The problem of the day to come: oncology in Russia
The purpose of this story is to tell about some of the processes taking place around us and with us. About one of the many schemes, daily, with impunity and with great appetite, implemented in our country by persons close to the authorities.
In December 2017, the IPT Group company, associated with the well-known entrepreneur Viktor Kharitonin, announced plans to create a network of radiosurgical centers.
Viktor Vladimirovich was going to allocate at least $ 210 million for the development of cancer centers in Russia.
The first such clinic, equipped with a gamma knife unit, was opened in the spring of 2018 in Obninsk. This clinic was supposed to become a pilot for the future network under the Gamma Clinic brand. It was planned that there will be 20 such institutions in ten years3.
Help.
The Gamma Knife radiosurgical unit is designed for the treatment of benign and malignant neoplasms in the head and neck area.
As of December 2017, 5 devices were operating in Russia, on which, in total, no more than three thousand operations are performed per year, although, according to the National Medical Research Center of the Ministry of Health, 35-40 thousand patients need treatment annually2.
Let's continue.
Investments in the project were planned to be attracted through ICO (Initial Coin Offering) with the help of its own cryptocurrency for the money of investors, benefactors and simply interested parties.
It was planned to start collecting funds through pre-ICO on 09.01.2018/2018/XNUMX, but the procedure had to be postponed to February-March XNUMX due to the appearance of a bill designed to regulate ICO in Russia3.
Against this background, the "Gamma Clinic" nevertheless took place, but the project did not work out with the rest of the clinics ...
Although it did not work out not so much in connection with the attempt to legislatively regulate ICO investments in Russia, but because of the fact that private clinics did not have access to federal quotas in 2017, the prospects for access to them in the near future, despite the application by Kharitonin efforts also remained vague.
Regional quotas for high-tech medical care are allocated to commercial clinics in isolated cases, and there is no need to count on a high effective demand or VHI4.
The lion's share of high-tech surveys is carried out precisely due to the compulsory medical insurance quotas, that is, in fact, due to state funding.
The minimum cost of one operation using the "Gamma Knife" installation in combination with a minimum of consultations at the clinic in Obninsk is 238 rubles5.
This is without taking into account all the necessary tests and the cost of each day of hospitalization. On the good, in the complex it will all cost one patient at least 350 rubles. And this is only if everything works out for the patient PERFECTLY !!
As mentioned above, the market size is 35-40 patients per year, that is, this is an opportunity STABLE development of about 14 billion rubles. in year.
In addition, according to the WHO recommendations, one should have at least one PET scan per 1 million population, respectively, Russia needs about 140 such devices.
And this is also an additional real prospect for the development of the project, and at the same time the prospect of developing an additional stream of budgetary money, but already directed not at providing assistance to patients, but at purchasing equipment!
There is no need to invent anything, suck out of the finger, etc., to prove to someone "above" the need to create PET centers. There are official WHO guidelines, and they can be used for the greater good of all stakeholders!
What's the beautiful! Money leaps right into your hands!
Accordingly, if you approach the issue correctly and secure government funding, there is a chance to hit a very worthy and, most importantly, very long-lasting jackpot.
The idea of including the "Gamma Clinic" in this scheme turned out to be untenable. But do not throw such a fat piece to the ownerless!
How to make sure that the structure being created could pretend for state money in the field of healthcare and at the same time be a private organization with all the ensuing advantages for its owner?
Who seeks will always find!
Step 1.
At the beginning of 2018, MedInvestGroup Kharitonina bought out 50,01% of shares of the national chain with state participation PET-Technology from D-Med A. Tsarkov6.
Before moving on to further narration, it is necessary to make some "lyrical digression".
The company "PET-Technology" was founded in 2011, and the company almost immediately had a reliable and influential "patron" - Anatoly Chubais 7.
It was he, for example, who helped the founder of PET Technology A. Tsarkov enter the project of creating a high-tech center for nuclear medicine on the basis of the Far Eastern Federal University.
