Unexpected was that doctors began to share their problems with me. The problems are so unexpected that sometimes you just had to turn off the logic in order to understand what is happening. For example, they buy expensive apparatus for the production of tests in one of the maternity hospitals. Budget money successfully mastered. Hooray!
Put this device in the laboratory. It works well ... foreign technology. In one window analysis, in another card special. Well, click a button. And then go, poison yourself with cigarettes somewhere around the corner of the nearest building. The machine is working. The machine will do everything for you. Well, just like in the movies. "Robots injected, happy man ..."
Only here the quandary turned out. We have our own analyzes, from the manufacturer, so to speak. But these plastic cards are strangers. From the manufacturer of this most intelligent machine. And in the store, as you know, not sold. Yes, and the price ... If you take in the former, pre-sanctioned American rubles, then our relatives have something about 1000 rubles.
It is, of course, inexpensive. Only now the same guys who bought the device should buy these cards. I do not know what and how. The only thing that I am sure these guys, when they bought the device, did not hurt themselves. Otherwise, why should businessmen work? And the cards? Not their level. Trifle. And in the budget of such money is not mortgaged.
Patients agree to pay this thousand. Only to whom? Yes, and without the apparatus of this grandfather, or rather, grandmother, given the gender composition of the laboratory (for those who do not know, associated with the role in the society of males or females), analyzes will be done. A doctor or laboratory assistant will sit on his old devices, take some reagents and write what and how.
In short, there is this clever overseas furniture machine and the report of the head doctor in the laboratory. With her, women brush the dust, and sometimes bruises fill the corners. But this is just an example.
I listened to the president's speech. Creating a foundation for complex operations is great. It’s not a great power to put a volunteer at every corner who collects money for an operation for another sick child. In every town. People are compassionate, but where is the state? Yes, and began to sacrifice less. I want to eat, and for many this has become worse than before.
Yes, and about traveling to the doctor for hundreds of kilometers - right. Those that are in the cities will still be able to go somewhere, but to the villagers, and on our roads, a hundred kilometers will often be worse than any flu. Or a tooth is sick.
Just what will it lead to? To the rehabilitation of rural hospitals? It is doubtful. After all, funding will still impose on the local budget. And there with money full ... There is no money there. Officials from one pocket to another shift. That in the new hole the rests of the finance did not take off.
We have never wondered why, with annual cuts in the health budget (for debaters with foaming at the mouth, advice - transfer the allocated funds to some euros or dollars at the rate), we annually report raising and improving? Every year something opens there. Someone makes another breakthrough in medicine. The number of treated increases. And most importantly, for those who do not know, our life expectancy will soon be equal to the Soviet. A little bit left. According to the minister, today we are happy to live already 71 year!
But I thought after talking with doctors and heads of medical institutions. Not ministers, but chief physicians, heads of departments, just doctors.
And I was born the answer to this difficult question. I am sure that now economists and medical bosses will break my conclusions, but I want to express them.
Why closed the paramedic points in the villages? The answer is simple. There is no money to keep the item itself and pay the assistant salary. It is better to transfer these crumbs to the district hospital. And the paramedic, of course, if you are lucky, set aside a car so that it rolls out (again gender) on a winter road or on an autumn-spring off-road in villages and provides assistance. And the transfer of such cars wider in the media to highlight. So that the people know - the power is concerned.
And in the cities? Where is the money from? Here the scheme is more complicated. The minister receives the local federal budget and sits for some time without rising. Not because reads carefully. Because, by the final figure, he sees that some non-literary word comes to his doctors. Yes, and hospitals too.
There is already the invention of the next reform of labor will not get off. No matter how much the salary is reduced, the money is still not enough. So what? Naturally, tear calls to the Ministry of Health. And from there a great answer. You, dear, can not cope? Remember Kutuzov from the Hussar Ballad? When reinforcements did the messengers ask for at Borodino? Same option.
And the minister already has to go with a simple doctor somehow not from his hand. That starts to cope. To seek internal reserves. Sometimes the reserves turn out to be that whole hospitals or medical units are closing down. Sometimes other methods work.
In every region there are, I must say, quite comfortably, commercial medical organizations. They started with high-tech assistance. Any MRI and other newfangled things there, which modern medicine cannot do without, and the government only promises to present the hospital for free. Then the range of their services expanded to almost full. Today, for the money you can get all the services that are provided in the state hospital. And even more, considering the same MRI, etc.
So, the scheme in which the wolves are fed and the sheep ... shorn, and the shepherd at the salary.
The local Ministry of Health after the stupor of the Minister begins to write letters to subordinates. Find, minimize, find hidden reserves. In short, we will give less money than we did last year.
A commercial company goes to the same Ministry of Health with a proposal to cooperate services. You treat, and we help you. Where you cannot, we will provide this service on a commercial basis. The minister is thinking.
At the same time, merchants go to the head physician of a hospital or clinic. Is it hard for you? We will help. Well, MRI and other such things are no longer negotiated. But other tests? Why do you need to have your own, often not equipped with modern facilities laboratory? Close up We will have any analyzes more accurately. And why are there any rehabilitation departments?
You have completed your task! The man is treated. The operation is carried out. The tick in the report is already worth it. And the costs of these offices are decent. The equipment is not worth a penny. And we have already created exactly the same department on the basis of this and that. Only modern, brilliant. With foreign devices. And it should be godly. Yes, and not your hospital will pay. And the patient. Of their own accord and with joy.
But that's not all. Such firms go to the department heads or laboratories with a job offer. For the same or even big money. And I’m not talking about the prospects for additional training and growth. The same scheme with doctors. We give you work and prospects, and you refer us to patients in our department.
The head doctor runs to the Ministry of Health in a panic ... What should I do? No exit. This one. And there it has long been understood. In what ways this understanding has come, we leave out the schema. In short, the agreement received.
Then everything is simple. Based on the recommendations of the higher authorities, the chief issues an order to close the branch from such and such a date. Due to the fact that the number of patients has plummeted. Doctors at the reception. Fulfill future salary. Statistics show. And on the basis of this order, doctors are officially recommended to send patients to the commercial department.
And the most disgusting thing is that later, when all this completely simple scheme works, the branch of such a department opens already in the place of the old hospital. And the same doctors work there. On the same hardware. But the patient is already paying. And pays a lot.
So who are we kidding? Why talk about improvements in the field of insurance medicine? It seems to me that the course today is not on insurance medicine, but on commercial one. Leave in the public administration only those branches of medicine that can not generate income. Or those that the patient simply does not have time to pay. The rest is due to the patient. And one more conclusion. There will be no revival of paramedic items in the villages. Do you know why? In the scheme there is no one important link. Namely, commercial medicine. There is no "urban" money in the village. And the number of patients is not thousands measured.
These are the sad thoughts that came to mind after talking with those who, by duty and by calling, heals us. If you want to be born, let future parents save money ... If you want to not be ill, pay for visiting sections and all kinds of pools. Do you want to cure the disease - pay for treatment. And the rest of the time, collect money for your own funeral. They, too, will dear into a pretty penny for their relatives.