchased, many of which are simply idle, due to the lack of specialists who can use it ...
    And honestly, in her bravura reports that the number of centenarians is growing by leaps and bounds, I do not believe ... in any case, even if this is so, then her personally merit in this is minimal
    1. Campanella
      Campanella 26 August 2019 11: 08
      +1
      Skvortsova is a screw here, but she could say her phi and leave, but what is it to live on? And so a shame, but no one canceled the ministerial zp. The fish rots from the head, and our head, as always, has nothing to do with it ...
      1. svp67
        svp67 26 August 2019 11: 12
        +2
        Quote: Campanella
        Skvortsova is a screw here, but she could say her phi and leave, but what is it to live on?

        Aha, but should this "screw" answer for YOUR rash decisions?
  20. parusnik
    parusnik 26 August 2019 06: 28
    +9
    Alas, over the years of Vladimir Putin’s presidency, the number of hospitals in Russia has dropped to about five thousand.
    ... This is an excellent indicator! ... Consequently, the nation has become healthier, as the increase in the retirement age speaks of ... That would have solved the problem with parking lots, otherwise there are a lot of cars and few parking places .. laughing
    1. Campanella
      Campanella 26 August 2019 11: 10
      0
      Well, they work in this direction. The car is evil.
  21. Rwmos
    Rwmos 26 August 2019 06: 29
    +10
    Where were you when the ambulance came out against reforms? Where are you. . were. when in the polyclinics of cardiologists in a new way - they drove through apartments? There are no doctors. no. already. Though messing around, there are none
    1. Campanella
      Campanella 26 August 2019 11: 05
      +1
      It is strange that in 2013 there were doctors, and with the beginning of the reform, they were completely gone, the superfluous were fired.
      And now they say the doctors are gone! You are not the ones who kicked them out of the industry, sovereign rulers with your reforms. In education, the same hell, in order to raise salaries, as the president indicated, they dismissed the hourly workers, all these hours were hung on the remaining ones. The average salary has risen, and only work has been added to teachers. In medicine, the same thing.
      1. Rwmos
        Rwmos 26 August 2019 11: 44
        -1
        You say - I drove dentists with a cardiologist from for example polyclinic number fifty?
        1. Campanella
          Campanella 26 August 2019 14: 21
          0
          Do not understand your passage ???
  22. nikvic46
    nikvic46 26 August 2019 07: 01
    +4
    To block the care of medical graduates in official structures. Deal with charity. And if we care about population growth, then a woman should not run to the other end of the city, to a antenatal clinic. There are many problems, but at least some have decided.
  23. Glennie
    Glennie 26 August 2019 07: 04
    +10
    The king is angry! As in a joke, last year 1000 hectares of rye were sown and aphids ate it, this year we sowed 5000 hectares of rye, let it choke!
  24. Dr. Serg
    Dr. Serg 26 August 2019 07: 22
    +9
    I talked with colleagues from far abroad (Germany, Holland, Czech Republic), tried to explain to them how our health care system works .... the misunderstandings began right away - they did not understand the work of the district therapist (pediatrician) at all ... for them it was wild that the doctor runs (they drive them in a car? - no, they run on their own two feet) around a site the size of a small European city, into an epidemic, at how many addresses. Their question is WHY ?? - if the doctor was in the office, he could serve more patients! Ambulance work ... Do you have doctors traveling as part of a team ?? Why ?? The task of the ambulance is to provide first aid and deliver the patient to the hospital. What kind of ukolchik to make? What are the waiver of hospitalization ?? For this, the insurance company will charge the patient for a false call. Command chain ... "Ministry of Health" and reporting - what kind of nonsense? Why are there so many officials ?? ... The MHI Fund - in general, put them into a stupor - I could not explain to them what kind of animal it is and at what rates it pays for medical care.
  25. samarin1969
    samarin1969 26 August 2019 07: 36
    +8
    At all times and in most countries, people are either kicked out for a "blockage in management" or a minister who disagrees with the policy leaves himself. We do not have. In the Russian Federation, in fact, there are no managers - there are "zits-chairmen".
    The main thing in medicine is the doctors themselves. Doctors and nurses are monstrously lacking. I read about it, and listened and acutely felt my side in the literal sense.
    Instead of sane salaries for doctors, nurses, ambulance teams, construction of "palaces of health". This is the personal responsibility of the relevant ministers. Either shine for the media, or adequate queues for doctors. And it turns out that a trainee on a modern computer, in a modern office, with advanced compulsory medical insurance, sends with exacerbations of serious illnesses in ... "last autumn".
  26. 30143
    30143 26 August 2019 07: 40
    +4
    I want to note two points.
    1. Zadornov has long explained everything - about the managers and underserved teachers and doctors.
    2. I have a feeling that people, realizing the futility of improving their lives, are trying to join the bureaucratic army in order to somehow expose their well-being. "You cannot defeat the mafia, you can lead it ..."
    A few years ago I heard a story in Prague when doctors and nursing staff asked me to raise my sn by 1000 euros with an eye on Deutschland. Guessed that the country's leadership answered them? And in one day a thousand doctors left. And only now, with the advent of visa-free travel, he began to solve this problem. And doctors cannot be condemned when a doctor’s doctor with 20 years of experience is 2 times less than a novice cashier at a supermarket. And another 6 years to study.
    Thank you for thinking in some universities to teach in English!
  27. gafarovsafar
    gafarovsafar 26 August 2019 08: 26
    +1
    This is capitalism. You just need to give all the medicine to the officials. They will set up so many hospitals for you. The state will only have to collect taxes and make sure that the prices for medical services do not fly up to the clouds. And please, we will not talk about the poor population who will not be able to pay for treatment in hospitals built by these officials. They themselves chose such a fate in silence, while Muscovites gouged a power led by humpback and borey Yeltsin
  28. Van 16
    Van 16 26 August 2019 08: 28
    +2
    Our social sphere is completely failed, and no matter how deliberately, "there is no money, but you hold on" —that's the whole politics, and such gambling is just playing for the audience and nothing more.
  29. Stirbjorn
    Stirbjorn 26 August 2019 08: 34
    +4
    But we have something to strive for - if we reduce another two thousand hospitals, we can return to pre-revolutionary times!

