Medical reform: “It's okay, I'm falling”


I recently was in a place where probably the healthiest people in Russia live. No, these are not centenarians or veteran athletes. Most do not even watch sports on TV. These are completely ordinary people from a Siberian village, lost in the north of the Omsk region.


And their health is exactly the same as that of the rest of the villagers. Sores, even if you live in the taiga, in the area of ​​the Cossack tract, which was once revitalized and now abandoned as unnecessary, eat from your garden, anyway, arise with age or for some other reason.

But they “recovered” for one simple reason: the paramedic station, which was located in a neighboring village, was closed due to the banal absence of a doctor. It’s one thing to go to a reception for 12 kilometers; it’s another thing to go to a district center. Even an ambulance travels to this “healthy” village for at least 3-4 hours. So, most often it is useless to call her.

And so the Siberians became the most healthy people. There are no appeals to the clinic, the ambulance ... or the hospital, so there are no patients! For officials, this figure is very important. You can always include this fact as an achievement in the report on your own work.

Even more interesting, as it turned out, the situation is with the birth of children. Those who read the classics of the past remember how they described the clans of Russian peasant women. I gave birth right in the field, they took me to the bathhouse and the next day they were back in the field. Today we return to the roots ...

True, they haven’t reached the field yet, but they can’t always afford to give birth to future mothers even in district centers. No specialists! There are few births, and the obstetrician, who has not practiced for a long time, loses his qualifications and makes mistakes when taking birth.

I talked with the obstetrician of one of the Omsk maternity hospitals. Alas, this is, in his words, a fact. No study, if it is not supported by practice, can guarantee the qualifications of a doctor. Taking birth is akin to the work of a surgeon when a decision must be made instantly. It is about the life and health of two people at once, a mother and a child.

And they deliver women in labor from the districts to a large city. Moreover, expectant mothers often come without medical records, tests and other necessary things. These are the results of medical reform at the moment.

Optimization of medicine turned out to be another soap bubble. Once in childhood, a grandmother started a conversation about choosing a future wife. I remembered one of her advice for life. “A bad mistress at the beginning throws out the old thing, and then goes to the store to buy a new one. And a good housewife at the beginning buys a new thing, and only then throws away the old one. ”

We, in our desire to change everything, acted like a bad mistress. We have thrown everything away. Closed the necessary medical facilities. Experienced doctors were thrown into the street. A health insurance system was introduced, which over the 20 years of its activity has not shown any outstanding results. So why all this?

Did we make the doctor’s job prestigious? The word "doctor" has become synonymous with the expression "wealthy person"? Today, a patient in a clinic can immediately receive the necessary treatment? There, without leaving the building, to pass all the tests and go through all the procedures? And most importantly, for free?

It is difficult for me to judge the mood of the population of other regions of Russia. The official figures are somehow not credible. As, for example, the average salary of doctors voiced by the Minister.

After talking with doctors - those who directly treat people, I realized only one thing. If to calculate the average salary from the list of employees of the clinic or hospital, we remove the head physician, his deputies and accountants, then the Ministry of Health will cry from the figure of this average salary ...

The medical reform, the need for which they have been talking about for so long ... politics, has actually failed. If urgent measures are not taken, then you can forget about normal medicine, especially in the CIS and Trans-Urals. Long live the traditional healers? .. At the same time, it’s just right to describe the situation in medicine with a quote from the Soviet cinema classics: “Everything is fine, I’m falling ...” But I would like the hundreds of billions sent by the state to medicine to go not at all to attach paper reports, but to the effective functioning of this very medicine - so that it is felt not only by officials, but also by ordinary citizens.
Author:
Photos used:
website of the Ministry of Health of the Omsk Region
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  1. Timeout 15 January 2020 08: 41 New
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    The medical reform, the need for which they have been talking about for so long ... politics, has actually failed.

    But was she really? In fact, this is not reform, but a systematic collapse. They came up with insurance companies and through them they twist money as they want. Head doctors need the number of occupied beds, not the number of cured patients .. What can I say, I steal so that they force me to treat disposable instruments, and inject expired drugs.
    https://sakhalin.info/news/181540
    1. Proxima 15 January 2020 08: 56 New
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      Someone said: “in order to be treated in our clinics, one must have marked health ...”
      1. tihonmarine 15 January 2020 09: 42 New
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        Quote: Proxima
        Someone said: “in order to be treated in our clinics, one must have marked health ...”

        And while it turns out that the officials are “treating” the population, it will turn out like in Krylov’s fable “If the cobbler begins to start the pies ....” And nothing has changed.
        1. Stas157 15 January 2020 09: 54 New
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          . the paramedic station which was in the neighboring village was closed due to the banal absence of a doctor.

          Due to optimization. The number of hospitals and beds was reduced. They considered it not profitable to treat people.

          This especially affected the village. Back to the roots. Previously, after all, as it was: he became ill, then he died. Because they were healthy. In this way, the native state cares about the health of the nation. What do you want?
          1. tihonmarine 15 January 2020 12: 43 New
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            Quote: Stas157
            Due to optimization. The number of hospitals and beds was reduced. They considered it not profitable to treat people.

            It’s logical why treat, when you need to optimize. And all the problems go away.
    2. Finches 15 January 2020 08: 57 New
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      Any reform in modern Russia, that of health care, that of retirement, of education, culture, that of the army and the militia / police, and even the work of the cesspool services, is based on one thing - optimization of government spending! That is, the reforms do not imply an improvement in human life and activity, but only one thing is preservation and multiplication of the dough for a small handful of celestials who have reached the state feeder! That is - they perceive Russia as their own patrimony! I have not seen ANY reform about which we can speak without obscenities ... But the welfare of senior officials, large hucksters close to them, bankers ... members of their families is steadily growing. While the slogans - "Beat the bourgeois!" not heard on the squares of our country, but nobody has yet repealed the law of the spring!
      1. Same lech 15 January 2020 09: 03 New
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        - optimization of government spending!

        smile I propose to optimize the State Duma deputies with their salaries with 5-digit zeros ... they often adopt laws that are mildly inadequate and their salaries, roughly speaking, require several orders of magnitude higher than the salaries of nannies in hospitals.
        1. Finches 15 January 2020 09: 07 New
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          Deputies cannot be reduced - they are the only ones who are fighting without sparing their stomach for the benefit of the people! But the salary is still not enough ... laughing
          1. Same lech 15 January 2020 09: 09 New
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            Judging by their swollen faces, the struggle is just beginning ... the spring session began vigorously with the struggle against external political enemies.
            1. Baloo 15 January 2020 09: 14 New
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              Quote: The same Lech
              Judging by their swollen faces, the struggle is just beginning ... the spring session began vigorously with the struggle against external political enemies.

              their faces and stomachs are swollen from nerves
              1. tihonmarine 15 January 2020 09: 45 New
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                Quote: Balu
                their faces and stomachs are swollen from nerves

                Their hard work. Do not take care of themselves, work for wear.
          2. prior 15 January 2020 13: 52 New
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            It is time to spare the bellies of deputies, senators, ministers and officials - on pitchforks and in the trash, everyone.
            Stop stuffing your stomachs to pain - give them medical fasting!
      2. Souchastnik 15 January 2020 09: 28 New
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        But the welfare of senior officials, large hucksters close to them, bankers ... members of their families is steadily growing.

        The number of officials doubled (I don’t remember for what period). So the number of wealthy Russians has doubled. Wait a bit. the more officials - the more wealthy citizens. That will become all officials and all will be wealthy. You just have to wait.
      3. tihonmarine 15 January 2020 09: 44 New
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        Quote: Finches
        I have not seen ANY reform about which we can speak without obscenities ... But the welfare of senior officials, large hucksters close to them, bankers ... members of their families is steadily growing.

        What can I say, capitalism according to Karl Marx and Vladimir Lenin.
      4. New Year day 15 January 2020 12: 19 New
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        Quote: Finches
        ... optimization of government spending!

        laughing
    3. TermNachTer 16 January 2020 00: 13 New
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      Ha ha, three times guys. I invite you to an excursion to Banderland, where there are no roads, no medicine. And then you will understand that in Russia, everything is not that bad.
  2. Sling cutter 15 January 2020 08: 42 New
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    From the Ministry of Health they made the Ministry the Ministry of Health!
    The people are dying, but again there are no perpetrators. am
    1. Stas157 15 January 2020 10: 19 New
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      The achievements of socialism: medicine, education, pensions ... are now considered redundant. Now everyone is exclusively the smith of his own happiness. If you want to get it, pay it.

      Thus, the population is accustomed to independence. But that would not have led citizens to independence from the state. Indeed, why do we need it?
      1. New Year day 15 January 2020 12: 25 New
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        Quote: Stas157
        The achievements of socialism: medicine, education, pensions ... are now considered redundant. Thus, the population is accustomed to independence.

