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stalker7162534 22.12.20 04:42 pm

Let's talk about medicine? (USSR, RF, Ukraine, ...)

http://altapress.ru/story/65966/gallery/item/3/
performance Roshal forum on health professionals
about which say that
"radio station" Echo of Moscow "/ ... of Medical Sciences, Moscow / Roshal ...
Edition, on which InoPressa refers, also draws attention to the fact that everything except the transcript of Leonid Roshal's speech was published on the official website of the prime minister

.
But it will probably be better not only to help but also to talk about what prevents to improve things in post-Soviet medicine to the level of a "national idea".
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a
alarich 22.12.20

What other "typical" diseases we had, podskazhi.-tube dredi .. he is the most ... in Central Asia, the scale of the epidemic.
And before, in the scoop, weren't they? There was always someone to give on the paw.-dredi rights .. I have put together 10 tons of Soviet, even though I was still a first-grader .. for admission to the university, they thought the scoop would be eternal ... in the end, they paid in bucks.

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The Immortal Emperor of M 22.12.20

In Ukraine, it is now very bad - former medical complexes in regional centers are being sprayed across the region, only admission rooms are left on the ground - that is, surgery, traumatology, the maternity hospital and the cardiology department will be 60+ kilometers from each other. And in the regional center, of course. This is sheer insanity, doctors and the population are unhappy - however, as long as the thunder struck implicitly, no excitement.

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stalker7162534 22.12.20

Ankh 8 The talk was about who allocated more money for medicine and with whom she felt better, and not about who tore away more from himself.

It's bad to be dull. The amount of deductions from the budget shows how much the government prioritizes this area of ​​activity. The scoops are trying to assure that the komunyaki took great care of the Man. / we are not talking about the person who was the head of the komunyak :))))) /

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stalker7162534 22.12.20

from the topic
"what prevents to improve things in post-Soviet medicine to the level of a" national idea "."

Does everyone agree that medicine should be at an excellent level? That it is better to be healthy and rich than poor and sick.

So let's talk about it. Enough to breed sovkosrach what an excellent medicine was at the SS.

What's better?
1. When a doctor receives a fixed salary from the state.
at the same time, he knows that no matter how hard he tries, he still won't get more; hence, it is inevitable that there will be such doctors for whom there is no interest in straining, the main thing is just not to be held responsible for a medical error.
2. The doctor receives payment for his work from the patient.
at the same time, the better he works, the more the people strive for him, and accordingly (since he does not have enough time to heal everyone) the payment for an hour of his labor increases in accordance with his high skill. (like Professor Preobrazhensky from the famous novel).

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Ankuzya 22.12.20

No matter how fervently and whatever they say, the medicine of the Russian hinterland has outlived its usefulness a long time ago. And this is not a problem of the state system, but an out-of-sphere problem.
Not the essence of what and how it was before. It is important that no one is looking in this direction now. It is profitable for big people to kill part of the population in one way or another.
* in medical institutions of regional centers there are often wild queues. and in the lists, and in "live" reception. the condition of the equipment itself, etc. - terrible. what is shown in the media is gloss / gloss guidance for reception. in the hinterland, hospitals are simply liquidated. we are returning to a time when we were dying of influenza and acute respiratory infections. in such conditions, thoughts about pull / bribe come much more often. so that at least an inspection was carried out and a few words were said. I am generally silent about the possibility of curing ... I recently discovered the complete insolvency of an expensive (but branded) remedy (for several people), and the absolute effect of an old drug, tested over the years, is cheaper than the first in two dozen rubles
.

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stalker7162534 22.12.20

The case of technology
"It was unlucky for someone who managed to get sick from three days on Friday until nine in the morning on Monday," says Academician of the Russian Academy of Medical Sciences Sergei Ternovoy
(article in the journal Itogi).
"Russia is embarking on a large-scale modernization of medicine. The federal authorities have promised 460 billion rubles. However, as Itogi found out, the quality of medical care is often not associated with the lack of equipment. At least, in our large cities it is not less than in Europe. ... "You
can read the continuation here
http: / /www.itogi.ru/medicina/2011/21/165380.html

summary: the equipment is idle, because they are afraid to wear it out. not thought over with repair, etc.

what else is curious: "- We must reconsider the very attitude to professional retraining of doctors. Now we have a disaster with this. To confirm the title of a doctor of the first category, you just need to work for 10 years. It does not matter how: part-time, a quarter of the rate, lying on your side ... "

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Ankh 8 22.12.20

stalker7162534
Here the problem is not only in the service of the equipment - at the very least, it can be solved. A more important problem is how to get people to work for the benefit of patients and efficiently? Now, after all, a unique situation has turned out: even for a lot of money, you have not the slightest guarantee that you will be cured normally. For money, at best, you get increased comfort in the ward and better care (and even then not always!). But even in a very expensive clinic, it is not at all a fact that there will be the best doctor, that the nurse will mix the solution with high quality, that you will be prescribed the drugs you really need, and not the most expensive ones. In my opinion, it is necessary, on the one hand, to develop medical insurance. services, so that the insurance company really controls the quality and necessity of procedures, and on the other hand, to alter the legislation towards a sharp increase in responsibility (as a criminal, and material) for low-quality or unnecessary "treatment". Well, to increase the state. control over private clinics.