    True, then tsarist Russia was not the last in Europe and the world in terms of health care.

    C'mon, it was - in any case, in child mortality, only in Mexico it was worse
    “The following table shows the place that Russia occupies among other peoples of the globe in terms of mortality of its children.

    In 1905, out of 1000 births, up to 1 year died:
    In Mexico - 308 children .;
    In Russia - 272 children;
    In Hungary - 230 children .;
    In Austria - 215 children;
    In Germany - 185 children;
    In Italy - 166 children .;
    In Japan - 152 children;
    In France - 143 children;
    In England - 133 children;
    In the Netherlands - 131 children;
    In Scotland - 116 children .;
    In the United States of America - 97 children .;
    In Sweden, 84 children;
    In Australia, 82 children;
    In Uruguay - 89 children .;
    There are 68 children in New Zealand. ”
    ON THE. Rubakin “Russia in Figures” (St. Petersburg, 1912)

    But, as they say, things are still there: the government is busy with much more important things, and while the president does not personally crack, no one is trying to show particular activity there.
    The point is, in 20 years it would be possible to build an effective system, and so these cracks are more like a show off already.
    Somehow, the confidence is growing that our officials are no longer afraid of him, dreaming of only one thing - to sit out on the day when Vladimir Vladimirovich in his place at the galley oars will be replaced by someone else. Anyone else twenty years old will be able to hang something on their ears.
    Quite the contrary, rather, they dream that no one will replace him ... otherwise you never know who will come a new one, which can’t hang on his ears. And since the whole scheme has been worked out for 20 years, the hand washes his hand, as they say.
  30. BAI
    BAI 26 August 2019 08: 58
    +3
    This time he could not restrain himself and said a few harsh words on this issue:

    And what else remains for him if all the post-Soviet countries that have chosen integration with the West have bОlonger life than Russia and others like her?
  31. ZAV69
    ZAV69 26 August 2019 09: 02
    +8
    Under Soviet rule, in our city (a modest regional center of the Tula region), the hospital had a maternity ward, a morgue, and an infectious ward. Now this is not. The deceased, the coffin-makers are immediately dragged to Tula (take it later, and take money, and a certain time and turn), give birth to go to Tula or Novomoskovsk (again for money), and infectious sufferers to the village hospital for 10 km. The population in the city as it was 15 thousand, so left 15 thousand. And if you are seriously ill, then you can’t hope for local Aesculapius, you must immediately go to Tula or Novomoskovsk, to the regional diagnostics or private clinic. Honestly, there are no words, only emotions. But emotions cannot be, for them a ban on the site for a month. And start looking for who is to blame for this ..... no need about Putin, this is not his level, thank God he opened financing. It is necessary to search in the regional health service, they were very much carried away with optimization there, they would just need to take a pregnant wife with contractions for 100 km along the killed road .... All. I have no words. Further ban.
    1. akunin
      akunin 26 August 2019 09: 39
      +4
      do not talk about Putin, thank God he opened financing. It is necessary to search in the regional health department, they were really carried away with optimization there, they would just need to take a pregnant wife with contractions for 100 km along the killed road
      and "oblzdrav" (min. is healthy at the present time) who appointed (the head) - the governor, and approved - Skvortsov, and who appointed Skvortsov - Putin. to whom the regional healthcare is accountable - Skvortsova, and Skvortsova (that you are all bad) - to Putin.
      this is not his level,
      1. ZAV69
        ZAV69 26 August 2019 09: 57
        +3
        A beautiful folded figure lays down on Putin's table: they spent so much, so much received, so many secured, so much built. Incidentally, Skvortsova also puts the same number on the table. It is not visible from this figure, instead of picking up a dead man in his morgue, he is forced to wander around the regional center for a day to shuffle the papers, then pay money for the delivery and come back when he is assigned.
        The problem in our case is systemic, and the name of this problem is the Higher School of Economics. It is TAM that learns all kinds of managers who, instead of the actual result, see only beautiful numbers in the report.
        So far, we will put MANAGER with diplomas of the Higher School of Economics or Western Universities instead of production workers or the same medical practitioners as managers in all levels of management. All these beautiful tsifiri are achieved through indirect robbery of the population.
        I personally have one complaint to Putin: why didn’t he drop it, but rather, did this HSE adder shoot out? When we begin to focus on the material result and not economic indicators.
        1. Campanella
          Campanella 26 August 2019 10: 54
          +6
          If Putin does not have people who, in addition to the figures of the report, can convey an objective picture of what is happening, he is worthless as president. And then here the local "statesmen" excuse him, saying that this is not a tsarist affair in taking care of ...
        2. akunin
          akunin 26 August 2019 10: 57
          +2
          Quote: ZAV69
          A beautiful folded figure lays down on Putin's table: they spent so much, so much received, so many secured, so much built. Incidentally, Skvortsova also puts the same number on the table.

          but to check? and the personal responsibility of the counting chamber? at the account of Starling is a little different - inspectors come from her and insert a ruff into the anus with subsequent extraction. "ours" at the beginning carried out the order of the starling and closed the faps, now they have to carry out another order and open the faps out of the blue (we are a pilot region and we have been having a mess with optimization since the beginning of the process). We have already gone through a showdown to "reduce mortality", which is not was (according to the report, the mortality rate was almost negative - resurrection (just kidding))
          1. ZAV69
            ZAV69 26 August 2019 11: 11
            +4
            As long as the "economists" are at the helm, not a damn thing will change. I have not yet seen anywhere at the helm of a production worker who must do something real, and not show an economic effect. Money is a tool, not an end in itself. While in our state everything is exactly the opposite. And the faps ... It's a song. There are brand new fels with a needle, even a felscher had a car and an apartment, and after 20 km there is not even heating in the fap, the felsher does not go there even on pain of dismissal. How can this be? I personally don't know the answer. The money is spent, the report has passed.
    2. Mordvin 3
      Mordvin 3 26 August 2019 13: 08
      0
      Quote: ZAV69
      Novomoskovsk,

