“ Now to get the medicine we will have to go to the regional center and come back. This trip for drugs costs 200 rubles. And with roads like ours & hellip; You will die seven times and you will be resurrected six times & # 39; & # 39 ;, & mdash; so say the inhabitants of a small village near Volgograd. The situation is practically the same in Bashkortostan. There, thousands of people have already come to the public rallies in the streets. This is due to the optimization of the health system, which is done in the regions. from Erzovka, located 8 kilometers from Volgograd, are outraged: they were left without an ambulance. The local outpatient clinic in Erzov served the colony and neighboring settlements. The ambulance had its own phone number and there was always a paramedic at the station. And the people came on their own, even though they couldn't wait for the doctors.
we have been taken away our last hope of life. Now an ambulance has been taken from us, which provided 4 settlements: Erzovka, Orlovka, Vinnovka and Kamenka, & mdash; speaks erzovchanka & nbsp; Tatiana Murashko. & mdash; & nbsp; And instead of our ambulance number, we have to call 112, there our call will be accepted, they will transfer it to Gorodishche (regional center), and it is only from where the car will arrive. How long will it take if the count goes down to a few minutes? & Raquo;
The residents of Erzovka are outraged by the reorganization of medical care. Photo: AiF/Nadezhda Kuzmina
Recently, without waiting for an ambulance, a local resident died. His family called an ambulance for him at 10:15 p.m. Two hours later, when the medics arrived, Erzov's resident was already dead. & Nbsp; & nbsp;
“ I also called an ambulance for my mom. She gasped, & mdash; says a resident of Erzovka & nbsp; Oleg . & mdash; While my call was being recorded, while the information was being transmitted … After the words & bdquo; wait, maybe they will come to you & ldquo; … I called a paid ambulance from Volgograd. We arrived at the 25th Volgograd Hospital, and there we were already admitted in the ambulance. How is it possible ? & # 39; & # 39;
It is the organization of ambulance calls that residents blame for their troubles. Instead of several cars, only one stayed at the substation, and even this one was on duty all the time. A brigade stationed in Erzovka can be sent to any district in the Volgograd region. In the meantime, he is absent, more than 8,000 inhabitants in fact remain without an ambulance.
It is no longer possible to call the local agency by direct number. Photo: AiF/Nadejda Kuzmina
“ You will die seven times and you will be resurrected six times & # 39; & # 39;
The local outpatient clinic does not have its own car to get around on administrative matters: to bring analyzes and PCR tests to the Gorodishche regional center. Unlike Volgograd, it is 30 kilometers away. The doctors at the outpatient clinic do not know how to reach their patients in the remote areas of the area entrusted to them. It is 15 kilometers from the connected Orlovka and almost 10 to Vinnovka. It is hardly possible to visit everyone who needs home medical assistance. There was no such car before. The ambulance coped with everything.
The inhabitants of the village came to the rally. Photo: AiF/Nadejda Kuzmina
“ PCR testing has been going on for over a week, & mdash; say the locals. & mdash; Now, to get the drugs, we will have to go to the colony and come back. This trip for drugs costs 200 rubles. And with such roads we have in Gorodishche & hellip; You will die seven times and you will be resurrected six times. & # 39; & # 39; The indignant citizens were approached by head of the Erzov outpatient medical clinic & nbsp; Lola Atokhodzhaeva & nbsp; and chief medical officer of the Gorodishchenskaya CRH; & nbsp; Oleg Vakhrushv .
Head of Erzovskaya Lola Atokhodzhaeva Medical Outpatient Clinic and Chief Physician of GBUZ “ Gorodishchenskaya CRH & # 39; & # 39; Oleg Vakhrushv. Photo: AiF/Nadejda Kuzmina
“ Now I need to look for someone to have the paramedic at the substation 24 hours a day, & mdash; says Oleg Vakhrushv. & mdash; I can't tell you when this person will appear. I have been working here for six years and was only able to select 4 from the middle staff. But the second ambulance won't be there anymore, it's too big a financial cost. ''
“ You doom them to certain death & # 39; & # 39;
hit all parts of the country. Somewhere, like in Erzovka, ambulances are pulled out, despite the increasing pace of the pandemic. And in Bashkortostan, people are completely afraid of being left without their village hospital.