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stalker7162534 22.12.20

State control?
You probably have not heard in Ukraine how Medvedev swore at kickbacks in state purchases of medical equipment. (well, he threw a pebble at the one who runs the government :)))).

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Ankh 8 22.12.20

What does the purchase have to do with it? These are private clinics, even if they buy at least crystal balls and dried mice, if only the effect is positive and the patients are cured. I was referring to control over the quality of treatment and compliance with the quality of services and fees. Well, the responsibility for mistakes and overlays for patients have sad consequences.
And the president should be more careful with the pebbles - in the mountains it’s like: throw a small pebble, and then such a stream of lumps on the scruff of your neck from above, no Shoigu will help ...

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stalker7162534 22.12.20

Yes, despite the fact that we are talking about state control.
Who will control? Officials in the ministry who have kickbacks?
There are courts now. Badly treated - sue.
The experience of other countries shows that “voting with the ruble” works best. That is, there are more people who want to see a good doctor, and hence a great assessment of his work.
Another question is that our people are poor.
So it is unclear (to me) how the state should finance medicine, that is, what should the money from the state go to in order to improve the treatment of the people.

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stalker7162534 22.12.20

I will bring to your attention a piece of the interview http://www.itogi.ru/russia/2011/13/163307.html

"- The classic Russian question: what to do?

- Stop making hats. Sign that the situation with training in medicine today And start working.

”“ Agree, it's impossible if you don't give our doctors some perspective. I'm not talking about salaries.

- You are right, I thought about it myself. We need to make Russia an attractive country for doctors. Now it is still mostly attractive only for foreigners in private practice. See how many of them work in individual medical centers! Many people do not even speak Russian. It turns out that we, undersigning our own impotence, destroying our own medicine, invite them here to earn huge money. "

Think of foreign doctors going to Russia to make money!

N
Nihiliant 22.12.20

Does the stalker admit that it is under Putin that the people are provided with good medicine?

Think about foreign doctors going to Russia to make money!
Next to us, in Apatity, there was a doctor from Palestine. True, this did not prevent the closure of the renovated and only maternity hospital in the city. Now there is a maternity hospital only in Kirovsk. And doctors, despite the salary of 30-40 thousand, new ones do not come, and the hospital cannot solve the problems, which is scolded by everyone.

K
Komisar 22.12.20

stalker7162534 Which is better?
1. When a doctor receives a fixed salary from the state.
at the same time, he knows that no matter how hard he tries, he still won't get more; hence, it is inevitable that there will be such doctors for whom there is no interest in straining, the main thing is just not to be held responsible for a medical error.
2. The doctor receives payment for his work from the patient.
at the same time, the better he works, the more the people strive for him, and accordingly (since he does not have enough time to heal everyone), the payment for an hour of his labor increases in accordance with his high skill. (like Professor Preobrazhensky from the famous novel).

1. Delirium delirium ..... and complete. Well, first of all, those who worked harder and received more. Secondly, they knew good doctors by name and everyone tried to get to them, respectively, brought them brandies, money, etc. Under the USSR, to make yourself a "NAME" meant to be successful and in abundance. So the interest was "to strain". Only under the Soviet Union, the doctor would never say no money, go nafig and die under the fence. The measure of "gratitude" to the doctor depended on the patient's well-being.

2. Now we look The doctor receives payment for his work from the patient. And what we see is beneficial for a doctor so that you get sick .... the more you get sick, the richer the doctor. And what does the doctor do? Does he think of diseases for you that you don't have? And heals you with success. After all, it is easy to treat a healthy person. You part with your money (happy oh what a good doctor) ... he gets it. There are many examples of this.

K
Komisar 22.12.20

Nikhiliant Stalker admits that it is under Putin that people are provided with good medicine?

No .... he just hates the USSR so much that he agrees to do anything just to "bite" the former Union.

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stalker7162534 22.12.20

The Nihiliant is dull, and does not cut it, and does not even try to think.
A wretched sight.

s
stalker7162534 22.12.20

The commissar
is just as sad, not thinking.

N
Nihiliant 22.12.20

The Nihiliant is dull, and does not cut it, and does not even try to think.
A wretched sight.
Why is Stalker against liberal Putin, who gave medicine to the people?

A
A.Soldier of Light 22.12.20

I hope that everyone knows about the fact that State Duma deputies stupidly press buttons when voting on the adoption of laws. So we have a situation, the ruling party, using the majority, adopts any laws without thinking
Yes, you have such a garbage one ... when, without the knowledge of the owner of the apartment, they can enter the devil knows who into it, and even two dozen, or even more. .. Is this a normal law in general? What idiots write them?

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stalker7162534 22.12.20

Soldier what law are you talking about?
Or are you just shaking?

K
Komisar 22.12.20

stalker7162534 Komisar
is just as sad, not thinking.

And what are you Mr. Stalker all about yourself, yes about yourself? When will you learn to think?