        Putin said: do it yourself

        Here we live
        1. Lexus 15 January 2020 19: 01 New
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          Here we live

          Moreover, I know people who quit smoking and thumping, got hooked on HLS. Motivation - to spite the "party and government" to survive to retire! laughing
          In social networks, even entire communities have appeared in this direction.
          So here, if “thanks” does not work, then it will certainly be “contrary”.
    2. depressant 15 January 2020 10: 50 New
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      Greetings, colleagues!
      So.
      On December 20, 2019, by order of the Ministry of Health of the Russian Federation, high-tech medical care in the GERIATRIA profile was excluded. That is, people over 60 years old.
      For those over 60, such help now - only for the money! It seems decent.
      And this is a huge list of operations, almost everything! There is a monstrous list. Bother to read. Read, read, and quit.
      That’s such bad news. And so quietly ordered Skvortsova, in a whisper. But the people heard.
      1. Stas157 15 January 2020 14: 37 New
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        Quote: depressant
        On December 20, 2019, by order of the Ministry of Health of the Russian Federation, high-tech medical care in the GERIATRIA profile was excluded. That is, people over 60 years old.
        For those over 60, such help now - only for the money!

        Lyudmila Yakovlevna, the news nevertheless is not without a “positive”!))
        For the state, the double, as they say synergistic effect is a good saving of money on expensive operations on the one hand, and on the other hand, the opportunity not to pay pensions to those who, for this reason, have played in the box.
        The economic bloc of government is rubbing its hands in satisfaction.
  3. Evil543 15 January 2020 08: 43 New
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    Medicine is not crowded, but in ruins. Not even in the outback, but in the capital. In Moscow, there are 1 or 2 hospitals left with skin diseases. In the Moscow region, heart attacks carry 100 kilometers to the hospital. And on TV, constant requests to help sick children. At the same time, they say that money was allocated from the welfare fund for the purchase of Russian Railways wagons. Infuriates.
    1. Aerodrome 15 January 2020 09: 24 New
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      Quote: Evil543
      In the Moscow region, heart attacks carry 100 kilometers to the hospital.

      we have insulators for 100 km taken on an MRI ... and women in labor for 80 km ... apparently the Russian people sinned a lot ...
      1. Aerodrome 15 January 2020 10: 05 New
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        Quote: Aerodrome
        Quote: Evil543
        In the Moscow region, heart attacks carry 100 kilometers to the hospital.

        we have insulators for 100 km taken on an MRI ... and women in labor for 80 km ... apparently the Russian people sinned a lot ...

        I’d like it to happen when Putin or Medvedev had such a situation, so that their loved ones would be transported a hundred kilometers along the disconnect roads, and they would sit nearby, hold their hands, pronouncing ... all is well, my good be patient ... maybe then the brains will turn on.
        1. Mordvin 3 15 January 2020 10: 12 New
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          Quote: Aerodrome
          I’d like it to happen when Putin or Medvedev had such a situation, so that their loved ones would be transported a hundred kilometers along the disconnect roads, and they would sit nearby, hold their hands, pronouncing ... all is well, my good be patient ... maybe then the brains will turn on.

          In the villages where the ancestors of Putin-Medvedev lived, they made good roads.
          Although there is something for us to Putin and thank you to say. When he became president, street lighting was immediately carried out in Pominov. Our village in the district is the only one who can boast of such. Previously, no zgi was visible, but now - Broadway! And they also conducted gas. How long I went to the administration, and they all answered me - no matter what, there will be no gas in Pominovo. And then he suddenly appeared! If not for Putin, then we would have sat by the stove.

          https://aif.ru/politics/russia/37258
          1. New Year day 15 January 2020 12: 28 New
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            Quote: mordvin xnumx
            In the villages where the ancestors of Putin-Medvedev lived, they made good roads.

            see museums will open laughing
            1. The comment was deleted.
    2. DenZ 15 January 2020 09: 43 New
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      In Yekaterinburg, since 2013, the Oktyabrsky District Clinic No. 1 Central Clinical Hospital has not been completed. (In 2014, there was no money for equipment (about 130 million rubles) and the project was frozen for 3 years, then the project documentation was redone). May God open this summer, things have gone. I have a direct relation to this project and I can definitely say that the whole thing is either stupid financing or its absence in general, not to mention the fact that they save on everything (and the construction part and equipment). And this is one of the largest cities in Russia! At the level of city authorities they say that there is no money for the “social network”. State medicine in a deep and severe crisis.
  4. Far B 15 January 2020 08: 44 New
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    The lack of specialists in district and especially rural hospitals is generally a sore subject. Only the question cannot be resolved until the Soviet practice of compulsory postgraduate practice is returned. And for the Severs - also to return the northern allowances (not only for doctors). And no lifting a million or two problems will solve it.
    1. 7,62h54 15 January 2020 09: 19 New
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      Postgraduate training is applicable only to state employees. And if you paid for training, then you owe nothing to anyone.
      1. Aerodrome 15 January 2020 09: 32 New
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        Quote: 7,62x54
        Postgraduate training is applicable only to state employees. And if you paid for training, then you owe nothing to anyone.

        I do not want to be treated by a doctor who received a diploma for money.
        1. 7,62h54 15 January 2020 10: 50 New
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          Then apply the cabbage leaf, the gruel from the plantain, hug the trees at dawn. What is there Malakhov still advised.
      2. Van 16 15 January 2020 09: 41 New
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        For good, paid tuition in medical schools should be prohibited, because they are not smart and competent, but those who have money. Accordingly, they will be treated.
        1. Aerodrome 15 January 2020 10: 50 New
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          Quote: Van 16
          For good, paid tuition in medical schools should be prohibited, because they are not smart and competent, but those who have money. Accordingly, they will be treated.

          specifically.
        2. 7,62h54 15 January 2020 10: 52 New
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          In a good way a lot of things have to be done differently. But what we are discussing here between the parties does not bother the Kremlin diaspora at all. People for them are also oil.
  5. GKS 2111 15 January 2020 08: 45 New
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    If to calculate the average salary from the list of employees of the clinic or hospital, we remove the head physician, his deputies and accountants, then the Ministry of Health will cry from the figure of this average salary ...
    A surgeon in the ward of our emergency room (my friend) -20. A nurse (ibid.) -14.
    Did we make the doctor’s job prestigious?
    Full of vacancies at the labor exchange of our town, no one is torn, everyone wants to go to Moscow. The therapists are not enough, let alone the doctors of narrow specialization.
    The medical reform, the need for which they have been talking about for so long ... politics, has actually failed. If urgent measures are not taken, then you can forget about normal medicine, especially in the CIS and Trans-Urals
    I agree completely.
    1. Evil543 15 January 2020 08: 47 New
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      And in Moscow in the clinics of the diaspora from the Caucasus and Transcaucasia. So not only zamkadye
      1. Timeout 15 January 2020 08: 56 New
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        Quote: Evil543
        And in Moscow in the clinics of the diaspora from the Caucasus and Transcaucasia.

        And we have diasporas of Uzbeks and Tajiks with Kazakhs, without confirmation of qualifications.
        1. Evil543 15 January 2020 08: 59 New
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          And we have maternity apartments from you listed and they do not refuse to come and give birth to anyone.
          Because there is a chance to survive.
          1. Timeout 15 January 2020 09: 02 New
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            Quote: Evil543
            no one is denied

            Of course they do not refuse, there will be an international scandal. A neighbor in the country with renal colic was not put in our district, refused. While being driven to the area, fell into a coma.
        2. Baloo 15 January 2020 09: 18 New
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          An entry in the ISS diary of a deceased patient upon admission (acute pancreatitis was not diagnosed, although a history of prolonged binge was noted): Complaints of shaking ...
          Oh how! The new medical term is shake.
          Quote: Timeout
          Quote: Evil543
          And in Moscow in the clinics of the diaspora from the Caucasus and Transcaucasia.

          And we have diasporas of Uzbeks and Tajiks with Kazakhs, without confirmation of qualifications.
          1. The comment was deleted.
      2. New Year day 15 January 2020 12: 29 New
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        Quote: Evil543
        And in Moscow in the clinics of the diaspora from the Caucasus and Transcaucasia.

        laughing
        1. Karen 15 January 2020 12: 56 New
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          Quote: Silvestr
          Quote: Evil543
          And in Moscow in the clinics of the diaspora from the Caucasus and Transcaucasia.

          laughing

          Eka is important ... I remember that about ten years ago a well-known Russian politician came to Yerevan, and said in his hearts that in the Russian Federation many of the district police stations were staffed only by our neighbors ...
    2. Ross xnumx 15 January 2020 09: 16 New
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      Quote: GKS 2111
      A surgeon in the ward of our emergency room (my friend) -20. A nurse (ibid.) -14.
      Did we make the doctor’s job prestigious?