She was engaged in PET-Technology and the creation of a high-tech medical center in Ufa. At the same time, Tsarkov himself successfully "mastered" budget funds with the help of his Hungarian company Proinvest. As the media wrote, due to the resale of medical equipment between Proinvest and PET-Technology, its cost for the medical center in Ufa increased 2,5 times compared to the purchase price.
Apparently, it is precisely such opportunities of the PET-Technology project, implemented by A. Tsarkov, that the head of Rusnano liked so much.
Rusnano as a state structure only at the initial stage(!) invested about 3 billion rubles in PET-Technology 8!
Chubais demanded rapid development and insisted on the construction of 100 centers in a few years. True, rapid development was not achieved; instead of 100 centers, only 5 opened in 8 years.
That, oddly enough, had no effect on the change in the volume of government funding!
That is, despite the fact that instead of 100 centers were built 8, they have mastered 3 billion rubles anyway!
Moreover, in 2016 Anatoly Chubais told Vladimir Putin that investments in the PET-Technology nuclear medicine centers network are one of the most successful state investments.
At the same time, they say that Chubais almost at every meeting with the heads of the regions suggested that they develop PET diagnostics in the region.
Still, given the fact that more than 90% of the services of such centers today are paid for by the compulsory medical insurance 9!
Thus, at the beginning of 2018, following the acquisition from A. Tsarkov's structures of 50,01% of shares in PET-Technology from V. Kharitonin's MedInvestGroup, there was an opportunity to take part in the development of budgetary flows in health care directed to the treatment of cancer patients.
Let's continue.
Step 2.
Further, in July 2018, Rusnano unexpectedly withdrew from the project of the federal network of nuclear medicine centers PET-Technology: it also sold its 49,9% stake to V. Kharitonin's Pharmstandard, as a result of which Kharitonin was in the first half of 2 received full control over the entire PET-Technology network 10.
With the withdrawal of Rusnano from participation in PET-Technology, there was a risk of loss of state participation in the project with the transition of the status of PET-Technology to the level of private clinics with all the ensuing negative consequences in the form of inaccessibility of budget funds.
The way out was found.
The network will retain the status of an enterprise with state participation in order to gain access to budgetary flows of compulsory medical insurance instead of Rusnano, under the guise of interest in the Rosatom project, which offers its own cyclotrons instead of foreign ones. 11.
But maybe it's okay?
Maybe these are just some internal ups and downs of business that have a right to exist and do not affect the provision of real medical care to the citizens of our country?
However, unfortunately, all the previous activity of Kharitonin structures suggests the opposite.
Kharitonin's already long and fruitful relationship with the odious married couple Khristenko and Golikova makes us think about a lot and begin to suspect something. And then it turns out that you don't have to go far to find specific examples.
Pharmaceutical activities:
- Arbidol: a favorite brainchild of Pharmstandard, owned by V. Kharitonin (do you need comments?);
- ZhGV (live influenza vaccine): FSUE NPO Microgen, which was once headed by businessman Lev Grigoriev, married to the sister of Kharitonin's wife 12... (Everyone remembers the information campaign organized by the Ministry of Health and Social Development of the Russian Federation, which was then led by Golikova, with calls for almost forced vaccination? Perhaps there is no need to remind about the quality of this vaccine?);
- "Diaskintest", designed, thanks to the efforts of the Ministry of Health of the Russian Federation, to replace the Mantoux tuberculin test. At the same time, according to the studies, "Diaskintest" does not show a positive result in 30% of children with active tuberculosis 13.
And this is only an active form of tuberculosis, but what can we say about latent forms!
Please note: this is only what lies on the surface!
The medicine for which the aforementioned gentleman has worked so hard.
A specific example from the distant 2011, but since the scandal was serious, there were a lot of discussions, and we will push off from it. Moreover, it has not become better over the past years.
November 2011 On a referral from the RCCH, a mother and a five-year-old girl come to Clinic 31 to exclude a fungal infection. The cost of an initial doctor's appointment is 6 rubles. (for a minute, this is 000). The cost of analyzes is about the same.