      And ours five years ago was recognized as the worst in the region, it’s better to go to Tula. With money, it is desirable, otherwise suddenly there will be no extra bed.
      1. ZAV69
        ZAV69 26 August 2019 13: 34
        0
        Yes, actually in the know ......
  32. Igor Pa
    Igor Pa 26 August 2019 09: 04
    +1
    Quote: knn54
    Often, patients themselves are forced to get to a medical facility.

    So what, in Germany I am such a system. An ambulance arrives only if the patient is unconscious or no longer breathing. A personal incident happened to me: a child flew in from the side, crossing the road into my car. Thank God the speed was small and got off with only a fright and a scratch. The police arrived in 2 minutes, and the ambulance in an hour. Something like this.
    1. Campanella
      Campanella 26 August 2019 10: 50
      0
      The question is, why should we be oriented toward the west, albeit civilized in everything? In Austria, my wife was cured of a healthy tooth, instead of a patient.
      1. AU Ivanov.
        AU Ivanov. 26 August 2019 11: 10
        +2
        Better to pay attention to the east. Israel, for example. There is complete order with medicine
  33. Million
    Million 26 August 2019 09: 12
    +6
    Putin, as an officer widow, he carved himself?))))
    1. Campanella
      Campanella 26 August 2019 11: 14
      +3
      He has nothing to do with it))) Dumb servants got caught)))
  34. akunin
    akunin 26 August 2019 09: 12
    +4
    And from whom they learned - from Vladimir Vladimirovich himself! Usually calm and calm, this time he could not restrain himself and said a few harsh words on this issue:
    but how much
    harsh words on the subject
    ordinary employees say everyday (very sharp)
    Minister of Health Veronika Skvortsova, who had to take on the tsar’s anger, did not speak, of course, about sanctions and the bourgeoisie, but courageously continued enumerating the problems that the very “primary link” of Russian healthcare faced. According to her, one of the key health problems is the deterioration of funds:
    which all collapsed before, and began to zurab.
    According to her, one of the key health problems is the deterioration of funds.
    in the village in a shack sat a paramedic - a pensioner, quietly smeared brilliant green on the priests, took uncomplicated childbirth, if necessary, he called an ambulance from the area on himself. the paramedic "left", the shack collapsed and there was nothing. they realized they built a new "shack" (fap) and ... there is no one to work there - the young people do not want to go to the village and do not want to go for the "lifting" ones. Before something is ruined, something must be created to replace it. If the president is still satisfied with the work of ministers of health, then who is to blame for the shitty work of health ...? neither the depreciation of funds and the shortage of personnel for sure.
    The Minister of Health also complained about the personnel problem, which is already chronic. According to the data she voiced, the primary sector lacks approximately 25 of thousands of doctors. And with the paramedical personnel in the country, it’s just awful - the shortage is about 130 thousand people. The situation has not been saved by the efforts of recent years, including the once widely publicized Zemsky Doctor program.
    she closed the FAPs (or the State Department?)
    We add from ourselves that remarkable initiatives, including presidential ones, to increase the average salary of doctors to the level of 200% of the average industry in the region, are either successfully sabotaged by the regional authorities, or even cause further “optimizations”. So, Putin’s decree on the mentioned level in 200%, according to 2019 year data, is carried out only by the 4 region throughout the country. But very often its “fulfillment” is achieved precisely with the help of the notorious optimization - the amount of allocated funds does not increase, the regional authorities tritely reduce a certain number of health workers and share the freed money between the remaining ones.
    Someone suffered from saboteurs? Someone lost their "trust"? (The Chinese would have been imprisoned or shot long ago). If I didn’t follow the order of the chief physician, I would be sent to the “bright distance". A very funny and stupid article.
  35. New Year day
    New Year day 26 August 2019 10: 05
    +13
    Under the Union, we had the best healthcare system, lacked technology, but had brains. Putin's reforms brought the worst copy of Western medicine, there is a technique, but now there are no brains.
    1. AAK
      AAK 26 August 2019 10: 26
      +4
      The absolute truth, if something serious happens to your loved ones, you take out a notebook with data on proven, intelligent doctors since the times of the Soviet Union, half of them, due to their age, can only be consultants, but this is better than a stupid idiot will try to "treat" you, even though with computed tomography ...
    2. Campanella
      Campanella 26 August 2019 10: 46
      +2
      The main thing is that the brains are absent at the apex. Although I see something else, the systematic and deliberate destruction of the state under the guise of preservation and strengthening (which is rhetoric)
      If the government twists the money allocated for projects in banks, then what can we say at all.
    3. cloud catcher
      cloud catcher 26 August 2019 11: 29
      +3
      Good health !!
      If dozens of clinics are combined into one, then there will undoubtedly be more different equipment in it (in the average clinic and equipment there is no modern equipment.) You can save on salaries for chief doctors and heads, transfer the sanitary order to cleaning staff, etc. It is possible to increase the salary by 1,5 times without paying or paying incentives and bonuses at a minimum, while performing work 2 ... 2,5 times more. Sorry, but this is NOT OPTIMIZATION !! This is something else ...
      1. New Year day
        New Year day 26 August 2019 14: 17
        +3
        Quote: Cloud Catcher
        Good health !!
        If dozens of clinics are combined into one, then there will undoubtedly be more different equipment in it (in the average clinic and equipment there is no modern equipment.) You can save on salaries for chief doctors and heads, transfer the sanitary order to cleaning staff, etc. It is possible to increase the salary by 1,5 times without paying or paying incentives and bonuses at a minimum, while performing work 2 ... 2,5 times more. Sorry, but this is NOT OPTIMIZATION !! This is something else ...

