What will kill us? Well, definitely not the Tomahawks
Well, I didn’t think that I would live to see this, but now I’ve survived. And with my own eyes I saw how the main grave digger of Soviet medicine on a blue eye tells how it turns out that our citizens' health is being protected very well.
And how sad it is in Israel and Germany.
Yes, in those same Israel and Germany, where they collect daily for hundreds of operations for children on live TV.
You know, the reference system, we have ... For whom it is the standard, Mrs. Skvortsova did not specify, and she did it right. Because I’m sure that Sudan, Somalia, Niger, Mozambique and so on, according to the list of least developed countries from the UN for 2018, would be on the list.
Actually, I have not discovered and will not discover anything new, the collapse that was initiated in all the ministries, why did I have to pass by the Ministry of Health? Why is this department worse?
It is better.
It is already better (and at the same time more interesting to our enemies) in that it can kill no less, and even more efficiently, than any military department. In peacetime, the non-working Ministry of Health is able to destroy the population of any country as luxuriously as saboteurs or enemy troops in wartime.
Yes, all these tales that doctors receive from us 80 thousand rubles, that there are no problems with personnel, that our medicine is no worse than Western medicine is true.
When Skvortsova says: “With us,” one must understand: “With us in Moscow and St. Petersburg.” For the rest, excuse me, it remains only to look at these bullying (otherwise it can not be called IT) and endure.
Well, to adopt a little bit of the Ukrainian experience in treating oak bark and plantain. This is not yet, but we must be prepared.
As an example, I can cite the recent case when a colleague Krivov called an ambulance for his two-year-old daughter, who, with strange symptoms, also had a temperature of 39.
The ambulance has arrived. With a paramedic. It turned out that there was not a single pediatric doctor in the shift. As a result, the paramedic examined the child, contacted the control room by telephone, someone dictated to him there, the whole visit was over.
The millionth city ...
No, everything is logical. On the Internet on the same "Picabu" there are already enough confessions of doctors who are not rubbish, but simply people who want to live. So they just want to live, and live well. Therefore, I understood my friend the doctor, whom I have known since childhood. I wanted to talk with him about the problems of the ambulance ... and it didn’t work out. It turned out that he had been working at the NSR station in Krasnogorsk for six months now. Yes, not for 150 thousand, but not for 30.
And as will be with us, this is really not his headache.
I think we will have it as in many other areas. The salaries that the Russians consider unworthy will come from those they arrange.
And what has already happened in construction, housing and communal services, trade, why doesn’t it happen in medicine? Education? Well, if the salary suits, then you can expect specialists from those countries - former fraternal republics, where living is even worse than in Russia.
Everyone knows where they come to our aid from.
And now this market will probably be filled in the same way as it happened with the previous ones. Market Laws ...
And here it becomes clear as a white day the so-called “Topilin list”, which involves the accelerated issuance of Russian citizenship to people who have medical professions. Midwives, emergency doctors, psychiatrists, local therapists, surgeons, nurses, paramedics from the countries of the former USSR republics (well, who will come to us from Europe?), Welcome!
And this somehow does not inspire optimism, to be honest. Not that I'm against the Uzbek and Tajik doctors in our rooms, but ... but I don’t have confidence in them.
But alas, this is a market-based Russian system, which is completely not Soviet.
Repeat is worth it. Russian medicine is not a continuation of the Soviet one. This is a completely different medicine, it is not better than the Soviet one in principle, but what will happen next will only get worse. And that's why.
All the same Market. The concern for the health of the nation has been replaced by profitability, payback and property.
And here is the main difficulty. You can change the minister. You can change the prime minister. You can change the president. The sense of this will be zero, because the principle of a market economy will remain untouched. Profit instead of health.
Moreover, the profit is not even from a healthcare institution, but from an insurance company that regulates cash flows.
But one should not forget the pride with which another official, Mrs. Golikova, spoke about the double growth of private medical institutions in the country since 2014.
Luxurious of course. No less interesting fact, as well as rapidly emptying state clinics. The outflow from them goes to these very private clinics, and if in the state the line to the profile specialist can stretch for a couple of months, then for a perfectly imputed fee THIS same specialist will accept anyone at any time convenient for him.
However, this is a completely well-known fact.
But diagnosis is only half the battle. Smaller, moreover. What about the medicine?
And with medicines everything is fine with us. Foreign pharmaceutical companies are fleeing the market for finished drugs, and sanctions are not at all involved. Basically, a tender pricing policy and the patriotic lobby of domestic pharmaceutical oligarchs.