      For comparison, you can see:
      1. Souchastnik 15 January 2020 09: 33 New
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        20000-60000

        20 is for a bet, 60000 - for 3 bets. So chtoli?
        1. Ross xnumx 15 January 2020 10: 03 New
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          Quote: Souchastnik
          20 is for a bet, 60000 - for 3 bets. So what?

          yes Just without words ... good
  6. Mordvin 3 15 January 2020 08: 47 New
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    A friend of mine, a friend in our hospital, lay down, lost a kilo by 15. And you say that we have bad medicine ... winked And if you take the salary of the nurse and the head doctor, then on average they get 80 thousand a month. repeat
    1. Timeout 15 January 2020 08: 52 New
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      Quote: mordvin xnumx
      At a friend, a girlfriend in our hospital lay down, lost 15 kilograms

      My mother was in the hospital a month ago, so there for breakfast, lunch and dinner, one cabbage in different designs. And this has been so for four years already, for it lies down once every six months.
    2. Aerodrome 15 January 2020 09: 27 New
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      Quote: mordvin xnumx
      And if you take the salary of the nurse and the head doctor, then on average they get 80 thousand per month

      duck rates need to take more ... yes
      1. Mordvin 3 15 January 2020 09: 29 New
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        Quote: Aerodrome
        duck rates need to take more ...

        Yes, they are already in the majority for one and a half or two rates work hard.
        1. Aerodrome 15 January 2020 10: 25 New
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          Quote: mordvin xnumx
          Quote: Aerodrome
          duck rates need to take more ...

          Yes, they are already in the majority for one and a half or two rates work hard.

          otherwise I don’t know, the daughter-in-law is a therapist ... in the ECB, if anything, not in the village!
          1. Mordvin 3 15 January 2020 10: 30 New
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            Quote: Aerodrome
            otherwise I don’t know, the daughter-in-law is a therapist ... in the ECB, if anything, not in the village!

            My sister is also a doctor. request
        2. Snail N9 15 January 2020 10: 28 New
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          Well, something like this:

          When we talk about "medicine", then everyone understands perfectly well the reasons for what is happening there:

          1. Aerodrome 15 January 2020 10: 53 New
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            Quote: Snail N9
            Well, something like this:

            When we talk about "medicine", then everyone understands perfectly well the reasons for what is happening there:


            what a pity that the country has slipped to the point that there are not enough pediatricians, and pederasts are in abundance .... woe to the country.
  7. paul3390 15 January 2020 08: 52 New
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    And what - from the 91st we had at least one type of reform, from which it became easier for people to live ??
    1. Aerodrome 15 January 2020 09: 28 New
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      Quote: paul3390
      And what - from the 91st we had at least one type of reform, from which it became easier for people to live ??

      it’s just that there wasn’t any law ... ah! there was one: they were allowed to collect logs in the forest! (before that, the truth itself was banned)
      1. Snail N9 15 January 2020 10: 57 New
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        there was one: they were allowed to collect logs in the forest! (before that, the truth itself was banned)

        On YaP-e there was a picture contest: "All of Russia in one photo" (editing allowed):
  8. Greenwood 15 January 2020 08: 53 New
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    I wonder what Russia will come in 10-20 years with such reforms ?! request
    The decline in the birth rate, the excess of mortality over the birth rate and the emigration of the population abroad are already proceeding at an accelerated pace.
    1. paul3390 15 January 2020 08: 57 New
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      Either the restoration of Soviet power and socialism - or all of us kirdyk. The bourgeoisie will definitely kill us ..
      1. Mordvin 3 15 January 2020 09: 14 New
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        Quote: paul3390
        The bourgeoisie will definitely kill us ..

        Incidentally, in the west (in particular, in the UK), also screw nuts with medicine. They began to take hospitals one and a half times less (compared with the 90s). People are afraid of being sick.
        1. balunn 15 January 2020 10: 24 New
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          To begin with, the healthcare system there is completely different. And the level of medicine is slightly different. There are some peculiarities, but on the whole, the indicator of the nation’s health is much higher than ours.
          1. Mordvin 3 15 January 2020 10: 35 New
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            Quote: balunn
            but in general, the nation’s health indicator is an order of magnitude higher than ours.

            Our extras are categorically against. laughing

            They have three times as many patients there. laughing
            1. balunn 15 January 2020 10: 42 New
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              You still compare care for the disabled here and there.
            2. sergo1914 15 January 2020 11: 18 New
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              Our disability must be proved every year. Suddenly the leg regrowed?
              1. Mordvin 3 15 January 2020 11: 27 New
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                Quote: sergo1914
                You still compare care for the disabled here and there.

                I don’t know how “There”, but how “here” - I know perfectly well, since I myself worked a little at the enterprise for the disabled, and for my mother I’m constantly running around for medicines, I’m on guard at pharmacies. They are trying to remove disability at any cost, or to change the group.
                Quote: sergo1914
                Suddenly the leg regrowed?

                Okay, leg, but the familiar ensign every year shakes a member of the medical commissions before the girls. You know how embarrassing it is.
        2. New Year day 15 January 2020 12: 40 New
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          Quote: mordvin xnumx
          People are afraid of being sick.

          afraid to be ill, does not mean healthy.
          Experts at the ONF and the Health Foundation analyzed the data from Rosstat over several years. So, in 2017, compared with 2016, the number of beds in round-the-clock hospitals decreased by 19 854, and the number of hospitalized - by 403 thousand people, including rural residents - by 2771 people. At the same time, nosocomial mortality increased from 1,77% in 2016 to 1,8% in 2017. In 2013, this indicator was 1,55%.
          The experts also examined the information posted on the website of the Ministry of Health of Russia for 2016–2017 and compiled a ranking of the regions according to the level of hospital mortality during this period. It turned out that in 61 constituent entities of the Russian Federation, this indicator increased in 2017 compared to 2016.
      2. New Year day 15 January 2020 11: 08 New
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        Quote: paul3390
        . The bourgeoisie will definitely kill us ..

        Yes, not the bourgeoisie, but the power serving the thief. I think that not everyone will survive another tandem period
        1. Golovan Jack 15 January 2020 13: 19 New
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          Quote: Silvestr
          I think that not everyone will survive another tandem period

          You sure thoughtWhen did they write this? wink

          Survived - anyhow blurt out, if only about "all bad" negative

          Even today (regardless of the "tandem") will survive certainly not all. Buddy So what?

          Quote: Silvestr
          nosocomial mortality increased

          So what? What is this for? What is "nosocomial mortality" - I, as it were, in the know. But why did you, my friend, write this - nifiga did not understand.

          Also - "thought", probably? laughing
      3. Vadim237 15 January 2020 15: 51 New
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        Calm down - the bourgeoisie will not finish you, you yourself will be repelled, from senile diseases or because of depression.
    2. Lesorub 15 January 2020 09: 06 New
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      Quote: Greenwood
      I wonder what Russia will come in 10-20 years with such reforms ?! request
      The decline in the birth rate, the excess of mortality over the birth rate and the emigration of the population abroad are already proceeding at an accelerated pace.

      An example is close at hand, in Ukraine “reform” is behind “refom”, and a US citizen was the Minister of Health, the result is impressive, out of 48 mil people would now have scraped together 26 (at best), emigration beats all indicators.
      1. Aerodrome 15 January 2020 09: 50 New
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        Quote: Lesorub
        in Ukraine, "reform" after "refom", and by the Minister health care was a US citizen,
        what do you have with literacy? must speak :health care.
        wassat
      2. Sling cutter 15 January 2020 10: 01 New
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        Quote: Lesorub
        An example is close at hand, in Ukraine “reform” is behind “refom”, and a US citizen was the Minister of Health, the result is impressive, out of 48 mil people would now have scraped together 26 (at best), emigration beats all indicators.

        Are we better? Many of us have dual citizenship in the government, and emigration is at the level, and these spits towards the neighbor no longer work, leave these pearls to the drain tank and evening m.
        And you need to equal this
        1. Vadim237 15 January 2020 15: 54 New
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          Let's catch up on the US medical system - only you have to pay for all the services at exorbitant prices.
      3. New Year day 15 January 2020 11: 12 New
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        Quote: Lesorub

        An example near by, in Ukraine ...

        A bad example is contagious, our government has something to strive for.
    3. Sling cutter 15 January 2020 09: 12 New
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      Quote: Greenwood
      I wonder what Russia will come in 10-20 years with such reforms ?! request
      The decline in the birth rate, the excess of mortality over the birth rate and the emigration of the population abroad are already proceeding at an accelerated pace.

      Cleaning up territories, replacing indigenous peoples with complaisant and prolific Asians, and further utilization of Russia.
      1. Aerodrome 15 January 2020 10: 35 New
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        Quote: Stroporez
        Quote: Greenwood
        I wonder what Russia will come in 10-20 years with such reforms ?! request
        The decline in the birth rate, the excess of mortality over the birth rate and the emigration of the population abroad are already proceeding at an accelerated pace.