Based on the results of the analyzes received, the woman “professor” issues a conclusion: “Fungal infection of the blood”.
It was an official conclusion! What are the ICD-10, what clear formulations! What are you speaking about?
Okay, God bless her, with the wording, but translated into adequate medical terminology, the "professor" diagnosed "Fungal sepsis"!
Fungal sepsis is a very serious infection, in terms of resistance and mortality it can not be compared with bacterial sepsis!
I will not tell further ups and downs, of course, the girl did not have any “fungal infection of the blood”. It was the usual "money-for-money". It was just lucky that the girl’s mother was also a doctor and was not a timid dozen. She promptly explained to the “professor” what was happening and what was the level of her qualifications, despite all the regalia.
But in the place of this mother there could be someone who is neither ear nor snout in medicine.
Do you think any measures have been taken by the clinic? If you think so, then you are deeply mistaken. The “Professor” continued her “highly professional” activities in the clinic for the benefit of the founders ’pocket.
In order for the picture to finally take shape, one can mention TZMOI, "Tyumen plant of medical equipment and instruments", which was founded in 1962.
TZMOI was (until 2017) a leading Russian manufacturer of medical equipment. Products manufactured by the plant were included in the list of the most important and vital medical equipment.
In 2017, at the enterprise with the knowledge of Kharitonin, instead of manufacturing domestic equipment (hello to import substitution), they began to buy medical equipment in China: they changed the marking at the factory, forged documentation and sold equipment under their own brand.
All this was documented in such a way that the products could not only participate in tenders, but also win, first of all, as DOMESTIC EQUIPMENT.
Chinese counterfeit products have always been significantly cheaper, giving them a competitive advantage in procurement. It was often chosen because of its low price.
But then buyers started to face serious problems. For example, if we are talking about Chinese sterilizers, then temperature failures often occur with them. And this technical oversight poses a threat to the life and health of both patients and medical personnel!
According to the press service of the Ministry of Internal Affairs, the equipment could harm the life and health of people, since it did not provide (!!!) effective sterilization of biological waste 14,15.
The whole scheme was implemented in the interests of Viktor Kharitonin.
At the same time, the leaders of TZMOI deliberately completely destroyed their own production, about 300 plant employees were fired, most of them are highly qualified specialists (hello to import substitution again!).
Please note that this is 2017, when import substitution as a priority of state policy and the country's indisputable success in this area are already being trumpeted at all corners!
This scheme had and has not only local consequences for TZMOI itself, but also at least regional, and, in a good way, federal ones: the scheme cut off from the market those who were engaged in the production of such medical equipment in the Russian Federation.
"Cut off" often means: led to the destruction of the enterprise. Naturally, not without profit for Kharitonin 16.
Results:
1. The own Russian production of one of the leading manufacturers of the most important and vital medical equipment in the country was destroyed.
2. Dismissed highly qualified specialists.
2. The negative consequences of the federal level for real manufacturers of similar medical equipment in Russia,
3. Threats to the life and health of hundreds, if not thousands of patients and doctors (not to mention other medical personnel) throughout Russia, where counterfeit products of TZMOI were supplied.
If the money earned from this fraud went to the acquisition of the Nürburgring by Kharitonin, then this is a worthy, I must say, ring on the oligarch's finger.
Now back to the subject of our discussion and continue.
How can one "steal" the money allocated from the compulsory medical insurance, telling, probably, is not necessary, right?
The Russian media wrote a lot about such scandals, in which fake documents about alleged examinations appeared, and much more.
According to the results of a brief review of the activities of citizen Kharitonin, as well as the scheme for the creation and subsequent acquisition of the federal network of nuclear medicine centers PET Technology, does anyone still doubt the purpose of Kharitonin’s acquisition of this asset?
Does anyone still have doubts about the future prospects of the oncological service in Russia, aimed at real help to patients, and not “imprisoned” under the commercial interests of the “owners of life”?
We examined the situation in more or less detail only in one of the directions - oncology.