In the village of Pribelsky, Karmaskalinsky district, local residents are fighting for the only hospital in the village. If the medical facility is closed, they will have to go to the regional center 30 kilometers away.
Information about the shutdown has appeared on the Internet & mdash; and almost all the inhabitants of the village took to the streets.
“ If they close it now, where will I go ?! & mdash; said & nbsp; Bash.news & nbsp; a resident of the village of Pribelsky Lyudmila … & mdash; It takes three or four days a month to get medication. ''
The situation in the cities is no better. In Bashkir Uchaly, locals are also protesting against optimization. Here they want to merge the central city hospital with the medical institutions of the city of Beloretsk. As part of the optimization, the maternity and stroke emergency departments, as well as the laboratory, morgue and ambulance are moved there. People are convinced that such a reorganization will affect patients and medical staff in the first place.
Popular gathering in Uchaly. Photo: Courtesy of the Bashmir branch of Action Union
“ There is a terrible road between Uchaly and Beloretsk. Two days ago the first snow fell and there was already a traffic collapse. And it happens all the time with the onset of winter, & mdash; people told reporters. & mdash; How to send patients in need of emergency care along such a road? After all, you doom them to certain death! ''
Today there are actually two therapists left in Uchaly. They wait for an ambulance for hours. & nbsp;
'Lezginka in a minefield'
“ Optimization of healthcare, as they say, 'hits the squares', indiscriminately, sometimes causing irreparable damage, which can be extremely difficult if not impossible to repair. The drop of water seems to have fallen into the cup of patience of the inhabitants of Uchalov. Citizens declared a peaceful rally to show that they are not ready to settle in and silently observe how they have to overcome significant difficulties in the geographic conditions of the Trans-Urals in order to receive care normal medical, & mdash; said to the coordinator of the union of health workers in the Republic of Bashkortostan & nbsp; Anton Orlov … & mdash; Optimization, in a nutshell. Failures in the organization of citizens receiving affordable and high-quality medical care, as prescribed by the Constitution and FZ-323. & # 39; & # 39;
Anton Orlov said federal budget spending on health has been cut for the second year in a row. “ The country's fiscal and fiscal policy, in principle, ties the regions hand and foot, there is not much room for maneuver. Specifically in health care, the main component of cash receipts in hospitals is & mdash; these are the compulsory medical insurance funds (FFOMS and TFOMS), there are also their own criteria, plans, & mdash; said the public figure. & mdash; The hospital did not complete the plan & mdash; funding is declining. Paid services in government agencies, except, probably, in central regions, & mdash; it's a penny. In principle, the hospital cannot in any case replenish the lost income. So there is a Lezginka in a minefield. They are starting to save on the salary fund. The main expenses of the hospital – this is exactly the payroll, so the savings on workers begin. They cut the incentives, the compensation payments. Workers, especially in some remote areas, tolerate as much as they can, but this patience is limited. Most experienced specialists near retirement age give up. In their place, at best, come young people, who are cheaper in the hospital due to the lack of seniority, category. At worst & mdash; the tariff is simply suspended, which will never be filled, and all patients are sent to other hospitals. The health system has already accumulated a lot of imbalances, especially in the regions. & # 39; & # 39;
Outpatient medical clinic of the Erzovsky colony of the Gorodishchensky district of the Volgograd region. Photo: AiF/Nadezhda Kuzmina
Costs will be reduced
The government recently submitted a federal budget proposal for 2022 to the State Duma, reports & nbsp; Medvestnik. & Nbsp; According to this document, the total federal budget spending on health will drop by 1.36 trillion rubles. in 2021 (according to the September 1 budget list) up to 1.25 trillion rubles. in 2022.
Share of expenditure under the heading “ Health & # 39; & # 39; in the budget relative to the volume of GDP in 2022 will be 0.9%. The share of healthcare in the total volume of federal treasury spending will also decrease (from 5.8% in 2021 to 5.3% in 2022). In the years to come, health care costs will only decrease. At the same time, spending on national security and law enforcement will increase by 17%.
Above all, spending will decrease for the federal project “ Equip medical organizations in the health system with qualified personnel ''. & mdash; 64%, from 3.3 billion to 1.2 billion rubles.
From 33%, from 8.1 billion to 5.5 billion rubles, the costs of the project “ Development of primary health care & raquo;.