        Cleaning up territories, replacing indigenous peoples with complaisant and prolific Asians, and further utilization of Russia.

        I would have been 25-30 years old, would have gone to the partisans, to the wilderness, to the taiga, with a companion, an ax, a saw and weapons. and a good first-aid kit for survival. would leave. and he would build a house, but in such a place. So that neither Gazprom nor the lumberjacks would reach. honestly, I got the “struggle for life”, humiliating, insulting, with the understanding that the authorities need you to die.
        1. Sling cutter 15 January 2020 10: 41 New
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          Quote: Aerodrome
          I would have been 25-30 years old, would have gone to the partisans, to the wilderness, to the taiga, with a companion, an ax, a saw and weapons. and a good first-aid kit for survival. would leave. and he would build a house, but in such a place. So that neither Gazprom nor the lumberjacks would reach. honestly, I got the “struggle for life”, humiliating, insulting, with the understanding that the authorities need you to die.

          Kamrad, we are all not young, "fifty dollars" is no longer the name of the regiment, and health is not that ...
          I completely share your cry, but we simply have to live and fight, to the best of our ability, and even in the absence of those, since our generation is the last of those who remember the Soviet Union, so it's too early for us to die!
          Shake hands! soldier
          1. Aerodrome 15 January 2020 10: 59 New
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            Quote: Stroporez
            Quote: Aerodrome
            I would have been 25-30 years old, would have gone to the partisans, to the wilderness, to the taiga, with a companion, an ax, a saw and weapons. and a good first-aid kit for survival. would leave. and he would build a house, but in such a place. So that neither Gazprom nor the lumberjacks would reach. honestly, I got the “struggle for life”, humiliating, insulting, with the understanding that the authorities need you to die.

            Kamrad, we are all not young, "fifty dollars" is no longer the name of the regiment, and health is not that ...
            I completely share your cry, but we simply have to live and fight, to the best of our ability, and even in the absence of those, since our generation is the last of those who remember the Soviet Union, so it's too early for us to die!
            Shake hands! soldier

            there are no other options, so let's stick to it. you also need to help the children, with advice, shoulder, hands, yes, die, set aside. I press in response! soldier
        2. bober1982 15 January 2020 11: 35 New
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          Quote: Aerodrome
          I would have been 25-30 years old, would have gone to the partisans, to the wilderness, to the taiga, with a companion, an ax, a saw and weapons. and a good first-aid kit

          How can you be partisan in the wilderness, and even with a companion? So there, in the wilderness, there are no oligarchs, thieving bureaucrats and bourgeois, only mosquitoes and wild animals. And, no good first-aid kit will help, and where will you find a companion? This is what she should be a fool. A bath is needed, not to sit dirty, bedding and underwear.
          You guys don’t talk, laughter alone, Petrosyan nervously smokes aside. I shake my hand firmly.
        3. Varyag71 15 January 2020 12: 27 New
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          if biometrics will be introduced everywhere, you have to do so.
        4. Vadim237 15 January 2020 15: 58 New
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          Find a bear hole and lie down in hibernation - a "tired fighter" with life and power.
      2. AU Ivanov. 15 January 2020 13: 02 New
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        Asians are not only complaisant and prolific, they are, unlike us, hardworking and non-drinkers. And they’re not afraid to give birth, again, unlike us. So, that no sweeps and other conspiracy theories - everything is old Darwin. The strongest survive, but we - alas.
    4. Aerodrome 15 January 2020 09: 29 New
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      +9
      Quote: Greenwood
      I wonder what Russia will come in 10-20 years with such reforms ?!

      it’s good that I can’t hold out ... I don’t want to look at it.
      1. kjhg 15 January 2020 09: 58 New
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        +12
        Quote: Aerodrome
        it’s good that I can’t hold out ... I don’t want to look at it.

        We are, in fact, happy people, because lived in the USSR and saw with their own eyes how the state takes care of its citizens from the moment of birth until death. Our children and grandchildren did not see this. Unfortunately, they will have to take a full sip of misanthropic capitalism. They faced the most difficult task: either to reconcile with the fact that Russia in its current ethnic composition will cease to exist, or they will be able to unite and demolish the current enemies of Russia, who seized power in the 90s.
        1. AU Ivanov. 15 January 2020 10: 11 New
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          -13
          Well, I lived under the USSR. Something I didn’t particularly notice was there any special concern. As I had in my small Motherland the impoverished Central Hospital, in which my mother worked for a penny, so she remained. And thank God that my children did not see the scoop.
          1. Aerodrome 15 January 2020 10: 21 New
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            +9
            Quote: AU Ivanov.
            Well, I lived under the USSR. Something I didn’t particularly notice was there any special concern. As I had in my small Motherland the impoverished Central Hospital, in which my mother worked for a penny, so she remained. And thank God that my children did not see the scoop.

            So how, in your "small homeland" are people happy? you, then - I’m surely hit off somewhere inside the “Ring”, and now you are vomiting., haya USSR.
            1. AU Ivanov. 15 January 2020 10: 27 New
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              Shot, by itself. First to the Far North, and only then, having wandered around the north, to St. Petersburg. In the small homeland? He who works, and not holds onto the glass, lives on, and no worse than in a large city. There, if you don’t sit on the couch, but use your brains and put your hands on it, then you can live with dignity.
              1. Greenwood 15 January 2020 13: 32 New
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                +1
                Quote: AU Ivanov.
                There, if you don’t sit on the couch, but use your brains and put your hands on it, then you can live with dignity.
                Why didn’t you follow their example? And then, sitting in a city of federal significance, it is easy to give advice to the provincials.
                1. AU Ivanov. 15 January 2020 13: 42 New
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                  Why not follow? I opened my own business just in the Novgorod region, and not in St. Petersburg. It’s easier there and there are fewer competitors and more unoccupied niches. So that I did not give advice, but showed an example. And the little son also conducts his business in the outback.
          2. kjhg 15 January 2020 10: 22 New
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            I set the minus. This is for insulting the Soviet system.
        2. Aerodrome 15 January 2020 10: 18 New
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          Quote: kjhg
          We are, in fact, happy people, because lived in the USSR and saw with their own eyes how the state takes care of its citizens from the moment of birth until death. Our children and grandchildren did not see this. Unfortunately, they will have to take a full sip of misanthropic capitalism. They faced the most difficult task: either to reconcile with the fact that Russia in its current ethnic composition will cease to exist, or they will be able to unite and demolish the current enemies of Russia, who seized power in the 90s.

          well said.
        3. carstorm 11 15 January 2020 13: 53 New
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          our children and grandchildren on their own can get everything without waiting, let's say apartments for a dozen years from the state. Well, this is so for example. you say slurp, and let’s say I call this time of opportunity. when I can do everything on my own as I want and not expect any goodies from the state. What does it mean in its ethnic composition will cease to exist? Do you want to add or decrease someone? the last point is generally an article and I don’t know why you are not banned for this.
          1. Vadim237 15 January 2020 16: 03 New
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            Are you opposed to the communist social-free system?
  9. carstorm 11 15 January 2020 08: 57 New
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    I remember my childhood. Besyad village, Vetka district, Gomel region, my grandmother lived there. they sent me to her little summer. but the doctor and the paramedic were not there, and I was taken to a district with a deep cut on some kind of rydvan ... it was a very long time ago I was very small but with a battery in one place)
    1. Aerodrome 15 January 2020 09: 30 New
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      Quote: carstorm 11
      I remember my childhood. Besyad village, Vetka district, Gomel region, my grandmother lived there. they sent me to her little summer. but the doctor and the paramedic were not there, and I was taken to a district with a deep cut on some kind of rydvan ... it was a very long time ago I was very small but with a battery in one place)

      what has changed then?
      1. carstorm 11 15 January 2020 09: 34 New
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        so this was the Union. everyone, as an ideal, has it in mind. and many Soviet things they want to return. so I remembered
        1. Aerodrome 15 January 2020 09: 59 New
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          Quote: carstorm 11
          so this was the Union. everyone, as an ideal, has it in mind. and many Soviet things they want to return. so I remembered