        But it turned out the opposite, the salaries of Ch. Doctors have grown many times, and the rest have been reduced. Medical equipment was brought into one building, exposing the rest, the lines for examination increased and most importantly, how could a patient get to this center?
        1. cloud catcher
          cloud catcher 26 August 2019 14: 56
          +2
          I agree with you. Ch. doctors became the governors of the Ministry of Health, who are allowed to do everything: reduce, not priming, in short, "optimize." Here, only this is no better for the middle or junior medical staff (there is savings, no matter what, there is no real fair payment), and even for patients standing in endless, albeit electronic, queues.
      2. Campanella
        Campanella 26 August 2019 14: 28
        0
        In Moscow, they have now optimized it in a shocking way, to get to the specialist you need to go by metro ... and then by trolleybus, bus for about 1 hour ...
  36. The comment was deleted.
  37. Campanella
    Campanella 26 August 2019 10: 43
    +7
    She (Skvortsova) often raises questions .... Putin often raises questions ...
    And who does all this?
    In 13, he was in the hospital, there were a bunch of doctors and young people, in 15, in the same hospital, on the floor, one doctor was spinning like clockwork and the surgery and the patients all on it a whole floor.
    1,6 trillion rubles what took? They cut people, didn’t I see new equipment? Where did the money go and who will answer? Five years passed, the president only snorted. Maybe at night, hockey is not necessary, no Siberian Cranes are needed, amphora is not necessary, but it seems to me to monitor how the reforms are going on and you initiated this work of the president. It is somehow not proper to point out to the whole president who he is and where I am, but nevertheless, as a part of the same people, I have the right to ask. Under elections they are bursting with acute questions, but is fate not just monotonous and daily work?
  38. Ursus
    Ursus 26 August 2019 11: 05
    +7
    The result of the next brilliant LADIES reforms. With time zones, we managed to roll back (of course, no one will return the loot for this fidgeting), the first contour of reforms in healthcare, with the elimination of FAPs, went downhill, and all attempts with the "Zemsky Doctor" are excellent only on paper. We will roll back these movements long and hard. Because, as, there is no money and everyone went into business. There is no turning back. The training of high-quality nursing staff requires a minimum of 4 years in a healthcare facility, and then 3-4 years of practice. Total, 7-8 years. The training of an average doctor will take 10-12 years. And it takes 15-20 years for a "luminary" to grow out of it, and then only with a favorable coincidence of circumstances.