And how many more such obese niches for a very select circle of close persons only in health care, not to mention everything else?
Surely, each of you can, by the experience of your activity, name more than one or two!
As a result, we have that under the guise of providing citizens with high-tech medical care under state cover, draped with slogans of caring for citizens, colossal budget sums are being withdrawn from the country and redistributed to private pockets.
And this is the only real purpose of the existence of PET Technology in the form in which this structure exists today.
At the same time, to be honest, the government, the president, and the deputies with senators are not only well aware of this, but they themselves, to the best of their ability and ability, take an active part in this.
At the same time, for some reason, the state does not have real money, and not miserable handouts, to help citizens in the current situation with the consequences of forced self-isolation against the background of COVID-19.
For the sake of saving the budget, which in its intact form should flow into the happy private pockets of especially close ones, a regime of "self-isolation" was introduced in the country, and not an emergency.
Sobyanin tells Muscovites that his "budget will crack", but at the same time he does not forget to lay the tiles on a grand scale.
Moreover, in these conditions, the authorities began to engage in extortions from citizens, trying to replenish their budget through a variety of fines!
I don't even mention the need to abolish taxes, rent payments, utility bills, loan payments for the period of emergency (self-isolation)!
Indeed, today in this country there is new oil for the rulers and their people!
Apparently, even in spite of what is happening in Khabarovsk, the authorities and their entourage feel so completely safe that they take this state of affairs for granted, and the citizens of the country are so incapable of real resistance that they consider them nothing more than amorphous biomass, the only purpose of which is to resignedly provide a well-fed and carefree life for a narrow circle of the elite.
But the fact is that the people against the background of the constantly growing appetites of the "elites", moreover, coupled with humiliating and destructive measures to ensure "self-isolation" and sweeping its consequences under the carpet, as well as the absolute indifference of the "guarantor" to everything that happens, is rapidly becoming impoverished and becomes embittered, and then goes berserk, because many already simply have nothing to lose.
In this situation, one has only to wonder that none of those who benefit from the upheavals in Russia have thought of using, for example, hopeless cancer patients in their own interests. Like stuff with nothing to lose.
Maybe? Quite. Theoretically, from the point of view of the average person, at the moment there are all the prerequisites for such a development of events.
Although, on the other hand, our "elites" can be so confident in themselves today precisely due to the fact that earlier, perhaps, terrorist attacks in the country occurred only when the current government needed it.
And they actually have everything under control and under control. "Ryazan sugar", too, cannot be discounted!
But even so, there is a considerable risk of miscalculation!
Materials used:
1) https://vademec.ru/article/viktor_kharitonin_privlechet_investitsii_na_set_onkotsentrov_cherez_ico/
2) https://vademec.ru/article/viktor_kharitonin_privlechet_investitsii_na_set_onkotsentrov_cherez_ico/
3) https://vademec.ru/news/2018/01/09/ipt-group-perenesla-ico-proekta-seti-onkotsentrov/
4) https://vademec.ru/article/viktor_kharitonin_privlechet_investitsii_na_set_onkotsentrov_cherez_ico/
5) https://gammaclinic.ru/pricelist/
6) https://www.kommersant.ru/doc/3520526
7) http://www.moscow-post.su/economics/tsarkov_bjudzhetnoj_dyry27126/
8) http://www.moscow-post.su/economics/tsarkov_bjudzhetnoj_dyry27126/
9) Ibid.
10) https://pharmvestnik.ru/content/news/viktor-xaritonin-s-partnerami-vykupili-dolju-rosnano-v-pet-texnolodzhi.html
11) http://www.moscow-post.su/economics/tsarkov_bjudzhetnoj_dyry27126/
12) http://rusmafiozi.blogspot.com/2011/03/blog-post_6183.html
13) https://shtab.navalny.com/hq/tyumen/2037/
14) https://aftershock.news/?q=node/579237&full
15) https://www.kompromatural.ru/marat-galiullin-dostavlyaet-problemy-oligarhu-haritoninu
16) Ibid.
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