          and Putin as an "ideal", many have in mind (your term), but now the "ass" has become medical, wider and fatter, worse than with the "scoop" you despised.
          1. carstorm 11 15 January 2020 10: 02 New
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            firstly, I do not despise him from the word at all. this is my childhood and I remember a lot of good. secondly, I didn’t notice what you are talking about. last year, his mother drove to the doctors to the fullest and saw a lot of everything normal. I didn’t live in villages, so I can’t say something. but in the city more or less.
        2. Greenwood 15 January 2020 10: 21 New
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          Quote: carstorm 11
          so this union was
          Just in your village did not have time to build before the restructuring. This does not mean that they were not going to. There were many villages. And if they sang, then most likely they would have closed it now. Although about Belarus, I’m not sure.
          1. carstorm 11 15 January 2020 10: 35 New
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            it’s like ... and this village was still with RI and everyone didn’t have time to look ... sad.
            1. Greenwood 15 January 2020 13: 33 New
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              But is it that a significant part of Belarusian villages and villages were burned to the ground during the war?
              1. carstorm 11 15 January 2020 13: 37 New
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                I do not believe in the course. I just pointed out that it’s not a matter of perestroika. you probably just didn’t understand me. It’s my fault.
                1. Greenwood 15 January 2020 13: 43 New
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                  So I tell you. For 1, 2 and even 10 years, it is physically impossible to rebuild all the necessary infrastructure in each locality, of which there were tens of thousands throughout the vast Union. Even though the pace of development of settlements was impressive then, more and more new names regularly appeared on the map. Plus, after the war, a lot of cities and towns rebuilt from scratch. Of course, they would open to you a feldsher point, and a clinic, and much more if it were not for the collapse of the Union. In those days, it was not customary to close and cut everything under the guise of "optimization."
                  1. Vadim237 15 January 2020 16: 07 New
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                    That all 70000 villages and villages were rebuilt right away - do not tell tales already in the 70s, the extinction of the villages was noticeable, they began to leave the villages from the 50s.
        3. AU Ivanov. 15 January 2020 10: 31 New
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          You can return the road. A la USSR. When, in the spring, an ambulance was pulled into our village by a DT-75 tractor over a muddy primer on a tie. And we were taken to school in the back of Polaris, because the buses did not go because of these very muddy roads.
          1. Foul skeptic 15 January 2020 10: 57 New
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            Whether an asphalt road would have appeared in your village or not by this time in the USSR we will not know already. But the fact that there are fewer paved roads now than then, I already gave you statistics from Rosstat.
            1. AU Ivanov. 15 January 2020 11: 52 New
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              She appeared, an asphalt road. About 10 years ago. And the sidewalks in the village, of which from the time of Ivan the Terrible there were no births.
              1. Foul skeptic 15 January 2020 12: 23 New
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                You already answered
                Whether an asphalt road would have appeared in your village or not by this time in the USSR we will not know already.

                Therefore, the fact that 10 years ago (although the USSR was no longer 11, 15, and 27 years old) a road appeared in your village does not change the general statistics - if it is still the same on public hard-surfaced roads (three-fold decrease) , then on paved roads not of general use (to which your village road refers) a hundredfold decrease. The correction for the difference in terms of operation and replacement does not greatly smooth the picture. And this is clearly seen, it is worth taking a voyage away from Moscow and St. Petersburg through small villages and walking along the streets, seeing it, as in the middle of the land and grass, asphalt plaques are islands in size from a notebook sheet or more. And often (according to the natives), even that.
                1. AU Ivanov. 15 January 2020 12: 30 New
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                  In fact, in our area, the roads are busy. And not with patches, but with capital.
                  1. Foul skeptic 15 January 2020 12: 55 New
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                    This is good, it is welcome.
    2. Alexga 15 January 2020 13: 12 New
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      Alas, unfortunately your village is already gone, evicted due to Chernobyl. An old village with a great history. Friends live in Rainbow, I come there for fishing for catfish. Beautiful places but ... Very sorry!
  10. New Year day 15 January 2020 08: 58 New
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    What can I say, if it has already reached Putin, it is a "disaster." That's just about the authors of her silent. Maybe because he is one of the authors?
    1. Same lech 15 January 2020 09: 06 New
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      That's just about the authors of her silent. Maybe because he is one of the authors?

      Our Guarantor instructed Comrade Kudrin to monitor the implementation of national projects ... I wonder what will come of this?
      1. Timeout 15 January 2020 09: 11 New
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        Quote: The same Lech
        Our Guarantor instructed Comrade Kudrin to monitor the implementation of national projects ... I wonder what will come of this?

        Will come out on Chernomyrdin! "We wanted the best, but it turned out as always .."
        1. Same lech 15 January 2020 09: 13 New
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          "We wanted the best, but it turned out as always .."

          Capitalism in Russia has irreparable systemic sores ... until the standard of living of the ordinary people of Russia is raised to a high standard, all of Putin's national projects will be doomed to failure ... this is obvious.
          1. Timeout 15 January 2020 09: 18 New
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            Quote: The same Lech
            all national projects of Putin

            Alexei, you are an optimist! All national projects, this is an occasion for the banal pumping of money from the population.
            1. Same lech 15 January 2020 09: 23 New
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              All national projects, this is an occasion for the banal pumping of money from the population.

              Now you’ll add new taxes to the population ... so I’m putting myself a turnip and scratching it now what what that the Ministry of Finance and the State Duma will come up with rats this year ... what new taxes and penalties will be introduced against motorists, against homeowners, against self-employed, etc. etc. I do not expect good from these structures.
              1. Timeout 15 January 2020 09: 31 New
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                Quote: The same Lech
                I do not expect good from these structures.

                So they can still ask the Russian Orthodox Church for life’s canonization of Putin ... After all the laws adopted over the past 4 years, this can be expected.
              2. Sling cutter 15 January 2020 09: 48 New
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                +9
                Quote: The same Lech
                Now you’ll add new taxes to the population ... now I’m giving myself a turnip and scratching now that the Ministry of Finance and the State Duma will come up with rats this year ... what new taxes and penalties will be introduced against motorists, against homeowners, against self-employed, etc. etc. I do not expect good from these structures.

                An anti-people government cannot have a people's president. After all, today he will again begin to braid variations on the theme “we need”, “there is no time for buildup”, “we will fight poverty and corruption” and so on for 20 years. I can’t understand why, 20 years ago, many came up with the idea that ebna could have a decent receiver, and only the screen had changed.
                1. Krasnodar 15 January 2020 17: 33 New
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                  Quote: Stroporez
                  Quote: The same Lech
                  Now you’ll add new taxes to the population ... now I’m giving myself a turnip and scratching now that the Ministry of Finance and the State Duma will come up with rats this year ... what new taxes and penalties will be introduced against motorists, against homeowners, against self-employed, etc. etc. I do not expect good from these structures.

                  An anti-people government cannot have a people's president. After all, today he will again begin to braid variations on the theme “we need”, “there is no time for buildup”, “we will fight poverty and corruption” and so on for 20 years. I can’t understand why, 20 years ago, many came up with the idea that ebna could have a decent receiver, and only the screen had changed.

                  Have you not noticed a change for the better over the past 20 years? )))
                  1. Sling cutter 15 January 2020 17: 56 New
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                    Quote: Krasnodar
                    Have you not noticed a change for the better over the past 20 years? )))

                    I noticed that during this time my second daughter and son were born !!!!! good
                    1. Krasnodar 15 January 2020 17: 58 New
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                      Fine ))
                      But the criminal situation, social, medicine, incomes of the population - haven’t they really improved?
              3. Snail N9 15 January 2020 11: 00 New
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                that the Ministry of Finance and the State Duma will come up with rats this year ... what new taxes and penalties will be introduced against motorists, against homeowners, against self-employed, etc. etc. I do not expect good from these structures.

                Well, the State Duma sometimes "pleases" us not childishly. Here they’ve allowed .... "bow hunting" wassat
          2. Vadim237 15 January 2020 16: 16 New
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            There will be a growth in the global economy, there will be orders for all Russian products, there will be growth in the economy, respectively, the purchasing power of the population will begin to grow, ideally if all trade sanctions are canceled and oil will be for a hundred.
        2. Sling cutter 15 January 2020 09: 49 New
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          Quote: Timeout
          Will come out on Chernomyrdin! "We wanted the best, but it turned out as always .."
          Reply

          And who told you that “they” wanted the best?
      2. Baloo 15 January 2020 09: 20 New
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        +9
        Quote: The same Lech
        That's just about the authors of her silent. Maybe because he is one of the authors?

        Our Guarantor instructed Comrade Kudrin to monitor the implementation of national projects ... I wonder what will come of this?

        Kudrin already cried yesterday: they steal ... I don’t know how much exactly, but I know for sure that they steal. He’s such a smart girl ....
        1. Timeout 15 January 2020 09: 24 New
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          Quote: Balu
          He’s such a smart girl ....

          Yeah, especially being the Minister of Finance ... I probably just shied away from the money so that they would not stick. wink
      3. Souchastnik 15 January 2020 09: 37 New
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        ..interesting in what comes of this?

        Nothing at all. In the words of the late Viktor Stepanovich, "This has never happened before, and here it is again."
      4. balunn 15 January 2020 10: 07 New
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        In a neighboring topic, Kudrin replied
    2. Sling cutter 15 January 2020 09: 13 New
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      Quote: Silvestr
      What can I say, if it has already reached Putin, it is a "disaster." That's just about the authors of her silent. Maybe because he is one of the authors?