    Only agricultural reforms are going well for him so far. Miratorg is thriving, private owners are dying.
    Only one thing he undertook, he did productively: he developed a system of non-profit foundations, on which relatives and others like them, close to the "body", warm their hands quite well.

    My question has ripened: will I live or not, when will this abscess be opened?
    1. GRIGORIY76
      GRIGORIY76 26 August 2019 12: 51
      +4
      An abscess gives a cache, those who are dissatisfied will be declared agents of the State Department, they will be dispersed and will not be allowed to enter power. They will open it only when everything finally starts to fall.
    2. Campanella
      Campanella 26 August 2019 14: 24
      +1
      Zemsky doctor -funny, there is no zemstvo, but there will be doctors?
      1. Nikolaevich I
        Nikolaevich I 27 August 2019 00: 47
        0
        Quote: Campanella
        Zemsky Doctor

        Oh, reminded a long-forgotten word! But at the end of 80x-beginning of 90x ... who just did not procrastinate him!?
  39. Goldmitro
    Goldmitro 26 August 2019 11: 23
    +5
    ... everything is much worse, if you recall how many settlements Russia has simply lost over the past decades. Moreover, often precisely because of various kinds of criminal "optimizations" - in healthcare, education, administration ...

    Bye word optimization will be equated to the word sabotage and for proposals and actions for optimization they will not start sending to the bunks of bred effective menagers, nothing will change!
  40. Radikal
    Radikal 26 August 2019 12: 20
    +3
    "Money is huge, the results are dubious," or who will be responsible for the disaster in healthcare?
    None. This is the end. sad
  41. seacap
    seacap 26 August 2019 12: 33
    +8
    The stupid question in the title, the same stupid answer - no one. For 30 years now no one has been responsible for anything, neither for the results of decisions made and failed, nor for complete inactivity, nor for stupidity, nor for theft and betrayal, tb. If you are in the "Team" ("Family"). Oh, it didn't work out, oh, several billions disappeared somewhere, oh, the taiga is burning, oh, we were not lucky with the people, as according to Golikova, we will not die according to plan. All the troubles come from here, that no one is responsible for anything, absolutely nothing, plus sheer unprofessionalism, for some reason they suddenly decided that he was a thieving and roguish, but immensely arrogant furniture maker, whose entire merit, that he is someone's son-in-law, can steer the MO , insulting and humiliating honored officers and generals, and his replacement, arrange a branch of the Ministry of Emergency Situations there, when a journalist can "steer" space, attaching his son to "feed" on the legendary Ilya, which he quickly, in the best traditions of our "effective" managers, brought to collapse, etc. and so on, but as for medicine, education with science, agriculture, who have not yet taxied, except for professionals, therefore we have what we have, the tram driver cannot control the plane.
  42. GRIGORIY76
    GRIGORIY76 26 August 2019 12: 47
    +4
    Speaking of the number of hospitals. Arkhangelsk region, the village of Leshukonskoe (400 km north-east of Arkhangelsk). Women in labor fly to give birth to the regional center. The village is dying, the surrounding villages are already extinct.
  43. karabass
    karabass 26 August 2019 13: 32
    +5
    Are you ill? No problem! Eat the frog from the pond! There is no stronger medicine than the natural environment !!!
  44. Alex 1970
    Alex 1970 26 August 2019 13: 46
    +1
    Who is who ... but has anyone answered for something in the last 30 years? Here is the answer to the headline ...
  45. Sotskiy
    Sotskiy 26 August 2019 15: 06
    0
    Yes, according to various estimates, over the past decades in the Russian Federation, from 23 to 34 of thousands of settlements have disappeared from the map. Some of them, we will be objective, disappeared for some objective reasons, no matter how strange it may seem.