I have nothing against Russian medicines, but the fact that, as of the end of 2019, from 2015, 700 to 900 foreign-made drugs have disappeared from the market. Yes, the data is very vague, because no one set out to track, but even on the website of Roszdravnadzor monthly data were posted on the drugs that the manufacturers stopped supplying to us.
There are no exact numbers. But what are the numbers if there are no drugs?
Regarding replacements. Everything here is not so simple. We can say that we have all replaced and ... And you can say everything at all. But to do ...
Everyone who believes in a fairy tale about import substitution should remember that today is not 1991. The entire pharmaceutical industry is privatized and is in someone else's hands. At best, the Russian oligarchs, at worst, belong to foreign companies.
But the main thing is that we almost did not have our own development and a full production cycle. Like in the automotive industry, screwdriver assembly there and shovel manufacturing in pharmacology.
That is, simple mixing and packaging from what was brought to the factory.
But it is economically profitable.
It is equally beneficial to import generics from Asia. Generic is a substitute for a proprietary product (and all medicines are patented today, mainly by manufacturers), issued without problems with licenses.
Yes, generics today, according to the research of the American Catherine Eban, which she published in the book "Bottle of Lies", is what will kill us all no worse, and perhaps better than atomic bombs.
No wonder the medicines produced in India and China are banned for import, not in vain. Indeed, today in Asia (India, the Philippines, Indonesia, China) up to 60% of the global volume of dosage forms is produced. Substances for both proprietary drugs and, naturally, cheaper, but "no worse" generics.
Well, you understand, it's like Adidas sneakers. How does the "company" differ from the Chinese, do everyone remember? But with medicines the same thing is perfect. But cheaper.
It turns out that the whole essence of “import substitution” in us was expressed in replacing imported drugs created on the basis of Chinese and Indian substances with Russian drugs. Created entirely from the same Chinese and Indian substances.
What's the difference?
Believe me, the difference can be very unpleasant.
Your own example. Last year, my personal drug Concor AM disappeared from all pharmacies. It is produced in Hungary, at the EGIS plant under the control of the Germans, their company Merck. I’ve been sitting for a long time, he suits me all. And then he disappeared.
Replacing is difficult, but possible. The drug "Bisam" from LLC "Atoll". Russian drug. Three times cheaper. If the letters and numbers - well, one to one. In fact - it’s better not to remember. It was very unpleasant.
So I will not recommend such experiments on myself to anyone. And, alas, in my own skin I felt what it was like to change the European drug to, do not understand what. But it could be worse, by the way. Diabetics and cancer patients are still sadder, according to them.
But the most disgusting thing here is that foreign manufacturers are leaving, and ours are not in a hurry to take a niche. A huge number of tenders for the purchase of medicines are simply ignored by manufacturers. And this is about drugs that should be in hospitals after purchase.
That is, we are slowly and confidently going to the glorious 90s, when the patient was supposed to come to the hospital with his bed, dishes, food, medicines and syringes.
So-so perspective ... very so-so.
And you are surprised. Why aren't 30 to 50% of tenders played at all? Prices? Right, the prices. No one can supply the drug at a loss, because such a price was drawn in the tender by those who produce it. Well, of course, kickbacks. It is sacred.
They do so in our country and buy medicines.
Therefore, the information that almost the entire country sits on more than dubious generics from Ranbaxi is not surprising. Rather, it is surprising that Ranbaxi, as a manufacturer, produces drugs of slop quality. From the point of view of an honest American.
But since we have a market, all the same, cheap Indian raw materials will be given the green light precisely because it is cheap. After all, if you remove all of these shortcomings with a dubious outcome, then a fair percentage of the population will be left without drug help at all.
So, it remains to rely on traditional medicine, God's help, miraculous healers, and the money collected by the whole world for treatment where there is medicine, there are medicines and there are doctors.
In Germany, Belgium, Israel, USA. Which, according to Skvortsova, should be mortally jealous of us.
In fact, we will be mortally jealous. And not just to envy, but deadly. When that western medicine comes to us, in which it will really be easier to die than to recover.
Yes, it is possible that Americans who do not have sufficient earnings will envy us for now. As we recall, Soviet medicine, which our liberal government actually ruined today.
Well, we voted for him, now we will reap the benefits. Healing the wounds of cognition with plantain, oak bark and Indian powder, where the monkey might not have spat.
Cheers? Definitely not going to die out?
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