      But does anyone still doubt the authorship?
      1. Mordvin 3 15 January 2020 09: 22 New
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        Quote: Stroporez
        But does anyone still doubt the authorship?

        Nothing, another twenty years of such stability, and get used to it slowly. Already an idiot made me laugh when I said that I treated my mother’s teeth at the enterprise in the USSR.
        1. Sling cutter 15 January 2020 09: 28 New
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          +12
          Quote: mordvin xnumx
          Quote: Stroporez
          But does anyone still doubt the authorship?

          Nothing, another twenty years of such stability, and get used to it slowly. Already an idiot made me laugh when I said that I treated my mother’s teeth at the enterprise in the USSR.

          Pondering, this "stability" still stinks of a cemetery, but we simply must survive this power, otherwise there will be no one to restore the country.
          1. Mordvin 3 15 January 2020 09: 37 New
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            Quote: Stroporez
            Pondering, this "stability" stinks like a graveyard,

            But how many divorced offices for the manufacture of fences, monuments. No shortage! Not that in the USSR! Not far from the house there is a former canteen of the enterprise, where we were taken from school when our was under repair, now they sell coffins there. sad
            1. Same lech 15 January 2020 09: 39 New
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              Now they sell coffins there.

              Yeah ... what survived ... optimized.
              1. Timeout 15 January 2020 09: 48 New
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                Quote: The same Lech
                survived ... optimized.

                And what else will be! It’s scary to even think ... sad
            2. Sling cutter 15 January 2020 10: 16 New
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              Quote: mordvin xnumx
              Now they sell coffins there.

              Profitable business .... On the Soap Mountain, the 5th field is already “sown” by the dead, soon they will get to the Chermet fence, and this is not counting those that are tucked up on old sites. In 1989, 770 thousand people lived in the city, by 1995 they predicted a million and a metro to dig, now together with the Leninsky district and with migrants who received passports-470 thousand !!!!! Isn't that genocide ?????
              1. Snail N9 15 January 2020 10: 49 New
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                "Profitable business". The state purposefully gets rid of any social burden by shifting it to "private business", it already comes to the point that some of the state functions are shifted to the "private entrepreneur" - for example, the planned chipization of "population heads" (like cattle stigmatized instead of passports, Well, it's so "convenient" yes ) is planned to be carried out by "private companies". At the moment, the so-called “compulsory labeling” (asking why?) Of goods is being introduced, which, again instead of the state, is carried out by the “private shop” of the “patriotically oriented entrepreneur” “close to the throne”, and from the latter, in addition to private collection offices for debt collection, Russia has given consent to establish an institute ...... "private bailiffs" who will be self-sufficient and therefore will "work" more "efficiently" in terms of taking property from citizens. . https://news.mail.ru/politics/40195293/?frommail=1 wink
                1. Sling cutter 15 January 2020 11: 01 New
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                  Quote: Snail N9
                  "Profitable business". The state purposefully gets rid of any social burden

                  The question is that the state is getting rid of the population, like a ballast that needs to be taught, treated, fed, while the “ballast” blathers something, achs, in general, interferes with “efficient” work, but there’s no time for buildup ! Therefore, it is easier to dispose of this "hemorrhoids" and go confidently to the "bright" London future.
        2. g1washntwn 15 January 2020 10: 10 New
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          Previously, enterprises dragged the entire social programs. Housing fund, kindergartens, schools, medicine, culture ... With the collapse of the socially oriented system, everyone rushed to build capitalism (read - to fill their pockets). Companies are thrown into the water - those who want to learn how to swim - will come up. Enterprises began to dump this social network overboard with the same slogan. The state is not able to drag all this, the social system itself also flows into commerce. Who is left? We. So the State is trying, with its reforms, to accustom the population to the idea that "the salvation of drowning people is the work of the drowning people themselves," and we (officials and functionaries) have nothing to do with it, "there is no money but you hold on," "macaroni" and so on. That's the whole scheme, even in medicine, at least with pension support, at least where.
        3. AU Ivanov. 15 January 2020 10: 41 New
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          You treated your teeth at the enterprise with your mother because the regional dentistry was lower than the baseboard. I also did teeth only in the aeroflot clinic, there was at least a guarantee that the seal would not fly out in a couple of weeks.
          1. Mordvin 3 15 January 2020 10: 53 New
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            +1
            Quote: AU Ivanov.
            You treated your teeth at the enterprise with your mother because the regional dentistry was lower than the baseboard.

            I treated my teeth there because I was stupidly reluctant to go to the hospital. Although he went there when he pinned. The enterprise was for the visually impaired (mother worked there), and was a couple of hundred meters from the house, and not some super-duper with bells and whistles. By the way, they finished him only a year ago, now the local organization of the blind goes shopping. They give them products there, in which the expiration date is coming to an end.
  11. Ravil_Asnafovich 15 January 2020 09: 35 New
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    In our country, wherever you stick everywhere, "send (photo) a report, in any ministry, that the Armed Forces, the Ministry of Internal Affairs, the Ministry of Education, the Ministry of Health, etc., that’s what happens instead of teaching, treating, people are doing," paper fraud. "
    1. Timeout 15 January 2020 09: 47 New
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      Quote: Ravil_Asnafovich
      people are engaged in "paper bailing."

      Of course, any collapse begins with the breeding of bureaucracy. Instead of work, the specialist begins to make all kinds of reports.
  12. Sotskiy 15 January 2020 09: 41 New
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    If urgent measures are not taken, then you can forget about normal medicine, especially in the CIS and Trans-Urals.

    So I don’t understand something, our people don’t watch TV at all, and if they watch it, they don’t listen and even don’t read newspapers?
    Putin has long announced the smooth departure from paternalism. Those who wanted to hear him heard.
    Veronika Skvortsova, the head of the Russian Ministry of Health, made a statement at the “Support to Russia” forum, from which it is clear that she assumes in the future a transition to private, fully paid medicine as the main type of medical care.
    Comments?
    Now the question. It would be profitable for a private trader to maintain the same FAP in a village, for example, in 100 yards? Not really? Then why be surprised that some village suddenly completely recovered? The main postulate of the current policy of the Russian Federation is the market and payback above all, and then not, not medicine, but health individual citizen and people in particular?
    Everything, as they say, is in your own hands. Have you been freed from the “damned socialist totalitarianism” with its mandatory medical examinations and free treatment? So free on all four sides.
    1. Same lech 15 January 2020 09: 51 New
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      Have you been freed from the “damned socialist totalitarianism”? So free on all four sides.