    Yeah, definitely objective reasons. These are bankruptcy, buyout and collapse of city-forming enterprises in monotowns, lack of work, "optimization" of rural schools, hospitals, museums, destruction of the last centers of culture in the countryside in the form of palaces of culture and recreation, libraries and, as a result, the outflow of population to large cities.
    And if you also compare the defeat of industrial production in the dashing 90s and in the period from the early 2000s to the present, then why the numbers do not speak in favor of the current "stability". This is where you start to think about the true purpose of the phrase "effective managers".
  46. military pensioner
    military pensioner 26 August 2019 15: 12
    +3
    No, I am surprised at the naivety of our people. Another blah-blah-blah was accepted as an instruction from Skvortsova and Golikova to carry out the presidential decrees. It was high time to replace Defective iPhone maneuvers with him with PROFESSIONALS not in the field of embezzlement of the budget, but in their specialty. But, as Putin said, "what to do with them?" JV Stalin would find a use for them. But for this you need to be the MOST pure and impeccable, first of all.
    1. cloud catcher
      cloud catcher 26 August 2019 15: 30
      0
      You can look at 3 things for a long time,
      how our medicine, education and pension reform are discussed ...
      Success is the result of the daily execution of simple correct actions, but they are not.
      1. fif21
        fif21 26 August 2019 17: 08
        +1
        Quote: Cloud Catcher
        You can look at 3 things for a long time,
        how our medicine, education and pension reform are discussed ...

        What they do not undertake to reform, they destroy everything. Unable to create a new one. Sadness hi
  47. fif21
    fif21 26 August 2019 17: 05
    +2
    The development of private insurance medicine is the way to solve the problem. Where is the MLA and budget money? Have the officials mastered medicine? Make money on patients, or treat them according to the policies of compulsory medical insurance? That is the main question.
    And the ministry of health needs to be eliminated. hi
    1. Megamarcel
      Megamarcel 26 August 2019 19: 17
      0
      Well, so they lead to this. However, for this system to work, you need a normal judicial system. But in fact they will set up Medsi and will take money but not treat it. After all, there are untouchables who will protect the whole thing.
  48. Ehanatone
    Ehanatone 26 August 2019 18: 50
    0
    Radish horseradish is not sweet:
    Especially for a reverent moderator:
    Horseradish - A perennial herb, a species of the genus Horseradish of the Cabbage family. A popular cultivated plant; leaves and roots are used in cooking and medicine.
    Esche I will tell you, cheat a stool is not 4 x ..., and not a way to remove a 4 times longer period from the air ...
    This is just in case ...., pent, painfully tremulous, Tiksi was easier ...., removed ....
    Silava bohu cheat barin batyuyika worried:
    cheat with our health care ...
    But he didn’t sign a pension practically below the subsistence level, he didn’t cancel the progressive tax over and over, he didn’t know, we have a gap between the minimum and maximum salaries between any bandundu ...
    I’m talking specifically about civil servants, and about certain owners, there is a separate conversation about them ...
    And then the guarantor once woke up from the morning and was astonished:
    and so, we are talking about the people of the FSE, and the FSE infection is dying and dying ...
    Or maybe the health care is to blame!?. ...
    And why so ...
  49. itarnmag
    itarnmag 26 August 2019 19: 11
    +1
    But the Ministry of Health proposes to ban smoke breaks in production. They have no more important matters.
  50. Megamarcel
    Megamarcel 26 August 2019 19: 12
    -2
    On the topic of the site. Who and when did you promise a professional army?