      Yeah, now the reformers are left to free the extra people from their property, health and life ... something like this, the prospect of our people does not please me.
    2. Foul skeptic 15 January 2020 10: 04 New
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      What is happening here resembles what is happening in the USA in the 80s. Up to the slogans of the fight against poverty.
  13. slavaseven 15 January 2020 09: 49 New
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    We just go to paid medicine. All for the sake of this the Hospital was intended for self-sufficiency. Schools. Higher educational institutions. Tolerate a little and the fire department with the police will come to this.
    Putting out an apartment - for water, for a call, for fuel, for a man-hour, for harm, pay and put it out. Just before that, sign here, here and here, you can pay through public services with a commission or cash right now. Now you can start stewing.
  14. Gardamir 15 January 2020 09: 54 New
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    The author missed another point of the nurse and doctors, why all the time come from Central Asia and the Caucasus.
    1. balunn 15 January 2020 10: 34 New
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      If the doctor is sensible, it does not matter where he comes from.
      1. Gardamir 15 January 2020 11: 13 New
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        While I was lucky, but still let me disagree with you. I want, like in childhood, that everyone around was blond and goose-eyed.
        No, of course, if tomorrow I suddenly move to Tochikiston, then of course the doctors will be tojiki.
  15. 30143 15 January 2020 09: 55 New
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    That is what is the same in our countries, these are the reforms of education and medicine.
    The salary of doctors is from 4000 to 7000 UAH. This is without tax deduction ...
    Now they are transferring to a new form, such as utilities, where the main thing is the director. New management departments are recruiting; these are the people who will monitor the doctors and calculate the services. And the salary of the head physician / director is already 60-70 thousand UAH. And the GP of the primary link reached 12-15 thousand UAH. The secondary, as well as the narrowly specialized ones, remained at the same numbers ...
    As a result, people quit and leave for the pshek. Now they are starting to go to the Czechs. But there are young people who travel to Germany.
    At Medical Universities, education is already in English. First, they introduced it for foreigners, and then ours understood the advantages ... And even in some universities there are no state employees! The people do not want to qualify as a family doctor, and then work out for their homeland.
    We got to the point that there are no nurses in the admission departments. Nurses are driven away on duty from the entire hospital. Can you imagine which station wagons work? As soon as they have learned, they go to private centers.
  16. balunn 15 January 2020 10: 19 New
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    Something in this topic is not visible to the patriots who stoke for the current government.
  17. vanavatny 15 January 2020 10: 22 New
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    all diseases from nerves, and today at 12 00 one good person will treat them with empty chatter and yes, many refuse to understand: we are going to paid medicine and education, regardless of income, this is extinction
    1. vanavatny 15 January 2020 20: 35 New
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      I was wrong
  18. Klingon 15 January 2020 10: 25 New
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    in Russia, everything that is not done for ordinary citizens is aimed only at worsening their condition and it does not matter what it is, pension reform, taxes, lower salaries or medicine at a level worse than in third world countries.
    and here is an example of the salaries of medical workers:
    nurse / nurse
    RF = 7000-15000 ₽ (at best)
    Germany = 2000-3500 €
    Switzerland = 5000-7000 SFr
    I note that this is only nursing staff. Salaries of doctors are many times higher. Therefore, they leave to work in Germany and other countries and there is now a shortage of medical personnel (about 100 open vacancies of only junior medical staff in Germany)
    our government is systematically destroying the population of our own country. And sweat. surprised by the outflow of citizens, low birth rates, etc.
    okay, the main thing is that all Millers, Rogozins and others like them should be fine. After all, they can fly to a reception to a qualified specialist and to Germany on a private jet.
    how will it all end?
    1. Vadim237 15 January 2020 16: 29 New
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      "Germany = 2000-3500 €
      Switzerland = 5000-7000 SFr "- Only they forgot to write about the price tags in the store and the housing and communal services, they are appropriate there. And if you want doctors and teachers to get a minimum wage of 45000 rubles throughout Russia - you will have to look for 2,5 trillion rubles of additional funds for state employees for the budget per year, in order to reach such a minimum level of salary in the country.
      1. Klingon 15 January 2020 18: 41 New
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        I did not forget about the price tags. I live in Germany and work in the medical field just. so I know what I'm writing
  19. rocket757 15 January 2020 10: 41 New
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    We are not used to surviving in spite of everything.
    Although, the definition is contrary, inappropriate when it comes to people who gave their work and health to this ... or the former state.
    The country is certainly big, the need for people of various, NEEDED professions is just wild!
    For a long time we will hiccup as the past activities of all reformers, as well as the present ....
    It’s late to moan, it was necessary to change a lot of things, yesterday. And we do not even hurt the future ...
    Everything is bad, it’s useless to speak, but how to do it CORRECTLY, BETTER, is worth it .... yes, you need to do it right now, otherwise we will moan to the end ... whatever.
    1. balunn 15 January 2020 11: 02 New
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      Why does the whole less civilized world live, and should we SURVIVE? Instead of clinics - temples. Instead of decent pensions, an increase in the retirement age. Instead of modern medicines - Sino-Indian generics ....
      I needed one medicine here. So it is not in Russia. And there are no analogues. From the word at all. But in rotting Germany there is. And worth a penny. Just bring it to Russia - and the price tag for him is not at all humane to become.
      The child entered honey. He wants to get a diploma and go to Europe, because he does not want to work for a penny and at gunpoint of investigators of the UK.
      1. rocket757 15 January 2020 11: 17 New
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        Quote: balunn
        Why does the whole less civilized world live, and should we SURVIVE?

        Are you serious? Have you been to that "civilized" world?
        What I wrote about the ability to survive is a definition of our person’s resilience in special circumstances, and not a description of how we live now.
        We all live in different ways, it’s true, but those who are in special circumstances have to survive.
        1. balunn 15 January 2020 12: 19 New
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          About 10 people of my friends left Russia for permanent residence, some to Germany, some to Spain, some to Israel. No one is going to return something. And that none of them complains about how they feel good here and how badly they live there. There are some nuances, but as far as healthcare is concerned, they all note a very high level of equipment and the quality of medical care provided.
          1. rocket757 15 January 2020 13: 15 New
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            Quote: balunn
            About 10 people of my friends left Russia for permanent residence, some to Germany,

            In my neighborhood, THREE families of Germans came from Germany ... Hey, bought another plot in the village ... for now this is just what is right next to me.
            Well, let’s be measured ... by what we know only by hearsay?
            Remember Zhvanetsky .... Let's argue about the taste of bananas with those who ... did not eat them! It is our option.
      2. businessv 15 January 2020 13: 08 New
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        Quote: balunn
        Why does the whole less civilized world live, and should we SURVIVE?

        Because such a parliament was chosen, colleague! We are drumming for our parliament, as are our bureaucrats! Until we go to the polls, we will live the way we live, and if we complain, then only ourselves. Right now, in the Address, a proposal was made by the GDP on the adoption of the Law on the approval of the Prime Minister and his Cabinet in Parliament! We vote for the Parliament we need in 2021 and we can change everything!
        1. rocket757 15 January 2020 13: 20 New
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          Quote: businessv
          Until we go to the polls, we will live the way we live, and if we complain, then only ourselves.

          Elections, of course, are not the corrector of everything and everything, but if you don’t go to them at all or choose at random .... it will be ONLY WORSE,
          Nowhere, where better than ours, not so it came! People, society sometimes with blood pulled out their right to a worthy life from those who are greedy, arrogant, wealthy like us! Not at the click of a finger, not immediately, it is a long and hard work / struggle, without this in any way.
          1. businessv 15 January 2020 13: 23 New
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            Quote: rocket757
            People, society sometimes with blood pulled out their right to a worthy life from those who are greedy, arrogant, wealthy like us!

            Well, who knows, if not the former residents of the USSR ?! There is definitely enough blood! If you can change your life peacefully, you must do it! And elections are a tool that allows you to do this.
        2. balunn 15 January 2020 13: 59 New
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          Do not forget about the President’s right to disperse parliament. We are not a parliamentary republic
    2. depressant 15 January 2020 11: 03 New
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      Correctly! To moan, dying from terrible pains.
      I remind you again!
      By order of the Ministry of Health of December 20, 2019, high-tech assistance to people over 60 years of age was canceled. That is, all operations - for your money! Otherwise, you are not operable!
      So, maybe make Skvortsova moan?
      I demand to remove Skvortsova from the post of minister, and the Prosecutor General’s Office to investigate her activities as hostile to the Russian people.
      1. rocket757 15 January 2020 11: 21 New
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        Quote: depressant
        I remind you again!

        Exactly, there IS contentious issues there, but nobody reaches the simple wildness that is indicated in your description. Read carefully what is written there.
        1. Snail N9 15 January 2020 11: 45 New
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          In Russia, the country's leadership, government, lawmakers, government officials and other power and control structures live in their closed, comfortable world, among their environment and servants .... they are terribly far from the life of the people of the country, they really don’t know how the vast majority of the country's population lives; they do not understand their needs and concerns. It’s like, in principle, a good, kind Marie Antoinette allegedly spoke of her people rioting from hunger: “If they don’t have bread, then let them eat cakes!” Living in luxurious palaces on the territory "closed from the plebs", having salaries that allow you to not need anything, "shopping" in expensive boutiques and stores of "environmentally friendly products", served in closed medical institutions with the best doctors, resting from the works of the righteous in Miami and Las Vegas, etc. — they sincerely believe that they achieved all this themselves, with their “abilities”, with their “work” and do not understand why the rest of the population cannot “achieve” all of this, which means that the population is to blame, it (the population) is "lazy", "initiative-free," etc. Read how Mrs. Golikova answers the question: "Why do sick children collect money for treatment via SMS?" It turns out, in her opinion, it’s to blame ..... parents who can’t provide any kind of “communication” between sick children and medical institutions and ..... purposefully want to treat their children specifically, abroad. ”Parents Guilty, yeah. ”This interview just shows how well-off a high-ranking government official who lives on“ reports ”and“ data ”from Rosstat and the Ministry of Health is divorced from the real situation in the country and does not understand the causes of population problems:
          https://riafan.ru/1236059-golikova-obyasnila-pochemu-prikhoditsya-sobirat-dengi-bolnym-detyam?utm_medium=cpc&utm_source=lentainform&utm_campaign=riafan.ru&utm_term=1257940&utm_content=8223042
          1. rocket757 15 January 2020 11: 59 New
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            Quote: Snail N9
            It turns out, in her opinion, it’s to blame ..... parents who can’t provide any kind of “communication” between medical sick children and medical institutions and ..... purposefully want to treat their children specifically, abroad. "

            We have a lot of bureaucratic turbidity, in medicine too, but the element of our ignorance often prevents us from getting what we really can claim and get HERE.
            Quote: Snail N9
            In Russia, the country's leadership, government, lawmakers, government officials and other power and management structures live in their closed, comfortable world, among their environment and servants ...

            This is not only our reality. There are places, countries where everything is much better, kinder, more honest, and it is necessary to strive to do as they do !!! This is a long and hard work, a struggle for one's rights and a dignified life. Everyone needs to do this TOGETHER.
            A rolling stone gathers no moss. A man is not a waterman, he does not need water beneath him, but if you lie on the couch endlessly, sometimes crawling out into the net and sending your indignation there, nothing will change for the better. This has long been known to everyone.
        2. depressant 15 January 2020 11: 58 New
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          rocket 757, read you!
          I read. Back in 2012, I was offered kidney surgery, but only for 15 thousand. There were none! I live on baralgin. And now how much should I pay by order N 1067?!? Well, how do you grab so that you can’t get out? Housing to sell and become homeless?!?
          Good to Skvortsova! Why?
          1. rocket757 15 January 2020 12: 12 New
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            I’m "kind" to the officials !!! And the kidney operation, I haven’t asked yet, but I can also "jump" ... the deadline has not yet expired! We have to go, the doctor in charge has been kicking for a long time .... and I have insurance and benefits, and the line for the planned ones, I went through a couple of times ... it seems like until the last time, I’ll immediately put the table on the opera, I’ll not get ready.
            It’s like with us, if it’s itself, it’s forever.
            Health to you and .... try on an official, scheduled operations are free.
            Uhhh, already stabbed in the side .... remember the infection, because it is right there.
            1. depressant 15 January 2020 12: 22 New
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              rocket 757, how I sympathize with you! I remember the pains were such that I screamed - I could not restrain myself ... But there was no money for the operation, doctors, nurses, by the way, the evil Georgians, for the rehabilitation period. I don’t know what will happen next ... I’m listening to the president, he is pouring money on young families. But so far I have not heard about job creation. I’ll wait to say something about the elderly.
              1. businessv 15 January 2020 12: 49 New
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                Quote: depressant
                I’m listening to the president, pouring money on young families. But so far I have not heard about job creation. I’ll wait to say something about the elderly.

                And what can he say, Lyudmila Yakovlevna? He will say that with poverty it is necessary to end and leave the cart in the place where it is! Changes require specialists in their field, not bureaucrats loyal to Edros! GDP has not changed the ministerial team led by the prime minister after its election, will not do it now - it’s scary! How will real specialists behave who understand where the country is heading? They will begin to correct the situation, and for this you need to remove all those who work only in your pocket!
                1. rocket757 15 January 2020 13: 33 New
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                  Quote: businessv
                  For change needed

                  A lot of things are needed for change, but first of all, the unity of the people of work. so that the "servants of the people" know that if they start to go the wrong way, to do what the country and the people need, they will have to answer for their deeds FULL!
                  Dreams, dreams ... but otherwise nothing in the country is n
              2. rocket757 15 January 2020 13: 30 New
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                Quote: depressant
                I sympathize with you!

                I’m dumbass myself ... it’s not burdensome for me, it’s affordable to get similar medical help.
                I am very sorry for people who are deprived of this, precisely for objective reasons, not depending on people.
                Therefore, I urge people to unite for the sake of our future, the future of our descendants ... nothing will change itself, we all need to change a lot, if not everything, in the country.
        3. balunn 15 January 2020 12: 04 New
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          Here you are in vain so. If quotas are over, then you will not get high-tech help anywhere. And nobody takes a lot of quotas, because for the fact that you do not comply with these quotas, they may simply not give them to you next year. And as a rule, there are not enough quotas for ordinary pensioners.
          1. rocket757 15 January 2020 12: 24 New
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            Quote: balunn
            If quotas are over, then you will not get high-tech help anywhere.

            That's right. The options are different ... but many diseases last for a long period and you can do the planning, book the provision of services for you ...
            Our state is not MOM relatives, kind and affectionate to its children, but it is not worth presenting it as a complete monster, because this is not so. Ours imitate not the best medical support systems, and even with their own, homegrown specifics that do not improve the general situation. So it is and when all this settles down, it is not clear.
      2. AU Ivanov. 15 January 2020 11: 56 New
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        Who told you such tales about high-tech help? My mother is getting ready for surgery for a lens transplant. Absolutely free. The most high-tech medicine. And for mom, so, for a minute, the eighty-ninth year has gone.
        1. rocket757 15 January 2020 12: 17 New
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          Quote: AU Ivanov.
          Who told you such tales about high-tech help?

          People believe what they want to believe.
          With medicine, we have nothing at all, with free, especially somewhere on the periphery. You have to wait a lot for free if in the place of residence such BT can be provided at all!
          The country is big, everywhere in different ways ....
          Many simply have nothing to go somewhere in the center to get at least affordable. In different ways, in short.
          1. balunn 15 January 2020 12: 57 New
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            That’s the fact of the matter in different ways. One from the village is one thing, and one from the cities is different there. Class inequality is obtained. There are more clinics and specialists in Sobyaninsk and a bit further from the Moscow Ring Road and sailed ... n
        2. Mordvin 3 15 January 2020 13: 06 New
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          Quote: AU Ivanov.
          My mother is getting ready for surgery for a lens transplant. Absolutely free.

          My mother underwent a completely free cataract surgery this summer. It has become worse with vision. They prescribe medicines that are not available in pharmacies; you have to run and watch them.
          1. rocket757 15 January 2020 13: 36 New
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            Quote: mordvin xnumx
            It has become worse with vision.

            And this happens, however, PAID is not a guarantee of recovery ... a good example before my eyes.
            Therefore, I do not tear under the "surgeon's knife", only if it’s absolutely the edge.
          2. AU Ivanov. 15 January 2020 13: 39 New
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            So it was before. Dad suffered from a duodenal ulcer. Really helping drugs were imported and got them by acquaintance in Moscow. Well, my mother had connections in the field of medicine.
            1. rocket757 15 January 2020 13: 46 New
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              Quote: AU Ivanov.
              So it was before.

              Me, and then ITSELF at the healers THREE TIMES was treated !!! Every time after the official medicine didn’t help ... the truth was the last time he was to blame, he didn’t heal himself, he hurried, but the Babkin method helped no worse than in the clinic!
              Man is a complex creation, but EVERYTHING happens to us!
              I do not blame anyone for my troubles, almost always my own fault.
  20. Strashila 15 January 2020 10: 57 New
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    “If to calculate the average salary from the list of employees of a polyclinic or hospital, we remove the head physician, his deputies and accountants, then the Ministry of Health will cry from the figure of this same average salary ...”, and if you add an interlayer from insurance companies to it, then the “Ministry of Health will cry from the figure” how much about medical parasites feed.
    1. balunn 15 January 2020 11: 10 New
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      Yes, leave me alone from the head physicians. They have worries above the roof. They are between a rock and a hard place. On the one hand, plans for insurance on the other hand are economic activities. and all this in conditions of terrible underfunding. And God forbid they will spend one money from another expense item. Immediately checks SK begin. Plus all sorts of reports.
      1. Strashila 15 January 2020 11: 14 New
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        A lot depends on the head physician.
        Here, his ability to work with money is paramount, unfortunately, many saw only in her a system of personal enrichment of himself and his associates.
  21. Professor 15 January 2020 11: 00 New
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    It is difficult for me to judge the mood of the population of other regions of Russia. The official figures are somehow not credible. Like, for example, average salary of doctors voiced by the minister.

    Everything is right there. However it is necessary IS ALWAYS look at the media salary, then the minister’s salary will not pull up all the indicators.
    1. Strashila 15 January 2020 11: 19 New
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      “However, one should ALWAYS look at the media salary,” as someone noted that sometimes “salaries” do not correspond to the declared income declared in the tax.
      Rates and salaries are one thing, but different types of accruals in the form of payments and bonuses are another.
  22. businessv 15 January 2020 12: 42 New
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    We, in our desire to change everything, acted like a bad mistress. We have thrown everything away.
    Well done Alexander, noticed our main trouble! First, we will destroy everything to the ground, and then we'll see how it turns out!
  23. Snail N9 15 January 2020 12: 44 New
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    There is a "fabulous" right now, from the TV screen broadcasting that "the average life expectancy of Russians has reached 72 years, and this is the merit of the health care system."
  24. Alexander X 15 January 2020 13: 22 New
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    And here I see more and more clearly that the fairy tale about the "golden billion" is becoming a reality. From all directions and by all means, they are trying to create conditions for population decline. Starting from genetically modified plants and with unclear consequences of numerous vaccines for children, to the destruction of commonly available medicine. All reforms with good beginnings are somehow "stalled". Access to a good education is blocked. Even sites with audio books are blocked, but sites with porn, please, are freely available for all Russians. People’s resources are being sold out, and at the same time, a handful of “chosen ones” use the proceeds from the sale of resources. Etc. etc. This happens not only in the Russian Federation, but also in other countries (I almost wrote the "third world"). The Little Chicken ...
  25. mik193 15 January 2020 17: 12 New
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    It seems to us that the word "reformer" will soon become synonymous with the word "pest". If not already.